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      <title>Chiropractic Blog</title>
      <link>http://www.patientmedia.com/blog/</link>
      <description></description>
      <language>en</language>
      <copyright>Copyright 2012</copyright>
      <lastBuildDate>Wed, 16 May 2012 18:31:59 -0700</lastBuildDate>
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      <item>
         <title>When Patients Blame You</title>
         <description><![CDATA[<img src="http://www.patientmedia.com/blog/spine-fixer.jpg" width="190" height="222" alt="Do you show up as a spine fixer?" class="floatimgright" />“So, what do you know for sure,” I asked Gene who had arrived to clean our windows.

“What I know for sure is that I only have nine teeth,” he replied with toothless grin.

“Wow, that’s not very many teeth,” I observed stating the obvious. “What happened?”

“I’ve had two really bad dentists.”

“What a string of bad luck,” I commiserated.

I suppose there is the possibility that this 56-year old had had two “bad” dentists in a row who were inclined to pull his teeth, but the more I thought about it, it occurred to me that his answer was simply a cover up; a rationalization and justification.]]></description>
         <link>http://www.patientmedia.com/blog/2012/05/so_what_do_you_know.html</link>
         <guid>http://www.patientmedia.com/blog/2012/05/so_what_do_you_know.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Musings</category>
        
        
         <pubDate>Wed, 16 May 2012 18:31:59 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[What has been the defining moment in your life?

When you think back over the years of childhood, adolescence, college, courtship, marriage, family and practice, what event or circumstance prompted you to draw a line in the sand and make a personal vow? Do you know what it was?

This is helpful to know about oneself. It explains many things about our life's trajectory. Our preferences, avoidance's and gifts.

I often hear chiropractors say, "I didn't choose chiropractic. Chiropractic chose me."

Really? How exactly?

Instead, my guess is that delivering chiropractic care and helping relieve the suffering of others somehow advances, fulfills or redeems something deep in your soul. It would be healthy to know what that is. Spend some time this week mining your memories and exploring the motives of your career choice. Why not medicine? Or dentistry? Or physical therapy? Knowing this about ourselves is important. Perhaps essential.

Subscribe to <a href="http://www.patientmedia.com/mondaymorning.html">Monday Morning Motivation</a>.]]></description>
         <link>http://www.patientmedia.com/blog/2012/05/monday_morning_motivation_283.html</link>
         <guid>http://www.patientmedia.com/blog/2012/05/monday_morning_motivation_283.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 14 May 2012 06:00:23 -0700</pubDate>
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         <title>Germs! Germs! Germs!</title>
         <description><![CDATA[<img src="http://www.patientmedia.com/blog/germs.jpg" width="250" height="188" alt="Patient education about germs" class="floatimgleft" />After you’ve been in as many hotel rooms as I have, you pretty much know what to expect. Electronic card opens the door. Closet. Bathroom. Bed. Television. Chest of drawers. Worktable. Sitting chair. Lamp. There seems to be about 4-5 floor plan permutations, but that’s pretty much it. And how much you pay for the room in which you spend most of your time with your eyes closed doesn’t seem to change that.

So I was surprised, even amused, when I checked into my hotel room Friday night in Sioux Falls to conduct a special Debrief for <a href="http://www.patientmedia.com/theconversation/index.htm">The Conversation</a> and found something that broke the pattern. Next to the telephone (both of them) was an alcohol prep pad. Something one might use to sterilize an area of the body prior to giving an injection. 

Since I’m a student of people’s health beliefs and attitudes, I couldn’t help myself when checking out yesterday, asking the twenty-something front desk clerk to explain.]]></description>
         <link>http://www.patientmedia.com/blog/2012/05/germs_germs_germs.html</link>
         <guid>http://www.patientmedia.com/blog/2012/05/germs_germs_germs.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Patient Priorities</category>
        
        
         <pubDate>Mon, 07 May 2012 08:50:36 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[I found myself sitting beside to two software programmers on a recent flight. After small talk about the projects they were working on and the computer language they coded in, the subject turned to something anyone could understand: complaining about their clients.

Their conclusion? The people they work for are stupid, change their mind too frequently, don't "get" the nuances of software development and fail to appreciate the elegance of the code they write.

Do you or members of your team have the habit of maligning the people who show up in your practice for help?

Talking about others in unkind ways when they are not present is a form of gossip. This is a character flaw of small people with small practices and small influence. Even the slightest contempt for the people who write your paycheck is a reason why you are not entrusted with more people to help.

