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Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
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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