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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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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