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	<title>Rondberg.com &#187; terry rondberg</title>
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	<description>Business insights from Dr. Terry Rondberg</description>
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		<title>Chiropractors in perfect position to help with &#8216;laptop-itis&#8217;</title>
		<link>http://www.rondberg.com/2010/08/30/chiropractors-in-perfect-position-to-help-with-laptop-itis/</link>
		<comments>http://www.rondberg.com/2010/08/30/chiropractors-in-perfect-position-to-help-with-laptop-itis/#comments</comments>
		<pubDate>Mon, 30 Aug 2010 12:53:52 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Practice Notes]]></category>
		<category><![CDATA[back strain]]></category>
		<category><![CDATA[chiropractic]]></category>
		<category><![CDATA[laptop]]></category>
		<category><![CDATA[laptop-itis]]></category>
		<category><![CDATA[rondberg]]></category>
		<category><![CDATA[terry rondberg]]></category>
		<category><![CDATA[university of north carolina]]></category>
		<category><![CDATA[upper back pain]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=156</guid>
		<description><![CDATA[For years, chiropractors have been in the forefront of posture-related health care and have led the campaign to raise awareness of heavy backpacks that can distort the young student&#8217;s posture. Now, they&#8217;re seeing an increase in the number of young people with neck, shoulder, and...]]></description>
			<content:encoded><![CDATA[<div id="attachment_157" class="wp-caption alignright" style="width: 310px"><a href="http://www.rondberg.com/wp-content/uploads/2010/08/girl-sitting-laptop.gif"><img class="size-medium wp-image-157" title="girl-reclining-couch-laptop" src="http://www.rondberg.com/wp-content/uploads/2010/08/girl-sitting-laptop-300x192.gif" alt="Girl working on laptop" width="300" height="192" /></a><p class="wp-caption-text">&quot;Laptop-itis&quot; -- a growing problem</p></div>
<p>For years, chiropractors have been in the forefront of posture-related health care and have led the campaign to raise awareness of heavy backpacks that can distort the young student&#8217;s posture. Now, they&#8217;re seeing an increase in the number of young people with neck, shoulder, and back problems caused by hunching over a laptop computer.</p>
<p>&#8220;More and more patients, mostly young adults, are coming to chiropractic offices for upper back pain, and this is something doctors need to be aware of,&#8221; Terry A. Rondberg, DC, founder and CEO of the World Chiropractic Alliance noted recently. &#8220;The medical profession has dubbed it &#8216;laptop-itis,&#8217; only half jokingly. They&#8217;ll be recommending pain pills and surgery for these kids. If chiropractors can help them first, with adjustments as well as education on posture, we may keep them from the surgeon&#8217;s knife.&#8221;</p>
<p>Because of the way the computers are designed, using a laptop almost inevitably leads to poor posture, noted Kevin Carneiro, DO, a doctor in the Department of Physical Medicine and Rehabilitation at the University of North Carolina at Chapel Hill School of Medicine, one of several medical institutions addressing the laptop issue.</p>
<p>The widespread use of laptops in schools (some colleges actually require students to purchase them) means an even greater problem in the future.</p>
<p>&#8220;Just as they did with backpacks, chiropractors can step up and become the number one resource for helping students avoid these postural problems, and care for those already showing symptoms,&#8221; Dr. Rondberg added.</p>
<p>Some tips to pass on to patients who use laptops:</p>
<ul>
<li>Position the laptop for the most neutral wrist posture you can achieve; avoid having to bend the hand or wrist at an unnatural angle.</li>
<li>Position the laptop on a desk or work surface and tilt the screen so you can view it without having to bend your neck.</li>
<li>Whenever possible, use a separate keyboard and mouse. There are small portable devices that can plug into a USB port.</li>
<li>Get a lightweight laptop &#8212; and determine the &#8220;real&#8221; weight, with batteries, accessories, etc.</li>
<li>Take short breaks every 20 minutes and do gentle stretching exercises such as shrugging your shoulders, bending your head from side to side, or other exercises recommended by your DC.</li>
<li>Drink plenty of water to keep the discs in your back lubricated and healthy.</li>
<li>Consider loading the <a href="http://www.stretchware.com/">StretchWare program</a> on your computer; it will remind you when to stretch, and give you visual guidance on a variety of exercises.</li>
</ul>
<p><strong>SOURCES:</strong> The World Chiropractic Alliance; <a href="http://www.newswise.com/institutions/view/504/">University of North Carolina at Chapel Hill School of Medicine</a></p>
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		<title>In these hard times</title>
		<link>http://www.rondberg.com/2010/07/02/in-these-hard-times/</link>
		<comments>http://www.rondberg.com/2010/07/02/in-these-hard-times/#comments</comments>
		<pubDate>Fri, 02 Jul 2010 17:52:34 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Success]]></category>
		<category><![CDATA[chiropractic]]></category>
		<category><![CDATA[Dr Terry A. Rondberg]]></category>
		<category><![CDATA[terry a rondberg dc]]></category>
		<category><![CDATA[terry rondberg]]></category>
		<category><![CDATA[tony robbins]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=114</guid>
		<description><![CDATA[I don&#8217;t think I&#8217;ve talked to a single practitioner lately who hasn&#8217;t complained about the bad economy, the &#8220;hard times&#8221; or the financial crisis (in their practice, the country and/or the world). Patients aren&#8217;t coming in, revenues are down, they can&#8217;t afford the rent, they&#8217;re...]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.rondberg.com/wp-content/uploads/2010/07/Smiling-businessman-holding-his-fingertips-together.jpg"><img class="alignright size-medium wp-image-116" title="Smiling businessman holding his fingertips together" src="http://www.rondberg.com/wp-content/uploads/2010/07/Smiling-businessman-holding-his-fingertips-together-198x300.jpg" alt="Hard times a matter of perspective" width="198" height="300" /></a>I don&#8217;t think I&#8217;ve talked to a single practitioner lately who hasn&#8217;t complained about the bad economy, the &#8220;hard times&#8221; or the financial crisis (in their practice, the country and/or the world). Patients aren&#8217;t coming in, revenues are down, they can&#8217;t afford the rent, they&#8217;re facing ruin.</p>
