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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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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%.
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).
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
The Good, Bad and Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media. More specifically, how the organic value of social media is dead or dying. Instead of focusing on the pessimistic side of the issue which leads to stagnation and most certain death, why not adapt your strategies to this ever-changing world?
Life is going to change, technology is going to keep changing and if life has demonstrated anything, it is that continuing to hold fast to old ways of thinking will most likely result in a devastating mistake. Need further proof; just ask any pour soul who invested heavily in 8 tracks, cassettes, beta tapes or VCRs. It's not that investing in those items was a terrible thing, but if you refused to move forward, then you stand a chance of dying.
Things change and we need to stay flexible and open minded to new possibilities. I never want to stop learning or adapting to change. Things are going to happen, life is going to progress, the next best mousetrap or widget will be created and we have the option to figure out how to adapt or spend a quantitative less desirable amount of time fighting an outcome. It isn't always easy to recognize an opportunity when it comes along, but it is better if we are prepared looking and listening for the knock.
Blockbuster vs. Netflix
Consider this example from 2000. The CEO of a small and (dare I say, struggling) DVD-by-mail service approached the CEO of Blockbuster Video about partnering. The DVD-by-mail owner wanted to manage Blockbuster's online rental business. John Antioco, Blockbuster's CEO at the time, dismissed the whole idea. The CEO of the small DVD-by-mail company was Reed Hastings and the company you may recognize now was called Netflix. Fast forward 16 years later, Blockbuster Video is void and Netflix is worth $32.5 billion.
Why did I bother sharing that story with you? Well, for three very good reasons. One, we still have those who refuse to accept online and social media as the new word of mouth marketing. Blockbuster failed to recognize how the world was changing around them and look where it landed them. Practitioners are daily still struggling to find new leads and new customers and yet, there is an unbelievable amount of low-hanging fruit ready to connect socially.
Second, those who recognize the value get stuck in the rut of "traditional" online marketing ideas. Similar to Blockbuster, they think they can do all the things they usally do, instead of being open to new ways, new opportunities for growth and being able to clearly see the future.
Third, just because it has worked that way in the past, doesn't always mean it will work for the future. Take Blockbuster and Netflix. The biggest pain about Blockbuster were the late fees and it seemed like I always had to watch my account like a hawk because I would return the product on time, but it would inevitably be charged a late fee that would take a battle to reverse. So, Netflix made the late fee irrelevant. They completely removed this pain point from the equation. It was a brilliant marketing move. They played on the one major pain point everybody had with renting movies and literally made millions from it.
Of course, it is easy to analyze Blockbuster's demise, but it isn't always easy to see a bigger picture or recognize a major shift in your market, not to mention creating a strategy to cope. In fact, sometimes it can be expensive perhaps risky, as not all possible changes really stick (just ask anyone with a MySpace account). Your only other option is to continue to do what you've always done, even when it isn't working anymore, or has continued to decline month after month or year after year.
The Instagram Example
In February, Instagram announced they would be implementing an algorithmic feed and in my online marketing world, you would have thought they said they were killing the Internet. This is a great example of how industries panic whenever change comes knocking. If you subscribe to any online blog or social group, you most likely saw countless people losing their minds over this development. But this isn't anything we haven't seen before. Twitter announced their implementation earlier this year, Facebook, of course, made the switch in early 2015 and we know what will happen: businesses have to step up their game and pay-to-play if they want broad reach, exposure and traffic. Is this such a terrible thing?
I have to admit, when social media was 100% organic without any ads, it was 100% completely filled with tons of spam. Horrible click-bait content as far as I had time to scroll and fake followers. For every legit online coach like me teaching how to get organic traffic using real strategies, there were too many slimy brands always ready to try to "game" the system. Today is a much better arena for all types of businesses who want a fair playing field. Paid traffic is an essential part of most social strategies today and it's a good thing. The branded content offered up today is a 180 degree difference from the earlier days and I have to admit I have a much more enjoyable experience on the social platforms as a consumer. As a marketer, the results are so much better as well. Being able to be very specific with your targeting certainly means a lot less on the wallet.
These intense changes have meant that marketers and business owners had to get serious with their social marketing, both organic and paid. Social media has become the connective tissue for most successful practices. Social is the greatest source of insight into new growth and new clients. Social, in most cases, is the first point of contact for new customers.
Future of Social Media
That means social can't be the off in a corner or ignored part of your marketing, it's a critical component and needs to be to leveraged to insure your practice is not a void left in tomorrow's wake. Organic social will always have a place. Standard people aren't going to pay-to-play and they will continue to utilize Facebook, Instagram, Snap Chat, or Twitter, and because of that, practitioners will have the ability to interact with them, organically, on all of those social platforms.
My advice for those who want to continue to grow their practice is twofold. One, stop ignoring the countless amount of free information about your customers that social offers. Our customers' interests in specific topics are rising. By evaluating social media data with data from other digital marketing channels, we're able to understand the path to purchase in a way we have never had before. So, start carving out 10 minutes a week to evaluate the stats and start working smarter.
Second, social media is going to continue to be an awesome source to interact with your customers in an organic way. Pay to play strategies won't effect that, however, paid options give us more ways strategic ways to interact with them and it is vital in my opinion that you need to understand that you need both!
The good side is Social media isn't dying, but it is changing. The bad is that for those refusing to accept this mind-shift will struggle to keep up and most likely fade into the past. The most successful will adapt their organic to incorporate paid and start leveraging the opportunity to understand your customers' needs and make adjustments. If you feel like ignoring this advice, remind me again when was the last time you rented a movie from Blockbuster?