resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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).
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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%.
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.
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.
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.
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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
February, 2010, Vol. 10, Issue 02
The SMARTER Approach to Achieving Goals
By David Kent, LMT, NCTMB
If you are anything like me, you have a to-do list of projects you are never quite able to finish -- or even start. Perhaps some of these items have been on your list for years, but a lack of time or other circumstance prevents you from moving on them. This article will review the SMARTER way to organize and complete those items on your to-do list.
S = Specific
A = Attainable
R = Reasonable
T = Timely
E = Evaluate
R = Reorganize
To focus your efforts and begin moving in the right direction, you first need to be specific about each of your goals. Thinking about your goals is good, however, writing them down in specific detail is the only way to clearly define them and solidify them in your mind. When putting your goals to paper, make sure they are straightforward and free of ambiguity. For example, instead of: "I want to lose weight," try: "I will lose 10 pounds over the next 10 weeks." Instead of: "I want to make more money," try: "I will increase my income by $2,500 over the next 12 months."
We've heard it said that if you can't measure it, you can't manage it. Reviewing your goals and documenting or measuring your progress daily will help you to make the choices that continually point you in the right direction.
For example, documenting your workouts and the foods and drinks that pass through your lips, as well as using the same scale to weigh yourself are ways to measure your progress toward your weight-loss goal. You'll also confirm your measurable progress by noting how well your clothes fit, the numbers on the scale and how you feel about your accomplishments. To measure your financial goals, you'll have to track your spending versus your income or find measurable ways to track what draws more business to your practice. Paying off debt, opening a savings or retirement account, or investing in tools and/or seminars that increase and improve your knowledge, thereby aiding your treatment sessions, are all effective methods of measuring your financial progress.
Is your goal realistically attainable? If you are naturally stocky or big-boned, for example, setting a weight-loss goal that would be difficult for a super model to achieve isn't realistic and probably not attainable. In fact, setting unrealistic goals likely will result in burnout and failure. However, losing 10 pounds and improving your all-around level of fitness are definitely attainable goals. It's also important to identify realistic, attainable actions that you can take to move you toward your goal. For example:
Problem: Sweets and snacks pose a weakness for me.
Problem: I tend to overeat when I dine out.
Financial goals can be attained easily by realizing that consistent efforts can produce big returns. For example, making or saving an additional $50 a week x 4 weeks = $200 a month x 12 months = $2,400 a year. Another $200 a week x 50 working weeks in a year = $10,000 additional in annual income.
Instead of working twice as hard to earn more, it's easier to improve your bottom line by simply spending less. Is this an attainable goal? Sure! Buy in bulk from wholesalers and save on items like detergent, linens, face-cradle covers, lotions, oils, creams and topical analgesics. Watch for special offers and use discount codes whenever possible and re-evaluate what you have purchased in the past and then ask yourself if purchasing the same item(s) is the best choice moving forward.
How about implementing realistic, attainable methods to make passive income such as selling products like topical analgesics? One company offers complementary educational brochures personalized with your name and contact information with a sample pack of the product attached.
Don't reinvent the wheel, just model what works for others. Is there something you could offer to distinguish your practice from the competition and attract new patients? Medical doctors often offer free screenings or educational classes, chiropractors offer free X-rays and spinal exams. Massage therapists can offer a free evaluation that includes postural analysis, muscle and range-of-motion testing, orthopedic assessments and a trigger-point educational session. Offer these services at a value to new patients who purchase a series of treatments. By adding to your menu of services or making some minor adjustments, attaining your financial goals is within reach. For more practice-building tips, read Tools to Succeed for Massage Therapists (MT, May 2009).
Now that you know what it takes to attain your goals, you must know that your goals, and the steps toward achieving them, are reasonable and sustainable in both the short and long term. Create a separate "do-able" action plan for each project by making a list of two short-term and two long-term goals related to the project. Next, list the tasks required to complete each short-term and long-term goal. By outlining your goals and each task needed to achieve them, you will have created a detailed blueprint to navigate your course. The key here, of course, is to make sure you are using reasonable methods to attain your goals.
Part of your action plan for losing weight might include getting some form of exercise every day, drinking more water and using smaller plates. Are these lifestyle changes reasonable and sustainable? If so, you are on your way to permanently achieving your goal. If not, you'll need to determine what steps are reasonable to you. Perhaps it's more reasonable if you allow yourself one "cheat" day a week.
Is setting aside $50 a week reasonable for moving you toward your financial goals? If not, how about $20 a week? Again, you must find what works for your situation. For more on creating lists to help you achieve your goals, read The Power of the List (MT January 2008).
To successfully achieve your goals, you must set completion dates. Setting timelines for each task gives you clear targets and deadlines. Without completion dates, your goal will always be open ended. To learn more about finding the time to achieve your goals, read The Power of a Minute (MT, June 2007).
To determine if you are on track toward accomplishing your goals, you should review and evaluate your efforts many times a day; at least at first. The more you review your goals and focus on the actions you need to take to achieve them, the sooner your goals will become a reality. Continually evaluating your progress will also help you find your weak points and identify the areas that need improving. This process also helps you evaluate if your time and efforts are being spent wisely. One rule of thumb is to focus 80 percent of your time and energy on 20 percent of the things that produce the greatest results. This is also known as the 80/20 rule. For more about the 80/20 rule, read The 80/20 Rule: Maximizing the Return on your Investment (MT, March 2008).
Once you have determined what works and what doesn't, make the necessary adjustments to your approach to maintain focus and stay on track. Continue to regroup and reorganize your efforts until you know you are on a stable path toward success.
The SMARTER approach to achieving your goals is similar to cooking. First you need to know what you are cooking (Specific). Then you pull together the amounts (Measurable) of each ingredient (Attainable), and bake everything at a specific temperature for a determined (Reasonable) length of time (Timely). Then you taste (Evaluate) the food and finally decide how you will modify (Reorganize) your recipe to improve on your next attempt. Have fun with the process, and please let me know about your progress as you apply the SMARTER approach to achieving your goals in all the areas of your life.
Click here for more information about David Kent, LMT, NCTMB.
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