Posts Tagged ‘Patient’

MAYBE THOSE PHYSICAL FINDINGS… AREN’T…

Friday, July 18th, 2008

THE MIND BODY CONNECTION

Within our chiropractic training and culture is a diverse range of physical indicators that we observe, measure and monitor to help us to diagnose our patients’ physical state: The history is used to narrow down our list of disorders or even diseases which may be causing the problem; Posture tells us how misaligned someone’s body and spine is; Radiographs show us how much decay and degeneration has developed; Range of motion tests measure how stiff they have become; SEMG assesses how tight muscles are; our palpation skills feel where there is contraction, restriction, fixation and misalignment.

And then we apply a physical therapy to try and intervene on the physical disorder that we have isolated.

It has almost become a cliché that there is a mind/body connection. But have we tended to minimise this relationship? Or have we even missed the point of this revelation? Are we persisting with the convenient separation and compartmentalisation of these two dimensions? We say, “oh yes the mind can affect the body, and the body can affect the mind” – but in saying this do we miss the paradigm of the mind/body relationship?

In other words the mind IS the body, and the body IS the mind.

When you are feeling certain emotions like anger, resentment, guilt, frustration – your physical body is different to how it is when you are feeling emotions like love, acceptance, peace, joy, reward. And if your physical body is different, then your thoughts, feelings and emotions are different. One doesn’t lead to the other – one is the other.

Let’s take another look at our list of “physical indicators” from another point of view, to see if we can see what they might really mean in terms of the mind/body:

The History is really someone’s story about the suffering they currently feel. And we are very good at asking questions about how the suffering feels: Where it hurts, how much it hurts, how big an area does the hurt cover, when does it feel a bit better and when does it feel a bit worse? But do we miss the most important question? What does the hurt mean – to them? Here’s another way of asking this question to help those who can’t make a connection – “if this hurt didn’t go away what would it mean you couldn’t do?”, or “if this hurt didn’t go away what aspect of your life do you think would be most affected?” Do you know that if something in your therapeutic relationship and encounter doesn’t allay or release this connection between their pain and suffering, that their mind/body will resist healing?

Postural Assessment: Why does anyone have bad posture? Because they don’t know they have it! Why would anyone carry their head too far forwards when that skull and its contents are as heavy as a bowling ball? Because they don’t recognise that it is where it is – they have poor somatic awareness. Here’s a thought – they will also have a proportionately poor psychic awareness. In other words they will actually have poor somatopsychic awareness. Check it out next time you examine someone with really bad posture: Ask them how they are feeling emotionally, ask them how aware they are of each of their internal bodily functions: More often than not the same disconnect will exist.

What about those protective buttresses that are being layered down inside their body – the ones you see growing around their skeleton on their Radiographs? Ask yourself this question: How strong, thick and solid are the protective mechanisms that this person has built around their emotions and memories? What will it take to chip away this person’s emotional fortress? The resistance, slowness of their recovery and the common poor prognosis could be reflective of their hardened interaction with the world in a more general sense.

And that stiffness that has built up in their Spinal Range of Movement, that you prescribe stretching exercises to reverse. Here is my observation: Range of motion is directly proportionate to range of emotion. My saying goes like this – “concrete body – concrete mind”. Observe how flexible these people are to suggested changes in their state of mind or lifestyle, and you may see a mirror image of their body’s flexibility.

What about that tension that you see on their SEMG? You may interpret it as physical tension: And you might ask; “maybe you are working too hard”, “maybe you did too much gardening on the weekend”, “maybe you aren’t sitting up straight”? How about this one – muscle tension is proportionate to neurological tone, which is dependent on emotional state. Maybe their body hasn’t been working overtime – maybe their mind has.

