Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
December, 2012, Vol. 12, Issue 12
Tips for the ADD and Dyslexic Therapist
By David Kent, LMT, NCTMB
Many people, including healthcare providers, suffer with attention deficit disorder (ADD) and/or dyslexia. They should be happy to know their name is among a list of brilliant people like Albert Einstein and Leonardo Da Vinci.Often, during a session, suffers realize they have forgotten the patient's name, or if the pain was located on the right or the left shoulder. They get confused about which myofascial tissues to assess and treat. However, by having effective systems in place, suffers can avoid embarrassing situations and function at highly effective levels. Einstein and Da Vinci used illustrations to assess, document, review and communicate their findings. I would like to share numerous tips to keep you focused, on target and with the necessary information available in a picture format, so you are relaxed and able to let your gifted skills shine.
We can only receive, process and remember a limited amount of information at a time. Often, the number seven, plus or minus two, is our capacity limit for processing information. However, the reality is that during a session, you might need to remember, juggle, toggle and switch between seven or more things at any given moment about the patient, the treatment plan, the schedule, etc. Systems that utilize visual images are intuitive and easy to follow. A picture is worth a thousand words, making it a powerful aid for staying organized.
The location and description of the patient's pain can provide several clues. Have each patient complete a "Pain Form" before each session by writing their name, shading the areas of their body that hurt, adding descriptive modifiers like: A = Ache, P = Pain, S = Stabbing, etc. The intensity of the pain should also be rated on a scale of one to ten (1 = No pain and 10 = Extreme pain). Now you have the patient's subjective complaints in a visual format. Position this form so it can be seen and referenced, even at a distance, throughout the session.
It is easy to take photos and videos of your patients with your iPhone, smart phone, tablet or iPad to document their poor posture and gait. Why wouldn't you use this technology to educate your patients? It is not magic and no special software is needed, you simply take a picture of the patient's posture, zoom-in and show them the obvious problems. Just like an orthopedic surgeon, dentist or chiropractor uses x-rays to educate the patient and formulate a treatment plan, you can take postural analysis photos and explain your findings. This process also captures the patient's physical appearance, hairstyle and more, which can be very helpful, to jog your memory prior to follow up sessions.
Medical research of myofascial trigger points (TrPs) has identified the common TrP location(s) and pain referral pattern(s). You don't need to remember all the research, just be capable of referencing and applying that knowledge. On laminated wall or flip charts, use a wet erase marker to circle involved muscles based on the research. Now you have created a visual treatment plan to follow. Each muscle that needs to be assessed is circled and can be seen at a distance. Dictating or writing notes is very easy when you reference charts. Also, muscle movement charts are extremely helpful listing the normal degrees of joint range-of-motion and the muscles producing each movement throughout the body. This makes it easy to determine which muscles are causing the pain and/or limiting range-of-motion.
Even with attention deficit disorder and/or dyslexia you can stay focused during treatment. Like Einstein and Da Vinci, you can also use visuals to assess, document, review and communicate your findings. Please let me know how these systems worked for you. Good luck and I am curious to know how you adapted or modified these recommendations for your situation.
Click here for more information about David Kent, LMT, NCTMB.
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