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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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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).
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).
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.
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.
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.
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%.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
August, 2011, Vol. 11, Issue 08
Putting Your Business First
By Jenn Sommermann, LCMT
Perhaps you've taken extensive business classes while you were at massage school. Perhaps not. Maybe you came from a previous career in business or maybe you are a novice in this wide world.No matter what your background or how much you learned in school, the question is: How much time are you putting into your business activities now?
There are many factors that go into answering this question. Are you full time or part time? Is your business growing or are you happy where it is now? Do you plan to expand or relocate any time soon? Regardless of the answers, a certain amount of time needs to go into business activities and that amount of time varies from situation to situation. The bottom line is if you want to be successful, you must contribute a solid amount of time to business activities.
At this point, some of you currently working for other people are probably thinking, "This article isn't for me." I beg to differ and encourage you to read on. Whether you are in practice for yourself, working for someone else or a combination of both, you are "in business" and should be spending time and energy on its matters. The amount of time and energy depends largely on your situation, but EVERY massage therapist should be doing something towards the business-part of their livelihood. Surprisingly enough, often it is the veterans who settle into a routine and forget to focus on business matters.
Consider this situation. You are working at a spa under an umbrella of managers who supervise and support you in all aspects of your work. The laundry is done, the linens are provided, the schedule is set and you basically show up for work. Sounds like you are not in business for yourself. What about rescheduling your clients? Isn't it the responsibility of the therapist to retain clients? Do you have a secure dialogue for your exit interview? Are the clients rescheduling? What if you are at a cocktail party or your son's soccer game and someone asks you what you do for a living? Are you able to be an ambassador for the field of massage therapy while giving a strong biography of yourself? These are business activities and whether you know it or not, you are responsible for performing many of them daily. Some of these activities happen unconsciously. Others are more planned. They are necessary and can always be improved upon no matter how long you have been in business.
If you are a sole proprietor, you already know that you need to perform business activities on a regular basis. But how much time are you devoting? If you wish to be more successful, you could probably be doing more. More often than not, the activity you dread most and the one you least like, is probably the one you should be doing. For example, consider a shy person who is not well known in the community. At the core, she knows a networking group would be beneficial to her practice but her personality doesn't lend itself to it. My suggestion: find a friend and go to a networking breakfast together. The morning meetings tend to be shorter because people are anxious to get to their jobs. They tend to be lively and if she brings a friend, she has some extra security built in. Just like we dread activities were are not good at, we tend to repeat the ones that have benefits we can see. If the networking event proves fruitful, our shy therapist might be inclined to repeat it and maybe even, go it alone.
So how much time are you putting into business activities? In the 20 years that I have been in business, I have seen a fool proof formula work 99 percent of the time: Spend 20% of your anticipated client hours on business activities. In other words, for every 20 clients that you want to see per week, spend four hours per week doing the "other" work or business activities. If you are part time and want to see 10 clients per week, then spend two hours per week on growing your business. Alter the formula according to your dream schedule. The time can encompass networking, educating clients, taking classes in business, meeting new people, sending postcards, working on your webpage... all activities that pertain to business. If you are faithful with this formula, it will work. Do the leg work and watch the effect on your career. This time commitment must be set in stone; treat the time like a paying client and don't skimp here. Too often, I see therapists say they couldn't stick to the formula for one reason or another. And then complain their business isn't going well. Don't let that be you.
No matter what your working situation, a certain amount of time needs to be devoted for business and professional development. Schedule the time like you would a client. Plan to do it with a friend. Chose the optimal time of your day to perform the activities you dread most. Whatever business activities you need to do, do it! The list is never-ending and the rewards are many. Have fun with the process.
Click here for previous articles by Jenn Sommermann, LCMT.
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