<p>In the past, I would&#8217;ve joined them in a good moan, lamenting my own financial losses and piling my worries on top of theirs.</p>
<p>Not any longer. I&#8217;m more and more convinced that this type of poverty talk is self-perpetuating. Call it the power of concentrated thinking, the law of attraction or whatever you want, the more we focus on lack and scarcity, the more we experience them.</p>
<p>The opposite is true as well. When we choose to think about abundance and success, we draw <em>that</em> to us.</p>
<p>There are many explanations for why this happens, and it may be as simple as the fact that our words and thoughts program our subconscious, which (even though we may not be aware of it) determines our actions. If we&#8217;re convinced that times are tough and our business is declining, we&#8217;ll most likely make decisions or take actions consistent with that belief. We&#8217;ll sabotage our own efforts without even realizing it.</p>
<p>Scientists have determined that the subconscious mind is 30,000 times more powerful than the conscious mind. The conscious mind works at slow speed, processes information at a mere 40 bits per second. Operating at 40 <strong>million</strong> bits/sec., the <em>subconscious</em> is a rocket booster in comparison.</p>
<p>Motivational guru Tony Robbins says that &#8220;All personal changes must take place at the subconscious level.&#8221; I extend that to professional changes as well. If we want success and wealth, we have to drill it down to our subconscious level that we <strong>can</strong> reach those goals. We have to replace our negative self-talk with positive reprogramming.</p>
<p>Personally, I couldn&#8217;t just jump from &#8220;woe is me, the economy&#8217;s rotten&#8221; to &#8220;I&#8217;m a magnet for money&#8221; in one leap. I had to take it a small step at a time. When I looked at things realistically, I had to acknowledge that many practitioners <em>are</em> hurting financially right now. But there are also doctors whose practices and businesses are actually growing and becoming more prosperous every day. The fact they&#8217;re doing it proves it can be done. So, it was logical to think that I could do it, too. One step closer to <strong>positive</strong> thinking.</p>
<p>Also, while it&#8217;s true that many patients are putting off needed care because they, too, are infected by the rampant poverty consciousness, despite the &#8220;recession&#8221; these same people are spending more on things like consumer electronics (up 12% this year over last year), chocolate (Hershey Co. profits in the first three months of 2009 surged 20%), wine (U.S. sales of California wines up 2% in 2009), and even gifts for their pets (an 11% increase according to an Animalfair.com readership study).</p>
<p>Whether they spend their money on health care or rhinestone-studded doggie collars is a matter of priority, not limitation. And if they&#8217;re not making health and wellness a priority, we share in the blame because we&#8217;re not educating them as well as we could.</p>
<p>Two steps closer to <strong>positive</strong> thinking.</p>
<p>Once I convinced my conscious mind of these two facts, I had to work on getting them embedded in my subconscious. That took repetition and vigilance. I constantly caught myself replaying the old tapes about the &#8220;hard times&#8221; we were in. Each time, I mentally &#8220;erased&#8221; that thought and replaced it with one of abundance and prosperity.</p>
<p>As my subconscious mind gradually accepted the new &#8220;reality,&#8221; my actions began aligning with that reality and I made decisions based on optimism rather than fear. It&#8217;s still a work in progress, but I&#8217;m seeing the results already.</p>
<p>Ask yourself whether you&#8217;re deriving <em>any </em>benefit from talking about how you can&#8217;t afford things, aren&#8217;t doing well, and are having a tough time in this bad economy. If you&#8217;re not, what would it cost you to try a more positive outlook for a while?</p>
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		<title>Is the profit motive wrong?</title>
		<link>http://www.rondberg.com/2010/06/18/is-the-profit-motive-wrong/</link>
		<comments>http://www.rondberg.com/2010/06/18/is-the-profit-motive-wrong/#comments</comments>
		<pubDate>Fri, 18 Jun 2010 15:19:40 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Practice Notes]]></category>
		<category><![CDATA[Success]]></category>
		<category><![CDATA[ethics]]></category>
		<category><![CDATA[patient growth]]></category>
		<category><![CDATA[profit]]></category>
		<category><![CDATA[terry a rondberg]]></category>
		<category><![CDATA[terry rondberg]]></category>
		<category><![CDATA[wealth]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=107</guid>
		<description><![CDATA[By Terry A. Rondberg, DC There&#8217;s an aura about wellness providers, some indescribable sense that they&#8217;re morally and ethically superior to medical doctors. Frankly, I agree! But I think sometimes we take that image of altruism too far when we shy away from having (or...]]></description>
			<content:encoded><![CDATA[<h2>By Terry A. Rondberg, DC</h2>
<p><a href="http://www.rondberg.com/wp-content/uploads/2010/06/American-dollar-bill-in-white-porcelain-mortar-and-pestle.jpg"><img class="alignright size-medium wp-image-108" title="American dollar bill in white porcelain mortar and pestle" src="http://www.rondberg.com/wp-content/uploads/2010/06/American-dollar-bill-in-white-porcelain-mortar-and-pestle-300x198.jpg" alt="American dollar bill in white porcelain mortar and pestle" width="300" height="198" /></a>There&#8217;s an aura about wellness providers, some indescribable sense that they&#8217;re morally and ethically superior to medical doctors. Frankly, I agree! But I think sometimes we take that image of altruism too far when we shy away from having (or admitting to have) a profit motive in our practice.</p>
