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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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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%.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
September, 2012, Vol. 12, Issue 09
Cyrano, MT's and Losing the Fear of Rejection
By Cary Bayer
Recently, I caught David DiChiera's "Cyrano," a 2007 operatic version of my very favorite play from 1897, Cyrano de Bergerac, written by Edmond Rostand. If you're unfamiliar with this tragedy, set in Paris in 1640, it centers around the eponymous Cyrano, who's as much of a hero with the sword as he is a coward with expressing love.He's great at swordplay and wordplay, but pathetic at romance and love because he's insecure about his grotesque nose, virtually the size of his sword.
This play can be instructive for you if you're a licensed massage therapist. (It's too bad a DVD version of the film with the incomparable Jose Ferrer isn't screened over popcorn in massage training schools.) With his sword, Cyrano can slay a hundred men on a battlefield in France. With your hands, you can slay a hundred knots of tension on the battlefield of clients' bodies. But with his mouth, he freezes up in the presence of his beloved Roxanne. And you do this in your own way, too.
After teaching my "Build a $100,000 a Year Massage Business in Just 1 Hour a Day," course and privately coaching more than 125 LMTs, it's become painfully obvious to me that far too many of you freeze up in the presence of opportunities to promote your work. You become as tongue-tied in the face of a prospective new client as the usually poetic Cyrano does in the face of his true love. Rather than risk rejection, Cyrano doesn't attempt wooing Roxanne. Rather than risk rejection, far too many LMTs don't attempt wooing new clients. Oh sure, you'll hand out your business card. But do you ever risk the rejection of asking a prospective client for his? No. Why not? He may lose yours, and then you can kiss goodbye the possibility of him gaining relief on your table.
I've seen far too many therapists fail to book a massage at a party when a stranger says they could really use one. The fear that they might reject the offer to book stops the LMT in their tracks. Instead of asking the prospective client if they would like to schedule a session, the therapist takes another floret of broccoli and dips it into the guacamole. The person is hungry for relief from pain in their neck but, fearful that they might say no, the therapist is hungry for crudités.
The would-be client is denied healing relief, like Roxanne was denied Cyrano's healing love. The therapist is denied income that might result from this party guest becoming a new client. That could have been some $3,500 per year had they become a weekly client. The LMT is kept financially poor, much like Cyrano who wouldn't market his plays — partly because he couldn't abide the mediocre tastes of the publishing establishment of his day, and largely because he couldn't endure any rejection of his work.
Rather than risk rejection, many therapists fail to ask the simple question, "Would you like to schedule a session?" I know of LMTs who are afraid to book their clients' next sessions for fear that they'll say something like, "Let me call you when I'm ready." I know of far too many massage therapists who fail to ask existing clients if they'd like to purchase a package of treatments, even though they could save money. The fear of rejection again raising its ugly...nose.
The reason for these fears is a gross misunderstanding of the process of sales. If you ask a prospect if they would like to come in for a treatment, and they say, "No," they hasn't rejected you. They have simply taken a pass on having relief from pain today. The key words there are "you" and "today." They rejected your offer — to relieve them of their pain — today. They may not reject that offer tomorrow, if the pain increases. Making the distinction that their rejection is of an offer, and not of you, keeps you emotionally protected. This protection encourages you to take more risks and ask more people if they'd like to have sessions. That's because you have nothing to lose.
In the play, Cyrano sadly dies never having told his Roxanne that he loves her, even though it was his soul that she loved. Cyrano had extemporaneously written exquisitely beautiful poetry for a handsome young soldier whose face Roxanne had fallen in love with. The man was all looks and no books; he looked gorgeous, but spoke poorly. Cyrano, knowing that his beautiful beloved would never fall for someone as ugly as himself, wrote the poems to win the heart of his beloved for the young man. The hero was so terrified at the thought of competing against this handsome stud that he didn't even attempt it. Years later, when Roxanne finally discovered that the poetry that eventually won her heart was Cyrano's and not the pretty boy's, she confessed her love for him as he lay dying. Stubborn, proud and fearful to the very end, however, he refused to admit his love. His insecurities were deeper than some of the knots in the necks that you're asked to untwist.
Cyrano was a tragic hero of fiction. But it's no fiction that massage therapists are missing out on opportunities for new clients and new massage packages. Don't let yourself be a tragic statistic of the massage business. Don't take your talented hands away from your massage table and put them on a computer keyboard in some nameless office so that you have a secure way to pay your bills. Roxanne always loved Cyrano, but he was too scared to find that out. People love what you do with your hands; don't be too scared to ask them if they'd like a session.
Click here for more information about Cary Bayer.
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