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Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
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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