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Chiropractors - harness the powerful science of goal setting!

10/30/2018

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Most Doctors of Chiropractic have a long list of goals they'd like to accomplish. Those could be to finally update the office systems, hire new staff, improve patient outreach, and, especially, to find a way to post revenue without working more hours. Likewise, when DCs go home to their families, there are a whole lot of personal goals awaiting them, like to learn a second language, learn to paint, run a marathon, or just lose weight.

​Unfortunately, the vast majority of goals go unfilled, day after day, year after year, and, certainly, New Years after New Years. We start and stop, talk ourselves out of them the moment we get discouraged, or they just remain whimsical wishes that never leave our brains. But instead of internal and emotional factors, reaching goals successfully is actually more of a science, your success based on factors you can predict and control.
 
A landmark study at Harvard found some shocking evidence that goal setting correlates with massive success. Of course, Harvard business school is the top institution of its kind, and students and professionals who are selected for their MBA program are already the brightest and best in the country. But there were pronounced differences within the Harvard class that made the study on goal setting remarkable.
 
In 1979, Harvard MBA graduates were surveyed with the question: “Have you set clear, written goals for your future and made plans to accomplish them?” 
 
Of the Harvard business school graduates interviewed, this is what they found:
 
84% had no specific goals at all.
13% had goals, but they were not committed to paper.
3% had clear, written goals as well as plans to accomplish them.
 
The same graduates were tracked down for a follow-up interview in 1989 to gauge how successful they’d become and if that at all correlated to their goal setting 10 years earlier. 
 
The researchers were shocked what they found. Of the same Harvard students originally surveyed:
 
The 13% of the class who had goals were earning, on average, twice as much as the 84% who had no goals at all.
 
Even more staggering, the 3% who had clear, written goals were earning, on average, 10 times as much as the other 97%...put together! 
 
Let me highlight that astounding fact another way: 
 
In a group of smart, successful people with no other apparent differences, the men and women who simply thought about their goals earned 200% more per year than those who had no goals!
 
And for the 3% who actually committed those goals to paper with a plan to reach them, they made 1,000% more.
 
The breakthrough finding was that when people set clear goals, and most importantly committed them to writing, they went on to achieve, succeed, and earn far more than their counterparts who had no specific goals.
 
The results were an incredible eureka moment in the science of goal setting and study of the human mind, but surely the achievement of these Harvard goal-setters must be an anomaly?
 
A psychology professor at Dominican University in California, Dr. Gail Matthews, set to find out when she conducted a study of 267 participants on goal setting. She compared several test groups to see if the findings of the Harvard study stood up to scrutiny. She broke her participants into several groups.
 
Among them were:
 
Group 1 thought only about their goals but didn’t commit them to paper.
 
Group 2 thought about and wrote down their goals.
 
It went all the way up to Group 5, that not only wrote down their goals, but wrote down action steps they could take to reach them, shared their goals with a supportive friend, and finally, made weekly progress reports to that friend.
 
Her work concluded that Group 2 – who simply committed their goals to paper - was 42% more likely to achieve them than Group 1.
 
And what about Group 5, who wrote down their goals, action steps they could take to reach them, shared their goals, and made a weekly progress report?
 
Incredibly, that group achieved their goals at a 78% higher rate than Group 1.
 
The most comprehensive research into goal setting took place in 2011 when a mega-analysis combined the findings of 38 smaller studies that took place before. The conclusions of these studies and countless other research into the field of human achievement prove there is a simple formula to successfully achieving your goals, no matter who you are or what your goals:
 
1)         Design specific goals.
Goals that are concrete and laser-focused end up with higher success rates. Interestingly enough, goals that are bigger and more ambitious result in higher performance and success, not less.
 
2)         Write them down.
Committing your goals to writing achieves a lot more than just having a visual reminder. Once they are spelled out on paper (or a computer screen), our minds perceive them as tangible, real-life experiences, not just wishes or dreams, and start acting accordingly.
 
