The Opioid Crisis Hits Home: An Acupuncturist's Inside Perspective of Addiction Treatment
My husband and I have four grown children, but we still sleep with a phone next to our night stand just in case they need us. But nothing could have prepared us for a 1 a.m.
Power of the Talk: A Simple Way to Attract New Patients
One of the most effective ways to bring patients in predictably, especially if you enjoy teaching, is by doing talks. Talks can also bring in another stream of income beyond just seeing more patients one on one.
Who's the "Father of Corrective Traction" in Chiropractic?
History teaches that a Presbyterian minister, Samuel Weed, coined the name for the profession of chiropractic from the Greek cheir for "hand" and praktos for "done."
How to Reduce Metabolic Endotoxemia
Approximately 50 percent of the Western population suffers from a condition known as metabolic endotoxemia (ME). The condition is characterized by increased serum endotoxin concentration during the first five hours of the post-prandial period.
The Medicine of Peace in a Land of Conflict
We often read about violence, despair, and political stalemate between Israelis and Palestinians. It's easy to feel overwhelmed and pessimistic. And yet there are Israelis and Palestinians working together to transform conflict into cooperation.
Weight Watchers Goes Wellness
Goodbye Weight Watchers, hello "WW." The company has changed its name to reflect its new WW brand not only on its website, but also on every aspect of its public expression, including every studio.
ACA, ICA at Odds Over H.R. 7157
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Winter Joint Health: Looking at Seasonal Influences
One of the most common clinical issues I see during the winter season is joint / muscle pain. These issues often appear due to the activities of winter sports or may appear due to seasonal influences on old chronic injuries.
An East & West Perspective on Sleep
You, your patients, and people all over the world are sleeping less. In 1979 a team led by American psychiatrist Daniel Kripke did a large-scale study of over a million people, which indicated that most people slept between 7-8 hours.
Dehydration ... A Commonly Overlooked Etiology
Water covers 71 percent of the earth's surface. It's found in every living organism and is considered the "universal solvent," yet we take it for granted as the foundation for optimal health.
Historic Farm Bill Provisions Legalize Hemp ... and CBD?
Until recently, hemp was classified as a Schedule 1 drug per the federal Controlled Substances Act, putting it in the same class as marijuana (and heroin, by the way).
Electromagnetic Hypersensitivity and the Science of EMFs
Movement of planet Earth's molten iron core generates a weak static geomagnetic field that varies in strength over millennia but currently ranges from 0.25 to 0.65 gauss. This is the native field in which all life has evolved.
3 Tips to Get New Patients After a Talk
One of the most effective ways to bring in new patients predictably, especially when an acupuncturist enjoys teaching, is by doing talks. It can also bring in another stream of income, beyond just seeing more patients one-on-one.
Differentiating Qi Under the Needle (Part 2)
While classic sages have said a lot on this topic, I will share my own experience with the sensations under the needle with you. You, in turn, will also need to gain your own understanding of them through daily clinical observation, thinking, and practice.
Neuroscience 101: Understanding Opioid Addiction and How Chiropractic Can Help
Opioids now account for nearly two-thirds of all overdose-related deaths in the U.S. This insidious bane is no respecter of gender, age, race or ethnicity, with nearly all categories experiencing increases.
Case Study: Forefoot Pain
Patient presents with a history of forefoot pain. Discomfort has become worse in the past six months. He has difficulty completing his four-hour shifts as a part-time hairdresser.
Pain in the Butt (Pt. 1)
Many of my patients (and probably many of yours) come in with pain and/or tenderness in the buttock region. First, I assess where the painful and/or tender spots are located and what these points represent.
Flying Into the Year of the Pig: Making Way for the Impossible
The first of the new year has passed, and some of our New Year's resolutions may have already come and gone. Fortunately, we will celebrate the Chinese New Year this month, and will welcome in the Year of the Pig.
Quickie Seminar Adjustments Have No Place in Chiropractic
Recently, I observed chiropractors treating each other in the vendor area at the annual meeting of a chiropractic association. "Quickie" chiropractic adjustments and other hands-on procedures were administered without appropriate history taking, physical examination, diagnosis or informed consent.
The Role of TCM When Treating Mental Illnesses
Mental illness is common in the U.S., nearly 20 percent of adults live with a mental illness which vary in degree of severity—ranging from mild to moderate, to severe. It is not exaggerated to say that mental illness is an epidemic.
Simple Screening Tests for Stroke and Other Brain Lesions
The drift test, arm rolling and finger rolling are three useful assessments in the identification of upper motor neuron dysfunction.
Top Social Media Do's & Don'ts for Chiropractors
For years, health care practitioners have avoided embarking on the social media highway, primarily due to patient HIPAA privacy issues and the time needed to give the process due diligence.
Outcomes for Any Occasion
Outcome assessment tools (OATs) are a necessary part of documentation and patient care. They are used to show patient progress and help practitioners show changes as a result of their treatment interventions.
Quick Sacroiliac Assessment: Treating Different Types of Pain
The lower back is a generator for a number of types of pain. The lower back involves several different articulations – the lumbar spine with vertebral bodies, discs, and facets – the sacroiliac joints – and the lumbosacral junction.
Know Your Clinical Flags: 5 Different Colors to Consider
In health care, the term red flag is used to describe signs and symptoms that can indicate the presence of serious health conditions. These conditions generally carry an increased likelihood for serious complications, disability or even death.
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 previous articles by Angie Patrick.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.