Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
March, 2009, Vol. 09, Issue 03
CranioSacral Therapy for a Multitude of Health Problems
By Nancy Westphal, LMT, CST-D; guest author for John Upledger, DO, OMM
It was an unseasonably warm day in October when my plane landed in Montana. I had just flown in from South Florida at the request of fellow craniosacral therapist Cindy Kafka. She had a patient whose injuries, she believed, were beyond her level of skill. A farming accident had left "Bill" (name changed to respect privacy) a quadriplegic; his neck, back and arms had been broken, possibly shattered. When paramedics first got to him, his body temperature was so low that they had to pour warm water onto his forearms (veins) just to keep him alive.
When I reached him he was rehabilitating in a nursing home with little hope of recovery. His sole goal with CranioSacral Therapy was simply to gain enough function to operate his computerized wheelchair. Yet it quickly became clear to us that any improvement would be welcome. So at the approval of the nursing home, I led a "multi-hands" CranioSacral Therapy intensive program. I worked with Bill alongside multiple therapists for 2 weeks: 5 hours a day, 5 days a week. Kafka had arranged for several practitioners to join us; each one had basic craniosacral training and experience. My intention was not only to support Bill in his process, but also to help Cindy and her colleagues strengthen their skills and feel more confident in their ability to work with him on their own, after my departure.
Simple Techniques in Several Hands
At our initial evaluation, Bill's gray complexion indicated very poor circulation; his cranial vault had the sensation of being fused; and there was no palpable craniosacral rhythm. He had a serious infection in his toes. And he told us that for 6 months, doctors had been unable to control his raging bladder infection. He couldn't pass a normal bowel movement without pharmaceutical help. And as you would expect from dealing with a multitude of health problems, he was depressed.
As a therapeutic team, we blended together to support Bill in what would become a transformational journey. We listened deeply to his body, helped release restrictions in his craniosacral and fascial systems, encouraged the whole-body flow of fluid, and supported him in his process in whatever way he needed. Our job was to trust the work, trust our hands, and trust Bill's body to lead us through his unique healing sequence.
"Cranial pumping," a simple technique taught in entry-level CranioSacral Therapy, quickly proved invaluable. Essentially, the therapist tunes into the craniosacral rhythm while using gentle pressure to nudge the end range of flexion and extension. By day three, this technique had helped Bill's coloring change so dramatically that his night nurse, who had no idea what we were doing during the day, insisted on checking his temperature.
Bill's fluid circulation continued to improve every day. As he slowly gained more vitality, he became stronger, his outlook improved, and he began interacting more positively with everyone around him. On the fifth day of therapy, the infection in Bill's toes was gone, and he also reported that he had finally started relieving his bowel independently.
A New Level of Hope
Week two was full of even more encouraging change. Bill's nursing staff and fellow patients began giving him glowing compliments. His friends told him how great he looked, saying he seemed to be "back to his old self" again. Around town, people were even stopping us (his therapists) to mention how terrific Bill looked and how grateful they felt. This man was obviously loved.
Toward the end of his intensive-therapy program, Bill began to exhibit far more mobility, strength and control in one arm than we had expected. He wasn't able to write yet, but he wasn't far off. He also had finally stopped talking about how miserable he felt and started imagining his future again. For the first time in months, he was making plans for a new life.
I flew home deeply gratified to have been a part of such a profound healing and mentoring experience. In all the years I've been working in multi-hands intensive-therapy programs, I've never lost the significance of being blessed to witness the metamorphosis of another human being.
A week later Cindy told me she had checked on Bill. The bladder infection that had plagued him for 6 months was gone. As she left the room, he was sitting in his computerized wheelchair surrounded by friends...and laughing.
Click here for previous articles by John Upledger, DO, OMM.
Nancy Westphal, LMT, CST-D is a diplomate-certified craniosacral therapist with two decades of experience. She is a clinician and mentor for therapists who want to improve their skills and help patients move past their plateaus. To contact Nancy or learn more visit her Web site at www.nancywestphal.com.
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