<p>Jasson Urbach, speaking of South Africa&#8217;s enormously popular Vitality program, noted: &#8220;Innovative wellness programmes, such as Vitality, that are driven, not by altruism, but by the profit motive, are an important method of tackling the increasing burden of chronic disease across the globe.&#8221;</p>
<p>There&#8217;s nothing wrong with making a good income by helping people reach new heights of health and wellness, and it&#8217;s time we stopped thinking of profit as something that sullies our image. If you want to be totally altruistic, open up a free clinic and <em>give</em> your services away for <strong>free</strong>. If you&#8217;re independently wealthy or have a spouse to support you and your family, that might be an option. Otherwise, we have to charge for what we provide.</p>
<p>The problem isn&#8217;t with profit. It&#8217;s with making patient and client health care decisions BASED only (or even primarily) on profit.</p>
<p>Should a doctor of chiropractic recommend weekly visits <strong>only</strong> because he or she wants to buy a new car and needs the extra income, that&#8217;s WRONG. It&#8217;s exactly the same as surgeons performing unnecessary procedures just to pad their checkbook.</p>
<p>But if those weekly visits are honestly going to help the patient, then it&#8217;s the RIGHT recommendation, regardless of how much or how little the doctor charges for those visits.</p>
<p>The same goes for other products and services provided in your office. Do you REALLY believe in the efficacy of the vitamin supplements you&#8217;re selling, or are you doing it just for the money they bring in? Have you personally tested the pillows and mattresses you&#8217;re recommending or are you selling them because you get a nice fat commission?</p>
<p>If you can honestly say that you recommend and/or sell ONLY those services and products you feel are beneficial, then why be ashamed to make a profit on them? Can your patients get the same thing for free elsewhere?</p>
<p>Making money from health care has gotten a bad rap thanks to the obscene profits being made by drug makers and some medical providers. Yet, when you really examine the issues, the fact that they make profits isn&#8217;t the real problem. It&#8217;s the fact that they put profits before the welfare of the public. They make billions of dollars selling overpriced and dangerous pills that don&#8217;t cure anything, performing unnecessary surgical procedures, and recommending and administering useless (and even harmful) vaccines.</p>
<p>Do you really think you&#8217;re in the same category because you charge a fee for your services, or give patients the opportunity to purchase helpful products in your office? How many of your patients work eight hours a day for free?</p>
<p>You have two choices:</p>
<p>1) Embrace the profit motive and build a high-volume, successful and prosperous practice that can provide wellness care to THOUSANDS of people.</p>
<p>2) Go broke, close your doors, and be unable to help anyone.</p>
<p>By choosing a wellness practice, you&#8217;ve already proven that you aren&#8217;t in it solely for the money (a successful drug sales rep can easily make more money than a doctor of chiropractic, acupuncturist, or other non-medical health care provider!). So, hold your head up high and make your practice a super success!</p>
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		<title>Honing your people skills</title>
		<link>http://www.rondberg.com/2010/06/04/honing-your-people-skills/</link>
		<comments>http://www.rondberg.com/2010/06/04/honing-your-people-skills/#comments</comments>
		<pubDate>Fri, 04 Jun 2010 18:39:46 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Practice Notes]]></category>
		<category><![CDATA[archives of internal medicine]]></category>
		<category><![CDATA[chiropractic]]></category>
		<category><![CDATA[lawsuit]]></category>
		<category><![CDATA[malpractice]]></category>
		<category><![CDATA[medical liability]]></category>
		<category><![CDATA[people skills]]></category>
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		<category><![CDATA[terry a rondberg dc]]></category>
		<category><![CDATA[terry rondberg]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=103</guid>
		<description><![CDATA[The number one reason that wellness providers like chiropractors, acupuncturists and physical therapists don&#8217;t get sued as often as medical doctors is that they&#8217;re safer. That&#8217;s pretty obvious. When you aren&#8217;t dealing in dangerous drugs or invasive procedures, you aren&#8217;t putting your patients at much...]]></description>
			<content:encoded><![CDATA[<p>The number one reason that wellness providers like chiropractors, acupuncturists and physical therapists don&#8217;t get sued as often as medical doctors is that they&#8217;re safer. That&#8217;s pretty obvious. When you aren&#8217;t dealing in dangerous drugs or invasive procedures, you aren&#8217;t putting your patients at much risk.</p>
<p>The next most important reason for the relatively low malpractice lawsuit rate is that people tend to have a more personal rapport with their non-medical health care professionals. These are the people who actually spend time talking with them, getting to know their health issues, and show a genuine interest in them and their families.</p>
<p>That rapport alone can help prevent problems like lawsuits and board complaints. Lawyers have long known that if patients like you, they&#8217;re less likely to sue you even if you mess up.</p>
<p>&#8220;Plaintiffs&#8217; lawyers report that 70% of malpractice claims are brought because of physician-patient communication problems or as a result of the physician&#8217;s attitude,&#8221; said Paul S. Sanders, MD, and Debra L. McBride, RN, JD in an article for <em>Minnesota Medicine</em>.</p>
<p>Researchers publishing in the <em>Archives of Internal Medicine</em> reviewed 45 malpractice cases and found that, in 71% of them, plaintiffs had a bad relationship with their provider. More than a third (31.5%) said they felt &#8220;deserted&#8221; by their doctors, and nearly that many (29%) said they had trouble contacting the doctor directly.</p>
<p>The image of the friendly family wellness provider (the kindly neighborhood chiropractor, the sage old acupuncturist, the sweet and caring nutritional counselor) is fading. Today&#8217;s high-tech environment, competitive health care arena, and emphasis on keeping our &#8220;professional distance&#8221; have given our offices a harder edge, a less personal touch.</p>