3)         Plan action steps.
It’s critical to plant a flag as the outcome or goal you ultimately want to reach, but it’s also important to map out your strategy to get there. By breaking your goal into smaller steps and planning how you’ll implement them, you’ll have a solid track to run the train of your efforts. 
 
4)         Share those with a friend or accountability partner.
One of the most underrated aspects of goal setting is the psychology of group or external support. Having someone to give you feedback and hold you accountable makes a huge difference in goal achievement.  In fact, a study by researchers Chhokar and Wallin found that even regular feedback on a person’s progress raised goal performance. But when that feedback ceased, the same subjects suffered a sharp drop in performance.
 
5)         Monitor progress with a weekly report.
On the journey to any goal, there are plenty of ups and downs, landmarks and setbacks. Research has demonstrated that measuring and documenting progress along the way, whether daily, weekly, or whatever increment is relevant, helps keeps people on track and pushing forward to reaching their finish line.
 
There is incredible power in this process, and it doesn't even really matter what your goals are. Whether you're trying to earn an extra $50,000 this year, finally lose that extra 20 lbs., or even find the love of your life and get married – this method of achievement through goal setting is proven to work.
 
But there is a catch, one keystone that all of the studies and scientists found was absolutely essential to achieving any goal. Without this linchpin, the 5 steps are completely useless: 
 
You have to get started. 
 
Yes, it’s that simple – action is the foundation of all goal achievement. It doesn’t matter if you make mistakes along the way (you will) or suffer setbacks and obstacles (you probably will). The amazing power of this goal setting science will only work with action, and that’s the part that holds more people back than anything along the way. But if you’re part of the 3% who write down their goals, set an action plan, share that, hold yourself accountable, get started and don’t give up, you are statistically nearly 100% guaranteed to succeed. 
 
But if you don’t, if you outthink yourself one more time, procrastinate and make excuses, or fail to commit to your own success yet again, you’re almost guaranteed to fall short.

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The Chiropractic timeline - from the 1800's to 2018 and beyond

10/24/2018

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These days, chiropractic care is a significant and vitally important part of healthcare in the United States and the world, with more than 35 million people visiting a DC every year. But, we also know that the field of chiropractic care hasn't always been so widely popular and accepted (that's an understatement!). So, today we wanted to highlight the timeline of chiropractic, tracing its development, tribulations, and growth from the mid 1800s to 2018 - and beyond.

1845 Daniel David Palmer was born in Port Perry, Ontario, Canada on March 7, 1845.
 
1882 His son, Bartlett Joshua Palmer, was born in What Cheer, Iowa on September 14, 1882.
 
1896: In an attempt to improve his hearing, Dr. D.D. Palmer administers two adjustments to the spine of Mr. Harvey Lillard, who becomes the first chiropractic patient.
 
1896 (Spring): Reverend Samuel Weed suggests the word ‘chiropractic,’ from Greek words for “treatment” and “by hand,” which D.D. Palmer uses to coin the phrase that we now know.
 
1896 (July): D.D. Palmer starts the Palmer School of Magnetic Cure, with Leroy Baker as his first chiropractic student.
 
1906: D.D. Palmer is arrested for a violation of medical law that required medical doctors to report themselves, and put in prison for 23 days. Palmer remains adamant that he is a “chiropractor” and not a medical doctor, and therefore not subject to that law.
 
1906 :  During his father’s imprisonment, B.J. Palmer takes up the position as Principal of the Palmer School.
 
1906: To protect chiropractors being charged with the unlicensed practice of medicine, The Universal Chiropractors' Association (UCA) is founded in Davenport, Iowa, provide legal protection and, eventually, educational and political advocacy.
 
1907: Shegetaro Morikubo, DC, is the first known chiropractor acquitted of the charges of unlicensed practice. The 1906 graduate of the Palmer School of Chiropractic was acquitted by a jury in LaCrosse, Wisconsin after putting up a legal defense that avails chiropractic, used many times in future trials and even legislative efforts.
 
