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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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.
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%.
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.
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.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
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.
June, 2012, Vol. 12, Issue 06
Remember to Do the Right Thing
By Angie Patrick
My Dad was always best at giving this advice. If ever I brought to him a question for which I looked to him for guidance, he would always ask me, "What would be the right thing to do?" This has served as my compass for as long as I can remember.As a grown adult, this deceptively simple means of righting my own course has served me well in more instances than I can count, both personally and professionally. On a personal basis, doing the right thing is not always easy, but it is certainly best. The same holds true in business, and to say that doing the right thing is always easy is a complete falsehood.
In fact, doing the right thing in business is often the HARDEST thing to do. And yet, I can never recall an instance where I had regret when doing that which is the right thing for the circumstance. Actually, it is really much easier to forgive individuals for shortcomings than it is to forgive a business for a mis-step. For an individual, we all do a pretty fair job of internalizing and providing an empathetic response, because an individual seems so much more personal. When it is a business that stumbles, we often want to crucify them on the phone, and fire up blogs/newsletters/social media with our story. I always found this dichotomy interesting. I guess I am old school and of the opinion that stuff happens. Anyone can falter or make a mistake, even companies. The true test of character comes into play when you observe how an entity tries to recover from an issue. This is when you really see what someone or something is made of.
Let's take the practical example of gift certificates. Either you hate them or you love them. Many people hate them because they require upkeep and records keeping. Many more love them because you are selling your services for the future but receive cash now! They can certainly create a fluid cash environment for you during slow times or times when you cannot see all the clients who want to see you! As beneficial as these things are though, there is a seedy underbelly. The negativity comes about when someone who has received a gift certificate allows it to lapse, and then brings it to you for servicing. What do you do?
I know people who hold strong and fast to the expiration dates, and this is the reason they do; they feel you have been given ample time to make an appointment, and should you have missed that opportunity, they would rather not service you than to have numerous gift certificates out there with opportunity for redemption at any time. A cut-off date is just that, a date in which something is cut off. And to this way of thinking I have to say, I can see the points. No one likes things unfinished or leaving things dangling, however; I should also share with you the flip side of this.
The customer who was just politely told her gift certificate was no longer valid, just called her girlfriend and let her know just how much she thought of this policy, who in turn texted her hairstylist who had an appointment booked and encouraged her to cancel because of the way you had treated her girlfriend.
Then later that day, the original customer fires off a nastygram on Facebook, Twitter, Linked In and anywhere else she can gain traction to inform as many people as she can gain within her sphere of influence and share with them the bad experience she had with your practice. In sum, there is really no telling how many people just got an earful about you and how dissatisfied someone somewhere was with your policy and service level. But you can bet it has been shared over many networks and over many channels, and gauging how this might impact your company brand is really difficult to tell. You may never know what that decision cost you in the long run.
Conversely, what horrific circumstance could possibly happen if you just simply allow the client to use the gift certificate? Besides diffusing a situation you can bet the customer is ready to dispute, you have totally met and exceeded someone's expectations. Further, you have taken what could have been a confrontational experience and turned it into something that no one was expecting, and that is a stance of generosity.
Now guess what happens? Rather than your client texting her girlfriend to complain, she is now texting to rave about you, and how you honored her gift certificate despite the expiration date, and how you made her feel like a million bucks and did it with a smile on your face! She is re-booking and will be in next week for another visit! She will also likely post on her social network about what a fantastic therapist you are and how your skills rival that of an angel! Now, thanks to her, there is positive chatter going on about you, your business and your skills. You have lost only one hour of your time, and you have made a new customer happy, got a re-booking, and have positive reviews flowing like champagne. How is this a bad thing?
You really cannot buy this kind of word of mouth promotion, and it really cost you nothing. You have been, after all, paid for an hour's massage, and that is exactly what you delivered. So in total, you have lost nothing but gained so much. So, what does this say about doing the right thing? For me, it is another example of how taking my Dad's advice and simply, "Doing the Right Thing" can save you heartache and drama down the line. Thanks Dad, for this great lifelong lesson. I will continue to use this as my rudder for all of the tough decisions life tosses my way both personally and professionally.
Click here for more information about Angie Patrick.
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