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.
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.
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.
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.
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.
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.
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.
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.
Food for Thought: An Examination of Diet & Digestion
Even an acute poison can become an excellent drug if it is properly administered. On the other hand even a drug, if not properly administered, becomes an acute poison. — Charaka Samhita
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.
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.
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.
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.
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.
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.)
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.
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.
"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.
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.
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.
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.
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 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.
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.
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.
How to Raise Your Rates ... Without Losing Your Clients
Have you ever felt guilty about telling your clients you're going to raise your rates? Mindy, a CranioSacral therapist, struggled with this awhile back. It had been a couple years since she had last upped her fees. She knew she did good work, but she worried about turning her clients off—even driving them away.
That's why I suggested she send them a letter I call a "Gratitude Sandwich." When she did, her clients shocked her with responses like these:
So, how do you raise your rates without losing your clients, or your integrity? Here are six steps that will surely get the job done.
Step 1: Decide on the Exact Date
Thinking about raising your rates is fine, but that won't make it happen. Instead, you need to be intentional about it—choose the date your fees will go up and get it on the calendar. That way you won't forget, or be tempted to weasel out of it.
Step 2: Measure the Value of Your Work Accurately
Most therapists make a big mistake, they believe their value is in the time they spend with a client. But your worth is never about the time, it's about the transformation. It's about the outcomes your clients get, and how those results change their lives.
Think about it. What gets to happen for them when they're free of pain and stress? When they have greater range of motion? When they're breathing deeper, focusing better, even sleeping more soundly? That's where you'll find the true value of your work. To measure it accurately, make a list of every potential outcome your therapy provides. Don't stop until you've got at least 30.
Then look for the tangible effects of those outcomes. Imagine you're following your favorite client around for a day. As you're watching over her shoulder, you're seeing or sensing her in situations that show you she's experiencing the benefits of your work.
How is she responding at work when she's flexible and free of pain? How is she empowered to think more creatively, and even generate a healthier income? When she's at home, what's she doing with her kids now that she's energized and grounded? How is she responding to her partner? Her friends? Even her big goals and dreams?
Remember, no matter how talented you are, you'll discover what your work is worth in that transformation—not in the treatment room.
Step 3: Craft Your Gratitude Sandwich
This is a letter to your clients that begins and ends with appreciation. Then you tuck your fee increase in the middle. Here's how Mindy's Gratitude Sandwich began, "I am honored to have the opportunity to partner with you on your journey to health and well-being. I deeply respect your commitment to becoming whole, and living a full and rewarding life." And here's how it ended: "I appreciate your support during this journey of growth, and I look forward to continuing to partner with you to help you achieve vibrant health and well-being."
So, what do you love about your clients? The Gratitude Sandwich is your opportunity to open your heart and share.
Step 4: Place the Rate Change in the Center
Now, how do you tuck a fee increase between those layers of gratitude? Easy. Tell your clients when your rate will be effective, but whatever you do, DO NOT state the new fee. Instead, tell them the difference between the old rate and the new one.
Let's say your session fee is going from $125 to $140. You'd tell your clients you're changing the rate by only $15. Notice how tiny that is compared to $140? It may feel like a big gulp to you, but it comes across as only a small bite for them.
For some added oomph, reinforce your clients' decision to invest in themselves. Here's how one of my other clients did that in her Gratitude Sandwich: I also want to let you know that starting on [date], the investment for a session will change, but only by $20. The good news is, you'll continue to enjoy a multitude of benefits:
Step 5: Urge Your Clients to Stock Up Before the Rate Changes
At this point in the Gratitude Sandwich, it's wise to give your clients the opportunity to prepay for sessions they can use throughout the year. That's a gift for them and for you. When another one of my clients emailed her Gratitude Sandwich to her contact list, she brought in an extra $1,000 over the next two days.
Step 6: Just Send it
By this time you've done your best, right? You've decided on a date to raise your rates. You've measured your value accurately. You've crafted a heartfelt Gratitude Sandwich, and you've given your clients the opportunity to stock up on their sessions. The only thing left to do? Just send it. Like Mindy, you're likely to be pleasantly surprised by the results.