Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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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.
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.
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.
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.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
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.
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.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
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.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
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!
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
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.
October, 2013, Vol. 13, Issue 10
Do You Know When It's Not a Good Idea to Get a Massage?
By Tracy Litsey
Most people are great candidates for the relaxation and health benefits of massage therapy. However, there are times when a massage may not be the right choice. Certain conditions contraindicate massage, either because of the risk it may pose to the client or the risk to the therapist.
For example, if a client has a cold, flu or other contagious viral or bacterial infection, the therapist may choose not to work with them because they don't want to catch a cold and risk passing the infection to other clients.
"When a client has a cold or flu, a massage might seem comforting," said Patricia Coe, DC, ND, clinic supervisor for National University of Health Science's massage therapy program. "However, when someone has an infection, their body is already working hard to fight it and recover. A massage can be very stimulating internally and place certain demands on the body during a time when your client should be simply resting."
Since massage is based on skin-to-skin touch, massage may also be contraindicated if the client has a rash or infectious skin condition. If the skin condition is infectious, it could spread to the therapist and, in turn, to other clients. Even if a skin condition is not contagious, massage can make some skin irritations even worse.
Another occasion when a massage should be postponed is if the client is intoxicated. Many folks seek out massage while on vacation or under stress. They may have also had a few cocktails to relax as well. "Intoxication is a risk during massage," said Dr. Coe, "primarily because it desensitizes the client. This makes it hard for the client to give reliable feedback. A massage therapist needs to know what level of pressure is comfortable and what is too much. With intoxication, those sensations are unreliable."
"Certain medical conditions may contraindicate specific types of massage. For example, if someone has heart or kidney failure, circulatory massage may place excess demands on already failing organs," said Dr. Coe. "An acute injury is also likely to be a contraindication to massage. Although it may seem like a great idea to get a massage immediately after straining a muscle, if there is damage to the area, massage may actually interfere with the healing process."
Finally, massage may not be advised, or may need to be modified, if a client is currently on certain medications, such as:
"A good therapist will guide the discussion on the client's health issues in order to determine the right technique and whether or not a massage is contraindicated [for] that client on that day," said Dr. Coe. "A massage therapist should not be afraid to ask for a note or consultation with the client's physician when concerned about how a massage will affect their health condition."
"The healing benefits of massage therapy are many, and it is fairly rare to encounter situations where massage is contraindicated for very long," according to Dr. Coe. "But it is important to understand potential issues, and talk with clients prior to their session to rule out any concern."
Tracy Litsey is a public relations specialist with National University of Health Sciences in Lombard, Ill. To learn more about National University of Health Sciences and its programs in massage therapy, chiropractic, naturopathic medicine, acupuncture and Oriental medicine, visit www.nuhs.edu.
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