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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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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%.
April, 2012, Vol. 12, Issue 04
Defining Change and Learning to Understand Why People Fear It
By Angie Patrick
My cousin used to say, "change is change" and I thought it was one of the strangest things a person could say. Well, of course change means change. I mean, what else could it mean? But what exactly is change? How do you define it? How do you quantify it? How do you even begin to endeavor upon making a change if it is such an esoteric term? Why do people fear it so much? Why is it so hard to do? Why are we so resistant to change?
According to Merriam-Webster, change can be defined as the following:
A. To make different in some particular.
So, none of the definitions listed above say to maim, mutilate, slay or dismember. They do not suggest the end of life as we know it or the approach of the apocalypse. It simply means something is about to become something other than that in which we have become accustomed. This can be for the worse or for the better, but at the center of any change is either action or inaction. The outcome of change often depends on the person, business or entity's intentions and motivations, so clarity of the reasons for change can remove many of the inherent fears we all feel when we hear the word change.
In business, I can say with a very high level of acuity that I have been the catalyst for, as well as the recipient of, change. Change can mean positive outcomes when you are trying to do all the right things for all the right reasons. When you know you need to make a change for the better for your massage practice, you set about making those changes by educating yourself on what your next steps should be. That may mean hiring a consultant to provide direction, or even accomplishing tasks yourself to get the ball moving. It might mean taking a class or two to gain specific knowledge in a new massage technique or protocol so you can impact change in your own practice. It might even mean taking a hard and honest look at your business, where you are in your personal growth, and look at the most difficult thing to change: YOU. Sometimes, our fear of the unknown can cause paralysis in our business because we become so comfortable in our cocoons we resist the driving urge to spread our wings. To do this means a transformation must take place, and sometimes this transformation can be scary. But also, the transformation can be cathartic.
Sometimes, you simply need to break out of old thought patterns that can contain your creativity and entrepreneurial spirit. The excuse, "this is always how we have done it," does not mean, "this is a new way to do it," is a bad thing. Opening your mind to possibilities is a huge harbinger of positive outcomes. Thinking outside your comfort zone can make you stretch to meet your desired goals. Get out of your own way; step out of the fear box and into a world of potential. It really has to begin with your own thoughts and perceptions, because no change will ever be positive in your mind if you will not open up long enough to examine the possibilities.
This is true of changes that are business related, but also personal in nature. I have personally embarked on a mission to change myself and my health. This is not an easy thing to do, because old habits die hard. Eating balanced meals and exercising has never been my forte, and now it is becoming my norm. It is a change I made with will coming from deep inside and with great determination. My goal is simple, be healthy, reduce my stress levels and lose this weight that has plagued me my whole life. It is slow going, but it IS going. And I am thankful I recognized this need for change before it was too late.
In your world, you may have concerns about where you work, what you do, who you do it with and where you are headed. Change means many things to many people. And it happens all around us every day. The world is in a constant state of flux, and changes with each moment that passes. It happens because someone is brave enough to do that which has never been done before. Someone has found a need and strives to fill it. Technology finds a faster more user friendly interface and rolls it out to the masses. It is a constant, and it requires a first step.
As we hear the "economic experts" say we are emerging from the past few years of downturn in our economy, I have to stop and think what would make these changes? In the housing market, it is because people need a place to live, and are beginning to simply step out and invest again. In sales, people are beginning to feel more confident, albeit ever so slightly, and are willing to turn loose a dollar while watching the bottom line. So in essence, people are making these changes, one by one, stepping out and testing the waters. This is seen as positive growth and momentum by the experts. It took a shift in mindset, and a bit of bravery, but it is happening all around us.
Ultimately, change is up to you. If you do not like where you are, move. If you do not like what you are doing, do something different. If you do not like what you see, speak out. If you want to grow your business or even within yourself, you have to take the first steps. Toughen up, cupcake and be brave! No one said change was easy, but anything worth having is worth working for. If you desire it, it is worth the effort. Don't settle for "what is" at the expense and forfeiture of what "might be." Be open, be honest, and most of all, be true to your own self worth. You are the only one who can better yourself and your circumstances. I promise, you are worth it.
Click here for more information about Angie Patrick.
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