<p><strong>The result?</strong> More stress for you and your patients, more lawsuits and complaints <strong>&#8211; </strong><em>and </em>less effective care.</p>
<p><strong>The solution?</strong> Hone your personal skills (verbal AND nonverbal) just as rigorously as you update your clinical knowledge.</p>
<p>Here are some specific tips for improving your &#8220;tableside&#8221; manner:</p>
<ul>
<li>Give patients/clients your      full, undivided attention.</li>
<li>Be aware of your nonverbal      communication.</li>
<li>Apologize if you&#8217;re late      for an appointment, or if there was any other problem associated with the visit.</li>
<li>Train your office staff to      pay attention to patients and show them respect.</li>
<li>Learn to listen to      patient/client complaints without reacting with anger or impatience.</li>
</ul>
<p>Watch your non-verbal communication as well.</p>
<ul>
<li>Maintain good eye contact.      Don&#8217;t be constantly looking elsewhere or reading from your chart or notes.</li>
<li>Watch your facial      expressions. Match your &#8220;face&#8221; to your feelings and don&#8217;t be      afraid to smile when appropriate!</li>
<li>Be alert to body language.      When talking with a patient or client, don&#8217;t be checking your watch,      tapping your fingers on the counter, or shifting your feet impatiently.</li>
</ul>
<p>If people skills aren&#8217;t your strength, take a course such as one of the famed <a href="http://www.dalecarnegie.com/search_courses/select_subject.jsp?courseSubject=CIS">Dale Carnegie training programs</a> (http://www.dalecarnegie.com/search_courses/select_subject.jsp?courseSubject=CIS) or one of the offerings from the <a href="http://www.amanet.org/training/seminars/communication-skills-training.aspx">American Management Association</a> (http://www.amanet.org/training/seminars/communication-skills-training.aspx)</p>
<p>Many courses are available online. Just a few hours spent leaning the basics of interpersonal relations can work wonders for your practice!</p>
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		<title>A Texas-Sized Constitutional Battle… the Right to Diagnose</title>
		<link>http://www.rondberg.com/2010/04/30/a-texas-sized-constitutional-battle%e2%80%a6-the-right-to-diagnose/</link>
		<comments>http://www.rondberg.com/2010/04/30/a-texas-sized-constitutional-battle%e2%80%a6-the-right-to-diagnose/#comments</comments>
		<pubDate>Fri, 30 Apr 2010 17:28:37 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Practice Notes]]></category>
		<category><![CDATA[chiropractic]]></category>
		<category><![CDATA[constitution]]></category>
		<category><![CDATA[drug-free wellness]]></category>
		<category><![CDATA[lawsuit]]></category>
		<category><![CDATA[legal]]></category>
		<category><![CDATA[practice]]></category>
		<category><![CDATA[professionals]]></category>
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		<category><![CDATA[Texas]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=73</guid>
		<description><![CDATA[Many chiropractors have woken up to the legal battle going in Texas, but if you’re not aware of what’s going on — and you care about your right to diagnose patients — you really need to start paying attention. And that’s not just my opinion....]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.rondberg.com/wp-content/uploads/2010/05/gavel.bmp"><img class="size-full wp-image-75 alignright" title="gavel" src="http://www.rondberg.com/wp-content/uploads/2010/05/gavel.bmp" alt="Right to diagnose - by Terry A. Rondberg, DC" width="173" height="181" /></a>Many chiropractors have woken up to the legal battle going in Texas, but if you’re not aware of what’s going on — and you care about your right to diagnose patients — you really need to start paying attention.</p>
<p>And that’s not just my opinion. Look at this <a href="http://texasjournalofchiropractic.eznuz.com/article/Featured_News/From_the_World/Others_Awaken_to_Urgency_of_TMA_v_TBCE_Lawsuit/22992">April 26 email message</a> from attorney Keith Pendleton, JD.</p>
<blockquote><p>&#8220;Last week, at the request of several ProviderLAW members in Texas, I took a look at a case that some of you may have heard about, but doesn&#8217;t seem like it has hit the national press yet. I have to tell you, as a chiropractic patient myself, what I discovered was something of a shock.&#8221;</p>
<p>&#8220;The Texas Medical Association &#8211; a founding member of an AMA-led nationwide consortium called the Scope of Practice Partnership (SOPP) &#8211; sued the Texas Board of Medical Examiners to remove the ability of chiropractors to diagnose. The TMA isn&#8217;t just suing the TBCE on any old grounds either. It is challenging the ability of chiropractors to diagnose based on State constitutional grounds.&#8221;</p></blockquote>
<p>I don’t know about you, but when a lawyer says he’s “shocked” by something in the legal realm, that gets my attention. Here’s a brief overview/timeline of what’s going on:</p>
<ol>
<li> In January 2006, the American Medical Association (AMA) announced an industry consortium known as the “Scope of Practice Partnership” (SOPP). The consortium was originally formed by the AMA, along with six national medical specialty societies and six state medical associations, including the Texas Medical Association (TMA). The stated purpose of the group, among other directives, was to “concentrate the resources of organized medicine to oppose scope of practice expansions by allied health professionals that threaten the health and safety of the public.”</li>
<li>In May 2006, the Texas Board of Chiropractic Examiners (TBCE) adopted rule 75.17 regarding the scope of practice for licensed doctors of chiropractic in Texas. The rule, formed in response to a legislative mandate made in the state’s Chiropractic Act, governed two particular procedures being performed by chiropractors in the State of Texas – Needle EMG and Manipulation Under Anesthesia (MUA).</li>
<li>In September 2006, TMA filed suit against the Texas Board of Chiropractic Examiners (TBCE). In its lawsuit, TMA challenged the chiropractic board’s rules for Needle EMG and MUA, saying that the rules violated the Texas constitution because they represented an infringement of the authority of the Texas Board of Medical Examiners. Further, the Medical Association challenged the right of chiropractic doctors to “diagnose,” arguing that only medical doctors have the right to diagnose patients.</li>
