Screening Patients, Part 3: Those Who Neglect Themselves

This is Part 3 of a multi-part post series on various types of potential new patients to screen for, the characteristics of these types, and the importance of screening for them, if for no other reason than to have prior notice regarding what you (as a doctor) could be facing when working with them.

In the previous post, I explored three of the personality disorders that are likely to cause the most significant upheaval and stress in one’s practice.  Originally, I was going to include these next two situations in that post, but then thought the better of it.  Truthfully, these two personality types should get their own post because these are not personality disorders, per se.  These people are generally not mentally ill–that is, unless they also have something else going on neurologically/psychologically.

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Screening Patients, Part 2: Personality Disorders

This is the second installment in a post series about screening potential new patients and the importance thereof.

As I stated in the first post of this series (but it’s an important enough statement that it bears repeating here), this isn’t meant to be judgmental, elitist, or exclusionary in any way.  What follows is strictly my personal opinion, which is an amalgam of my own clinical experience and my interpretation/opinions formed about the experiences of other doctors.  Nothing more, nothing less.

So if I’m not trying to pass judgment, cultivate elitism, or exclude anyone from getting care, what’s the point of this post series?  What’s the point of screening patients for various issues in the first place?  Why bother; why even consider it?

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Screening Patients, Part 1: Readiness & Obstinance

Dear patients of the world, this post series is probably going to sound pretty judgmental.

I assure you, it’s not.  Falling into any one (or more) of the categories I’m about to talk about is not going to get you catalogued, reported, thrown out of an office, or barred from receiving care.

It’s just that some of the people out there present certain challenges to various types of doctors that these doctors need to be aware of, because doctors are human, too, and not knowing about these personality/history types of people can lead to serious physician burnout.

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What’s up with all the friend requests from chiropractic doctors I don’t know on Facebook?

I am human.  Therefore, I like to have friends.  I like to form connections.  I like to feel connected.

Social media makes that Sweet Spot of Connected Feelings surrealistically and deceptively easy to trip–or, for my fellow Neuro Nerds, “activate”.

I’m totally congruent with average people in average society thus far.  Pretty almost-universal stuff.

What I’m less sure of, however, is whether or not Facebook is the right venue for the first-time establishment of that connection, especially between professional colleagues.  You know, people who might not want to see pictures of my cats.  Or people whose kids I might not want to see pictures of.  Or people from whom there might be personal details, dirty laundry, closeted skeletons, or other fine print that I’d rather keep segregated.

Continue reading What’s up with all the friend requests from chiropractic doctors I don’t know on Facebook?

The Chiropractic School Recruitment Requirement Problem 

From what I’ve heard, most chiropractic schools, if not all of them, have some sort of requirement regarding the recruitment of new patients to the school.  This factoid is conveniently kept under wraps until you actually start school.  I have not yet found any disclosure of, nor information about, this requirement on any chiropractic school websites.

However, the requirement is real.  Very real.  Your graduation depends on it.  Indeed, you could be a straight-A student, you could rock internship clinic, and you could fulfill all of your other requirements, but if you fail to recruit enough new patients to the school’s clinic, you will likely be denied the eligibility to graduate.

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There’s No Such Thing as a ‘Simple Question’

At least, not in our office.  On its face, a question may appear to be a simple one.  The patient asking the question might think it’s simple.  But it’s probably not.

To be clear, the type of question I’m referring to are those that start with phrases such as “should I (do this or that)?”.  Or, “what type of (supplement, massage, exercise, food, etc) should I choose?”

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Then & Now: 7 Years In Practice

Ever since we moved into our office around March 2010 and opened our practice the following month, both my partner (in both practice and marriage) and I have felt an overwhelming sense of a time-warp.

Somehow, time supernaturally speeds up the minute we walk through the office door, and returns to its normal clip the moment we leave.

This applies across all common measurement units of time, too–minutes, hours, days, weeks, months, and now, years.  Thus, even though it’s cliche to say that it’s hard to believe it’s been 7 years, we mean it: it actually is hard to believe.

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