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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.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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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