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If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
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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