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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
May, 2011, Vol. 11, Issue 05
Equipment Amortization 101
By Angie Patrick
At some point in our lives, we have all had an expectation that was proven to be unrealistic in the normal course of life. This might be expectations we have from family, from friends, from our car, maybe our relationships, even down to the products we buy.I think it is only human; we all want what we want, when we want it, and how we want it. It is the society we live in and it is an incredibly common happening.
While I am no expert in on human behavior or interpersonal skills, I am an expert on products. And I have had the good fortune to be in this business for over a decade and have pretty vast experience with various manufacturers, products and suppliers. I have seen things happen to therapists and spas in the course of business that could be easily avoided with a little information. Below is some insider information intended to help make buying products and equipment a bit easier, whether it be from a supplier or direct from a manufacturer.
Tips on Buying Goods
Buying goods should be a task in which you have full confidence. I believe buying Professional Grade Products can help you make certain your products can withstand the rigors of professional repeated usage. Manufacturers and suppliers want nothing more than to please a client. (It is our prime directive!) But sometimes meeting those expectations are not so easy.
A product warranty is a miraculous thing. Most Professional Grade Products offer a limited or lifetime warranty to protect the buyer against manufacturer defects or shortcomings. These are especially handy when something breaks down within the warranty timeframe, and you can get a replacement or repair in a timely fashion. Often, the warranty is offered as a safety net for the buyer, given the buyer follows and complies with all usage directions and procedures.
And while manufacturers should have no problem whatsoever in caring for items in the marketplace still under warranty, there is always a segment of customers who have overinflated expectations about product performance. The purpose in sharing the following scenarios with you is not to say there are any issues with particular products, rather to point out some common unrealistic expectations of product performance.
Customer: "I am very disappointed with my sheets (XYZ product), I am seeing them begin to pill and fade, and I want my money back."
Me: "Oh I am so sorry to hear you are dissatisfied, let me pull your order up in my system so we can get your issue handled."
After a few moments of searching for the XYZ product in the order history, the manufacturer notices they purchased the item in January 2009.
Me: "I am looking in the account, and I see this was purchased in January 2009."
Customer: "That's right! I cannot believe how these things are showing wear, I am very disappointed with the quality. What can you do for me here?"
Me: "Well, how many times a week are these used?"
Customer: "4-5 times a week, we launder them often."
Me: "And just to confirm your usage of these items since 2009 is that correct?"
After some quick calculations, I came to the following conclusions:
107 weeks in usage
I shared this with the customer, and suddenly they saw things in a whole new light. Even cars depreciate after two and a half years. And they are not laundered every day! Suddenly, someone who was very disappointed with the product in the beginning was impressed with the same item, once they considered how much use it had provided. They purchased more sheets happily. They began to see the product replacement after due course of usage as a cost of doing business rather than a failure of manufacturing or supply.
Expecting items to last forever with daily and repeated usage is unrealistic. Just as people age, so do products. One way to see if you have actually received substantial benefit from your investment is to amortize the cost of your product across the number of clients seen since you purchased it.
Another thing to consider is timing. Consider this, you have bought an inflatable Christmas decoration from the Big Box Store down the street and have used it for the past two seasons. Now, in season three, it no longer inflates. But the likelihood of getting a replacement is really remote since it is three years since your purchase, and it might not occur to many to even try. It is accepted that things wear out, or can deteriorate with poor storage and lack of usage.
A customer is opening up a new location, and has ordered various equipment from various manufacturers. The items arrived, but are not inspected before they are signed - stating they are in good condition. They are put into a room to store until the location opens, which may well be two or three months later. These items may need to be moved within a facility a couple of times before the facility is ready to open.
Nearer the opening date, the items are finally opened and it is found the item may be damaged due to shipping, the wrong color, or even non-functional. Obviously, this is a problem. However, because it was not inspected upon receipt, months have now gone by, and the opportunities to file any claims with the shipping company have long passed. Additionally, if the product is just simply the wrong color, or not what you expected, you will likely now have to pay the shipping back to the manufacturer and possibly pay a restocking fee. This is the best argument I can provide for taking the time to inspect your equipment upon arrival and ensure it is in working order. Once you have stored it for months, moved it from room to room, it is very hard to prove an item was improperly working from the start. Many manufacturers are now cracking down on this type of return.
A business owner/manager/director should be responsible to make sure the items arrive in-tact. If something looks amiss, the packaging is damaged, do not sign the paperwork that says everything is fine without notating on the delivery slip that there are problems with the packaging. Notating it can help the manufacturer file a claim and get your issue resolved far faster with this information, but you have to let the manufacturer know upon delivery. If too much time passes, it will be harder to get your issue resolved. Also, if you are buying equipment that must be assembled, a smart rule of thumb is to do it in the first 30 days following purchase. The reason for this is to be proactive and report any issues with your equipment in a timely fashion to the manufacturer or supplier you have utilized, and gain resolution proactively rather than a delayed report months down the line.
Making sure your business runs efficiently is in large part dependent on the products you utilize. Taking a moment to consider the information in this article can help you make sure your next expansion goes well with your equipment and product needs. They may also help you determine if there is a basis for complaining about performance or whether it may just be time to replace your goods. As with most suppliers and manufacturers, the whole reason we exist is to serve our customers.
I hope the scenarios I shared can provide you a behind-the-scenes glance of what may be entailed in a return and how you can help yourself (and the manufacturer) by notating and documenting issues, while considering the age and longevity of usage. No doubt your supplier will work hard to provide you the best service possible, and that is made far easier by utilizing these tips along the way!
Click here for previous articles by Angie Patrick.
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