1910: D.D. Palmer releases his famous book, The Chiropractor's Adjuster: The Science, Art & Philosophy of Chiropractic.
 
1910 : X-rays were first applied for taking images of the body’s skeletal system.
 
1913 (April 20): Kansas passes the first chiropractic statute, but assembling Board of Chiropractic Examiners is halted when the governor refuses to appoint members of the board because, in his opinion, all chiropractors had practiced illegally before the statute’s passage.
 
1913 (Oct. 20): D.D. Palmer passes away from typhoid fever at his home in Los Angeles. His son B.J. Palmer, DC, will later be unjustly accused of his death.
 
1915 : The concept of Major Subluxation was first proposed, described as: "Displacements of spinal segment which is causing deterioration of the innate self healing power are only a few in the skeletal system in the body."
 
1915- Arkansas and North Dakota were the first states to issue chiropractic licenses to graduates of chiropractic schools.
 
1918-1922: When World War I ends, the U.S. government pays tuition for veterans, boosting enrollment in chiropractic colleges like the Palmer School of Chiropractic, which reaches 3,000 students. In fact, 80 chiropractic colleges are in operation by 1922.
 
1922: The American Chiropractic Association (ACA) is formed, in large part to oppose Dr. B.J. Palmer and the Universal Chiropractors' Association.
 
1924 (August): B.J. Palmer, DC, first introduces the neuro-calometer.
 
1925: Wisconsin and Connecticut are the first states to pass rudimentary statutes protecting the sciences, laws that will one day spread to 24 states.
 
1926 (September): B.J. Palmer loses his bid for re-election as secretary of the Universal Chiropractors' Association. Within a week, he establishes the Chiropractic Health Bureau, which was later renamed the International Chiropractors Association (ICA).
 
1930: The National Chiropractic Association (NCA) is born when the existing UCA and the ACA combine.
 
1931: The Rise of Chiropractic, an early history of the profession, is published by Chittenden Turner.
 
1933: The upright full-spine X-ray is introduced by Warren L. Sausser, DC, in New York City.
 
1940 (July 20): The Allied Chiropractic Educational Institutions (ACEI) issue an ultimatum to the National Chiropractic Association and its Committee on Education that instruction in physiotherapeutics and the expanding of the chiropractic curriculum must stop. It’s the start of a heated, three-decade fight over chiropractic educational standards.
 
1941: The NCA publishes the first edition of Chiropractic Education: Outline of a Standard Course, authored by John J. Nugent, DC.
 
1944: The Chiropractic Research Foundation, known today as the “FCER,” is established by the National Chiropractic Association.
 
1945: When World War II ends, the G.I. Bills helps tens of thousands of returning veterans pursue higher education and, once again, enrollment in chiropractic colleges skyrockets.
 
1945 (December): The National Chiropractic Insurance Company (known as the NCMIC Group today) is chartered by the National Chiropractic Association. Starting in 1946, this new company is authorized the Iowa Commissioner of Insurance to sell malpractice insurance.
 
1947 (Aug. 4): The NCA House of Delegates establishes the Council on Education, the precursor to today’s Council on Chiropractic Education.

May 27, 1961: B.J. Palmer passes away in Sarasota, Florida. The son of D.D. Palmer, the founder of chiropractic, lived a turbulent, enigmatic life, including being falsely accused oh his father's death. But posthumously, his commitment to chiropractic inspires others in the field to put aside their differences and come together, uniting into what would be the American Chiropractic Association three years later.
 
1962-63: The National Board of Chiropractic Examiners (NBCE) is founded,  granted a charter by the officers of the Council of State Chiropractic Examining Boards (COSCEB).
 
November 1963: The American Medical Association (AMA) forms a Committee on Quackery, with the sole intention of discrediting and impeding the profession of chiropractic, hoping to drive it out of business.
 