And all those things you “feel” while you are Palpating: Stiffness, resistance, swelling, and misalignment. Have you ever taken a moment to ask yourself while you have a direct connection with this person’s field of intelligence: “What am I feeling as I palpate this person?” You may be great at palpating, but, if you get good at feeling, then you will get even better at FEELING. You may even glean more insight into that person’s state of wellbeing in thirty seconds of palpation than sixty minutes of talk…

How does any of this help you to become a better healer, or a more profitable businessman? When you GET IT, that you are a body/mind and that your practice members are body/minds – Then you will experience greater quality and wholeness in your life, and your customers will receive greater quality and wholeness from you as a healer – and people pay for quality

(ps. If you think that this is suggesting that you have to become more of a psychologist or counsellor to be a better chiropractor – then you have missed the point – this has nothing to do with analysing and identifying the past hurts and experiences and helping someone to cognitively overcome the related dysfunctional thoughts and feelings. What this is about is that there is a whole new dimension awaiting you when you become more conscious of the mind/body synergy – what you are doing right now therapeutically will offer a much deeper meaning for both you and your practice members. In other words I am not talking about a change in procedure – but a change in consciousness.)

Find Out More About Training To Help You Make This Transition at http://www.torquerelease.com.au/TRT-Training.htm

BEING EXTRAORDINARY!

Saturday, April 12th, 2008

What’s the difference between being “ordinary” and being “EXTRAORDINARY”? If you look at the word extraordinary a little closer you will see that it is just a little EXTRA than ORDINARY!

When we think about being successful (whatever this might mean to you) we find that there are certain fallacies about how others achieve success:

FALLACIES ABOUT SUCCESS

  • They are better looking than you…
  • They have more talent than you do…
  • Luck!
  • They have stepped on someone else to climb higher…
  • They have ripped people off in order to get ahead…
  • They were given success on a silver platter…
  • It’s easier for others than it is for you…
  • They were born successful…
  • Someone gave them a head start…
  • They stumbled on it…

While some of these things may be true about some people who appear more successful than you: They are not THE reasons why they are more successful!

WE ARE ALL EXTRAORDINARY!

Every person has the ability to be “extraordinary”. If you don’t believe this then you should read autobiographies of some of the world’s most loved and famous people. What you will find is that each of these people at some point regarded themselves as the least likely person on Earth to succeed. But something in that person’s life helped them to make a decision that they could, and would be extraordinary.

So being extraordinary is first and foremost a decision that YOU are going to be EXTRAORDINARY.

People who are “ordinary” have usually decided to “settle for”. If your business had two extraordinary years of growth what would this mean for the following year? If you were to decide that you couldn’t possibly sustain this growth and development, and that in future years, you just wanted to maintain things as they were then you would become ordinary!

If you were to look at other practices and compare yourselves, and decide you don’t need to stretch anymore; then you would become ordinary!

If you were to look at the services offered by many other businesses and see how much more you offered and decided that you don’t need to do anymore; then you would become ordinary!

Being extraordinary means that you create your own standards; focus on how you can improve those standards; and don’t measure yourself by other people’s standards.

The only catch to making a decision to be extraordinary is that after a while your customers expect and demand that same level of service. So, to further surprise and satisfy your patients you have to discover new levels of “extraordinariness”…

“EXTRA”

Let’s look at some of the characteristics of these “extra” things that allow you to become extraordinary:

1) They are usually repetitive: All top sports people achieve their incredible skill levels by repetition of the basic skills of their sport. Peter Daicos the legendary Collingwood footballer said that he found the more he practiced, the luckier he became!

Examples of repetitive tasks in a chiropractic practice could be the scripts and remembering to talk about chiropractic to every patient. When thirty or more patients come through your office each day the things you say and the discussions you have appear repetitive to you: But to that person it could be the only conversation they will have about chiropractic that day, that week, that month, maybe that lifetime?

2) They are usually simple and easy: Each extra little thing that adds to your level of extraordinariness is in itself probably a very basic skill. But it is the very thing that others fail to do for this very same reason.

Forgetting to greet a patient as soon as they arrive, forgetting to tell a young mother that she can bring her children and they will be looked after while the mother receives an adjustment, forgetting to find out anything about a new patient’s family and friends (and missing 3-4 immediate referrals), forgetting to explain to a brand new patient what you are going to do before you do it…

WHY NOT?

If we can become extraordinarily successful by doing repetitive and simple things then why aren’t we all millionaires?

