Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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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.
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.
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.
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.
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.
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?
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!
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
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.
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.
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.
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.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
March, 2013, Vol. 13, Issue 03
Introducing Yourself to Your Client's Health Care Team
By David Kent, LMT, NCTMB
When patients experience pain, they instinctively touch the area that hurts. Since opening my clinic in 1992, one statement I hear on occasion from patients is "feel this bump, it was never there before." Sometimes they are right, the bump is abnormal and they must consult their doctor immediately.Other times, the patient is pointing to a bony landmark. I want to share a few practice building tips for educating your patients about their "bumps," which can then provide ways for you to introduce yourself to their health care team.
The foundation of my practice continues to be medical doctors referring patients for the treatment of myofascial pain in the head, neck and back. The pain usually originated from injuries sustained in a motor vehicle accident, while performing a home improvement or work related activity. So, in my clinic, patients most commonly report the following bony landmarks as "never there before:"
Pain affects every area of a patient's life: physically, emotionally, spiritually, financially, relationships at home and work, etc. Patients are scared and concerned about their pain. As health care providers, we must assume our patients do not know about bony landmarks or the structures that attach to them. This is a perfect opportunity to educate patients about form and function. To teach them about the roles bones and muscles play in providing structural support and movement.
I educate patients about bony landmarks using charts and models. I explain how and why bony landmarks form, why they might be tender after physical activity, stress or trauma and how we as health care providers use bony landmarks for postural analysis and other physical assessments. I also show the bony landmark on myself and on other people in the clinic. It is reassuring and comforting for the patient to understand the "bump" is normal and exists on everyone.
Some patients, when they are in pain, will see many different healthcare providers at one time. They will leave your clinic and drive directly to their chiropractor and or medical doctor. So, here is a simple and effective practice building tip. Write the name of the bony landmark with a note on the back of your business card and give it to the patient. For example "The External Occipital Protuberance is tender to palpation." You would be amazed how the patient will show your card to their doctors. This starts a conversation about your practice and the next thing you know, the doctor wants to meet you.
Patients are relying on you for guidance. It is important that you are familiar with normal human anatomy so you can identify abnormalities. Sometimes, the painful spot, is a "bump they have never felt before" and the patient is pushing into soft tissue, not a bony landmark and could cause potential harm. For example, if the spot is in the anterior neck region, running along the sternocliodmastiod muscle. The "bump" may not be the mastoid process, but a swollen lymph node or something more serious and the patient should be referred to a physician. The carotid sinus, body and vessels are in the same region and fatal circumstances could result from the patient randomly pushing deeply into the anterior neck.
Your knowledge of anatomy helps to protect your patients, improve assessment/treatment outcomes and build your practice by educating patients who then become raving fans. One unique way to learn about the skin, fascia, muscles, nerves, ligaments, vessels and other structures that compose the body is in an anatomy lab. Performing a human dissection is a unique opportunity to see, touch and learn about the body without any concern of causing harm. You can compare the same structure on multiple specimens of different gender, age, size, cause of death and occupation. You palpate diseased and normal organ tissue, examine surgical incisions to uncover pacemakers, artificial hips, or the rods, screws and connectors installed during a spinal fusion. You feel the elasticity, density, size and position of structures throughout the body like the spinal cord, heart, lungs, organs, etc. You leave the lab with a new level of confidence and knowledge that is integrated into your practice.
Be prepared when you here the words "feel this bump… it was never there before." If you laugh and make fun of the patient for pointing to a bony landmark, the odds of them scheduling follow-up treatments or referring others is very low. There is also the possibility you could identify an abnormality that ultimately saves their life. Apply your knowledge and turn the situation into a patient education and practice building opportunity.
Click here for more information about David Kent, LMT, NCTMB.
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