House calls?

Back when I was growing up the doctor might come to the house.  I recall a number of times when mom would call and good ole’ doc would come over.  I’ll bet it was because someone was sick.

As a chiropractor I have, on occasion, made a house call or two.

I was thinking about offering this service lately.  However,  I do not want to encourage treatment of something.

Chiropractic has fallen into a realm of medicine that perpetuates the unhealthy use of chiropractic.  I mean by utilizing chiropractic as a method of treatment of illness and disease, the alignment (couldn’t help it) of chiropractic with wellness is lost.

How so?  If by receiving an adjustment your symptom goes away, you might conclude that chiropractic eliminated the problem so you don’t need chiropractic anymore … unless the condition returns.   This is not wellness.

Chiropractic is different than medicine and should as a profession lead the way towards optimizing a healthy existence.  If chiropractors continue to embrace a medical model of practice (treatment of conditions) the uniqueness of it is diluted.

It is difficult NOT to connect chiropractic with symptoms, since chiropractic has been helping people who have suffered and received good results since 1895.  The problem that I see though is that much of the help has been inconsistent.  Not with helping people but rather with identifying specific conditions that chiropractic helps.  Much confusion with chiropractic has been the attempt to associate symptoms with chiropractic care.

Chiropractic has been associated with the care of the back … or spine.  From my perspective, I see us chiropractors as being more specialized.  That is, our specific focus is the subluxation of the spine. Not specifically what it causes but being able to identify it and correct it.

Imagine,  you call and say, “my family and I want to be checked for the possibility of interference to the system that controls our level of health,  can you come over and check us for subluxations?”

I’m waiting for that call.

Ten Snow Tips

I just wanted to jot down a few words about the weather and its relationship to chiropractic.

Most of us recognize the relationship between chiropractic and snow.

Really?  I ask, rhetorically.

Well, there’s the idea of people who might slip in the snow and wrench their back.   Or the unfortunate auto accident.

These are situations that are real.   We chiropractors are all too familiar with them.

But!!!  I think that despite the incredible help people receive from chiropractic care,  as a result of these mishaps, the greatest benefit a patient, or practice member,  receives is the correction of subluxations.

Chiropractic has been very effective in the care of people who suffer with muscle strains (and many other conditions).  Chiropractic, in my my view, helps these conditions as a side effect.   I have seen people that came to me because they heard that chiropractors help with accidents.  I evaluate them, and often find some subluxations … which may or may not have been present before the injury.  As a chiropractor, I correct their subluxation(s) and the person improves.

They are not being treated for their injuries.  The practice member may have come to me because of the injury.   That examination may have uncovered vertebral subluxations (maybe as the result of the injury or maybe from the stress of life).  The most important thing is that the vs (vertebral subluxations) were corrected.   With everything within the nervous system optimally functioning, the body has the greatest chance to heal … whatever  needed to heal.

So, with that truth in mind, when shoveling snow or maneuvering around:

  1. Bend at the knees.
  2. Don’t try to fill the shovel,  know your limit.
  3. Take frequent breaks,  enjoy the beauty.
  4. If possible,  go out every few hours and shovel several inches instead of a foot.
  5. Ask for assistance from relatives,  neighbors and friends.
  6. Take your time.
  7. Watch where you step.
  8. Be careful that ice may be under the snow.
  9. Leave room between your car and the next, while driving.
  10. Expect the unexpected.

Necessity or Luxury?

Going from Baltimore to New York,  I like to travel in comfort.   Going from my home in the city to my office in Owings Mills,  it’s more about getting there on time and arriving safely.

In both situations,  I want all of that … comfort, safety and timeliness.

But the order of priority changes depending on my objective.

It is similar to our journey through life.  Priorities change when our objectives change.

In my years involved with chiropractic, I have been challenged by wanting to make chiropractic available and affordable to everyone.   I followed a standard that taught how to attract patients and give them what they wanted and expected.  This standard basically is derived from a medical business model … which relies on the use of insurance.