1) FEAR: Despite their simplicity these little extras often appear hard. Remember your first “crush”? All you had to do was ring them to ask them out to that party. It would probably only take ten words to ask the question and there were only two possible replies; either of which would give you instant emotional relief. But how difficult did that phone call become in your mind: Probably difficult enough to stop you doing it! Enough to give you dry mouth, rapid pulse and sweaty palms just at the slightest sight or thought of a telephone. But: If you did overcome that fear and make that call: Remember that feeling of euphoria and energy afterwards (no matter the reply)? This is the “adrenaline buzz” of being extraordinary!

The amazing thing about that fear though; was that the only way you overcame it was by ACTION! By doing the very thing that you feared. And you were able to take that action because you got yourself to the point of FAITH: Where you were so convinced that they would say yes that you just had to ring. Or, you were so convinced that they were going to say no that you didn’t care for them any more anyway. Or, that you realized that either reply would make you feel better than you were feeling by not ringing them!

2) LAZINESS: Because these extras are simple and repetitive, they are probably the first things that we put off and ignore. To do these things means exactly what the word means… EXTRA! And let’s face it many of us don’t want to do extra if we can avoid it.

Laziness usually manifests as excuses – “they’ve probably heard it all before”, “No-one wants to listen to this health stuff”, “people are turned off by a sales pitch”, “I tried that once and it didn’t work”…

Well, on the other hand – if you don’t tell them maybe no-one else on the entire planet will either – and maybe that could have massive consequences for that person?

So, as you can see, not doing the “extras” is what holds us back and stops us from becoming extraordinary.

HOW TO…

1) Take time to reflect on the things you do each day and ask yourself two questions:

a) Am I consistently doing the little things that will allow me to become extraordinary?

b) What am I not doing, or what am I avoiding doing which is preventing me from getting an “extraordinary buzz”?

2) Allow your creative imagination to sprout wings: Start to think about “extra” things, which may appear simple and repetitive, but will add to your being extraordinary – pick one and put it into practice: Once you have mastered it move onto the next one. And if you think it didn’t work, replace it with a new one…

3) Develop your faith:

a) That you can be extraordinary

b) That by doing the “extras”, things will start working out for the better

c) That if those little “extras” don’t work you will still be in the process of becoming extraordinary

d) By understanding that if you do the possible, God will take care of the impossible!

4) Act:

a) “Fake it till you make it!”

b) “Try on” a new behavior to see if it “fits” and give it sufficient time to “wear in”.

c) Take the first step on an incredible journey which consists of continuing to take more first steps, each after the other; till you arrive at a fantastic exotic location!

Click Here To Find Out More About Coaching…

WHY ATTEND TORQUE RELEASE TECHNIQUE TRAINING?

Wednesday, February 6th, 2008

There are SO many chiropractic programs and techniques available to Chiropractors nowadays – Alphabet Soup you might say. For this reason it is imperative that each DC choose programs which are going to give them real value for their money. Nobody wants to attend a program which gives them one take-home strategy which they will use on one patient a week; or worse still leave the class and never implement a single aspect of the training. Below is my list of reasons to attend Torque Release Technique based on feedback from previous graduates of what changes the most in a DC’s life after attending a TRT program…

1) Better results with the majority of your patients – so many programs tell you that they are going to help you get better results with those “problem patients”. Isn’t it perplexing how we forget about the 80% that are getting good results and focus our minds on that 10% that isn’t responding: And we’ll spend big dollars attending a program that will help us get better results with the people who provide us with a small proportion of our income!! What if you could attend a program that will convert your good results to great results – imagine what will happen when 80% of your practice is getting better results?

2) Absolute certainty that you are adjusting the subluxation which most needs to be adjusted, at that moment in time, with the correct vectors and contacts – by contrast most other systems give you a list of possible subluxations, and then you either adjust all of them or make some subjective decision as to which ones you will adjust on that visit – and then there’s a bunch of systems that place no value or priority on what needs to be adjusted (if it pops then it must have needed it) – near enough is not good enough.

3) Increased retention – Because most other systems are linear and mechanistic they don’t adapt to the change that is happening: They see patient plateau at some point in the care program – plateau is the biggest enemy of retention – TRT is non-linear and vitalistic – in other words; the adjustments adapt and evolve as the patient’s nervous system goes through plastic changes – this means that patients keep getting significant changes after each adjustment – and excited patients stay and they refer.