<li>In November 2009, a Texas trial court’s “summary judgment” ruled that TBCE’s rules regarding EMG and MUA are invalid. <a href="http://texasjournalofchiropractic.eznuz.com/article/Featured_News/News_From_the_TCA/Texas_Chiropractors_Take_on_Medical_Association_Over_Constitutional_Issues/22816">The Texas Chiropractic Association is appealing the ruling</a>.</li>
<li>On August 16, 2010, the court is scheduled to hear arguments and testimony on the board’s rules regarding “diagnosis” with respect to Texas chiropractors’ scope of practice.</li>
</ol>
<p>Clearly, this case is of monumental importance to Texas DCs. So, assuming you don’t practice in Texas, why is this a big deal? Let’s review: this lawsuit doesn’t just seek to prevent the expansion of the scope of practice of chiropractic in Texas. It’s an attempt to restrict what chiropractors have been doing in Texas for decades. And the battle is taking place on constitutional grounds in one of the nation’s largest states. Make no mistake: if successful, this lawsuit could have major ramifications for SOPP and DCs operating nationwide, not to mention their patients.</p>
<p>But don’t take my word for it. Let’s hear again from <a href="http://healthcare.tipology.net/sites/default/files/ChallengeToDCsDiagnosing_ProviderLAWArticle_2010-04-26.pdf">attorney Keith Pendleton</a>.</p>
<blockquote><p>“You may have the right in your State (currently) to diagnose&#8230;.Then consider a few facts… Consider the fact that Texas chiropractors have been reimbursed for years by insurance to diagnose (e.g., state worker’s comp). Consider the fact that statutes like these are being challenged as unconstitutional. Consider the fact that they are being challenged by one of the founding members of a national consortium that is systematically challenging scope of practice nationwide and even publishes a chart of its current actions.”</p></blockquote>
<p>Now, I’m not suggesting that anyone panic. This legal wrangling may take years to decide. But you need to be aware that the wheels are in motion, and that this is part of a bigger movement to concentrate power in the hands of those “real doctors” who already — along with the drug companies — have the lion’s share of power and influence over our health care system today. Think about it.</p>
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		<title>Forced vaccine movement picks up speed</title>
		<link>http://www.rondberg.com/2010/04/22/force-vaccine-movement-picks-up-speed/</link>
		<comments>http://www.rondberg.com/2010/04/22/force-vaccine-movement-picks-up-speed/#comments</comments>
		<pubDate>Fri, 23 Apr 2010 01:05:27 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Practice Notes]]></category>
		<category><![CDATA[chiropractic]]></category>
		<category><![CDATA[drug-free wellness]]></category>
		<category><![CDATA[terry a rondberg dc]]></category>
		<category><![CDATA[terry rondberg]]></category>
		<category><![CDATA[vaccines]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=68</guid>
		<description><![CDATA[Currently, the freedom to practice chiropractic as a drug free alternative to medical treatment and the freedom to choose our form of health care is under threat. For years, I have been claiming this, but only to deaf ears. It is absurd that in modern...]]></description>
			<content:encoded><![CDATA[<p>Currently, the freedom to practice chiropractic as a drug free alternative to medical treatment  and the freedom to choose our form of health care is under threat.</p>
<p>For years, I have been claiming this, but only to deaf ears. It is absurd that in modern times, anyone has to worry about being forced to give up his or her chiropractic practice, or compelled by law to have their children injected with risky drugs. But it is happening.</p>
<p>In Maryland, a school district passed regulations stating that if children were not getting all of the &#8220;recommended&#8221; vaccines, parents could face stiff fines ($50 a day) or up to 10 days in jail.</p>
<p>Maryland is not the only state mandating vaccines and, as Barbara Loe Fisher of the National Vaccine Information Center (NVIC) states on her blog, US Supreme Court decisions have reinforced the right for states to exercise police power to enforce vaccine laws.</p>
<p>More recently, under the Homeland Security Act, the Model State Health Emergency Powers Act, and Bioshield I and II, states have the power to enforce quarantine or vaccination whenever and however they choose.</p>
<p>As might be expected, the medical and pharmaceutical industries are prodding the states to utilize that power. &#8220;History shows that state mandates play a key role in maximizing immunization rates, enabling protection of both individuals and the general population,&#8221; wrote Erin Flanagan Klygis, MD, in a policy forum report for the American Medical Association&#8217;s <em>Journal of Ethics</em>.</p>
<p>&#8220;No vaccine is 100 percent safe or effective,&#8221; the author admitted. &#8220;As vaccination rates go up, reports of vaccine associated adverse events, both those caused by vaccines (i.e., true adverse reactions such as anaphylaxis) and those temporally associated with vaccination by coincidence, increase.&#8221;</p>
<p>However, Dr. Flanagan Klygis advocates forcing parents to subject their children to vaccines.<br />
&#8220;Laws that mandate vaccination for school entry provide the best protection against disease outbreaks for both individuals and the general population,&#8221; she said.</p>
<p>The medical profession is clearly in favor of forced vaccines, as are the pharmaceutical companies who generate revenue by selling vaccine drugs. Backed by their multi-billion dollar political action funds, they are influencing federal and state legislators to create an even more Orwellian health care system, dictating to every man, woman and child what drugs they must take to avoid a jail sentence.</p>
<p>Segments of our profession have been influenced by this propaganda as well. Not long ago, one Canadian chiropractic governing body, the College of Chiropractors of Ontario, passed a rule stating its position on vaccines: &#8220;The College of Chiropractors of Ontario (CCO) accepts vaccination as a cost effective and clinically efficient public health preventative procedure for certain viral and microbial diseases as demonstrated by the scientific community.&#8221;</p>
