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SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
April, 2011, Vol. 11, Issue 04
Your Backup Plan: When Life Interrupts Your Practice
By Jenn Sommermann, LCMT
Being a massage therapist is physical. I don't have to tell you that in order to do this work well, it takes a strong body, a clear mind and endurance. Even if you only practice part time, you must inhabit a high state of health to care for your clients.Of course, there are differences, i.e., you travel with your table, perform sports massage, have to work around a hospital bed with less than optimal ergonomics or have a private practice where clients come to you.
I am not referring to any particular type of practice but am speaking in general. You must have a certain level of fitness to be a massage therapist. I often joke that I am in the best shape of my life and it is because I have been a massage therapist for almost 20 years.
But then life happens. Sometimes you get sick. Sometimes you get injured. Sometimes you have emotional issues that leave you less than grounded and present for your clients. It isn't realistic to think that you can be strong, sound and able, year after year, client after client, without interruption. If you have practiced for any length of time, this issue may have already occurred. The question is what to do about it so that you can maintain your practice, your income and your reputation.
One morning this winter, I woke up injured. The distal joint of my fifth finger on my right hand was bent at 90 degrees. I have come to learn it is called a "mallet finger". There was no injury or trauma; I simply woke up with a crooked finger. As I make a portion of my living with my hands, I panicked and rushed to a hand surgeon. He told me this is a common injury and probably occurred while pulling up the sheets in bed. Really? Didn't I just say I was in the best shape of my life? How on earth could this happen? After consoling me, I was put in a splint to be worn 24/7 for eight weeks.
As of this writing, I am still splinted and hoping for a positive outcome. Surgery is the next option and one I don't care to bring into consciousness. And then the reality sets in: I am impaired. I cannot use one of my fingers and moreover, need to keep it out of the way of the other fingers. How will this affect my work? Can I work? I asked the doctor. He merely stated, "Try it and see how you feel". I hated this answer but realized he couldn't say anything else.
I decided to take the first week off to heal and come up with a plan. There are options when you are sick or injured and it is important to consider them, even before you need them. A backup plan is one you hope you will never need to use but is good to have ready, just in case. A backup plan for a massage therapist may include:
It should be noted that there is always a risk if you stop seeing your clients for a period of time (either because you took a break or referred them elsewhere) that they may not come back to you when you are able to work again. I truly believe there is enough work to go around and chances are if the relationship is well-established, it can survive a hiatus until you return. That being said, the risk is real and must be considered.
Once the options are weighed, implement your decision. Remember if the decision does not work out, you can change your mind. For example, if you find that you cannot work with the injury or illness, inform your clients immediately so they can seek care elsewhere. It really is OK to change the plan. Your health is paramount and if you don't take care of yourself, how are you to take care of others when you are well again?
I am back to work again. My finger is splinted and bandaged. I have also chosen to wear finger cots that are changed between clients. For the most part, I keep my finger out of the way of the other nine but it occasionally comes along for the ride. I have adapted; the first few massages were shaky. Most of my clients have no idea that anything is wrong with my finger. I am not trying to hide it and if they "see" it, I tell them. But I don't want it to be the focus. The care is about them and I want to focus on them.
Whatever ails you, be it physical, emotional or spiritual, your work can be impacted. If it is too much of a burden, you may need to consider options. A backup plan is a good thing to have in place. My wish for you is that you never need to call on a backup plan. But in case you do, you'll be glad you planned ahead.
Click here for more information about Jenn Sommermann, LCMT.
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