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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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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 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.
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.
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 One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
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.
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.
February, 2014, Vol. 14, Issue 02
Share with Your Clients the Cure for Drive-By Healing
By Sharon Desjarlais, CC and Michele McGrew
Sandy, a craniosacral therapist with a quick laugh, loves watching her clients' expressions when they get their first taste of freedom from pain. "I feel like a magician!" she says. Her only complaint? "I wish they'd stick around longer.They feel good after a session or two. Can you imagine how they'd feel after a few months?" Sandy is suffering with what we lovingly call Drive-By Healing Syndrome. The cure? Offering outcome-based programs designed to help your clients achieve major breakthroughs or a total transformation in their health and well-being and in their lives.
We laid out the structure for a strong holistic program in "Six Steps to Help You Establish a Six Figure Practice" (April, 2013, Vol. 13, Issue 04). Now, here's the glue that holds it all together: holistic coaching. Holistic coaching is a set of skills that gives your clients the opportunity to reveal and fulfill their most inspiring goals. And, in the context of healing, you have valid reasons to offer programs that help your clients reach those goals in empowering ways they never could have achieved alone.
The challenge comes in setting winning coaching goals, which require a healthy dose of expertise and intuition. You're asking your clients to project themselves into the future, which can be tricky because they may not know what's possible or realistic. That's why, as their coach and health advocate, it's your responsibility to help your clients set compelling and achievable goals. Then every session in your program, whether it's hands-on or by phone, leads them toward those desired outcomes.
Because goals, like dreams, are set in the future, they ultimately reflect your clients' subconscious beliefs about what's possible for them. And those beliefs are governed by the brain's Reticular Activating System (RAS), which acts as a filter between the subconscious and the conscious mind. The RAS is a complex network of nerve cells and fibers that regulates our cardiovascular, respiratory and motor responses. It also receives all the sensory signals that come in through the central nervous system, and then it filters out what you become aware of based on what has meaning for you.
Have you ever bought a new car and then noticed that same model popping up everywhere almost overnight? That's your RAS at work bringing information into your awareness that normally would have remained in your subconscious mind. In that same way, when you consciously focus on achieving a specific goal that has purpose and meaning, your intention seeps into your subconscious mind where your RAS can watch for solutions for you.
Winning Coaching Goals
After coaching clients for nearly a decade, we've found four key conditions most helpful in setting and achieving winning goals:
1. They're specific and described in the positive.
All too often, clients come to the table with goals that aren't detailed enough for them to know when they've reached them. "I want to feel better" and "I want to lose weight" are moving targets that are difficult to measure. To help your clients transform their health and well-being in dramatic ways over time, their goals must be specific and meaningful enough to seriously motivate them. So you might ask questions like:
Notice, too, if your clients' goals are more about what they don't want rather than what they do want. If your clients are saying something like, "I don't want to feel pain when I wake up in the morning," the RAS will go rooting through the subconscious mind for something that matches "pain when I wake up in the morning." Ouch! Instead, ask your clients to swap those "don't wants" for "do wants." Saying something like, "I want to feel calm and energized when I wake up in the morning," triggers the RAS to search for feelings of calmness and energy, and bring them to the surface.
2. They're in your clients' control.
Have you ever thought everything in your life would be awesome if everyone else would just behave? (Haven't we all?) There's just one big glitch in that plan: We have zero control over other people. That's why your clients can only reach goals that are in their personal control. Imagine a client recovering from cancer who wants her doctors to stop talking down to her. Since she can only control her own actions and attitude, she could set an intention to be more relaxed, direct and assertive with her doctors. Or (here's an advanced coaching tip), you can ask her a powerful "reframe" question like this:
"What if your doctor talking down to you was no longer important to you?"
Whether she's changing her action or her attitude, your client is changing something in her control. So she's much more likely to achieve the outcome she wants.
3. Your clients must be able to tell when they've achieved them.
Coaching in the sports world is designed to help athletes reach or exceed their performance goals. While the same may be true in the health arena, your clients typically have much more at stake than a medal. Often, their entire quality of life is on the line. Yet thanks to the help of a supercharged RAS, each new success your clients achieve in any area of their lives will expand their capacity to succeed in every area of their lives. Why? Because the RAS will be looking for success and bringing it into your clients' awareness.
That's why it's crucial to encourage your clients to embody every win, big or small. They need to know when they've reached their milestones so they can celebrate and acknowledge themselves. You can help by asking coaching questions like these:
Remember, the more specific the answers, the easier it is to help your clients chunk them down into action steps that'll get them to the finish line.
4. They must be in alignment with everything else your clients value.
No matter what your clients want to achieve with your help, if there's any sense of conflict with the rest of their lives, the subconscious mind will cause them to sabotage their success. For example, if your client wants to get well enough to travel around the world, but she's a stay-at-home mom with two young children at home, she may be running a subconscious script that says reaching her goal will hurt her kids. Until she brings that belief into the light and questions it, she'll almost certainly fall short of her goal.
Now, the process of shifting beliefs is so critical to holistic coaching, we could easily write an entire book about it. (And we may!) For now, just remember to ask your clients coaching questions like these:
When you use criteria like these to help your clients set empowering coaching goals, you help their RAS make their boldest desires real. Like magic.
Click here for more information about Sharon Desjarlais, CC.
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