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"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
December, 2013, Vol. 13, Issue 12
Gathering the Right Information: Knowing How to Receive Feedback
By Ben Benjamin, PhD
Receiving feedback can be a stressful experience for all of us. There's always a chance that we'll be told something that hurts or surprises us or that we don't want to hear. While you don't have full control over the way feedback is given, you can still take steps to help move the conversation in a positive direction.If the feedback is unsolicited, notice whether you feel comfortable receiving it in the current situation. If you feel rushed, distracted or upset, ask to postpone the discussion.
As you receive feedback, make an effort to gather the information that will be most useful to you. If the person is not providing all the facts you'd like to hear, ask for them. For example, suppose you ask a client for feedback on your work with them and they respond with an opinion: "You give a great treatment." While this may feel good to hear, it's unclear exactly what the person means. Try asking for more specific details about what they've felt or observed. You'll learn much more from facts such as, "I like your treatment because you give exactly the amount of pressure that I feel I need, when you work deeply you don't hurt me, and I'm never sore after I leave."
When the feedback is critical, work to fully understand what the client is saying before sharing your own thoughts on the issue. Ask the person to give you small amounts of information at a time and paraphrase what they say to verify that what you're hearing is what they intended.
Sample Dialogue: Feedback from a Dissatisfied Client
Client: Oh no, is that it?
Practitioner: Yes, that's the end of the session. It sounds like you're disappointed. Is that right? [Clarifying what the client said.]
Client: Well, yes. I had asked you to focus on my back and you didn't spend much time on my back at all. You just kept working on my feet.
Practitioner: You're right, I did focus more on your feet and I didn't explain why or ask whether that was okay with you. I'm very sorry about that. [Apology] I was using a reflexology technique that's designed to relieve back pain through certain points on your feet. [Clarifying facts.] Does your back feel any better?
Client: Actually, I guess it does. I don't know if it was that foot thing, though.
Practitioner: I'm hearing that you're not sure whether my work on your feet was helpful. Is that right? [Clarifying what the client said.]
Client: Yeah, I can't really see how that would affect my back.
Practitioner: I felt the same way when I first learned about reflexology; it's very counterintuitive to think that working only on your feet could affect a part of your body that's so far away There are a number of different ways I could work on your back and I want to be sure you're comfortable with the methods I use. Would it be helpful for me to give you something to read about reflexology, as well as the other techniques I offer? Then you can make a fully informed decision about the type of treatment you receive. [Proposing a possible solution.]
Client: Yes, I'd like to look at that information.
Practitioner: Great. I'll gather some articles for you. And I want to thank you for speaking up when the treatment wasn't what you expected. [Thanking the client.] If anything about a session is ever disappointing to you or doesn't feel right, please let me know and I'll do my best to address it.
Points to ponder
If this client had not given any feedback, how might their unspoken dissatisfaction have affected the therapeutic relationship? How might the relationship have been affected if the therapist responded defensively?
Editor's Note: Adapted from the new forthcoming edition of The Ethics of Touch by Ben E. Benjamin and Cherie Sohnen-Moe.
Click here for more information about Ben Benjamin, PhD.
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