Page 6 - Acupuncture Times September 2019

6 Clinic Management September 1, 2019 Vol. 6 Hani Times
광고

Three Elements to Establish a Treatment Plan

as a surgery case because patients will see the recovery
he does not have ankle of VAS 5 from 10 in the first
weakness neither sensation month. The VAS will be 3 at
loss. Prognosis is rather the end of the second month. If
positive since he has only the VAS is still 8 or 9, steroid
one disc protrusion and other injection is to be considered
discs are fine. to reduce inflammation
Total treatment period is 3 instantly. In very rare cases,
months and 80% of recovery traditional open surgery can be
in VAS is expected. In order considered if the pain level is
to control the pain and make still as high as the beginning.
balance of the spine, the patient Nevertheless, the recovery
needs to be recommended as rate after surgery is faster
taking sessions of acupuncture than control group because
and chiropractic treatments the patient has already taken
at least twice a week on herbal medicine to strengthen
regular basis. Also, herbal the supporting muscle and
medicine should be prescribed ligament so far.
to reduce inflammation at
△ Acupuncturist and patient during consultation in clinic. photoⓒenvato-stevanovicigor
pinched spinal nerve which It is important to make a
is generated from irregular prompt improvement, but it
and method of treatment is 8 out of 10, you should tell friction between nerve and is also necessary to explain
By Winston Lee
in the beginning. It is not the patient that it would be herniated disc. treatment goal and plan A, B
L. Ac., Ph.D., KMD
enough to convince the patient 2 or zero after several weeks Plus this herbal medicine and C to patient fully before
that the doctor will treat the or months. is helpful to regenerate the starting as described above.
The era that a doctor clears patient with one method for Unfortunately, most of patients damaged nerve. Patient needs Communication is everything.
up to his patient about several months. The method consider the definition of ending to take this medicine twice a With good communication,
treatment as short as Advil and frequency can be various, of treatment as reaching pain day for three months. doctors and patients both can
instruction is over. In the and it depends on the patient’s level zero and never happening Based on statistics, 80% of be happy with any situation.
past, it was acceptable for a current condition. again. Physicians should inform
doctor to explain his patient For example, he or she is going the patient the expected goal
the brief information about to take treatments three times of pain level clearly at initial
the surgery and patient was a week in the initial intensive visit based on doctor’s own
supposed to sign on thousand treatment period. When the medical experience. It is
pages without knowing the pain level decreases than the almost impossible for a doctor 한의타임즈 제작진
aftermath or side effects of beginning, the frequency could to treat severe degenerative -총괄 및 한국어판 편집장: 진희정
the procedure. be reduced as much as twice disc disease patient in several -영어판 편집장: 조남욱
-디자이너: 미셸장
However, the thing has a week. The method should weeks to reach absolute zero
-OC배포: 박형호
been changed. Patients are be flexible as well and it level of pain. Likewise, it would -한국어 연재: 강주봉 원장, 안덕균 박사,
expecting to have more should be informed to patient make no problem to anticipate 오세준 원장, 홍대선 원장
detailed information about in advance. To address acute the treatment period as 2 or 3 -영어 연재: 강주봉 원장, 오세준 원장,
이우경 원장
the treatment these days - and severe pain, a doctor can weeks for simple ankle sprain
사이먼 김 교수, 데이비드 리
the total period of treatment, use treatment A. without any bone fracture.
what if the initial treatment is But when the pain goes down Acupuncture Times
not working, plan B strategy to moderate level in few weeks, Suppose we have a case like -General & Korean Edition, Editor of Chief:
if it does not work, detailed treatment B will be applied this. A patient in his early 40’s Heejeong Jin
-English Edition, Editor of Chief: Namwook Cho
side effect of the treatment, to patient to strengthen the has a severe and acute pain on
-Design: Michelle Chang
the worst scenario and the ligament and tendon. It has his back and the patient has -O.C. Publisher: Hyungho Park
total cost. a huge difference between sciatica and radiating pain on -Column(Korean): Brandon SJ Oh,
changing the plan - including the right hip through thigh. Daesun Hong, Jubong Kang, Deog Kyun Ahn
-Column(English): Jubong Kang,
First, we should provide the frequency or method - without It has been 2 weeks since
Brandon SJ Oh, Winston Lee,
patient some information of letting the patient to know it he got this pain and he took Simon Kim, David Lee
the treatment period. Actually, before and informing them with an MRI last week. The MRI
patients are most curious a kind and friendly manner. shows 5 mm intervertebral
about this one. Because this You can understand this when disc protrusion at L4 and L5. TheAcupunctureTimes.com will
information is directly related you got some sting pain just Upon physical examination, be available on September 1st.
with patient’s time and cost. after your dentist says like a doctor took SLR(Straight
Not many people are able this. “Sorry, you will have a Leg Raising) test and he has You can get more information regarding your practice and news
to have plenty of sick days little pain now.” You are Okay pain at 60 degree on right leg. at TheAcupunctureTimes.com.
without asking a favor to their because the dentist tells you There are no ankle weakness • More practical information of various acupuncture skills and
supervisor. Most of dad and in advance. and sensation loss on legs. its principles.
• More practical information of herbal formula and case studies.
mom need to pick up and drop Pain has been reduced by 20
• Study material for current acupuncture related studies, articles,
off their kids on regular basis. Last but not least is the ‘pain percent than 2 weeks ago, but
and research paper.
Everything has its own limit. level’. You should make it patient is not able to work well • More practical information regarding medical billing and
clear about the expected pain due to the unbearable pain. management.
The next is to inform the patient level after initial treatment • On-line communities for current issues.
the frequency and duration period. If today’s pain level In this case, it is not considered