<p>To ensure no chiropractic patients were exposed to opposing views, the CCO also stated: &#8220;Chiropractors &#8230; may not, in their professional capacity, express views about immunization/vaccination as it is outside their area of professional expertise.&#8221;</p>
<p>Even the American Chiropractic Association has been shy about opposing forced vaccines. The organization once placed an advertisement in the Wall Street Journal that was soundly attacked in the profession as being apologetic and timid regarding vaccines. It strongly supported immunizations, antibiotic therapy and said DCs have a moral obligation to refer patients to MDs.</p>
<p>Chirobase, the online arm of the so called &#8220;Quackbusters&#8221; Stephen Barrett, MD, and Samuel Homola, DC, continues to cite the ACA&#8217;s statement that &#8220;routine vaccinations have been a proven and effective campaign in the control of many diseases.&#8221;</p>
<p>On the other hand, the WCA has been extremely vocal in opposing mandatory vaccines. It has issued a position paper stating, &#8220;Medical and scientific research, as well as overwhelming clinical reports, have clearly demonstrated the potential for risk posed by many commonly administered vaccines. These same reports have indicated that the effectiveness of many of these vaccines has not been adequately proven&#8230; No person should be forced by government regulation or societal pressure to receive any medication or treatment, including vaccines, against his or her will. This includes mandated vaccines as a requirement for public school admission or for employment eligibility.&#8221;</p>
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		<title>To Be World-Class People, We Have to Think World-Class Thoughts</title>
		<link>http://www.rondberg.com/2010/04/08/to-be-world-class-people-we-have-to-think-world-class-thoughts/</link>
		<comments>http://www.rondberg.com/2010/04/08/to-be-world-class-people-we-have-to-think-world-class-thoughts/#comments</comments>
		<pubDate>Thu, 08 Apr 2010 23:37:56 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Success]]></category>
		<category><![CDATA[professionals]]></category>
		<category><![CDATA[terry a rondberg dc]]></category>
		<category><![CDATA[terry rondberg]]></category>
		<category><![CDATA[wealth]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=52</guid>
		<description><![CDATA[by Terry A. Rondberg, DC “Wealth is the product of a man’s capacity to think.” –Ayn Rand, Author, Philosopher, 1905-1982 Today, if you went to work because you wanted to, you control money. But if you went to work because you had to, money controls...]]></description>
			<content:encoded><![CDATA[<h1>by Terry A. Rondberg, DC</h1>
<p><strong>“Wealth is the product of a man’s capacity to think.”</strong><br />
–Ayn Rand, Author, Philosopher, 1905-1982</p>
<p>Today, if you went to work because you wanted to, you control money. But if you went to work because you had to, money controls you. As a wealthy nation, 99% of the U.S. population is controlled by money.  Albert Einstein said, “A problem cannot be solved at the level of consciousness in which it occurs.” Knowing this, champions raise their level of consciousness by studying how the world class creates wealth.</p>
<p>The middle class falsely believes higher education is a path to wealth. They earn advanced degrees but are disappointed when their academic accolades do not translate to wealth. Even those who encourage higher education know it does not always bring money. For the middle class, the formula to earn more money stares them in the face every day.  Ideas – a simple concept often missed by the majority.</p>
<p>The lower class is focused on the past, while the middle class is preoccupied with other people. Meanwhile, the elite discuss ideas. Professionals understand that money flows in all directions. Over a century ago, Karl Marx was certain the working class would arise and overcome oppression if given the opportunity. But Marx did not calculate the poverty-driven thought process of the people. Give the “middle-class minded” person a million-dollar opportunity, and more than likely he will just remain in the middle class. His limited self-image and scope does not allow him to progress.</p>
<p>Question for today: “At what level of monetary success do I feel most comfortable?”<br />
a) poverty class<br />
b) middle class<br />
c) world class</p>
<p>Our comfort zones define our current status. If your goal is to earn more money, aim high!  The cause is your self-perception, and if you enhance that, the effect will take shape. Don’t attack the effect by chasing money.</p>
<p><strong>Understand the Limits of Money</strong><br />
In pursuit of happiness, beginners seek wealth, while professionals seek fulfillment. Many believe wealth will fill a void. But no amount will satisfy because the void is completed only by fulfillment. The great professionals discover fulfillment from their daily activities. They do not chase fulfillment, and experience it just by carrying out their responsibilities. While pursuing this fulfillment, successful people usually acquire a fair amount of wealth. Beginners seek ways to earn cash quickly.</p>
<p>Beginners feel material wealth brings eternal happiness. Professionals focus on whatever brings a sense of satisfaction. They devote the necessary time and resources to discover their passion and zeal.</p>
<p>On the other hand, the average person focuses on the effects, and often ignores the cause. Even if he or she does earn more money, fulfillment does not automatically knock on their door.  Material wealth is an effect, which does not create the cause.</p>
<p>Professionals enjoy what they do for a living and gain fulfillment. Successful people don’t work for money.</p>
<p>-Terry Rondberg</p>
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		<title>Neurologically Based Chiropractic</title>
		<link>http://www.rondberg.com/2010/03/30/neurologically-based-chiropractic/</link>
		<comments>http://www.rondberg.com/2010/03/30/neurologically-based-chiropractic/#comments</comments>
		<pubDate>Tue, 30 Mar 2010 20:48:45 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[NeuroInfiniti]]></category>
		<category><![CDATA[chiropractic]]></category>
