resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
November, 2009, Vol. 9, Issue 11
Clients Who Are Reluctant to See a Physician
By Ben Benjamin, PhD
Question: How do you get people to see a doctor to screen for serious conditions when they don't want to?
Answer: As I mentioned in a previous column (September 2009), whenever a client comes to me with an injury or pain condition, I make sure the person goes to see a physician if they have not already.I recommend this policy to all the practitioners I have trained around the country, and believe it is one of the most important steps we can take to protect our clients, our profession, and ourselves. However, it's not uncommon for clients to put up some resistance. Many individuals have had bad experiences with doctors and other health care providers. This isn't surprising; outside the mental health field, medical professionals often receive very little training in how to develop therapeutic relationships. They may never receive instruction in communication skills, relationship building, conflict resolution, customer service, and building a safe environment -- all crucial skills to have when dealing with something as personal and private as the human body.
In your first session with a client, you're taking a major step in building a therapeutic relationship. As you greet them for the first time, take a history, perform an assessment, and then open up a dialogue about what the client wants from the work you do together. The person will get a good sense of whether he or she feels safe and comfortable with you.
Your confidence, your presence, your voice tone, your gentleness and kindness, and your clear boundaries will give the client reason to trust you and to believe what you say. If you have done all of this well, it may be much easier than you think to influence the person to see a doctor.
It also really helps to have one or more excellent physicians in mind. Whenever I set up a practice in a new location, the first thing I do is go in search of good doctors. I ask people, whose judgment I trust, who their doctor is. I invite the doctor to breakfast or lunch (they have to eat sometime!) to discuss their work and to see how I feel being with them. If I have a good experience, I begin to refer patients to that physician for medical screening.
I have sent hundreds of clients to doctors who don't rush them, speak in plain English, and do a thorough job. When clients persist in their reluctance to see a physician, I set a clear and kind boundary. At the end of my assessment session, I might say something like: "You have a serious injury in your neck and I would very much like to see if I can help you with it. In order to treat you in a responsible manner, I will need you to see a physician before I begin the treatment process. My training and knowledge are limited to certain areas of expertise, so I rely on physicians to screen out conditions that are outside of my scope of practice. Once you've seen a physician, whether it's one I'm recommending or one you choose on your own, I would be happy to treat you."
I've found this approach to be successful in the vast majority of cases.
Click here for more information about Ben Benjamin, PhD.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.