resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
March, 2016, Vol. 16, Issue 03
Seeing the Mess Right in Front of You: A Spring Cleaning Checklist
By Angie Patrick
We have all done it. When left to our own devices in waiting rooms, exam rooms, massage rooms, gyms and other healthcare-related locations, we all either consciously or subconsciously do a mental sweep for cleanliness. We all want to believe the place in which we visit and choose to place our trust keeps an orderly household and is free from cross contaminating issues. And whether we are aware of it or not, a mis-step here by staff or the proprietor can color your thinking of the practice or facility. We hold these providers to a higher standard of cleanliness than we often do within our own homes. Finding something that goes against your expectations for cleanliness can indeed sour your confidence in the provider a bit. Depending on the offending infraction, it may even result in you leaving the provider in search of cleaner grounds.
The Waiting Room
Let's start with the waiting room. You may be thinking, "How much could possibly go wrong there?" Well, it is more than you think! The waiting room is the very first impression the client gets of what may lay ahead. Consider your clients sitting idly by, waiting for you to be clear of a previous client. What are they doing while they wait? Some are looking at their phones, checking email or web surfing. Some may be looking at magazines you have placed in your waiting area. Others may have nothing else to occupy them besides looking at your room and inspecting the elements within it.
Have you looked at the corners both high and low? Are there dust bunnies or cobwebs? Sometimes, behind the door can be easily missed by staff and cleaning crews and may well need attention. If you have artwork hanging, have you looked at the glass and frame for accumulated dust? Are your tables, shelves and counter tops free of clutter and dust? Are the plants healthy and watered? Do your retail offerings look tired and old? Does your retail display have gaps or need replenishing? If you have magazines, are they current or are they 6 to 12 months old? Missing these key areas can give your client the mental image of your practice being one that pays little attention to detail. If that is not the impression you would like to leave in the mind of your client, take some time to look at your waiting area with fresh eyes and work to declutter and cleanse the space.
The Treatment Room
Next, let's discuss the treatment room. In this space, your client may disrobe, place personal items someplace within the room, and avail themselves to the comforts of your table. Beginning from the moment they enter the space, what are the first impressions? Does it smell clean or of essential oils, or does it smell like the breakroom with lunchtime leftovers from the previous night's dinner? If you work in your home, does your cat box or other pet odor greet your clients upon entering? Does your space please the olfactory senses, or are there any faint unpleasant odors? If you cannot tell, ask a friend to check this for you periodically, as you may no longer be able to detect any unpleasant scents.
Visually, inspect your treatment room for many of the same issue we inspected the waiting room. However, in this case, you are going to go a step or two further. Consider what the client sees in your room from several perspectives, first being standing upright and walking into the room. What do they see at eye level and on the floor? When they look up, are your light bulbs all operable? Is there adequate lighting for them to complete tasks involved in preparing for treatment? Is there a place for them to place their personal effects with care, and not have them simply tossed on a chair? Is the place for their personal items something that can be wiped clean between clients?
The second place of inspection should be from a table perspective. The client will be spending a great deal of time here, and unless you get on your table and take a look, you may be missing some cleaning issues. Are the shelves, cubbies, counters and table tops seen from this angle free of dust, prints and debris? Are your chair legs free of dust and webs? As you will be able to see the underside of tables and carts, are there cob webs there that need to be removed? Look at the carpeting or flooring directly under the face cradle. Is it clean and debris free, or can the ghosts of salt or sugar granules from previous body scrubs be seen? Look at the waste baskets and specifically under toe kick plates of cabinetry for any gum wrappers, cough drop wrappers, or other trash lurking there.
Since we are discussing impressions from the table perspective, let's objectively examine the table additives you use daily. Starting with your table warmer, look at it closely and inspect the wiring to be sure you have no signs of stress. Further, touch it yourself and insure you have no hot or cool spots. Consider your table warmer as a consumable product, because it truly is. Given its use day in, day out, for hours a day, you can rest assured these will eventually need replacing.
The same will hold true of your linens. With fresh eyes, take a long look at the linens your clients encounter. These linens are likely washed daily, or at a minimum several times weekly. This is as much as three to five times more often than your household bed linens, and with this much use and laundering, these too will begin to show signs of wear. Beyond visual inspection, touch and smell them and determine if they are fresh, soft and comfy, or if they have begun to pill and shed. Sheets are also a consumable product, and should be replaced once they become worn and no longer convey the image you wish to project of your practice. While these linens may no longer have a place in your practice, consider donating them to homeless shelters. If you have no homeless shelter in your area, consider these as a gift to your local animal shelter. They still have life remaining in them, so put them to great use.
Lastly, take in a visual evaluation of your treatment space from chair level. If the client uses a chair to re-dress following a treatment session, look at what they see from this seated perspective. If you have supplies on counters or carts, are they organized and housed in a sanitary way? If you have plants, again check to be sure they are not dry or dying. If you have chair rails, have they been wiped free of dust? If you have a mirror in the room for the client to use when re-dressing, is it free of smudges and prints? Has your waste basket been emptied prior to each client? If a client sees the same trash twice in separate visits, you may never see the client again and have no reason why they left. Unless you inspect from each and every angle you may not catch it all.
These suggestions are to coincide with your regular disinfecting and cross contamination prevention. Be sure you utilize the proper cleaners and adhere to all your national, state, county, province or city regulations regarding the sanitation of your space and the spread of germs and pathogens. While you may well be diligent in the disinfecting of your space, some of the items mentioned in this piece are easy to overlook, and can lead to the client having misconceptions about your practice. Taking a little extra time in making sure every item and every space your client encounters is free of any trace of previous clients is paramount to a positive impression being left in the mind of the client. They will feel well cared for, protected, and confident in your ability to provide quality treatment in a clean and well-kept environment.
Click here for more information about Angie Patrick.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.