Support Patients With Multi-Channel Customer Service
It's no secret that today's consumers have high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular is that they allow patients to book appointments and make payments online day or night.
Possession: Blocks to Healing
Before we can approach treatment of a patient's primary elemental imbalance (AKA "Causative Factor" or "CF"), a number of specific energetic blocks must be considered and, if present, removed in order for treatment to be effective. I cannot emphasize this enough.
Working for Someone Else: Know the Rules of the Game
Many of us decide to become acupuncturists because we are healers at heart and want to focus on treating patients, not because we want to own and operate a business. So we work for someone else, which can have great advantages, especially as a new graduate.
More Access to Chiropractic Instead of Opioids: H.R. 5722
With the opioid epidemic both an ongoing public health crisis and a hot topic extending well beyond the health care industry, Congress continues stepping up to the plate.
Lead Patients to the Fountain (and Foundation) of Youth
We're all seeking the fountain of youth and marketers are capitalizing on it. (Global demand for anti-aging products, treatments and services was valued at 140.3 billion in 2015, according to Zion Market Research.)
An Update From the Acupuncture Now Foundation
Since launching the Acupuncture Now Foundation (ANF), our volunteer leadership has continued to work to achieve our vision of "Creating a World Where the Benefits of Acupuncture are Known and Available to All.
Bringing Acupuncture to Ohio
The jolt of seeing a woman conscious and talking during surgery left a lasting impression in 1971 when acupuncture was on the national news.
Chiropractic Management of Patellofemoral Arthralgia
Patient reports with pain in the front part of her right knee, especially during and after her weekly Zumba class. She states there has been no injury of which she is aware. No outward sign of injury is observed.
The Science Behind the Efficacy of Cosmetic Acupuncture
The beauty industry continues to boom and grow constantly, from topical creams, lotions and potions all the way to cutting edge cosmetic surgeries.
Travel-to-Treat Coverage Finally Becoming a Reality?
Long-awaited legislation poised to hit the president's desk extends liability insurance coverage from one state to another for DCs and other state-licensed health care professionals who care for athletes / athletic teams that cross state lines.
The Importance of the Scapulohumeral Rhythm
The shoulder has the greatest range of motion of any joint in the body. What is often overlooked in shoulder mechanics is that motion in the shoulder is not purely at the glenohumeral joint.
A Historic First for Chiropractic Assistants
The New Jersey State Board of Chiropractic Examiners will begin issuing licenses as early as Nov. 1, 2018 to chiropractic assistants who have undergone a 500-hour training course and passed a competency exam.
A New NCCIH Director ... One That Backs Acupuncture
The third time is a charm—the National Center for Complementary and Integrative Health (NCCIH), a division of the National Institutes of Health (NIH), announced it's newest director, Dr. Helene Langevin.
"Don't Crack My Neck": What Do You Do Next?
It's Monday morning and your first new patient of the day, a 35-year-old female, presents with chronic headaches and neck pain. The patient was referred by her primary care provider for evaluation and management without the use of cervical manipulation.
Neck Pain: Activation Exercises
In observing patients and studying rehab, I have learned that tight muscles are weak muscles and that stretching is sometimes less effective than muscular activation. There is a delicate balance between joints that move too little and joints that are hypermobile.
Depression & The Secondary Vessels
As an acupuncturist I see many people suffering from depression. I often think depression is the major imbalance of our culture. I have a patient I've been working with for several years. Her major challenge is chronic stubborn depression.
X-Ray: To Be or Not to Be - That Is the Question
For the past year, I have been asked by many practicing chiropractors, college presidents, faculty and others what my opinion is on the "Choosing Wisely" guidelines the American Chiropractic Association (ACA) recently adopted for its members.
It's Time to Reward Yourself
An interesting study recently published in the Journal of the American Heart Association (JAHA) confirms what we all learned when we were children – and serves as food for thought as to how you can improve your practice and your personal life.
Your First Impression Always Deserves a Second Chance
Doctor, have you ever had a patient you just couldn't "warm up to"? You know, the kind of patient who "irks" you, who has a hidden agenda to get something you haven't anticipated, perhaps causing you to want to hide in a closet when they come in for treatment.
Time-Saving Tips for Your Practice & Life
Of all the finite resources we possess, perhaps the most valuable one is time. There never seems to be enough time to accomplish everything that must be done, and all too often we sacrifice things in our personal life to meet the demands of our practice.
UHC Up to Its Old Tricks With Latest Headache Policy
A decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven and ineligible for reimbursement.
The Benefits of Going Paperless
The benefits of going paperless in your practice are profound. If you haven't done it yet, here's why you should.
Vaccine Injury? The Autism Debate (Part 2)
As suggested in my first article on this topic [August 2018],1 my impression is that the vaccine authoritarians and radicals have not helped to mold a proper social / political environment for addressing the issue of vaccine injury.
The Origin of Blood
The Roman doctor, Galen, (2nd century AD) did pivotal work to prove that blood, which he thought was produced by the liver, and the cardio vascular system existed. He conceived that the arteries and veins were two separate networks.
The international standardization conference was held this year in Shanghai, China (June) - this was the ninth plenary session. Meetings for technical committees, or working groups also took place at the conference.
