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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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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."
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
October, 2013, Vol. 13, Issue 10
Nutritional and Supplement Needs Differ with Gender and Age
By Tina Beaudoin, ND
Life is significantly more complicated than it was just a few decades ago and knowing what to eat and what to supplement can be confusing. According to the National Health and Nutrient Examination Survey (NHANES), more than half of Americans report taking one or more supplements.In terms of nutrition and supplementation, there are some universal guidelines, as well as some variations in recommendations based on gender and age. Proteins, fats and carbohydrates are the three basic macronutrients of our diet that should be enjoyed in balanced proportions during meals and snacks. Balance in most endeavors is beneficial and the right balance of certain macro- and micronutrients can change with age, gender and activity level.
Most people think about protein being essential to build strong muscles, but adequate protein intake also influences the production of antibodies, hormones, enzymes, clotting factors and brain chemistry. Protein needs, in terms of grams/kilogram/day, are highest in infants and gradually decrease as age increases. Pregnant and lactating women, as well as athletes, have increased metabolic needs that require additional protein intake.
In private practice, I have many patients that either skip breakfast altogether or opt for just a bagel or muffin. If you aren't able to consume more than a quick carb at breakfast, a protein shake or protein bar is a great way to get what you need to start the day right. Eating a simple carbohydrate at breakfast will give you a brief bump in energy as glucose is quickly released into the bloodstream. The adage, "all that goes up must come down" holds true in this situation. After the initial bump in energy, you then feel a sharp drop in blood sugar, which leaves you feeling tired and lethargic. Having a balanced meal that includes some protein and fats ensures a more gradual release of glucose and nutrients that gives you more consistent energy.
I wouldn't want anyone calling me a "meat head" on the playground, but I would be just fine with receiving the title "fat head." Fats and cholesterol are the essential building blocks of neurons, the individual cells of the nervous system. The recommendations around fat intake vary with age. Children between the ages of 1 and 3 have the highest AMDR (Acceptable Macronutrient Distribution Range) at 30% to 40% of calories per day of total fat. The AMDR is established based on reducing the risk of developing chronic disease while providing adequate intake of essential nutrients. Infants and toddlers have especially high needs for adequate fat intake to support healthy development of their brain and nervous system.
Omega-3's are polyunsaturated fatty acids that have been found to be an especially beneficial fat to both the young and old. Adequate DHA has been shown to offer cognitive benefits during pregnancy and early childhood development. Brain and retinal maturation are optimized with adequate DHA availability during fetal development and infancy. DHA has also been found to be of benefit to elders by providing resistance to the deleterious effects of aging and stress on the brain. Unfortunately, the typical American diet does not provide adequate intake of omega-3's and therefore does not offer an optimal supply of DHA for brain health. Eating a diet rich in walnuts, ground flax, wild-caught fatty marine fish and soybeans will help you enjoy the benefits of this healthy fat. Adding a daily omega-3 supplement is a great option to maintain adequate levels and help ensure that you keep your quick wit and cognitive abilities as you age.
Folate and zinc are great examples of how micronutrient requirements can differ between the sexes. It is not surprising that pregnant women have increased intake needs across the board of most macro and micronutrients. Folate is especially important during fetal development to ensure complete development of the nervous system and decrease the risk of neural tube defects.
The recommendations around zinc increase as you age with slight variations between the sexes. Teenage boys and adult men should consume 11mg daily of zinc daily, which is slightly more than teenage girls at 9mg daily and adult women at 8mg daily. Zinc is not only essential to immune function and our sense of taste and smell, it is vital to the sexual development and fertility of males. Research studies have shown that zinc supplementation produced positive changes in sperm quality and function. Supplementing or a targeted increase of zinc-rich foods (e.g., oysters, pumpkin seeds, and lamb) should also be a consideration for anyone taking thiazide diuretics or ACE-inhibitors, as these medications increase the amount of zinc lost in the urine. If you opt to supplement with zinc for an extended amount of time, you need to add 1-2 mg/day of copper for every 15-30 mg/day of zinc to avoid zinc-induced copper deficiency.
Whether discussing macro or micronutrients, our nutrient needs vary somewhat with age and gender. Eating a whole-food, nutrient-dense diet is a great way to ensure you have what your body needs to stay healthy and vital. Working with a licensed nutritionist or your family doctor can offer additional guidance on which nutrients should not be overlooked to ensure optimal health. When diet is not optimal, there is a growing body of research that has shown how specific supplementation can offer a variety of benefits. Remember that when you look down at your plate, be sure to enjoy a balanced meal with a colorful assortment of vegetables, proteins and healthy fats.
Dr. Beaudoin is a Medical Educator for Emerson Ecologics, a distributor of professional nutritional supplements to healthcare practitioners. She also enjoys maintaining a naturopathic family practice and is the president of the New Hampshire Association of Naturopathic Doctors. She can be reached at
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