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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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
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%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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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