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What Are You Really Saying?

By Frank M. Painter|March 12, 2014|Practice Management|

What Are You Really Saying?

SOURCE: Today’s Chiropractic

By Rachel Sullivan

Actions may speak louder than words, but for the busy chiropractic office and the average patient, words may not be doing much at all. In an ideal world, a patient would seek out care, ask pertinent questions, provide all relevant information and leave feeling secure they had been heard, understood and, most importantly, treated well.

Unfortunately for far too many patients—and their chiropractic caregivers—the world is far from ideal. To this end, numerous experts agree miscommunication generally arises either during the course of chiropractors’ lay lectures or discussion of case histories.

“The single biggest problem, in my opinion, is that too many chiropractors talk too much,” says Bill Esteb, owner of Patient Media. “Most people think effective communication is about eloquent, suave answers, but behind that is the ability to listen. I’ve met a lot of chiropractors who aren’t good listeners, because they confuse listening with hearing. One is a physiological act; the other is a social skill.”

Mike Headlee, D.C., agrees. “In a nutshell, to do my job and spread the message of chiropractic care, the first thing I tell patients is it’s about them. I let them talk and when it’s my turn to explain what I can do, I will clarify what they said. This is about building a rapport and really making a connection. The object is to put them at ease and get the message across, but the main objective is to help each patient on the particular day I am seeing them.”

In this capacity, Headlee says he begins each session with his patients using an open-ended question like, “What can I do for you today?” Then, and most importantly in his opinion, he shuts up to listen. “I think it’s absolutely critical to know what experience my patients have had with chiropractic before me,” Headlee explains. “I’m not asking for the names of their former doctors, but I do want to know what worked and what didn’t. It’s important to hear what the patient has to say about their situation. It’s amazing to realize how many patients know something is wrong with them, but don’t know what.”

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Was Jack LaLanne a chiropractor?

By John Wiens DC|March 4, 2014|Fitness|

Source Jack LaLanne Blog

I was not aware of this but famed fitness proponent Jack LaLanne was in fact a chiropractor. His curiosity about the inter-working of the muscles of the body lead him to attend Oakland C.C. in the early ’40’s. Following graduation Jack was actively operating the first modern health spa using his chiropractic education to help his students get into shape. Then W.W. II broke out and he found himself in Guadalcanal evacuating and rehabilitating the wounded. Following the war, Jack returned to operating his spa and soon found himself on the television helping millions of Americans stay in shape and all the while being proud he was a chiropractor. Due to the aforementioned circumstances in his life, he was never able to hang out a shingle, but he supported his fellow chiropractors through lectures and personal appearances. Currently Jack has a chiropractic program called ‘Stay Fit Seniors’ that combines healthy exercise with chiropractic care, which continues on with his wife Elaine, son Jon Allen, and the rest of the LaLanne family.

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ICD-10 Follies: There’s a Code For That???

By Frank M. Painter|February 19, 2014|Humor|

ICD-10 Follies: There’s a Code For That???

The Chiro.Org Blog

SOURCE: MedPage Today ~ Feb 19, 2014

By David Pittman, Washington Correspondent,
MedPage Today

It is 224 days before the move to ICD-10 becomes a must-do. Lest the deadline slip your mind, MedPage Today is spotlighting some of those thousands of new codes that might just be getting a bit too granular.

Today’s code:

W61.92: Struck by other birds (There are already separate diagnostic codes for being struck by parrots, macaws, psittacines, chickens, geese, and ducks. W61.92 is for all other types of birds.)

Here is a re-enactment for your viewing pleasure.

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The First Research Agenda for the Chiropractic Profession in Europe

By Frank M. Painter|February 15, 2014|Chiropractic Research|

The First Research Agenda for the Chiropractic Profession in Europe

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2014 (Feb 10); 22 (1): 9

Sidney M Rubinstein, Jenni Bolton, Alexandra L Webb, Jan Hartvigsen

Department of Health Sciences,
Faculty of Earth and Life Sciences,
VU University, Amsterdam,
1081 HV Amsterdam, The Netherlands

BACKGROUND: Research involving chiropractors is evolving and expanding in Europe while resources are limited. Therefore, we considered it timely to initiate a research agenda for the chiropractic profession in Europe. The aim was to identify and suggest priorities for future research in order to best channel the available resources and facilitate advancement of the profession.

METHODS: In total, 60 academics and clinicians working in a chiropractic setting, and who had attended any of the annual European Chiropractors’ Union/European Academy of Chiropractic (ECU/EAC) Researchers’ Day meetings since their inception in 2008, were invited to participate. Data collection consisted of the following phases: Phase 1 identification of themes; Phase 2 consensus, which employed a Delphi process and allowed us to distill the list of research priorities; and Phase 3 presentation of the results during both the Researchers’ Day and a plenary session of the annual ECU Convention in May 2013. In addition, results were also distributed to all ECU member countries.