That's a Wrap: Compression Bands for Contemporary DCs
Over the past decade, compression bands have been increasingly utilized in trainer and manual therapy offices. I was first introduced to the compression band by Kelley Starrett, author of Becoming a Supple Leopard, and have since been using it as a teaching tool.
Multichannel Access: Software for a Better Customer Experience
It is no secret that today's consumer has high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular with acupuncture practitioners is they allows customers to book appointments and make payments online day or night.
Easy, Inexpensive Tools for a Successful Practice (I Promise)
Successful practitioners are the ones who know how to run a business, first and foremost. I became a licensed acupuncturist in 2006. After having worked in chiropractor's offices for nine years, I opened my own office in 2015: four treatment rooms, a back office and a waiting room.
May, 2011, Vol. 11, Issue 05
Obesity and Childbirth
By Elaine Stillerman, LMT
It's a sad fact that Americans are growing fatter every year as obesity rates are increasing faster than originally estimated. I am not referring to a few extra pounds or the pleasantly plump silhouette, but rather the serious health risks involved in carrying excessive weight.More than one in four Americans (72.5 million) were obese in 2009 and nine states (Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee, and West Virginia) reported 30 percent of their population was obese in 2009. In 2007, there were only three states that made that unfortunate claim. The highest rate was 34.4 percent in Mississippi. (Only Colorado and Washington, D.C. had obesity rates under 20 percent.)
The medical costs of obesity are estimated to be $150 billion a year. Obese people are more likely to die from heart disease, stroke, diabetes, and cancer than thinner people. The American Institute for Cancer Research projects there will be more than 103,000 cases of cancer caused by obesity in 2010. Forty-nine percent are expected to be endometrial cancer, 35 percent esophageal cancer, and 28 percent will develop pancreatic cancer. Nearly 112,000 deaths are caused by the complications of obesity every year.
The reason is simple enough: not enough exercise and too much of the wrong kinds of food. This epidemic is affecting our children too: one out of three children in the United States is now overweight or obese. This puts them at a higher risk for developing heart disease, diabetes, and cancer during their lifetimes. One-third of children born at the beginning of this millennium are expected to develop diabetes and the current generation is expected to have a shorter life span than their parents due to obesity rates. In addition, girls as young as seven or eight are developing breasts and reaching puberty much earlier, in part due to increasing rates of childhood obesity. I wrote for a PBS-TV show years back, and we did a segment on childhood obesity. I learned that for most six year olds in this country, the only 'vegetables' they ate were French fries.
And for pregnant women who are overweight or obese, the risks to them and their babies are of great concern. Obesity contributes to the increase in Cesarean section, more birth defects, and more maternal and neonatal deaths. Cesarean section rates increase tremendously the fatter the woman is. The National Institutes of Health reports that women with a 30-35 body mass index (with 20 BMI being the equivalent of a woman 5'6" weighing 124 lbs) have 25 percent more C-sections on average, 35-40 BMI equates to a 33 percent increase in C-sections, and over 40 BMI results in a 43 percent increase in surgical deliveries. (Body mass index is a calculation of body fat based upon an adult's height and weight. A BMI of less than 18.5 percent is considered underweight; 18.5-24.9 percent is considered average; 25-29.9 percent is considered overweight; an index of 30 percent or more is considered obese.)
In addition, obese women have few choices where or how to have their babies. For most, natural childbirth is not an option. Their heightened risk factors disqualify them from having home births or opting to have their babies in birthing centers. So a hospital birth is their only option. Hospitals have also had to adapt to the increase in maternal weight by purchasing longer surgical instruments, larger beds and gurneys, and increasingly more sophisticated fetal testing machines.
The birth experience for many of these women (and their babies) is far from ideal. Local anesthesia is difficult to administer because the additional bulk makes it nearly impossible to feel the spine and find the right place for an epidural, so general anesthesia has to be given. Doctors also find themselves in awkward, uncomfortable positions since they often have to stand on stools or platforms to reach over the patient's abdomen.
And the babies don't fare well. Babies of obese mothers are almost three times likely to die within the first month and obese women are almost twice as likely to have a stillbirth, which is the death of the baby after 20 weeks gestation. In New York State, between 2003-2005, 2 out of 3 maternal deaths were attributed to obesity.
Within New York City, a consortium of hospitals is considering creating specialized centers just for obese maternity cases. The maternity care the patients would receive would also include nutritional counseling and weight loss programs and would be staffed with sufficient medical personnel to handle emergency C-sections and intensive neonatal care. The cost of caring for these women and their babies can reach more than $200,000 as compared with $13,000 for a normal delivery.
From a massage point of view, these women are considered high risk for pregnancy and labor complications. And if they already have diabetes, signs of hypertension or blood clots, excessive swelling, thrombophlebitis, or cardiovascular disease, massage may have to be ruled out entirely.
Although the costs of obesity and its sequelae are staggering and add an unnecessary burden to health care costs, the bottom line isn't the bottom line. And it certainly isn't about fat-bashing. It's the health and survival of these women and their children that has to be of paramount concern. Making smart food choices and learning to eat nutritionally sound meals are small prices to pay for a long, happy, and healthy life with your child.
Click here for previous articles by Elaine Stillerman, LMT.
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