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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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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."
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.
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.
March, 2013, Vol. 13, Issue 03
It's Time to Spring Into Action
By Sharon Puszko, PhD, LMT
I've noticed a familiar drip, drip, drip sound coming from my patio this week that is putting a smile on my face. It is the sound of snow and ice slowly, but surely, melting off the roof and dripping down the gutter.Even though the last couple of winters have been more mild than usual in the Midwest, I still find myself anxiously awaiting the arrival of spring in March. While I enjoy the snow after it first falls, it always seems to turn into a slushy, dirty mess after a couple of days. Which makes it unpleasant to walk in, hike in, or simply get from my car into a building - especially when carrying a table. The disappearance of snow and the dirty snow piles makes it much easier for me to get outside on a regular basis. Since spring is now just around the corner, it is a perfect time to come out of hibernation and re-convene with nature.
Of course, we have all heard that it is good for us to spend time outside. The fact that sunlight touching human skin creates the most absorbable form of vitamin D available is a powerful testament to the importance of spending time outdoors. But, how often do you really get outside? I believe the answer to this question varies greatly depending on where people live and what their lifestyle is like. While some may be spending an abundance of time outside, my guess is that for the majority of us, there is room for improvement.
I know we all lead busy lives, but getting quality "nature" time every week is really important. There are a plethora of reasons to get outside on a regular basis - indeed, entire books have been written on the subject. Let me share with you just a few I came across. Hopefully, one or more of them will pique your interest and motivate you to spend some more time outdoors.
"Time-Out" For Adults
If your business is near a park or a quiet street, use a break in between clients to step outside for 10 minutes, and either sit on a bench or take a brief walk. If you are located near a busy street, or in a large city, I would recommend taking a brief walk with headphones and your favorite music. I, personally, would not find it relaxing to sit on a bench in the middle of Chicago. Try to forget about the phone, TV, Internet, to-do lists and family obligations for just 10 minutes. Getting outdoors is one good way to relax and recharge our body and mind. This is so important to us as practitioners!
Feed Your Brain
In a 2008 study, researchers at the University of Michigan found memory performance and attention spans improved by 20 percent after people spent an hour interacting with nature. We now live in a world of instant gratification and more people seem to have attention spans that are drifting in 10 directions at once. No doubt, we could all benefit from improving our ability to concentrate and remember things.
Invite New Things Into Your Life
When you leave the confines of your office or home, you enter a whole new environment, filled with new sights, sounds, smells, textures and people. By visiting a park or walking around the neighborhood, you can make new connections with people that would have never been possible. When you visit the same place at roughly the same time, you will probably start to recognize some of the faces you come across. Who knows what that might lead to: an interesting friendship or possibly a new client.
As the weather warms and the sights, sounds and smells of Spring begin to appear, I hope you will take advantage of at least one of these reasons and get outside. You, and your clients, will be glad you did.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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