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Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
September, 2011, Vol. 11, Issue 09
Creating Your Path to Success
By David Kent, LMT, NCTMB
To establish a reputation as a skillful massage therapist, with a talented array of techniques, requires consistency in a few areas over time. To become that therapist and design the practice of your dreams, you must be clear as to the knowledge, professional image and experience needed to achieve those long and short-term goals.This article will take you through the process by providing insightful questions and examples to help you clarify the steps and ignite the motivation to follow through on the actions necessary to create your path to success. Refer to "The SMARTER Approach to Achieving Your Goals" and "Practice Building: Taking Your Practice to the Next Level".
Your ability to assess your patients symptoms, communicate your findings and design and implement effective treatment plans is easy when you understand how the body works and have the professional support tools to do your job. Mastering these skills and support tools can greatly influence if a patient reschedules, upgrades services, purchases a multi-session package, refers others and in some cases the amount of your tip.
Specialized areas of study are an excellent way to create a reputation and set you apart from the other massage therapists in your area. For example, since 1992 to the present, my continuing education involves dissection seminars at the University of South Florida College of Medicine in Tampa. The knowledge from these seminars is applicable to all forms of bodywork. The decision to make the investment was easy since the percentage of healthcare providers who perform a human dissection during the course of their education and training is relatively low. I understood taking part in this unique learning experience created a special bond among its participants in the healthcare community.
I have met many physicians over the years that attended the College of Medicine in Tampa. Sharing that I studied anatomy in the same dissection lab is a great icebreaker that gives me further opportunity to develop an ongoing professional relationship — and a referral network.
Therapists who have taken a human dissection seminar have a definite advantage over those who have not. For one, physicians and other healthcare providers know that if you have taken a dissection seminar, you are committed to learning. If you were a doctor and had a choice of therapists in which to refer patients, do you think knowing a therapist attended a dissection seminar might influence your decision? What if you were the consumer? Would that level of advanced training influence your decision to see him or her?
There will be situations when your current schedule, location or finances prevent you from taking the seminar of your dreams. Your next option is to order the home study materials for the course. This gives you the freedom to watch and review everything anytime, anyplace, before and again after attending the seminar. Invest in well-organized programs that include manuals and other visual aids like charts that make the learning process easy and support your treatment sessions.
Ask yourself, what specific seminars or home study programs must I invest in now to achieve my long and short-term career goals? Then write a list of the seminars and home study programs and next to each item write the date you plan to accomplish this goal.
Presenting a professional image takes place on many levels; from how you speak and dress to the assessment and education tools you utilize. Read "Practice Building: Getting Inside Your Patients Head".
Besides the many talented skills in your hands, one of the most powerful tools a massage therapist holds is in the palm of their hand: an iPhone, Android, Smart Phone, iPad or Tablet. They allow you to run your business. You can make calls, schedule appointments, email, research online, get GPS directions, take payments and watch videos.
The built in camera lets you take still photos to document posture or video for range-of-motion and gait. The large screens let you zoom in to instantly assess and educate your patients. We all know the saying "a picture is worth a thousand words." Doctors utilize X-rays, MRIs and other imaging to educate patients, design treatment plans and document progress. You must use tools to take postural analysis photos to document and educate patients regarding how the effects of their high shoulder and forward head posture does indeed create myofascial pain and trigger points. The camera allows you to record video footage documenting dysfunctional movement patterns assessing their entire body during gait (Photo 2). Read "The Initial Treatment: Generating Thousands to Your Practice".
This Charts are a powerful visual tool that demonstrate your ability to understand the patient's pain and develop an effective treatment plan. Charts help you instill a comforting level of confidence to your patients as you explain the connection between their pain, limited range-of-motion, posture, trigger points and how your treatments help.
Charts are a phenomenal way to introduce a clinical presence to any treatment setting. Charts are engaging and provide a perfect visual aid for patient education. Hanging in each treatment room of my clinic is a postural analysis, skeletal, muscular, range of motion and full set of trigger point charts. I even have the same group of charts hanging in my reception area and use them when answering questions for the public that stop to inquire.
If you're a mobile therapist you might want to invest in flip charts to educate patients and present a professional image during outcalls, chair massage, health fairs or any time wall space is not available.
Ask yourself, what specific visual aids must I invest in to achieve my long and short-term career goals? Then write a list and next to each item write a target date.
It will require a little practice getting comfortable presenting the image of a confident healthcare provider. Part of this involves wearing certain attire and answering questions while referencing specific visual aids.
Practice taking posture photos and zooming in on each image to assess a forward head or slumped rounded shoulder pattern. Postural photos show which muscles are shortened, and which are lengthened contributing to neck pain and or back pain and how your treatments can help.
Learn how to properly use your charts to educate patients so you can show visual pain referral patterns of trigger points for common complaints like headaches, neck and back pain. A skeletal chart will aid with correlating trigger points and posture.
Practice by going out and "cold calling" a few miles from your ultimate target area. Pick multiple plazas to go introduce yourself and tell them who you are, what you do, where you are located and how you can help. After a few days, you will be amazed how much better and comfortable you will be answering the questions and referencing your educational tools. Now it is time to target your market.
Congratulations, reading and completing the steps outlined in this article was a major step toward creating your personal path to success. There is big difference between knowing what to do and doing what you know. Keep this list close, review your list frequently and take daily action. Your professional career investments must be wisely focused to be effective. Enjoy making your practice unique and setting it apart.
Click here for more information about David Kent, LMT, NCTMB.
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