October 22, 2010 at 10:44 pm (Chiropractors & Chiropractic, Communication, Podcast, Shameless Self-Promotion)
Tags: chiropractic, Health care, kinsler, Podcast
Timothy Mirtz, DC PhD from the University of South Dakota chatted with me about what athletic trainers and physical therapists think about chiropractors and what can be done to change the interprofessional relationships.
Find it on iTunes by searching for OnTheOtherHand or go here.
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October 27, 2009 at 4:13 pm (Chiropractors & Chiropractic, Communication, Critical Thinking, Evidence Based Medicine, Patient Information)
Tags: back pain, chiropractic, Communication, Health care
The importance of using common language when communicating about back pain has been well documented in the medical literature. There are three main areas that lead to difficulties in communication about back pain:
- patients seeking information from health care professionals can experience difficulties understanding them and the medical literature
- misunderstandings among health professionals concerning terminology can arise
- lack of standardized definitions for back pain terms can make comparison of research studies problematic
A study just published in the BMC Musculoskeletal Disorders aimed to explore the meanings and issues surrounding the use of existing medical terms for back pain from the perspective of health care professionals and lay people. Focus groups were used to explore participants’ understanding and samples included general practitioners, chiropractors, osteopaths, physiotherapists, and lay people.
Lay participants understood the majority of the terms explored in the group differently than the health professionals. Some terms were not understood, some misconstrued and some had inadvertent negative connotations or implications. (For example “wear and tear” instead of the harsher term “degeneration” gave implications of wearing away or rotting). The commonness of misunderstandings, unintended meanings and negative emotional responses to terms used in this study have a number of implications.
Firstly, it must encourage providers to ensure their patients understand what has been explained to them including the contextual and emotional implications. Secondly, patients and providers should have an ongoing dialogue to promote understanding of terms and comminality of language. Third, this study should be used as a lesson to chiropractors who cling to old, antiquated terminology that we know has differing meanings both intra- and interprofessionally. If other chiropractors cannot agree on a term’s meaning, and other professions cannot agree on that term’s meaning, you can sure as heck bet that your patients have no idea what you are taking about either.
I was recently told that we should take antiquated terms and reframe them so we can continue using them in a different context. To me, this study implies that is not a wise course of action.
Brett L. Kinsler, DC is a chiropractor in Rochester, NY who avoids using antiquated terms when he blogs at www.RochesterChiro.wordpress.com
September 24, 2009 at 12:40 pm (health insurance)
Tags: Health care, health insurance, Insurance, insurance crisis, kinsler, Obama, pet insurance, pet ownership
Don’t panic. I may have done it. Yes, your friendly chiroblogger may have accidently solved the national healthcare crisis. I found an existing health insurance company that provides comprehensive health coverage for under $40 per month. And this isn’t just some catastophic Roadrunner gets smushed by a falling safe and winds up in traction kind of coverage. This is really good. Really, really good. Just look at these benefits:
Illness – Covered
Injuries & accidents – Covered
Hospitalization – Covered
Surgery – Covered
Hereditary conditions – Covered
Diagnostics – Covered
Prescription medications – Covered
Vaccinations – Covered
Annual Exams – Covered
Dental Scaling/Polishing – Covered
Wow! Prescriptions? Dental cleanings? They even include some elective surgical procedures. For forty bucks a month? There aren’t even any copayments! I’m awaiting the phone call from Obama any second now.
This just may be the ticket the country is waiting for.
Now, there are a couple of exclusions. There’s always fine print, right? Okay, the following are not covered: parvo, distemper, kennel cough, heartworms and feline leukemia. And grooming, bathing and dipping are out too. Other than that, PurinaCare
seems to provide a pretty darn good health insurance for a really reasonable price.
Crazy, right? Dogs and cats get high quality health insurance while their owners are left to be ill. What’s in it for we, the people? A lot, according to the North American Pet Health Insurance Association (NAPHIA).
According to recent studies, the NAPHIA figure the health benefits of pet ownership include:
Reduced risk of cardiovascular disease
Higher survival rates from heart attacks
Significantly lower use of general practitioner services
Reduced risk of asthma and allergic rhinitis in children exposed to pet allergens during the first year of their life
Better physical and psychological well-being for seniors
Interesting. These are pretty tangible preventative health benefits. I may have solved the health insurance situation after all. I mean, obviously the pet insurance companies won’t cover people. But if the benefits of pet ownership are so great for health, I might just start instructing my uninsured patients to take two kittens and call me in the morning. Problem solved.
Dr. Brett Kinsler is a chiropractor in Rochester, NY. He is insured but his cat (favorite hobby = peeing in corners) has no coverage.