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SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
May, 2009, Vol. 09, Issue 05
Navigating the Economic Seas
By Angie Patrick
Staying afloat in these tumultuous economic waters is certainly at the forefront of most people's minds these days, both personally and professionally. Every time you turn on the television, listen to the radio, log onto your Internet connection, read a paper or have any contact at all with the outside world, the subject du jour inevitably turns to the economy, and how hard we have all been impacted. We hear the negativity from every facet of our media, and we as a society begin to shrink in fear because of the doomsday soothsayers and their blanketed and often sensationalistic views.
That said, I will not present to you an image of cake and roses either, because we all have felt the effects of a downturned economy in our own way; it is a very scary time for many right now. If the statistics we see generated for public consumption are true, then it is no secret we have a hard row to hoe ahead of us. However, now more than ever, I think it is a great idea for all of us to just take a moment, breathe, consider what we can do to slow the decay privately and professionally, and make a solid plan to get us through to the other side.
To tell you I have the magic panacea that will cure your economic woes would be a bit of a stretch; but what I can give you are some simple, common sense ways to assess where you are currently and provide a few suggestions to strengthen your position to be better prepared to assail those gale-force financial winds when they blow.
First , do not let the news bring your spirits down. Yes, we are having a tough time and there are many reasons to be concerned, but panicking is absolutely not the thing to do. Instead, turn that nervous ulcer-generating energy into something positive by looking for more ways you can conserve and maintain your lifestyle while saving excess expenditures.
On a personal level, you do not have to make major life-altering changes to create a positive outcome. For instance, instead of buying lunch out everyday at the fast-food haunts, opt for a brown bag filled with last night's leftovers, or a yummy sandwich wrap you made yourself. If you consider that buying lunch out every day costs roughly $5, then you just saved $30 a week, or an average of $120 a month. The same can be said for that $6 cup of skinny, white-chocolate mocha latte decaf with extra foam. Your home coffeemaker brews great coffee, and travel mugs are not only easy to use, but good for the environment because they do not clog landfills the way some disposable cups can. By opting for home brew just three days a week, you can save an average of $18 a week, or another $72 a month! For an average family of four, pizza night once a week can cost $25. If you opt to cook instead, you can sock away another $100 a month, not to mention saving the gas it took for the driver to deliver. (I like going green and saving green at the same time!)
If we look at just the three ideas discussed here, we can save an estimated $292 monthly or $3,504 annually. This can go a long way in a savings account dedicated to preparing for a rainy day. This is just the tip of the iceberg. There are other ways to save that do not impact your lifestyle in a huge way. These things work well for your home, as well as for your office or clinic. For instance, you can check with your utility companies for programs such as budget billing. This program takes an average of your billing over the previous 12 months and bills you a fixed dollar amount monthly. This eliminates spikes on your heat in the winter and cooling in the summer. It can also be done with your water in many municipalities; you would just need to check with your local provider. By opting for budget billing, you can better plan for your utility expenditures by knowing it will be the same amount month after month.
Another simple moneysaver for on-call therapists would be to drive the speed limit. I realize this tidbit does not sound like advice but rather more like a law. However, the truth is that many of us drive well over the speed limits, and when we do this we use more fuel. By simply committing to driving the speed limit, you can save as much as 15 percent in fuel costs. This 15 percent is significant with rising fuel costs, and since this is often a business expense, it makes sense both personally and professionally.
Now more than ever, avoid amassing additional debt. It is all too simple to reach for the old reliable charge card when you want a night out and are cash strapped, or you see a bargain you cannot afford to pass up, but doing this can spell real disaster for you down the road. Instead, work to pay off these cards by sending an extra $20-$40 with each payment from the money you have saved by making changes in other parts of your life. You will be amazed how doing this will rapidly reduce your balance and save you more money overall by avoiding finance charges on the paid principal. Make a concerted effort to remain current, or even a little early on all your bills to avoid senseless late fees. Creditors are far more fastidious about charging late fees now more than ever before. This is simply a money-making proposition for them, and these fees add up so quickly. Consider the cost of being late on a credit-card payment just three times in one year and at $29 per occurrence, you have just thrown away almost $90 of your money. We pay interest on the fees if the fee is added to your ending balance, so you will not only lose the $29.99 but you will continue to pay additional interest on it at well. This is an easily solved problem by utilizing online bill payment or automatic debits from your checking account.
By beginning to think now about ways you can better preserve your income, and cut your monthly costs for supply and necessities, you can begin to build a stronger platform from which to navigate these economic upheavals, and keep your ship afloat. Do some research online to look for more ways people have found to trim excess spending. Making the choices to conserve, retain, save and invest are just sound financial practices and will benefit you and your practice over the long term.
Click here for more information about Angie Patrick.
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