		<category><![CDATA[practice]]></category>
		<category><![CDATA[subluxation]]></category>
		<category><![CDATA[terry a rondberg dc]]></category>
		<category><![CDATA[terry rondberg]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=48</guid>
		<description><![CDATA[Here&#8217;s the first clip of a webinar presented by Richard Barwell, DC, founder and president of Chiropractic Equity Offices Inc. Dr. Barwell has more than 30 years of experience in chiropractic practice and he has some great slides to illustrate his points, like penguins and...]]></description>
			<content:encoded><![CDATA[<p>Here&#8217;s the first clip of a webinar presented by Richard Barwell, DC, founder and president of Chiropractic Equity Offices Inc. Dr. Barwell has more than 30 years of experience in chiropractic practice and he has some great slides to illustrate his points, like penguins and &#8220;black&#8221; camels. He talks about how the public perceives chiropractic &#8212; including misconceptions and limitations &#8212; and how neurologically based chiropractic can expand the profession and benefit patients. Enjoy!</p>
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		<title>Stopping Subluxations Before They Start</title>
		<link>http://www.rondberg.com/2010/03/19/stopping-subluxations-before-they-start/</link>
		<comments>http://www.rondberg.com/2010/03/19/stopping-subluxations-before-they-start/#comments</comments>
		<pubDate>Fri, 19 Mar 2010 23:36:20 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[Practice Notes]]></category>
		<category><![CDATA[chiropractic]]></category>
		<category><![CDATA[orthotics]]></category>
		<category><![CDATA[practice]]></category>
		<category><![CDATA[subluxation]]></category>
		<category><![CDATA[terry a rondberg dc]]></category>
		<category><![CDATA[terry rondberg]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=42</guid>
		<description><![CDATA[by Dr. Terry A. Rondberg A patient arrives in your office and you adjust her spine and correct her subluxations. By the time she walks out the door, her spine is on the way to being subluxated again because of her unbalanced gait. The fact...]]></description>
			<content:encoded><![CDATA[<p><strong>by Dr. Terry A. Rondberg </strong></p>
<p>A patient arrives in your office and you adjust her spine and correct her subluxations.</p>
<p>By the time she walks out the door, her spine is on the way to being subluxated again because of her unbalanced gait. The fact is, regardless of your capabilities, you can&#8217;t effectively stabilize a patient&#8217;s spine and achieve long‑term results unless you discover and correct the cause of the subluxations.</p>
<p>But, the list of possible physical and emotional stress triggers which contribute to subluxations is so lengthy, discovering the cause is a challenge. The subluxations may have begun at birth, during childhood, or been caused by trauma from a fall or an accident. They may result from years of poor posture or unhealthy habits. Even if you successfully determine the causes, you may not be able to rectify the subluxations. But subluxations can also be caused, at least in part, by an unbalanced gait, and you CAN do something about that.</p>
<p>According to Mark Charrette, DC, a recognized expert in spinal and extremity adjusting, “There is a fine interplay between the movements of the lower extremities and the balancing of the spine. Normal gait causes repetitive motions to occur from the feet up to the head. Alignment and function of the pelvis, spine, shoulders, and head are strongly influenced by pedal balance or imbalance&#8230; Because a smooth and symmetrical gait is tied so closely to proper vertebral function, biomechanical problems in one or both feet can interfere with postural alignment patterns.”</p>
<p>In 1994, Terry Yocum, DC, reported in Practical Research Studies, that at least 75% of the population has some degree of leg length inequality, which can lead to excessive foot pronation,  leading to gait imbalance and finally, leading to subluxations. If you correct subluxations but do not correct its cause, are you truly helping the patient, or are you merely trapping them inside the revolving door of adjustments and re‑subluxation?</p>
<p>It&#8217;s not an easy decision to direct attention away from the spine to the feet. As chiropractors, our primary concern is to detect and correct vertebral subluxations. Therefore, we concentrate our efforts on the spine. But to really provide complete subluxation corrective care, we need to examine the feet and determine the need for orthotics to correct the gait problems that can translate into subluxations.</p>
<p>Many DCs shy away from working with postural problems or orthotics. They may feel such care is not strictly in the realm of chiropractic, or they may feel offering orthotics is a time‑consuming and difficult service.  Realistically, anything that prevents, corrects or addresses any component of the subluxation complex is rightfully within the sphere of chiropractic and in complete accordance with chiropractic principles. Just as a dental office should provide cleanings and dental care education as well as fill cavities, the chiropractic office should provide services that aid the prevention of subluxations, stabilize the spine and reinforce the power of the adjustment.</p>
<p>Chiropractors need to determine the necessity of orthotic support, specifically among patients who are less successful at holding their adjustments. Chiropractors also need to assist patients obtain high‑quality orthotics to help correct postural problems.</p>
<p>Fortunately, as a doctor of chiropractic, you have an excellent tool to determine quickly and easily, without expensive or complicated adjuncts to your practice. This isn&#8217;t a medical device but a truly chiropractic one, developed by one of the most respected leaders of the profession, Monte Greenawalt.</p>
<p>“Fifty years ago, as a chiropractor I had an idea,” he explains. “I wanted to create whole body support for my patients by effectively positioning their feet ‑‑ the foundation for the body ‑‑ with high quality, custom‑made flexible orthotics.”  With this discovery, Dr. Greenawalt revolutionized chiropractic. He stopped the “revolving door” for thousands of patients, and gave their DCs a tool to address the cause of the subluxation and provide positive long‑term results.</p>
