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Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
February, 2012, Vol. 12, Issue 02
Entrepreneur or Employee? Which is Right for You?
By Angie Patrick
There is no denying the massage and wellness industry is here to stay. People are becoming far more proactive with their health care and are looking to alternatives to heavy medications and a costly doctor visit.Recognizing there is opportunity for those who choose to chase it, there are many ways you can be involved in the massage health care field. You can be your own boss and open your own practice, you can contract your services to other entities, or you can become an employee. Let's discuss these opportunities and I want to offer you some points to ponder as you are making your decisions regarding how you will proceed in your career.
While I am cognizant and wholly recognize and respect that those who choose to enter the massage field are compassionate, giving, kind and generous, I am also here to tell you that you must be able to make a living in order for you to be all these things while utilizing the education you have paid to obtain. I know many therapists who feel somewhat guilty for having to even charge for a massage and then hugely undervalue their services as a result. This makes making ends meet much harder than it should be. While I applaud this giving nature, and I certainly do not knock this in any way, (as heaven KNOWS the world could use more people with a giving heart) I would say this type of individual may not make the best entrepreneur. Being an entrepreneur means building a business to make a profit. If you find you feel a twinge of guilt to charge the appropriate and customary rates to provide your skills, you might want to look at becoming an employee.
Entrepreneurship means being competitive. Do not get me wrong, I do not consider being competitive a bad thing in the least! (I have been known to be quite competitive and it is part of my nature.) Nor do I consider it a bad thing to wish to provide your skills free or nearly free of charge. (I have also been known to do that on occasion as well.) What I am saying is it takes a specific mind set to build a prosperous and profitable practice. You must be willing to take chances, to take charge, to stand fast on your pricing, to manage your marketing, your brand, your retail, your facility, your overhead, your ordering of supply, your capital expenditures for equipment, and your own book keeping to name just a few of the responsibilities of owning a thriving business. Many are satisfied with making only what is needed to survive, while others feel the drive to build a bigger, better more "bionic" practice that can support them in a bit grander fashion. Neither is a bad decision, but being honest with yourself about the inner desires you have, as well as the skill set you have is paramount to your success in either direction.
As an employee, you have the luxury of not having to order your own products, you often have benefits and you can usually count on a pretty regular paycheck. This is less risky and can allow you to do that which you love while not having to work at the actual upkeep of a business. You come in, you do your thing, you complete your side work and you go home. You can leave it and not think about it again until you go back to work. For many, this is a blessing. I have to say I can certainly see the appeal of being an employee, especially from a personal time perspective. An entrepreneur rarely has the opportunity to "clock out" and not think about their business. It is always on their mind, and they are constantly vigilant for any opportunity they might find to increase traffic and support more clients. Rarely are they ever "off the clock." The actual time performing massage is just the tip of the iceberg for the entrepreneur, while for an employee it is the crux of the job, with little or no additional responsibility for operational expenses or further financial risk. Depending on how your personality is wired, both might have appeal.
For those who see both sides of the coin as appealing and would really prefer to have a little bit of both worlds, I might suggest becoming a contract employee. Being a contract employee is really being your own boss, as you will regulate the hours you work, the facilities you will work within, and the number of clients you see daily. You may or may not have to provide your own equipment or supply, as those needs can change with the contracts in which you enter. You are responsible for your own taxes and reporting, but you get many perks from an earnings perspective that you can use at tax time. These should be discussed with your tax professional for greater clarity, but it is certainly something to entertain when you are deciding to become a contract employee. This can be a rewarding and positive way to enter into the field, but it is not without risk.
An example of a contractor relationship would be that of a chiropractic office that works closely with an independent therapist, sometimes even leasing them space within the facility, and paying them per client. Depending on the agreement with the doctor, you may receive all or only a portion of the charges to the client. You should be skilled at negotiation and not be afraid to ask for what you want. Contract employment is not for the timid, and you are your own best advocate. Without the ability to negotiate in the contractual relationship, you can often find yourself with the fuzzy end of the lollipop at the end of the day, working and making little for your efforts. Savvy relational skills are a must for a contractor.
Just as it is with the world around us, it takes all kinds of people to make a community. No way is better or more glamorous than another; it is simply a different means to the same end. We do not enter this field without the desire to help others. This is really the ultimate goal. How you go about finding your niche in this growing marketplace is really up to you. You need not choose only one option. As a matter of fact, I encourage you to try each of them on for size and see where you feel the most comfy. At the end of the day, you have to pay your bills and you need to be sure you are doing something that makes you happy. Find your happy spot and dig in. You can have it your own unique way, and never let anyone tell you otherwise.
Click here for more information about Angie Patrick.
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