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Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
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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