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Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Disaster Proofing Your Massage Practice
These days, we are accustomed to hearing about disaster preparedness, the zombie invasion, when "it" hits the fan and keeping your BOB (bug out bag) updated. What you are not hearing so much about is how to prepare your small business for the same set of disasters. Whether you have a small practice in your home or a large facility with several employees, maintaining the integrity and continuity of your business is the key to a speedy recovery should disaster strike. Whenever you think of a personal or family disaster preparedness plan, include your business as a parallel entity. Whatever you do for the family plan, do for your business plan. Let's look at some specifics.
It is advised that you maintain your homeowners insurance policy, wills, bank account numbers and such in a portable fireproof safe. This makes it easy to grab and run should the need arise, and to protect them from fire and the elements. You should be maintaining secure backup records of important business documents in the same way. These might include your continuing education records, insurance policies, licenses and permits, and client records to name a few. Massage schools and educators should also maintain off-site backup files of student transcripts. If you have a website, be sure that a backup copy is being created and maintained on a regular basis. There are companies that provide "cloud" storage of your internet and computer files so you may want to look at that service.
A friend of mine was in a F4 tornado that literally took her house out from around her. She was left squatting in what used to be a closet holding a pillow over her head. She had nothing left but the pajamas she was wearing. As most of us do these days, she had entered contact information of friends and family into her cell phone. When disaster struck she didn't even have phones numbers to call for someone to come get her and could not contact them afterwards to let them know she was alive. Her advice is to store information in an online address book so you can access it later. Don't depend on your computer or cell phone as they can easily be destroyed or lost.
Disasters come in all forms, shapes and sizes. If something happens, you may be stuck at your office and unable to get home or stuck in your car trying to get home. What's the first thing that crosses your mind when you envision that scenario? Think that process through, then be proactive in addressing each concern with proper planning and preparation.(I've included links at the end of this article that will help you make a good plan.) Being proactive will help keep you and your loved ones calm in an emergency. I have a GHB (get home bag) that is in my car at all times. I change it according to the season and my destination. In a medium sized back pack I have everything I would need to survive (in relative comfort) for several days. Civil unrest often follows a disaster because people do not have basic supplies. Remember, a person was killed during Hurricane Katrina over a bottle of water. Your key to personal safety is self sustainability. Your office should be as prepared as your home.
Be prepared by keeping your favorite (portable) comfort items in the office. Maybe you like a cup of hot coffee or tea. Keep it on hand and have a way to heat your water. If you have no electricity, you might want to have some candles and an extra blanket. At least you'll have a massage table to sleep on – there is some good news! If it's winter, you might want to invest in one of those portable indoor/outdoor propane heaters. Be sure it's safe for indoors as some are not. Keep an extra set of clothes and shoes on hand. If your office is on public utilities, then you will probably have water as the flow is gravity fed from the water tower. If not, then you will need to keep some on hand. Now we come to the part no one talks about – the bathroom issues. If you have running water, no problem. If you can get outside and dig a hole, no problem. But if your situation leaves you empty handed on the bathroom thing, you may need to keep a five gallon bucket around with some trash bags and kitty litter. I'll leave that for you to figure out the details.
Unless you have been caught in a tornado like my friend I mentioned earlier, you will probably have your cell phone or office phone. However, if you have no electricity, you will need the old fashioned phone that does not require electricity. They cost about $10 and are worth their weight in gold in a power outage. Phone lines usually work even when you have no electricity. You should have one of these for your home and office to communicate with the family. It saves your cell phone batteries and leaves the cell lines open for emergency use. To charge your cell phone battery, I suggest one of those emergency weather alert radios that you can wind up. Some of them have a port for charging cell phones. Do your homework to be sure it serves all your needs. Mine is a cell phone charger, emergency weather alert, radio, LED light and can be run via hand cranked, solar, battery or AC power.
By the way, be sure to have ICE (In Case of Emergency) entered as a contact in all cell phones. Enter the contact person and phone number of who should be contacted in case there is an emergency. First responders are trained to look for this in the event that the individual is unable to communicate.
Remember this: Not to prepare is to prepare to fail. Include your practice as part of your emergency planning to ensure a swift recovery to business as usual.