4) Very quick analysis system that helps to cut down the number of adjustments needed each visit while still giving the best results – It IS possible to give someone a high quality adjustment in less than 2 minutes.

5) Less physical strain on the DC’s body – many DCs are paying a personal price physically and mentally due to how hard they are working to give their patients great adjustments – TRT is very easy physically and very orderly mentally – you get to the end of the day with energy still left over for your family and interests.

6) Every DC who has ever implemented TRT to some degree has increased their practice volume, while often reducing their working hours – TRT is very helpful for DCs wanting to practice high volume.

7) It is the first analysis and adjustment system to be totally neurologically based: The indicators we use are neurological indicators, the analysis system we utilise is neurological, and the Integrator adjustment is a neurological intervention.

8) It is the only system that breaks Chiropractic out of a mechanistic model: Most systems talk about the nervous system in terms of the outcomes, but then regress into biomechanical speak, assessment and intervention – “I’m a wellness Chiropractor and I straighten spines” – NOT! – a straight spine does not guarantee wellness – only improved neurological function guarantees wellness.

9) It is the only system that offers a completely vitalistic application of our vitalistic philosophy – totally congruent with the 33 principles and yet current with quantum science: Mechanism is not a subset of vitalism; it is a subset of reductionism. Vitalism requires a respect for the life, spirit, energy and intelligence of human existence – does your “treatment” release human potential, or does it impose your belief of what angle a cervical curve should be?

10) Increased understanding of the emotional component of subluxation – how emotions contributes to subluxation – how subluxation impacts on the emotional component of the nervous system – and most DCs see bigger changes in patients emotional states when they use TRT.

11) Totally congruent with WELLNESS practice – many DCs say they are wellness DCs, but basically have a practice full of people who come for regular check-ups – a wellness practice can only be measured by improved state of wellbeing in the clients, not by how often someone gets adjusted – TRT DCs find that their practice members go through major shifts in their state of wellbeing.

12) The level of satisfaction with the Integrator is much higher than with most other instruments – most DCs use their instrument as an alternative to manual adjusting – when all else fails or when they feel it is not safe to adjust manually. The opposite happens when DCs use Integrators – they are usually shocked to find that they actually get better changes and feel their adjustments “hold” better when using an Integrator. And those recurring subluxations that used to be back again every visit suddenly seem to clear and no longer recur.

13) They discover a massive demographic of new patients who would never see a “bone cruncher” but love the low-force approach – Like it or not – the manual adjustment has been the vehicle with which most DCs have produced great health changes in their customers. But at the same time the manual adjustment suffers from a very poor public relations history: From comedy shows, to fanatical and very vocal cynics, to a large segment of the general populace – there is a huge number of people who question “cracking backs” as being of little therapeutic value, and of much unnecessary risk. When you use a low-force adjusting approach – you enter a new game – and you find a whole new marketplace.

14) Enjoyment, fulfilment, passion and excitement seem to happen in DCs lives. It amazes me how many DCs are actually struggling in practice emotionally – and are in a state of disappointment, boredom or burnout. We get so many phone calls and emails a few months after a TRT program with amazing stories of renewed practices, revived enthusiasm, and unexpected but well-deserved rewards

CAN YOU SEE WHAT YOU ARE DOING?

Saturday, November 10th, 2007

Many aspects of chiropractic practice have evolved - there have been so many modern developments from within our profession, and from complementary professions - many of which make daily practice simpler, more efficient, more effective, more objective, and even more profitable… Whether we talk about the computerisation and even automation of our front desks, technological advancements in our investigative tools, online education and marketing tools, new and diverse technique systems, in-house entertainment and educational multimedia, online and electronic banking options, and I could go on…

But at the same time could it be that as we utilise more and more technologies, and become more dependent on machines to make decisions and record memories for us - That our own innate and intuitive recording, analysing and comparative skills may be withering and vanishing?

How seriously and consciously do you control what you are seeing and absorbing in your mind’s eye, as you are working on each and every practice member, on each and every visit? This was named INTENT by our pioneers.

While you are leaning over and assessing your patients: Are you thinking about what you are going to have for lunch, reviewing your golf swing, planning your next holiday, worrying about your debts, or even rewinding the last patient who was complaining that you hadn’t fixed them yet?

