A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
ACA Champions H.R. 7157; ICA Voices Major Concerns
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
Alligator Skin (Part 2): A Second Look at Business Contracts
I joined as the only female partner in an integrated medicine practice, shared with three other disciplines. Having developed a few scales (the first stages of alligator skin) and some good business sense, I started out with a one-year contract. I thought I had it all figured out this time, but I still had a lot to learn. You see, business is a creative art form. It changes constantly and, if you're not careful, it can take you far from the path you thought you were traveling on.
My lesson with this experience was that written words drafted with the best of intentions can have vastly different meanings to different people. Soon, some of the items that I thought were clearly understood in our contract came into question. I learned to become a critical listener and thinker, but facing three strong male egos on a daily basis soon took its toll.
Eventually, I realized that I was never going to be treated like a true business owner by my "partners." Instead, I was treated as someone they just hired. It didn't matter that I had brought a $100,000+ massage business to their practice. I was left out of meetings and told things after the fact. Nice communication, right?
Know Your Value
It is here that I must stress how absolutely imperative it is that you have a sense of yourself personally, before you begin to enter into contracts with other people. My mistake was that I didn't see myself as a prominent entrepreneur worth every bit as much as my colleagues. I put my partners on a pedestal because they had four and eight-year degrees. And so I overcompensated by putting their needs before my own.
It was only later, after this experience, that I learned that personal study and professional development are every bit as valuable as academic degrees. Make no mistake about it folks, you must know and respect who you are if you are going to own your own business.
So it happened again. I developed the space, built up the business, expanded and added therapists, and then that ugly greed thing got in the way again. Before I knew it the physical therapist there needed more space and started piece by piece taking away from the area I was paying for. The chiropractor sided with him and the rest is history. I left and, finally, opened a space of my own.
Ironically, at the time that I entered those ill-fated rental agreements there was not a bone in my body that was geared toward owning my own spa. I just wanted to do my job, help my clients and make a living. What I hadn't counted on were the unspoken expectations of the other people involved in the arrangements. Mind reading is still beyond most people's capabilities, mine included, yet you'd be surprised how often people expect us to know what they expect from us.
My Best Advice
So, before you enter into any kind of agreement to sublease space, you need to spend some time exploring yourself, your needs and your future goals. Then, make sure those plans are in line with the vision of the person or persons you're renting space from. You can't wait until you're two or three years into the deal and just plop a business plan down right in the middle of someone else's business. It just doesn't work. Why? Because you cannot take and own what was already provided to you under different circumstances.
In other words, if you're being spoon fed clients by your "landlord," regardless of the relationship or successes you've had with them, they are not your clients. Those clients essentially have been assigned to you to take care of. After all, you didn't incur any costs in obtaining these clients, so you can't create a business plan that includes them out of the blue.
Okay, so now you're probably wondering, "Whose side is she on anyway?" To be honest, I am and have been on both sides of the fence. That's how I know it's so important. So if you're even considering opening your own spa, I suggest you put the time in to create a detailed, comprehensive business plan with long and short-terms goals, a marketing plan, and a reasonable timeline for each of your accomplishments.
Know Your Goals
Bottom line—before you go into business for yourself, whether subleasing or going out on your own, know what your business goals are and get things in writing up front. I simply can't stress this enough. Trust me it will save you a world of problems down the road. Yet even with your contract in place, all your i's dotted and t's crossed, you still need to be prepared to deal with greed, self-indulgence, "it's all about me" attitudes and good old-fashioned back stabbing. Don't misunderstand me I'm still a trusting and giving person, but now I'm a trusting and giving person with tougher skin and signed contracts.
So what did I learn from my experiences that could save you?
If this all sounds like too much work, or you're just not there yet, I beg you to reconsider diving in head first. But if you want this badly enough, if you're willing to do your homework (and take on a few scales), you're already off to a great start. Who says alligator skin isn't beautiful?