RESULTS: The response rate was 42% from Phase 1 and 68% from Phase 2. In general, participants were middle-aged, male and had been awarded a Doctor of Philosophy (PhD) as well as chiropractic degree. Approximately equal numbers of participants had obtained their chiropractic degree from the UK/Europe and North America. The majority of participants worked primarily in an academic/research environment and approximately half worked in an independent institution. In total, 58% of the participants were from the UK and Denmark, collectively representing 44% of the chiropractors working in Europe. In total, 70 research priorities were identified, of which 19 reached consensus as priorities for future research. The following three items were thought to be most important: 1) cost-effectiveness/economic evaluations, 2) identification of subgroups likely to respond to treatment, and 3) initiation and promotion of collaborative research activities.

CONCLUSIONS: This is the first formal and systematic attempt to develop a research agenda for the chiropractic profession in Europe. Future discussion and study is necessary to determine whether the themes identified in this survey should be broadly implemented.

From the Full-Text Article:

Introduction

Research involving chiropractors is evolving and expanding in several European countries while resources are limited. At the European Chiropractors’ Union/European Academy of Chiropractic (ECU/EAC) Researchers’ Day in Zurich, Switzerland (June 2011), it was decided amongst the members that we needed to establish a vision for chiropractic research in Europe for the forthcoming five to ten years. This is in line with the results from a recent survey of all ECU member nations by the EAC Research Council. [1] Various other initiatives have also been conducted within the chiropractic profession, which include a strategic planning conference whose goal was to better service the public and at the same time promote the profession. [2]

There are three primary reasons why the instigation of a research agenda is believed to be important. Firstly, it is thought that the process could facilitate unity within the European chiropractic research community and encourage collaboration on research items considered to be important. Secondly, no European chiropractic research agenda has ever been established, which is in contrast to North America where an agenda was first established in 1997 [3] with an update in 2006 [4, 5]. Finally, researchers with chiropractic backgrounds frequently work and publish with other professionals, so it is of interest to investigate whether priorities from a chiropractic research agenda differ from other published agendas. For example, recently, a set of research priorities was established in the UK for non-pharmacological therapies for common musculoskeletal problems through a consensus process. [6]

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Differentiating intraprofessional attitudes toward paradigms in health care delivery among chiropractic factions: results from a randomly sampled survey

By John Wiens DC|February 13, 2014|Research|

Differentiating intraprofessional attitudes toward paradigms in health care delivery among chiropractic factions: results from a randomly sampled survey

SOURCE: BMC Complementary and Alternative Medicine 2014, 14:51 ~ FULL TEXT

Marion McGregor, Aaron A Puhl, Christine Reinhart, H Stephen Injeyan and David Soave

Background

As health care has increased in complexity and health care teams have been offered as a solution, so too is there an increased need for stronger interprofessional collaboration. However the intraprofessional factions that exist within every profession challenge interprofessional communication through contrary paradigms. As a contender in the conservative spinal health care market, factions within chiropractic that result in unorthodox practice behaviours may compromise interprofessional relations and that profession’s progress toward institutionalization. The purpose of this investigation was to quantify the professional stratification among Canadian chiropractic practitioners and evaluate the practice perceptions of those factions.

Methods

A stratified random sample of 740 Canadian chiropractors was surveyed to determine faction membership and how professional stratification could be related to views that could be considered unorthodox to current evidence-based care and guidelines. Stratification in practice behaviours is a stated concern of mainstream medicine when considering interprofessional referrals.

Results

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FDA’s NSAID Panel Nixes Naproxen Safety Claim

By Frank M. Painter|February 11, 2014|Iatrogenic Injury, NSAIDs, Safety|

FDA’s NSAID Panel Nixes Naproxen Safety Claim

The Chiro.Org Blog

SOURCE: MedPage Today ~ 2-11-2014

By John Gever, Deputy Managing Editor, MedPage Today

In 16-9 vote, the FDA advisory committee assessing NSAID safety said the warning label on naproxen should not be changed to suggest it has a better cardiovascular risk profile than other drugs in this class.

Those voting “No” on the question indicated that the current evidence on naproxen’s safety — much of which was indirect, coming from studies in which it served as a comparator to a coxib drug — did not meet the standards necessary to support label statements.

The panel — comprising members of FDA’s arthritis and risk management committees — split more closely on a question about label information on the duration of NSAID treatment that raises cardiovascular safety risks.

Currently, labels for these drugs say that short-term treatment is relatively safe; however, some recent studies have sown doubt. A total of 14 panel members said the current statement should be reconsidered, while 11 voted No.

However, most of those in the latter camp indicated in post-vote discussion that they believed there is no completely safe dosing period.

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