Subscribe to <a href="http://www.patientmedia.com/mondaymorning.html">Monday Morning Motivation</a>.]]></description>
         <link>http://www.patientmedia.com/blog/2012/05/monday_morning_motivation_282.html</link>
         <guid>http://www.patientmedia.com/blog/2012/05/monday_morning_motivation_282.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 07 May 2012 06:00:41 -0700</pubDate>
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         <title>It’s Not the Economy</title>
         <description><![CDATA[<img src="http://www.patientmedia.com/blog/organic-produce.jpg" width="222" height="147" alt="organic-produce" class="floatimgright" />When chiropractors reveal to me that their numbers are down, they reluctantly cite the economy as the culprit, almost as if they know it isn’t true.

“People just don’t have the money these days,” they observe.

Really? While it’s true that their $5,000 deductible insurance policy pretty much makes them a cash patient, their financial reserves are exhausted and their unexpected bout of back pain wasn’t exactly a line item in their monthly budget. (Read <a href="http://www.patientmedia.com/blog/2011/05/financial_fragility.html">Financial Fragility</a> which sums this up nicely.)

However, I’ve noticed that they’re still restocking the organic produce department at the grocery store. And I’m still seeing people putting the smaller, less attractive, more expensive produce in their cart—without expecting to be reimbursed by a third party. (The stock for Whole Foods Grocery hovered around USD $10 a share in November of 2008. Today it’s cresting over $80. Hello McFly.)

Apparently there are still plenty of people in your community who value their health enough to pay a premium for organic produce, grass fed beef, cage- and antibiotic-free eggs and rBGH-free milk. All this, while you’re holed up in your office yakking about the biomechanics of back pain and misleading patients into thinking that chiropractic is about bones rather than the nervous system and symptom relief rather than reviving their ability to self heal.]]></description>
         <link>http://www.patientmedia.com/blog/2012/05/its_not_the_economy.html</link>
         <guid>http://www.patientmedia.com/blog/2012/05/its_not_the_economy.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Patient Priorities</category>
        
        
         <pubDate>Wed, 02 May 2012 18:12:29 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[Some chiropractors torment themselves because they link their self-worth to what patients do. Remember...

You control which patient’s you’ll accept for care. But they control the priority they place on their health.

You control the content and length of your report. But patients control their interest and agreement.

You control the recommendations you’ll make. But patients control whether they’ll follow them or not.

You control what home care procedures you’ll suggest. But patients control whether they’ll implement them or not.

You control how, when and where to adjust. But what the patient’s body does with it is outside your control.

You control your fees. But patients control whether they value your services enough to justify the time and expense.

You control your intentions and expectations. But patients control whether to believe you, trust you or follow you.

Thinking you control what you don’t can lead to anger and eventually, burnout.

<a href="http://www.patientmedia.com/mondaymorning.html">Subscribe to our weekly email</a>.]]></description>
         <link>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_281.html</link>
         <guid>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_281.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 30 Apr 2012 06:00:59 -0700</pubDate>
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         <title>Reinventing Your Practice</title>
         <description><![CDATA[<img src="http://www.patientmedia.com/blog/retirement.jpg" width="222" height="147" alt="Finish strong" class="floatimgleft"  />I trusted a hunch during my talk yesterday in Minneapolis and made the assertion that “...during the last four months, some of you in this room have actually contemplated what you could do <em>other</em> than practice chiropractic.”

After my talk was over, one of the chiropractors came up to me and asked, “How did you know?”

“Know what?” I asked having covered dozens of subjects during my talk.

“How did you know that some of us have considered alternatives to practicing chiropractic?”

“Just my intuition based on the vibe in the room. There seemed to be quite a few chiropractors who weren’t having fun. And if you’re not especially passionate about chiropractic, when circumstances get difficult it often prompts a look around for an easier way to make a living.”

“Well, that’s where I am,” he confessed. “Only trouble is, I’m stuck. There isn’t anything else I can do that would generate the income I used to make in chiropractic. And the problem is, even chiropractic isn’t producing the income I need to make, so I’m having to dip into savings.”

There. He had just said out loud what I suspected many chiropractors have been privately thinking.

I wasn’t sure how he was going to take my next observation, but I made it anyway.]]></description>
         <link>http://www.patientmedia.com/blog/2012/04/reinventing_your_practice_1.html</link>
         <guid>http://www.patientmedia.com/blog/2012/04/reinventing_your_practice_1.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Musings</category>
        
        
         <pubDate>Sun, 29 Apr 2012 10:07:14 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[Everyone prioritizes his or her health differently.