1963-64: The present-day American Chiropractic Association is born after the NCA and a splinter group from the ICA merge.
 
1965: Two Louisiana chiropractors, William D. Harper, MS, DC, and Joseph Janse, DC, ND, must testify in federal court in regards to the "England Case.,” in an attempt to overturn the state’s prohibitive medical practice act, which classifies chiropractic as the practice of medicine. Unfortunately, despite Harper and Hanse’s testimony, the case is lost, forcing chiropractors in Louisiana to practice underground and illegally until 1974, when a chiropractic statue legitimizes the field.
 
1971: The New York State Department of Education grants accreditation to the National College of Chiropractic. Therefore, the National College of Chiropractic became the first chiropractic school in the nation to achieve this federally-recognized designation. 
 
1972: For the first time, Congress rubber stamps payments to chiropractors for treatments offered to Medicare patients.
 
August 26, 1974: The U.S. Commissioner of Education first recognizes the authority of The Council on Chiropractic Education (CCE) to accredit chiropractic schools.
 
1974: Reversing the milestone case a decade earlier, Louisiana authorizes the practice of chiropractic, becoming the 50th and final American state to do so. 
 
1974: The Council on Chiropractic Education (CCE), is formally recognized by the U.S. Department of Health, Education and Welfare. That same year, the Foundation for Accredited Chiropractic Education is overhauled and renamed as the Foundation of Chiropractic Education and Research (FCER).
 
1975: The U.S. Department of Health Education and Welfare sponsors a comprehensive research seminar on spinal manipulation, the International Spinal Manipulation Conference. Aimed at raising awareness for the need for more research, the Chiropractic Research Council (CRC) is formed thanks to this initiative, with the purpose of assimilating research directors from the best chiropractic colleges in the country.
 
1978 : The government of New Zealand issues the "New Zealand Report" on chiropractic. (For more information, see: Inglis, BD, Chiropractic in New Zealand: Report of the Commission of Inquiry, Government Printer, New Zealand, 1979)
 
1979: The Foundation of Chiropractic Education and Research grows its research program, including a new competitive scientific review process for submitted proposals.
 
1988 : The World Federation of Chiropractic (WFC) is organized, with 50 member countries.
 
1990 : A milestone British study funded by the Medical Research Council, the National Back Pain Association, the European Chiropractors Union, and the King Edward's Hospital Fund for London affirms the efficacy of chiropractic.
 
1991 : The World Federation of Chiropractic (WFC) hosts a conference in Toronto, Canada with help from the American Low Back Pain Academy.
 
1992: Author Walter I. Wardwell, PhD, published a scholarly volume of chiropractic history entitled, Chiropractic: History & Evolution of a New Profession.
 
1993 : A WFC Conference is held in London, England.
 
1994: The U.S. Agency for Health Care Policy & Research releases their Clinical Practice Guidelines for Acute Low Back Problems in Adults, advocating for spinal manipulative therapy for low back pain.
 
1995: The profession of chiropractic celebrates its 100th year anniversary, with commemorations and celebrations held in Washington, D.C., Davenport, Iowa, and other cities.
 
1996: The Association of Chiropractic Colleges releases a paradigm of chiropractic, which ends up being well respected and used by state, national and international chiropractic organizations.
 
1998: The American Chiropractic Association files a lawsuit against the federal government, aiming to ensure the rights of patients to receive chiropractic care and treatment with Medicare.
 
2004:
A comprehensive study by the U.S. government reveals that more than 40 million people have received chiropractic care, as well as the growing popularity of chiropractic and other alternative healthcare options.
 
