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Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
May, 2014, Vol. 14, Issue 05
To Be an Employee, a Contractor or Self Employed? That is the Question
By Angie Patrick
Our industry has a wide array of opportunity for the newly graduated therapist. It also presents a wealth of opportunity for seasoned therapists who may have been hit hard in the past years of economic uncertainty.Recently, I read a survey from the Day Spa Association sharing that 2013 and 2014 have shown some significant increases. It claims the Spa Industry is indeed in growth mode.
This news is indeed encouraging. Moreover, I have had a number of conversations with employers within the spa and wellness industry who claim they are on constant lookout for therapists, as the need of the wellness seeking public outnumbers the quantity of therapist applicants. In one case, I learned that the lack of available therapists caused locations to close rooms and turn away clients as a result of not having enough personnel to cover the demand.
I have spoken to therapists in private practice who also share they could expand their practice, if only there were two of them. They have more need for their services than they have time in the day to assist. This news also sounds encouraging. Could it be that the need for therapists has grown and people understand the importance of massage therapy in their lives, health and wellbeing? It sure sounds like it!
So what does this mean to you? Well, that vastly depends on what your needs are and whether you want the responsibility of running a business, contracting for a company or being hired. These are three very different roles and each has their own perks. I want to share a bit of high level insight as to the potential benefits of each and provide a bit of information to help you decide if one of these options is for you.
If your personality seems to show a penchant for understanding the ebb and flow of business, social and print marketing, and the importance of the principles of strong money management, then this venue may be for you. As a self-employed therapist, you need to have a solid understanding of what the reality of profitability looks like and a plan on how to make it happen. You will be your own marketer, buyer, scheduler, workforce, accountant and boss. Being your own boss sounds pretty good, but in order to be successful as a solo practitioner, you should really understand it involves far more than being a competent therapist. The responsibilities of the success or failure of your practice rest solely on your shoulders and the rewards are great if you are willing to do all of the jobs above with as much effort and energy as you put into the role of therapist.
If taking on the full responsibility of running a business isn't something that speaks to you, then perhaps you should consider becoming a contractor. In this role, you are still working for yourself, but have contracted your services for a price to another business owner. This provides a bit of autonomy however, you will likely be asked to work a specific schedule which is conducive to the needs of the business owner and not necessarily your need. This may be a good tradeoff for you, as you can leave at any time and are often free to pursue other interests and opportunities at the same time. Additionally, you should be prepared to do the work in the manner the company requires and not necessarily how you would in your own business.
These parameters should be clearly explained and discussed before you enter into a contract agreement so there are no misunderstandings of the expectations. There are perks to being a contractor, such as tax deductions and other economic benefits. These are better explained to you by your accountant and the opportunities may vary by state. Some of the upside may include the ability to deduct business expenses on your own income tax return. These can include office space, mileage, per diem and more. To learn more about the benefits of being a contract employee, please see your local employment bureau.
If neither of these options seem suited to you or you really do not want the added responsibility of running a business or keeping records of every expense so as to itemize, then perhaps being an employee may be of greater interest to you. The benefits of being employed by a company as a practicing therapist are numerable. Not the least of which, you will be free to concentrate more of your efforts on client care. The marketing, money management and ordering may well have nothing to do with you. You should be prepared for the reality that you will be doing your job in the manner required by the company you work for and it may include retailing and rebooking of the client. This is generally accepted as being the case and many prefer this to the other methods of ownership or contracting.
Occasionally, these positions can offer benefits such as healthcare and 401K. Another perk may be a regular income you can rely upon week after week to better manage your personal expenses. There is a wealth of places looking to hire dependable and talented therapists and the growth of need shows no sign of slowing. The industry as a whole seems to be growing. It has seen its share of difficulty in recent years, as all industries have. The economy has had a great impact on discretionary spending. However, while massage was once considered a luxury or splurge by many, it is now becoming more mainstream and accessible to the public. Certainly now more than ever, preventative healthcare and stress management are more forefront and people are seeking alternatives to the high cost of healthcare.
They are doing this by working to take better care of their body, their mind and spirit in ways they have not done before. They are more inclined to work to stem the causes of long-term illness such as chronic stress, pain and inflammation in ways they would not have considered as little as ten years ago. In doing so, this has created an increased need for properly trained and licensed therapists across the nation. Many larger companies are adopting the philosophy of preventative care, and this too has opened some doors for massage therapists to walk through and build a lucrative career.
You already know you love caring for others. You have a service heart that wants only to provide a means toward greater wellness. You have learned your craft and continue to hone it to become the best therapist you can be. Now, the decision which lies before you is how to go about the business of using these talents to sustain your livelihood and prepare a home for you and your family. I hope the information here may have sparked your interest to investigate further into the various roles you can fill and helps you in finding the space that is right for you.
Click here for more information about Angie Patrick.
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