Many chiropractors attempt to change the value a patient places on his or her health. They imagine that they can reason the patient into prioritization. Or educate a patient into prioritization. Or nag them. Or scare them. Or shame them into taking their health more seriously.

Lasting change doesn’t work like that. Instead, these attempts usually do little more than annoy patients and make them feel inferior. Which is hardly helpful.

A far more practical approach is to take a long-term view and wait for “something to happen.”

The birth of a child. The loss of a parent. A tragic automobile accident. Suddenly losing one’s job. Cancer. 

Something happens. It’s these life-changing events that can often prompt someone to reevaluate their priorities. Showing up accepting and nonjudgmental with those who don’t currently value their health may inspire them to return when they do.

Subscribe to <a href="http://www.patientmedia.com/mondaymorning.html">Monday Morning Motivation</a>.]]></description>
         <link>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_280.html</link>
         <guid>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_280.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 23 Apr 2012 06:00:04 -0700</pubDate>
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         <title>It’s Our 13th Anniversary: You Get the Present</title>
         <description><![CDATA[<img src="http://www.patientmedia.com/blog/birthday-cake.jpg" alt="Hard to believe it has been 13 years!" width="223" height="200" class="floatimgright" />Hard to imagine that 13 years ago this Friday, April 20th I walked away from a thriving business to start over by creating Patient Media. It’s been an incredible journey and we all thank you for your support over the years. 

This year promises to be a big one. We’re bringing back our How Long? brochure with a brand new look. The next generation of patient education videos are slated for release in September. Plus, our newest eBook is in production and some other cool stuff we’ll be announcing in the fall.

As a small token of our appreciation, when U.S. customers place their order for chiropractic patient education products and supplies this Friday, we’ll deduct 13% from the purchase price. To place your order call (800) 486-2337 or if ordering online, at checkout enter the discount code: PM13

Thanks for your loyalty and support!]]></description>
         <link>http://www.patientmedia.com/blog/2012/04/its_our_13th_anniversary_you_g.html</link>
         <guid>http://www.patientmedia.com/blog/2012/04/its_our_13th_anniversary_you_g.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Product Profiles</category>
        
        
         <pubDate>Tue, 17 Apr 2012 09:09:36 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[What are you angry about?

It may be one of the most common, least useful, yet damaging (for you!) emotions. Your anger reveals more about you than just about anything else you say or do. Is your anger directed at circumstances? Things? People? Yourself?

When you're angry at your circumstances it may be just what it takes to inspire action and change the circumstances you've created. Because after all, you're the author of your circumstances. 

Being angry at things is far more irrational. Being angry at things that wear out. Things that break. Being angry at inanimate things only harms you.

Directing your anger at others is even more futile. Especially being angry with patients and what they do. Or don't do. You can't change them with your anger. It merely separates. Distances. 

Love. Love your situation. Love your things. Love your neighbor. Love yourself. Connect. Then you can influence.

<a href="http://www.patientmedia.com/mondaymorning.html">Subscribe to Monday Morning Motivation</a> and have these messages delivered to your inbox each week.]]></description>
         <link>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_279.html</link>
         <guid>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_279.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 16 Apr 2012 06:00:02 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[Because of a patient's previous medical experiences, there's an unspoken "social contract" assumed when they begin care with you. If you don't establish new, chiropractic terms of engagement, they assume you operate under the same covenant they've experienced with traditional doctors.

What are they?

Among others, that since you control the recommended "dosage" of adjustments, you also control the speed of their recovery. That the adjustments treat their symptoms (medicine) rather than revive their ability to self-heal (chiropractic). That they can remain passive and you'll do all the heavy lifting. And like curing an infection, you'll produce a permanent fix.

If you forget or neglect to establish chiropractic rules of engagement, you're likely to attract passive patients unwilling to share in the responsibility of their recovery. Perhaps more troubling, it can create inappropriate patient expectations, place a needless burden on you and lead to countless misunderstandings and diminished patient satisfaction.

<a href="http://www.patientmedia.com/mondaymorning.html">Subscribe</a> to this weekly 150-word missive with practice tips and insights.]]></description>
         <link>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_278.html</link>
         <guid>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_278.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 09 Apr 2012 06:00:17 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[How long can you persevere, doing something new, without the gratification of seeing results?

Take heart in the fact that there is always a lag between when you “do” some new procedure or adopt a new way of being, and when you “have” the fruits of your efforts. The lag is actually there to protect us. Imagine the problems that would arise if every thought that entered your mind immediately manifested!