Throughout the years of participating and observing this model,  I have realized that chiropractic cannot fit into that model.

As a chiropractor and as a consumer of healthy things,  I noticed a major dichotomy in my relationships … business and personal.   If a family of 4 wanted to receive regular chiropractic care  (2x/month),  how would they be able to swing it for very long … without insurance.

Insurance is not about healthy living.   It is about getting out of  a crisis.   Many families are proactive and  interested in wellness.   That is, staying out of the crisis level, if possible.

In my view, chiropractic has been promoted as a necessity and this has lead to discovering ways in which insurance could be utilized for care.  This unfortunately creates a cycle of insurance barriers,  set up to eliminate or limit  chiropractic care.  Chiropractors and their associations have developed methods to overcome those barriers.

I believe that chiropractic should be a necessity for anyone who desires to live life to their fullest potential (I don’t think there is an insurance code for that).  Just as exercise, nutrition, a positive attitude, etc. might be considered necessary for anyone who desires to maximize their health potential, many people would consider those things to be luxuries.

Over the years my objective has changed based on the lessons I’ve learned.  As a result, so have my priorities.  I think that chiropractic’s position should align itself with the concept of being in the category of a luxury … at this time.  I propose that we stop trying to fit this wellness-based, optimal-potential health field in the same category as sickness-based entities.

Is drinking bottled water a necessity or a luxury?  Are using vitamins and eating organically grown foods a necessity or a luxury?

Would the world be better served if chiropractic were viewed more as a luxury?

I have decided to help people by offering them a luxury that is affordable – especially without insurance.

Thoughts?

‘Concierge’ Medicine

You have heard about it.

It’s controversial.

Basically a patient or family pays a membership fee to be able to have access to the doctor.

I have only one problem with it. I believe it ENCOURAGES more visits to the doctor. You know what they say “… if you are a hammer, everything looks like a nail” … or something like that.

What is in the toolbox of the doctor?  They are the experts at diagnosing and treating disease.

If you bought a membership then you will more likely want to use it, right?

So maybe you are curious about this ‘thing’ and since you are able to have this easy access to the doctor you get a consultation, examination, and maybe certain tests (xrays, lab work, scans etc.) This could then lead to further care … or not.

I believe that doctors want their patients to be as healthy as possible. I don’t believe they are equipped with the right toolbox.

They are best at getting you out of the crisis… once you are in the crisis. How about staying out of the crisis in the first place.

We need to address health rather than sickness.

The concept of  ‘concierge’  medicine is better suited in a chiropractor’s office. A person does not have to experience a ‘thing’ to go to the chiropractor. The person presents to the chiropractor for a ‘wellness’ visit.  If indicated, the person receives an adjustment.  He leaves the chiropractor’s office with his bodily systems communicating better.

Try it.

Oh, my aching back …not!

I’m not boasting.

You know, we chiropractors should have perfect backs.  But we’re human, too.

I personally get my spine checked every other week.  I rarely have a special need for “getting adjusted because I hurt.”

With the amount of snow that we’ve been getting, some people are coming in due to shoveling, slips, and accidents.

That’s life.

What I’ve noticed in my short amount of time as a chiropractor (practicing 30 years), is people who are regular with chiropractic (coming in NOT only when they have an issue) recover from these unfortunate mishaps quicker and with less complications.

When communication between the brain and the rest of the body is optimal, the body is better at adapting to the environment (i.e. mishaps).

When I need to make a decision to open/close the office, I have a system in place for communicating important information to the body of my practice members.  I know who is supposed to come into the office from my home … aren’t computers great!  I can post a notice on my website or I can phone people.  I can send out an email, a tweet or a post on Facebook, etc.  As long as I have a good connection on the internet, as long as the phone is connected to the network, as long as the lines are free from interference…I can adequately adapt to the circumstances.

All of that is possible because I have set things up for the possibility that things don’t go exactly as planned.

That’s life.