Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
April, 2014, Vol. 14, Issue 04
Familiar Client, Fresh Perspective
By Debbie Roberts, LMT
The following is an example of a true story about one client's journey through treatment and how easy it can be to ignore valuable signs and information when something is out of balance and needs medical attention.We are always glad when a client has given us their trust and continues a long term relationship with us. We strive to maintain a good, solid, profitable aand reputable practice. Pose to yourself this question: do I keep an objective eye on each visit even after 5, 10, 15 or 20 years of the same client? To help keep you doing just that, let's discuss the important pieces of information that are beneficial. In addition, we will also explore applied kinesiology as a worthwhile assessment tool.
Client Case Study
The weekly relaxation client came in complaining of back pain. She explains, "it is a gnawing, nagging, dull ache that seems to have taken up home in my back." Well that sound's typical of this client because she is a young mother. Since beginning with you, she has changed jobs and added two children to the mix. You give her back more attention and try some different modalities to address the issue and she leaves feeling better and certainly refreshed. But the problem begins when she comes in week after week and the pain doesn't seem to be resolving. Some weeks the complaint of pain didn't seem so bad and she gave the impression the massage was helping. Again, the trouble is that the complaint is not really changing only the fact that she is dealing with it. You rationalize that she must be under so much stress it is making the back pain worse. You do take notice that it seems like the complaint has been going on for several weeks.
You decide on the next visit to do a structural assessment of the low back and her pelvis. The findings indicate the pelvis to be a little anteriorly rotated. You address the issue and she leaves feeling better however she comes back again the following week with the same complaint. So, you make a referral to a chiropractor. He thinks the issue is not enough deep tissue work. He suggests another therapist to address the knots in her lumbar region, but nothing is completely helping. Now, the question becomes how long do you watch this pattern continue?
You decide the next visit to use applied kinesiology. Using the assessment, you find that the back pain indicates some energy disruption around her female organs. She has had a past history of fibroid tumors in her ovaries but it was a long time ago when she filled out any health history form so you don't remember this valuable piece of information. This is a missed opportunity to correlate your new findings with her past history. You lightly mention that your assessment indicates there is something disrupting the energy flow around her female organs. She is not knowledgeable of what that really means. So she doesn't remind you of her past history with fibroids. You don't push the issue for her to see another medical professional because at times she seems to get better.
She comes in the next week and you try a different modality thinking that maybe this one is the missing piece. No need to do the applied kinesiology assessment again because you are sure it must be something musculoskeletal out of balance. The issue goes unresolved for more than 6 months. Finally, in desperation, she went to a medical doctor and they did a series of tests and found a cantaloupe size tumor around her ovary. Everyone who treated her was well intentioned, but somehow missed that this time her back pain was something more than her usual chronic back pain.
How To Avoid This Mistake
A health history form should be updated on a regular basis. This keeps your objectivity and helps you avoid becoming too accustomed with the client. The new complaint was not treated like a new client. After filling out a new health history form, the client should have had a structural assessment, as well as an applied kinesiology assessment to look for functional imbalances.
An assessment at every visit should have been done. When the findings of the assessment are not changing, that lets you know whatever modality of therapy you have chosen is not resolving the issue. Refer out.
Correlating a health history form and an evaluation is important in case the pathology you find would need another medical professional involved and requires a referral. If the pain doesn't go away and the assessment doesn't change over two to four weeks tops, refer out. Don't keep treating, we are only a part of the process.
Whether you have a long standing practice or want to develop one, there is extreme importance of keeping a fresh perspective on the clients you treat. People's bodies are always changing and it seems these days at rapid rates. The longer you have a regular client, the higher the percentage that something in their body can and will change. Assuming their new pain complaint is old stuff that has just resurfaced can be dangerous for you and the client. Have you ever studied a sunrise or a sunset, it happens every day but it is never the same. Your objectivity of the client coming in week after week should be a similar point of view. The client shows up at the same time every week, but they are not the same cellular structure they were the week before. Physically, mentally and chemically they are a different human being than their last visit with you. Doing some form of an assessment each visit reassures your dedication to accuracy and helps keep you alert to a new symptom or new problem. The other dangerous thing here is losing your objectivity to the findings. When the pain doesn't go away and the assessment never gets better STOP the insanity. There is something wrong that may need more medical attention.
As the preacher completed his sermon, the other preacher listened closely. He found it odd that for the third week in a row the preacher was giving the same sermon. So he asked him, why didn't you give a new message this week, you gave that same message last week and the week before. "Good question, glad you asked" It is because even though everyone heard the message, only some people acted on it and changed while other people are still doing the same things. When the congregation not only hears the message, but acts on it, I will quit giving the same message.
We all know the definition of insanity is doing the same thing over and over and expecting different results. This is what we can become guilty of if we become too familiar with our clients and don't take a fresh view point each and every time they walk into the room. When is the last time you had your clients fill out a new health history form? When is the last time you did a structural and functional assessment on your clients? You don't have to make it complicated. Just tell yourself this is a NEW complaint, so this is virtually a NEW client. What would you do with a new client? Follow that same protocol and start with a fresh health history form, a fresh assessment, see if anything correlates with their past history, listen closely to see if things are really getting better or remaining the same and make a referral if necessary. When in doubt always refer out.
Applied Kinesiology was developed in the mid 1960's by Dr. George Goodheart, a second generation chiropractic physician from Detroit. Dr. Goodheart noted that each muscle in the body is related to a specific organ. He found that each organ shared reflex points and acupuncture circuits with a specific muscle or muscles. Treating a weak muscle in a number of ways to turn on reflex points and acupuncture circuits would return strength to a previously weak muscle and the function of a related organ.
Utilizing muscle testing procedures, one can find weak muscle "energy" because of an imbalance in the specific organ they relate to. When doing muscle testing, you are feeling for a locking in place of the muscle and not complete weakness. It should be explained that this is not a contest of strength and that gradual pressure is used.
There are four major categories of muscle weaknesses:
What is an alarm point? The alarm points are reflex points associated with the meridians. In Chinese philosophy, it was believed that if disease occurred in the internal organ associated with the meridian, the alarm point would become tender. When tenderness is present upon light pressure, the meridian is considered to be overactive; and upon deep pressure underactive.
How to use the alarm points:
Touch for Health is a book that has been around for a long time which is a great resource of study on the use of applied kinesiology. Just remember that all findings should be correlated with standard diagnostic methods, such as laboratory tests, x-rays and even MRI's.
Click here for more information about Debbie Roberts, LMT.
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