Moreover, the lag is designed to test your resolve. And your faith. This is just one reason why using someone else’s scripting rarely produces the results that its author experiences. It’s why I’m leery of “shortcuts” and the “fake-it-till-you-make-it” crowd who think going through the motions will produce the necessary change of heart. That’s outside in thinking.

Instead, remain steadfast, holding every thought captive. It is through the inside-out process of renewing of your mind that authentic, lasting change manifests.

Subscribe to this weekly, 150 word message called <a href="http://www.patientmedia.com/mondaymorning.html">Monday Morning Motivation</a>.]]></description>
         <link>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_277.html</link>
         <guid>http://www.patientmedia.com/blog/2012/04/monday_morning_motivation_277.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 02 Apr 2012 06:00:19 -0700</pubDate>
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         <title>Is Practice Worth It?</title>
         <description><![CDATA[<img src="http://www.patientmedia.com/blog/burnout.jpg" alt="burnout image" width="199" height="200" class="floatimgleft" />I’m encountering more and more chiropractors in my <a href="http://www.patientmedia.com/seminars/chiropractic-consultant.htm">one-hour consultations</a> who are, or are on the verge of, burnout. Income is down. Savings are dwindling. Documentation is too much of a bother. Patients are problems rather than opportunities. The joy is gone.

With these and related circumstances, some chiropractors are questioning their career choice. Disguising their disdain for patients and their unhappiness in practice has become an increasingly difficult acting job. Many think they’re able to successfully hide their frustration and feelings of being trapped or stuck in a practice that produces less and less joy and satisfaction. (Take this <a href="http://www.patientmedia.com/burnout.htm">burnout quiz</a>.)

When I work with these chiropractors, many of them are surprised to learn what underlying emotion is producing their lethargic, take-me-out-of-my-misery pity party.]]></description>
         <link>http://www.patientmedia.com/blog/2012/03/is_practice_worth_it.html</link>
         <guid>http://www.patientmedia.com/blog/2012/03/is_practice_worth_it.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Musings</category>
        
        
         <pubDate>Mon, 26 Mar 2012 15:23:31 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[Never. Always. Every. These are absolutes. As in no exceptions. As in "You never..." Or "I'm always..."

These assertions are rarely true. Instead, when patients use these terms while describing their situation, they often reveal something far more significant is going on below the surface. Are you discerning (or curious) enough to hear the clue and pursue it?

This is why listening skills, especially at the consultation are so important. The word choices patient's use can often hide (or reveal) what's really going on. Which you're likely to miss if you're merely going through the motions or know what their visit schedule is going to be without an examination or even touching them!

Remember, their physical complaint(s) are usually the result or effect of some other event or belief. If you're inclined to address the cause, rather than treat the symptoms, your ears may be more important than your eyes!

Subscribe to <a href="http://www.patientmedia.com/mondaymorning.html">Monday Morning Motivation</a>.]]></description>
         <link>http://www.patientmedia.com/blog/2012/03/monday_morning_motivation_276.html</link>
         <guid>http://www.patientmedia.com/blog/2012/03/monday_morning_motivation_276.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 26 Mar 2012 06:00:58 -0700</pubDate>
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         <title>Monday Morning Motivation</title>
         <description><![CDATA[Have you put off a difficult conversation? Is there something you're tolerating? Is there some aspect of your life you're afraid to expose to the light?

This week, have that conversation. Address what you've been tolerating. Bring out the bright lights!

While you probably imagine the pain, the difficulty or discomfort of doing so, allowing circumstances to fester always makes the inevitable more painful, more difficult and more uncomfortable. Always.

The continuing avoidance is an act of irresponsibility and the self-limiting belief that you're a powerless victim. It's an all too common form of self-sabotage that erodes our confidence and blunts our impact. Unresolved emotional subluxations such as these can cripple us as much or even more than a misalignment along the spine. In fact, they are probably the underlying cause of a host of spinal complaints.

Worry and dread are far more damaging than the act of confronting them.

Subscribe to <a href="http://www.patientmedia.com/mondaymorning.html">Monday Morning Motivation</a>.]]></description>
         <link>http://www.patientmedia.com/blog/2012/03/monday_morning_motivation_275.html</link>
         <guid>http://www.patientmedia.com/blog/2012/03/monday_morning_motivation_275.html</guid>
        
          <category domain="http://www.sixapart.com/ns/types#category">Monday-Morning-Motivation</category>
        
        
         <pubDate>Mon, 19 Mar 2012 06:00:54 -0700</pubDate>
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