2010:
A major study concludes that when patients suffering from low back pain initiate treatment with a doctor of chiropractic (DC), they save 40% on healthcare costs compared to first visiting a medical doctor. Published in the December 2010 issue of the Journal of Manipulative and Physiological Therapeutics, the “Cost of Care for Common Back Pain Conditions Initiated With Chiropractic Doctor vs. Medical Doctor/Doctor of Osteopathy as First Physician studied data from Blue Cross Blue Shield of Tennessee over a two-year period, revealing a $2.3 million annual cost savings for BCBS of Tennessee by utilizing chiropractic as a first option.

2018:
Chiropractic is a crucial part of healthcare, with more than 
35 million people visiting a DC annually, and a viable solution to help stem the opioid painkiller epidemic in America. Chiropractic care continues to grow! 


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10 Things "The Founder" D.D. Palmer said about chiropractic.

10/15/2018

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Of course, Daniel David, or D.D., Palmer, is known as the founder of chiropractic. He also had some really insightful things to say about the new healing art he established. Although most of these quotes come from the late 1800s, their wisdom stands just as true – or even more so – in our field of modern chiropractic care.
 
Here are ten quotes by the Founder of chiropractic, D.D. Palmer:
 

1. “The basic principle, and the principles of chiropractic which have been developed from it are not new.  They are as old as the vertebrae… I am not the first person to replace subluxated vertebra, for this art has been practiced for thousands of years.”  
2. “Do not forget that chiropractors did not treat diseases. They adjust causes, whether acquired, spontaneous, or the result of accident.”  
3. “Drugs are delusive; they do not adjust anything.”  
4. “The philosophy of chiropractic is founded upon the knowledge of the manner in which a vital functions are performed by innate in health and disease.  When the controlling intelligence is able to transmit mental impulses to all parts of the body, free and unobstructed, we have normal action which is health.”  
5. “Chiropractors correct abnormalities of the intellect as well as those of the body.”  
6. “Many patients imagine that they have tried everything.  True, they have used many remedies, but they have never had the cause of their infirmity adjusted.”  
7. “I desired to know why one person was ailing and his associate, eating at the same table, working in the same shop, at the same bench was not.  Why?  What difference was there in these two persons that caused one to have various diseases, while his partner escaped?”  
8. “That which I named ‘innate’ is a segment of that intelligence which fills the universe.”  
9. “Life is but the expression of spirit through matter. To make life manifest requires the union of spirit and body.”  
10. “Chiropractic is founded upon different principles than those of medicine. I laid the foundation and built thereon, the science of CHIROPRACTIC.”

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Why Chiropractic First? Remind your patients about the potential risks and dangers of back surgery.

10/8/2018

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Why Chiropractic First? Remind your patients that you’re giving them a first treatment option that may help them avoid the risks, complications, and potentially even death associated with back surgery. 
 
Every year in the United State, nearly 600,000 Americans go under the knife, opting for surgery to provide relief from back ailments and pain. In fact, the number of back surgeries has risen by about 50 percent since the 1980s, and complicated surgeries like spinal fusion have increased 80% in the last 15 years.
 
But that number is still a small portion of the people with back pain, estimated by the Agency for Healthcare Research and Quality at 27 million people per year, collectively spending $30.3 billion on pain easing treatments.
 
In fact, the list of common back and neck surgical procedures includes Eon Mini Neurosimulator implants, Medtronic Infuse Bone Grafts, Stryker Oasys implants, disc replacements, Discectomy, Spinal fusion, and Vertebroplasty.
 
No matter how you slice it (excuse the pun), people are going to the hospital and opting for back surgery at record numbers. Consider that:
 
Back pain is second only to childbirth for hospitalizations.
Back pain is the second leading cause for physician visits.
Back pain is the number one cause of long-term disability.
Back pain is the most prevalent chronic medical condition.
 
But are hospitalizations and surgeries the ideal first step in treatment for back pain? Not only are there far better first options in many cases – like chiropractic care – but surgery but the risks of complications – and even death – need to be taken under strong advisement.
 