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		<title>Founded on Tone</title>
		<link>http://www.rondberg.com/2010/03/15/founded-on-tone/</link>
		<comments>http://www.rondberg.com/2010/03/15/founded-on-tone/#comments</comments>
		<pubDate>Mon, 15 Mar 2010 21:08:59 +0000</pubDate>
		<dc:creator>Terry Rondberg</dc:creator>
				<category><![CDATA[NeuroInfiniti]]></category>
		<category><![CDATA[dd palmer]]></category>
		<category><![CDATA[neurophysiologic evaluation]]></category>
		<category><![CDATA[subluxation]]></category>
		<category><![CDATA[terry a rondberg dc]]></category>
		<category><![CDATA[terry rondberg]]></category>

		<guid isPermaLink="false">http://www.rondberg.com/?p=28</guid>
		<description><![CDATA[Article with citations by Terry A. Rondberg, DC The words Founded on Tone are inscribed on the opening page of D.D. Palmer’s 1910 text [1]. “Life is the expression of tone. In that sentence is the basic principle of chiropractic,” he writes. “Tone is the...]]></description>
			<content:encoded><![CDATA[<p><em>Article with citations by Terry A. Rondberg, DC</em></p>
<p><a href="http://www.rondberg.com/wp-content/uploads/2010/03/DD_Palmer.jpg"><img class="alignleft size-full wp-image-29" title="DD_Palmer" src="http://www.rondberg.com/wp-content/uploads/2010/03/DD_Palmer.jpg" alt="Founded on Tone by Dr. Terry Rondberg" width="142" height="230" /></a>The words <em>Founded on Tone</em> are inscribed on the opening page of D.D. Palmer’s 1910 text [1]. “Life is the expression of tone. In that sentence is the basic principle of chiropractic,” he writes.  “Tone is the normal degree of nerve tension…consequently; the cause of disease is any variation of tone – nerves too tense or too slack.”  He continues, “Impingements, poisons, and intense thinking, auto-suggestion, unrelieved change of thought, insufficient rest and sleep, increase or decrease the momentum of impulses.”</p>
<p>Furthermore, Dr. Palmer states [1]: “…We no longer believe that disease is an entity, something foreign to the body, which may enter from without, and with which we have to grasp, struggle, fight and conquer, or submit and succumb to its ravages.  Disease is a disturbed condition, not a thing of enmity.  Disease is an abnormal performance of certain functions; the abnormal activity has its causes.”</p>
<p>B.J. Palmer focused his attention on the interference component of the subluxation, and that it was the chiropractor’s duty to remove interference, not straighten spines.  B.J. Palmer also states that the misalignment is but an osseous symptom of a subluxation, and any attempt at re-alignment would be a treatment upon effect, and not an adjustment of cause. [2]</p>
<p>In 1931 B.J. Palmer wrote [2]: “…it is generally believed that you could locate a subluxation by palpation; with an x-ray; by the location of tender nerves, taut fibers, or contractured muscles. None of these can locate a subluxation.  Any or all of these will locate misalignments.  The majority of chiropractors work with the concept that they are the all important feature of “adjusting subluxations”; that it is what they do that replaces a subluxation; and it is with this thought they proceed to push vertebra into positions they think they need to be pushed into.  ‘Adjusting’ in their minds means pushing bones into adjusted positions.”</p>
<p>Dr. Palmer continued, “I never have such a concept.  To me adjusting a vertebra is what happens when my hands leave the back; it is that reaction that occurs when innate recoils in the body of the patient, which resets the bone into ‘normal’ position. My work is an enticement to get INNATE to make the adjustment.  Invariably, when Innate adjusts the subluxation, it stays longer and the (NCM) reading remains absent much longer and the patient gets well quicker, and I can take more dangerous cases and get them well, where otherwise anything I did would have failed.”</p>
<p>“A shove and push adjustment, where we want to feel something ‘move’ and hear something ‘crack’, think we know where it ought to be put, and proceed to put it there. This chiropractor wonders why his case gets better, gets worse, and might get well by accident; but leaves him up in the air as to what actually happened.  He knows chiropractic is right because it occasionally works.”</p>
<p>So how do you answer the age-old question of subluxation vs. mis-alignment?  How do you know if there was interference and whether or not you removed it?  If there existed a tool that would allow you to have a window into your patient’s nervous system not only before or after an adjustment (analyzing neurophysiologic responses such as an EEG, HRV, respiration, peripheral skin temperature, galvanic skin response, or dynamic sEMG, as well as the standard, static spinal EMG or thermal readings), but also (if you choose) during your adjustment to allow you to see the effects of your adjustment upon your patient’s nervous system, would that interest you?</p>
<p>If a computerized neurophysiologic evaluation that your staff can perform in a few minutes would inform you on your first encounter with a new patient, how their nervous system was functioning or how they respond to stress (remember Hans Selye [3] stated that stress was not in the event, but rather failure to recover from the event) which dramatically impacts their response to your care.</p>
<p>What advantage would it allow you in recommending your care plan if you knew more about their nervous system, on such an intimate level, before you perform the first adjustment?  Could it mean reassurance for you?  How could it improve your patient education and retention?  What would it mean for your self-esteem knowing that your walk does match your talk? Would you stand a little straighter, more proud to be a chiropractor? Could you handle more difficult cases with ease?</p>
<p>This exam will improve patient care which will generate more income, more referrals, increase retention and extend care plans. You’ve never seen anything this good.  It is called<br />
NeuroInfiniti and is available now.</p>
<p>[1] 1910 Text-Book of the Science, Art and Philosophy of Chiropractic by D.D. Palmer<br />
[2] 1931 “The Hour Has Arrived”, reprinted in Vol 24: The Fight To Climb by B.J. Palmer, D.C. PhC<br />
[3] 1936 General Adaptation Syndrome in the British Journal, Nature</p>
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