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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.
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.
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.
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%.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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).
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.
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.
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.
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).
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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