Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
April, 2010, Vol. 10, Issue 04
By David Razo
"Despite having cancer, I have not suddenly become superhuman. I am not obligated to act more positive or happier than I actually feel just because I have cancer." -- Cary Vera-Garcia1
The quote above, excerpted from an online article, made me think of the many challenges cancer patients confront daily: fear, embarrassment, anger, depression, loneliness, pain, sadness, terror and anxiety, to name just a few.In fact, referring to these emotions and feelings as mere "challenges" almost seems to minimize this terrifying ordeal because the experience goes much deeper; it rattles one's foundation.
An increasing number of cancer patients are seeking massage therapy to facilitate improved health and well being; however, when administering massage treatment to oncology patients, there is one especially important hands-on consideration: no deep or vigorous touch is to be administered.
The internal landscape of an oncology patient is under continuous dynamic change that can cause the soft tissues to shift into a very fragile state. Oncology massage is gentle work, which is enough to foster a therapeutic need. There are three recommended therapeutic contacts in oncology massage:
The first level of contact is the lightest contact. The surface of the hands move broadly across the recipient's body, maintaining constant contact but never applying any level of pressure. This type of contact is commonly referred to as therapeutic touch or healing touch. This is the only contact suitable for hand placement over cancer sites.
The second level of contact is referred to as "lotioning" or neural stroking. It also is applied broadly but with very low contact. Pressure should be just enough to ensure that lotion is absorbed into the skin. The neural stroke is applied in a slow, rhythmic pace to sedate the nervous system.
The final level of contact engages with the flesh and soft tissues. In this contact, the hand is "soft." The palm of the hand and finger pads gently rest on the recipient's skin, or over the clothing or sheet. The "avocado test" is a useful method for determining the level of appropriate touch. If you are an avocado lover like I am, you know how important it is to find the right avocado. The "ripe" sticker may help you narrow your selection, but it is still necessary to test several. When you test an avocado, you place your hand around it and depress the surface very gently; you don't want to squeeze too hard, though, or you'll pierce the skin. Use the avocado test as a gauge when massaging oncology patients.
Oncology massage, unlike many other massage modalities, is a not a series of techniques or applied protocols. Rather, it is the practitioner's ability to recognize and work within clinically established guidelines and then make the bodywork adjustments required to accommodate any positioning, pressure, pace or site considerations that might apply. These positioning, pressure or site considerations are different for each person, and often change for patients from week to week.
As surgeon Bernie Siegel notes, "Massage therapy is not contraindicated in cancer patients; massaging a tumor is, but there is a great deal more to a person than their tumor."2
David Razo has practiced massage therapy and bodywork for more than 10 years, specializing in myofascia and pain management. He currently works with a medical doctor in private practice.
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