The cold, hard facts about hospitals and back surgery:
A recent study published in the Journal of Bone and Joint Surgery pinpointed several risk factors for complications and even death after having spine surgery. They analyzed data from the American College of Surgeons National Surgical Quality Improvement Program database from 2005 to 2008, consisting of 3,475 spine surgery patients in all, who underwent back surgery for conditions like disc herniation, spinal stenosis, and degenerative disc disease.
 
The researchers were looking to identify patient complications within 30 days of having surgery. The major complications they discovered included deep vein thrombosis, sepsis, deep wound infections, and the necessity for follow-up surgeries. Minor complications included urinary tract infections, pneumonia, and superficial wound infections. So what did they find?
 
The death rate for patients in that group was .03 percent – 10 deaths out of 3,475 back surgery patients. 
 
7.6 percent of all patients (263 out of 3475) experienced major or minor complications up to 30 days after the surgery. 
 
Together, that’s more than one out of every thirteen patients who ended up with complications, further surgeries, or even deceased.
 
And while those mortality rates may seem shocking, when we look at a larger sample size across all conditions, the data shows that 1.14 percent of U.S. patients who undergo surgery pass away. Just as disturbing, the risk of minor complications is 18% and major setbacks around 8%. 
 
In fact, the nonprofit Institute for Healthcare Improvement reports that approximately 2.5 million to 3.5 million patients each year experience “unintended harm” resulting from surgeries. Of course we’re not even talking about the epidemic of addiction to prescription painkillers that are almost always used for back pain and post surgery.
 
The grim reality is that every year, medical errors kill more than 200,000 people in the United States.
 
Additionally, these are the common mistakes MDs, hospitals, and healthcare professionals make during/with back and neck surgeries:
 
Failure to obtain informed consent
Unnecessary surgeries
Improper incisions or approach
Puncturing nerves, tissue, or other body parts
Inadequate training or experience of surgeon
 
Doesn’t even cure:
If these back surgeries solved the issue, then the risks may be worth it. But in many cases, pain relief provided by back surgeries is only temporary, and patients find themselves in the same condition – or worse – only years or months down the road. 
 
A recent study in the journal Spine reveals that in many cases surgery can even leave patients in more pain long-term. By reviewing medical records of 1,495 people from the Ohio Bureau of Workers’ Compensation database who had diagnosis of disc degeneration, disc herniation or radiculopathy, compared two groups: those who had vertebrae fusion surgery to try and cure their back pain, and those who opted for other non-surgical treatment. After two years, they found that:
 
Only 26% of those who had surgery returned to work, while 67% of those who avoided surgery returned to work.
 
Of course, back surgery has a time and a place where it’s absolutely the best option, and helps countless people. In fact, endoscopic or the traditional lumbar-disc repair does relieve lower-back pain 85 to 90% percent of the time initially. 
 
However, the benefits of pain relief often wear off or diminish over time – or reverse course. As we stated before, the number of patients who experience a return to back pain, suffer complications, have to go under the knife again, or even die, is simply too significant to ignore.
 
Chiropractic care IS surgery prevention:
The good news is that chiropractic care is an essential and effective first step in treating back pain, helping qualified patients avoid risk surgery. Long considered a natural method to prevent back surgery by health care providers, chiropractic has now reached mainstream relevance – and even preference.
 
In fact, when the Journal of the American Medical Association recently published its guidelines for low back pain, they recommended that back pain sufferers go visit a chiropractor before ever considering surgery.
 
The AMA’s data shows that by utilizing chiropractic care:
 
Back surgeries could be avoided at a 31% rate
Hospitalizations could be reduced by 43%
Total hospital days were reduced by 58%
Pharmaceutical costs were reduced by 51%
Per capital hospital and medical costs were reduced by 15%. 
 
Of course, chiropractic care is no silver bullet, but in a managed treatment plan that includes rest, weight loss, exercise, a better diet, and non-addictive painkillers, chiropractic is an invaluable safe guard against surgical risks – and a better long-term reliever of back pain.  
 

 
 
 
 
 


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