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NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
November, 2013, Vol. 13, Issue 11
When is the Best Time to Ask for a Re-Booking?
By Irene Diamond, RT
The best time to tell the client they should return for more sessions with you is actually before you even have the initial session. Considering almost all of your clients will be coming to see you for a particular reason, problem to solve, situation to manage or "issue" they want you to look at, you can be reasonably assured they will most probably not have that reason or problem solved after only one session, no matter how good we are as clinicians.
So, what my therapists and I find works the best to easily get them to re-book with you (and it also makes sense to them) is to advise them in advance what you anticipate their therapy plan should be. If you wait until during the session to discuss their need to return, it may get a little muddled and cross boundaries, with you coming across as both a salesperson and therapist. If you wait until after the session, as they're checking out, they are hopefully seeing some great, positive results already, so it might be hard for them to see the value of needing continued sessions with you at that point.
We always try to start with an accelerated package, but you should start with what you feel is best for your client. You could say something like: "I've found that the clients I work with who have the same sort of back pain as you have, see the best results when they schedule an initial evaluation with me and then four sessions within a 10-day time frame" (or whatever the case is for you).
When you advise them in advance, there are no surprises for your client as to what YOU clinically believe to be the best therapy plan for them. When you are direct like this, you are being responsible and truly helping them reach their clinical goals. (For those of you who follow my teachings, this falls under the "Advisor, Not Order-Taker Role.")
Once your client is in front of you at their first session, you of, course, do a more thorough assessment of their condition, needs and their goals to determine if, in fact, they do need to see you again. From there, you design your therapy plan for them. It might turn out they don't need to see you again; but those cases are very rare. I teach a concept of "Four Phases of Care – RoadMap to Wellness." In clinics, most often a client presents at the Suffering or Corrective phase. In a spa environment, it is at the Corrective or Maintenance Phase. Either way, they can benefit from continued care based on their case.
Think of any other "maintenance" service you personally use to help you see ONE VISIT IS NOT ENOUGH: car wash, oil change, hair cut, dental cleaning, carpet cleaning, tree trimming, pool maintenance, mani-pedi ... all services people use on a regular basis. If your car only got tuned up once every few years, it probably wouldn't run well. It is not crazy for you to invite your clients to get on a maintenance plan with you. They just need to be told how often you want them to come back!
To read other posts from our expert panel, visit the WIBB blog at www.massagetoday.com/wibb/.
Irene Diamond, RT, is the founder of the rehabilitation technique, Active Myofascial Therapy ~ The Diamond Method and creator of Successful Massage Therapist.org, the world-wide online resource for massage therapists. Irene is honored to be inducted into the Massage World Hall of Fame in 2013 for recognition of www.theDiamondMethod.com and www.SuccessfulMassageTherapist. Irene's next Active Myofascial Therapy seminar will be held August 2012 and therapists can register at http://TheDiamondMethod.com/Learn-AMT/Certification. You can also find tips from Irene by visiting the Women In Business Blog at www.massagetoday.com/wibb/.
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