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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
February, 2010, Vol. 10, Issue 02
The SMARTER Approach to Achieving Goals
By David Kent, LMT, NCTMB
If you are anything like me, you have a to-do list of projects you are never quite able to finish -- or even start. Perhaps some of these items have been on your list for years, but a lack of time or other circumstance prevents you from moving on them. This article will review the SMARTER way to organize and complete those items on your to-do list.
S = Specific
A = Attainable
R = Reasonable
T = Timely
E = Evaluate
R = Reorganize
To focus your efforts and begin moving in the right direction, you first need to be specific about each of your goals. Thinking about your goals is good, however, writing them down in specific detail is the only way to clearly define them and solidify them in your mind. When putting your goals to paper, make sure they are straightforward and free of ambiguity. For example, instead of: "I want to lose weight," try: "I will lose 10 pounds over the next 10 weeks." Instead of: "I want to make more money," try: "I will increase my income by $2,500 over the next 12 months."
We've heard it said that if you can't measure it, you can't manage it. Reviewing your goals and documenting or measuring your progress daily will help you to make the choices that continually point you in the right direction.
For example, documenting your workouts and the foods and drinks that pass through your lips, as well as using the same scale to weigh yourself are ways to measure your progress toward your weight-loss goal. You'll also confirm your measurable progress by noting how well your clothes fit, the numbers on the scale and how you feel about your accomplishments. To measure your financial goals, you'll have to track your spending versus your income or find measurable ways to track what draws more business to your practice. Paying off debt, opening a savings or retirement account, or investing in tools and/or seminars that increase and improve your knowledge, thereby aiding your treatment sessions, are all effective methods of measuring your financial progress.
Is your goal realistically attainable? If you are naturally stocky or big-boned, for example, setting a weight-loss goal that would be difficult for a super model to achieve isn't realistic and probably not attainable. In fact, setting unrealistic goals likely will result in burnout and failure. However, losing 10 pounds and improving your all-around level of fitness are definitely attainable goals. It's also important to identify realistic, attainable actions that you can take to move you toward your goal. For example:
Problem: Sweets and snacks pose a weakness for me.
Problem: I tend to overeat when I dine out.
Financial goals can be attained easily by realizing that consistent efforts can produce big returns. For example, making or saving an additional $50 a week x 4 weeks = $200 a month x 12 months = $2,400 a year. Another $200 a week x 50 working weeks in a year = $10,000 additional in annual income.
Instead of working twice as hard to earn more, it's easier to improve your bottom line by simply spending less. Is this an attainable goal? Sure! Buy in bulk from wholesalers and save on items like detergent, linens, face-cradle covers, lotions, oils, creams and topical analgesics. Watch for special offers and use discount codes whenever possible and re-evaluate what you have purchased in the past and then ask yourself if purchasing the same item(s) is the best choice moving forward.
How about implementing realistic, attainable methods to make passive income such as selling products like topical analgesics? One company offers complementary educational brochures personalized with your name and contact information with a sample pack of the product attached.
Don't reinvent the wheel, just model what works for others. Is there something you could offer to distinguish your practice from the competition and attract new patients? Medical doctors often offer free screenings or educational classes, chiropractors offer free X-rays and spinal exams. Massage therapists can offer a free evaluation that includes postural analysis, muscle and range-of-motion testing, orthopedic assessments and a trigger-point educational session. Offer these services at a value to new patients who purchase a series of treatments. By adding to your menu of services or making some minor adjustments, attaining your financial goals is within reach. For more practice-building tips, read Tools to Succeed for Massage Therapists (MT, May 2009).
Now that you know what it takes to attain your goals, you must know that your goals, and the steps toward achieving them, are reasonable and sustainable in both the short and long term. Create a separate "do-able" action plan for each project by making a list of two short-term and two long-term goals related to the project. Next, list the tasks required to complete each short-term and long-term goal. By outlining your goals and each task needed to achieve them, you will have created a detailed blueprint to navigate your course. The key here, of course, is to make sure you are using reasonable methods to attain your goals.
Part of your action plan for losing weight might include getting some form of exercise every day, drinking more water and using smaller plates. Are these lifestyle changes reasonable and sustainable? If so, you are on your way to permanently achieving your goal. If not, you'll need to determine what steps are reasonable to you. Perhaps it's more reasonable if you allow yourself one "cheat" day a week.
Is setting aside $50 a week reasonable for moving you toward your financial goals? If not, how about $20 a week? Again, you must find what works for your situation. For more on creating lists to help you achieve your goals, read The Power of the List (MT January 2008).
To successfully achieve your goals, you must set completion dates. Setting timelines for each task gives you clear targets and deadlines. Without completion dates, your goal will always be open ended. To learn more about finding the time to achieve your goals, read The Power of a Minute (MT, June 2007).
To determine if you are on track toward accomplishing your goals, you should review and evaluate your efforts many times a day; at least at first. The more you review your goals and focus on the actions you need to take to achieve them, the sooner your goals will become a reality. Continually evaluating your progress will also help you find your weak points and identify the areas that need improving. This process also helps you evaluate if your time and efforts are being spent wisely. One rule of thumb is to focus 80 percent of your time and energy on 20 percent of the things that produce the greatest results. This is also known as the 80/20 rule. For more about the 80/20 rule, read The 80/20 Rule: Maximizing the Return on your Investment (MT, March 2008).
Once you have determined what works and what doesn't, make the necessary adjustments to your approach to maintain focus and stay on track. Continue to regroup and reorganize your efforts until you know you are on a stable path toward success.
The SMARTER approach to achieving your goals is similar to cooking. First you need to know what you are cooking (Specific). Then you pull together the amounts (Measurable) of each ingredient (Attainable), and bake everything at a specific temperature for a determined (Reasonable) length of time (Timely). Then you taste (Evaluate) the food and finally decide how you will modify (Reorganize) your recipe to improve on your next attempt. Have fun with the process, and please let me know about your progress as you apply the SMARTER approach to achieving your goals in all the areas of your life.
Click here for previous articles by David Kent, LMT, NCTMB.
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