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Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
October, 2012, Vol. 12, Issue 10
Disaster Proofing Your Massage Practice
By Rita Woods, LMT
These days, we are accustomed to hearing about disaster preparedness, the zombie invasion, when "it" hits the fan and keeping your BOB (bug out bag) updated. What you are not hearing so much about is how to prepare your small business for the same set of disasters.Whether you have a small practice in your home or a large facility with several employees, maintaining the integrity and continuity of your business is the key to a speedy recovery should disaster strike. Whenever you think of a personal or family disaster preparedness plan, include your business as a parallel entity. Whatever you do for the family plan, do for your business plan. Let's look at some specifics.
It is advised that you maintain your homeowners insurance policy, wills, bank account numbers and such in a portable fireproof safe. This makes it easy to grab and run should the need arise, and to protect them from fire and the elements. You should be maintaining secure backup records of important business documents in the same way. These might include your continuing education records, insurance policies, licenses and permits, and client records to name a few. Massage schools and educators should also maintain off-site backup files of student transcripts. If you have a website, be sure that a backup copy is being created and maintained on a regular basis. There are companies that provide "cloud" storage of your internet and computer files so you may want to look at that service.
A friend of mine was in a F4 tornado that literally took her house out from around her. She was left squatting in what used to be a closet holding a pillow over her head. She had nothing left but the pajamas she was wearing. As most of us do these days, she had entered contact information of friends and family into her cell phone. When disaster struck she didn't even have phones numbers to call for someone to come get her and could not contact them afterwards to let them know she was alive. Her advice is to store information in an online address book so you can access it later. Don't depend on your computer or cell phone as they can easily be destroyed or lost.
Disasters come in all forms, shapes and sizes. If something happens, you may be stuck at your office and unable to get home or stuck in your car trying to get home. What's the first thing that crosses your mind when you envision that scenario? Think that process through, then be proactive in addressing each concern with proper planning and preparation.(I've included links at the end of this article that will help you make a good plan.) Being proactive will help keep you and your loved ones calm in an emergency. I have a GHB (get home bag) that is in my car at all times. I change it according to the season and my destination. In a medium sized back pack I have everything I would need to survive (in relative comfort) for several days. Civil unrest often follows a disaster because people do not have basic supplies. Remember, a person was killed during Hurricane Katrina over a bottle of water. Your key to personal safety is self sustainability. Your office should be as prepared as your home.
Be prepared by keeping your favorite (portable) comfort items in the office. Maybe you like a cup of hot coffee or tea. Keep it on hand and have a way to heat your water. If you have no electricity, you might want to have some candles and an extra blanket. At least you'll have a massage table to sleep on – there is some good news! If it's winter, you might want to invest in one of those portable indoor/outdoor propane heaters. Be sure it's safe for indoors as some are not. Keep an extra set of clothes and shoes on hand. If your office is on public utilities, then you will probably have water as the flow is gravity fed from the water tower. If not, then you will need to keep some on hand. Now we come to the part no one talks about – the bathroom issues. If you have running water, no problem. If you can get outside and dig a hole, no problem. But if your situation leaves you empty handed on the bathroom thing, you may need to keep a five gallon bucket around with some trash bags and kitty litter. I'll leave that for you to figure out the details.
Unless you have been caught in a tornado like my friend I mentioned earlier, you will probably have your cell phone or office phone. However, if you have no electricity, you will need the old fashioned phone that does not require electricity. They cost about $10 and are worth their weight in gold in a power outage. Phone lines usually work even when you have no electricity. You should have one of these for your home and office to communicate with the family. It saves your cell phone batteries and leaves the cell lines open for emergency use. To charge your cell phone battery, I suggest one of those emergency weather alert radios that you can wind up. Some of them have a port for charging cell phones. Do your homework to be sure it serves all your needs. Mine is a cell phone charger, emergency weather alert, radio, LED light and can be run via hand cranked, solar, battery or AC power.
By the way, be sure to have ICE (In Case of Emergency) entered as a contact in all cell phones. Enter the contact person and phone number of who should be contacted in case there is an emergency. First responders are trained to look for this in the event that the individual is unable to communicate.
Remember this: Not to prepare is to prepare to fail. Include your practice as part of your emergency planning to ensure a swift recovery to business as usual.
Click here for previous articles by Rita Woods, LMT.
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