Make a commitment to include the following steps as you examine and treat each person…

1) Become One: When you enter into someone’s field of intelligence (their personal space), you are being allowed into a very privileged place - AND you also enter into a dimension where you can gather enormous perceptions about the state of mind and body of that person - IF you are willing to perceive and observe them! The way to take this to its full potential is to comprehend that when you enter into this “zone” you and your patient become one. Have you ever started to feel angry, sad, frustrated, or agitated while adjusting someone - guess what - it might not be you feeling it - it may be them. See if you can develop this skill of knowing more about your clients than they know about themselves…

2) Visualise: As a Chiropractor, you are extremely blessed, because you have done some of the most comprehensive anatomical, physiological, biomechanical, neurological and even pathological studies possible. As you examine and adjust each person, develop “XRay Vision”: Visualise the structures and functions that you are examining and adjusting as you perform each procedure. Makes the job much more interesting and fascinating. Your diagnostic and technical skills will improve in a quantum leap if you integrate this one skill…

3) See Whole: This transports your visualisation skills to the next dimension: Making the jump from observation, to influence! See the fixated joints start to move again; visualise a person’s alignment being restored; feel the surge of nerve flow and energy transmission; envision cells, tissues, organs and beings becoming whole and vital once again…

When we teach Torque Release Technique we equip you with a comprehensive range of indicators which you use in your ongoing evaluations of your patients’ state of wellbeing, and degree and location of Subluxation. These build and strengthen your intuitive and innate abilities to perceive and differentiate what condition someone is in, AND where and how they need to be adjusted.

When you put this all together you achieve what is probably best described as TOTAL CERTAINTY.

Click Here To Find Out More About TRT Training…

Practice Tip - EMPOWER AND RELEASE YOUR MOST VALUABLE ASSET

Sunday, November 4th, 2007

Here’s some vital questions to ask yourself: Which member of your business…

1) Educates your practice members more simply and effectively than you do?

2) Listens to your patients’ “dirty laundry” and counsels and advises them at the same time?

3) Stimulates more referrals than any other marketing source than you could ever invent?

4) Is more likely to hug, wipe tears, encourage and listen to the people who pay your bills?

5) Placates disgruntled customers who are sick of being kept waiting, or haven’t had their questions answered to their satisfaction?

6) Would like to be more involved in the healing process than you recognise and give credit for?

And all we worry about is did they take the correct money, make the next booking correctly, get people into the adjusting room when we needed them there, keep the kids quiet in the play area, and still manage to book in 3 new patients who rang while 5 people were queued at the front desk?

That’s right, I’m talking about your CA, receptionist, secretary, personal assistant - whatever you call them.

After asking yourself the above questions; next ask your best CA/s: “Would you like to be more involved in the healing process, and learn some new skills?” You may be surprised by the answers you get.

Here’s three ways you can up-skill your most valuable business asset:

A) Involve them in the interview or case history process - Use pre-formatted questionnaires to save you time and actually improve your record keeping. A good CA will have already heard most of the person’s life, family and health history, and will probably know more about what is really worrying the person, before they even see your face: Your CA is the ideal person to select the most appropriate paperwork for each new client, and then to follow up at a pre-determined time to review the questionnaire again.

ACTION STEP: Click Here To Check Out Health Questionnaires That Your CA Could Be Trained To Administer…

B) Get them trained in aspects of the examination procedures - There are some amazing technologies which improve your objective analysis of your patients’ state of wellbeing, and some of these can be trained and delegated to a tech-CA.

ACTION STEP: Have some of your CAs complete the Super Posture program - they will learn how to perform low-tech and high-tech postural assessment and even how to prescribe some corrective exercises: Click Here To Find Out More About The Super Posture Program…

C) Select some therapeutic modalities which can be administered by an assistant under your oversight - Consider this - As your practice expands you may assume that the way to increase your volume and turnover is to employ an associate DC. Most associate DCs will drain up to 60% of the money they generate. How about delegating some of the less skilled and time effective activities to well trained staff who work for an hourly rate? You could dramatically increase your patient flow and diversify your services (and increase customer satisfaction) at a fraction of the overhead.

ACTION STEP: Click Here To Find Out About A Treatment Modality That Can Be Delegated To Tech Assistants…