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TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
March, 2014, Vol. 14, Issue 03
WIBB Exclusive: Are You An Order Taker?
By Irene Diamond, RT
If you want more clients, more appointments, the money and all the rest that goes along with a successful practice, then I encourage you to become familiar with a concept I feel is so important that I teach it in ALL my business and clinical seminars and programs.
The concept is called "The Advisor vs. The Order Taker." Now, I'm going to go out on a limb and suggest that most of you are Order Takers. It makes sense that you are an Order Taker, and it's not a bad thing, it's just not effective in running a business.
Client: "Can you spend most of the session on my back and shoulders and leave 5 minutes for my feet?" (And the therapist does it.)
Client: "I'm so tired, I know we were gonna do some exercises today, but can I just have a massage instead?" (And the therapist does it.)
Client: "That was great, thanks, I'll call you to re-book in about a month or so." (And the therapist accepts it.)
I understand why therapists are Order Takers and do the type of things I illustrated above, it makes sense. Most of us became a therapist because we want to help people, and many of us are very gentle by nature, so sometimes when I suggest people take control of their business and adopt more of an Advisor role, it doesn't feel natural. Also, for some therapists, it is also because they are not confident in their ability to BE an Advisor in regards to clinical results, protocols and handling client expectations. Is that you?
Another reason most therapists are Order Takers is because in massage school, most of us were taught to provide a massage, but not taught how to create therapy plans or taught about the business of running a successful therapy business.
I could spend hours on just this concept but today, I'm going to give you a simple place to start so you can begin to take on the Advisor role." When you are an advisor to your clients, they appreciate your advice. Your clients will begin to see you as a higher-level service provider and it will certainly help you separate yourself from all the other "regular therapists" in your area.
Let's look at the same three scenarios, but I will change them so you can see what an Advisor Therapist would do instead.
Client: "Can you spend most of the session on my back and shoulders and leave 5 minutes for my feet?" (And the therapist responds, "I can understand you want me to work on your feet however, I know your original complaint was the knots in your back, so my therapy plan for today was to address that for you. We can always add on 15 minutes of extra time or schedule another session for your feet.")
Client: "I'm so tired, I know we were gonna do some exercises today, but can I just have a massage instead? " (And the therapist responds, "That's correct! We scheduled that I was going to teach you some stretches and strengthening exercise today. If we don't do that today, it will delay your progress, so I suggest we stay on the plan.")
Client: "That was great, thanks, I'll call you to re-book in about a month or so." (And the therapist responds, "Sure, I'll wait to hear from you, but since you were saying that knot between your shoulder blades keeps coming back. I think it would be best for you to see me for three more sessions within the next 10 days so we can finally try our best to stop it from being a chronic problem for you. Does that sound good? Great, let's schedule you now in my calendar so you get the best times for you!)
Like I mentioned, responding like this is all part of being the Advisor for your client. Remember, they are not an expert in therapy, You are! They want (and need) your advice on what is best for them. (Within your scope of practice). When you take this Advisor role approach, you will not only see happier client results BUT your practice will begin to be much more consistently filled!
Now, I'll be the first to say, this approach will NOT be for everyone. It only works if you are absolutely clear that you CAN be an advisor. If you are still a little wishy-washy, just continue to do what you've been doing until you feel more confident in your skills and knowledge. But I am sure, if you look closely at the therapists who are crushing it in their practices – you'll see they are Advisors to their clients.
Editor's Note: To read more from our expert WIBB bloggers, visit http://blog.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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