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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
February, 2009, Vol. 09, Issue 02
Are Your Clients Trained?
By Jenn Sommermann, LCMT
Many of my students have been asking me about the economy and how it has affected my practice. I understand their concern and value their questions. I am also pleased that they feel comfortable enough to ask and are considering the future of the industry and how the changed economy is going to affect the bottom line. That's head-ups thinking and shows me my teaching efforts are paying off.
We have a candid conversation about the economy, where I think it is headed (not that President Obama asked me) and how my business is doing in these tough times. I am pleased to admit that my private practice has not suffered one bit. The reason is simple. My clients are trained.
There are two sides to the massage industry. There is the health care side of the industry and the personal care side. "Health care" encompasses medical massage, treatment of injuries and specific conditions, and massage for general well-being. This is by no means an exhaustive list. The "personal care" side of massage typically happens in spas and salons, on cruises or at resorts. The clients are not "regulars" and often schedule as a result of a gift certificate or special occasion. Both are necessary and valid models of care, and many massage therapists have their hands in both camps.
One of the most appealing aspects of being a massage therapist is variety and flexibility. The typical therapist has two or more jobs, so you often find an MT who works in both the health care and personal care setting. Other MTs have a preference and focus more in one area. Both are fine and acceptable; no judgment here.
The interesting point to make is that in these tough economic times, one of these camps has taken a "hit" and one has stayed constant. Can you guess? Americans, and people all over the world, have cut back on excessive spending. Much of that excessive spending falls into the personal care category. Getting your nails done or having highlights put in your hair can wait an extra week or two, or be tabled altogether. When the choice is between a good manicure or food, the right decision seems clear.
Health care, however, is an area that people have not skimped on. The dollars spent on getting well and staying well has remained constant and unchanged, and I believe that is the key to being recession proof. Taken to another level, the trend has been to spend extra money to stay well in the first place.
Training Your Clients
Here's where the training comes in. My clients are "trained" that the care I provide is health care. Now more than ever, it is important to stay healthy, not get sick and miss work, not throw out your back, and keep your musculature strong. This is not the time to skimp on massage dollars. You've heard the saying, "penny wise and pound foolish"? That applies directly to paying for regular massage as part of health care and preventing sickness or injury in the first place. The average client will save time away from work and money if they consider and use massage as part of health care.
The easiest way to "train" your clients that massage and what you provide is health care is to decline tips. Turn away money? Yep. Something as simple as declining a tip sends a message to your client that you are not a personal care provider. Just today, I was given a $10 tip. I kindly gave it back to the client, thanked her for the compliment and told her the best compliment is the referral of family and friends. She had a puzzled look on her face and I further informed her that I consider myself an allied health care professional. "Just like you don't tip your doctor or psychotherapist, I don't accept tips either. If I considered myself a personal care provider like your nail technician or stylist, I would happily accept the tip." She was blown away, but understood. Within minutes, she booked another appointment for two weeks later.
There is no doubt about it: Tough economic times are here for a while. People will continue to cut their budget and personal spending. However, I think you can recession proof your practice by positioning yourself on the side of health care. "Train" your clients by educating them about what you do, how you do it and how it can help them.
Click here for previous articles by Jenn Sommermann, LCMT.
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