How to Run Your Clinic With Profits : 5 Uncommon Tips

Cr. Luis Melendez

Source from Attunelive.com

Basic marketing principals and strategies are needed to create awareness about your clinic, which would make your clinic profitable. 

Here are 5 tips, aiming at increasing your clinic’s profitability in a not so common way:

  • Customer Care. Impressions of your patient towards the clinic is undoubtedly the most important and it usually begins with your reception desk. Don’t make them wait for too long while ensuring that the lobby is supplied with drinking water facility, reading material, television and soothing interiors. Coupled up with a warm, empathetic and helpful behavior of your staff and good medical prowess exhibited by you could be a recommendable patient experience that the patient will voluntarily share with friends and family.
  • Good IT usage. Waiting time could be reduced at your clinic by using a good IT solution to schedule your appointments that will automatically help you accommodate walk-ins in a much smoother manner for vacant slots as well as missed/did not turn up ones.
  • Creating A Network with Allied Services Professionals. Medical care to patients involves many others including Pharmacists, Physiotherapists, Counselors, Pathologists and many others. A team that is well networked (from professionals in allied medical services) can support each other with references.
  • A point of offer. In your marketing campaigns, offer something unique that would then create consumers. 
  • Automate and Have Central Control. Fully equip yourself with information on how things are working at every corner of your clinic. Having reports are the best form of control possible without being physically present at all times, everywhere. Get an automation solution as per the requirements of your clinic and train yourself to understand what the numbers spell out. 
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Easy ways to attract more patients to your clinic

Cr. Foto Garage AG

Source from practicebuilders.com

One of the things essential for the success of any business and medical practice is having a healthcare marketing. 30 to 50 new patients are needed every month for a medical practice to grow. Furthermore, a practice must offer competitive services at reasonable pricing.

It is important to grow your practice and add new patients; here are some proven, possible ways to help increase the possible new clients.

  1. Identifying your target audience. Observe the office records and average age, gender, profession and location of your existing patients. This would help you find the best marketing techniques to promote your clinic and attract new patients.
  2. Training the team. It is important to have a great first impression so train your staff with things that they should know, with specific details such as pricing, equipment used during procedures, what to expect during a consult, etc.
  3. Patient follow-up. One of the easiest and cost-effective ways to grow your practice is to retain existing patients and nurture relationships with them so that it would increase referrals.
  4. Having a mobile-responsive website. Having a responsive website that works equally well on mobile devices is critical for the growth of your practice. The website is responsible for educating your potential patients so they can make an informed decision and call the clinic for an appointment. 
  5. Blogging. This would increase your SEO and adds fresh content to your site. Provide wellness tips, announce local events and share updates with consistent posting that are relevant and original so that you could keep your patients informed.
  6. Encourage online reviews. Have your patients to share their feedback in an online review maybe by sending a follow-up email thanking your patients for their visit and encouraging them to review you online.
  7. Being active in social media. Entire social circle sees when your current patients “like” or “share” your content on social media and this could direct user traffic to your page and may help generate leads.
  8. Be responsive. With an increase number of patients, you have to make sure that you have enough staff to expand your existing services and if possible, add new services to meet the needs of new patients. You can increase the number of patients and grow your practice by meeting local demands in a strategic and timely manner. 
  9. Having quality service. You must be well equipped with manners and the look and the feel of your clinic are extremely important, so that the patients would be satisfied with you and your staff’s attitude and services.
  10. Having real pictures of your staff posted. Real-life images of your team and office will display the comfort of your clinic and personality to your practice website instead of using stock and generic photos.
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Reducing risks of osteoporosis fractures in Crohn’s disease with impact and resistance training

Cr. John Arano

Source from MIMS.com

A recent study shows that combined impact and resistance training exercises helps raise bone mineral density (BMD) and muscle function, which benefits patients with Crohn’s disease (CD) who has a high risk in developing osteoporosis and related fractures.

Researchers selected adults with stable CD (n=47, mean age=49.3 years) and were assigned to undergo an exercise intervention (n=23) or receive usual care alone (n=24) for 6 months. Usual care plus a combined impact and resistance training programme were given to the exercise group while patients underwent three 60-minutes sessions per week, with a gradual tapering of supervision to self-management.

Most of the patients had quiescent disease and none of the patients smoked. 216 months median time since the CD diagnosis and according to baseline BMD measurements, 12 patients had evidence of osteopaenia or osteoporosis at the lumbar spine and 20 at the left hip. The most common medications used for CD were immunosuppressants and biologics; none were on corticosteroids.

The bone mineral density (BMD) values were better in the exercise vs the control group at 6 months, with the difference significant at lumbar spine, but not at femoral neck nor at greater trochanter.

Even though there were three exercise-related adverse events (for instance light-headedness and nausea) the intervention yielded improvements in all muscle function outcomes and fatigue severity.

The findings highlight the intervention as a suitable model of exercise for reducing the future risk of osteoporotic fractures and physical disability in this high‐risk population, according to researchers.

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No adverse CV outcomes and excess risks of death from Febuxostat

Cr. Halacious

Source from MIMS.com

According to the results of a meta-analysis, the use of febuxostat does not appear to come with an increased hazard of mortality or adverse cardiovascular (CV) outcomes, for the treatment of patients with gout and hyperuricemia.

Data from 15 randomized controlled trials were collected by researchers and contributed to a total of 16,070 participants. The proportion of patients with hypertension varied between 27.7 percent and 100.0 percent, while those with diabetes ranged from 6.9 percent to 100.0 percent.

A median follow-up of 6.4 months were used across the trials, and the use of febuxostat vs control (allopurinol or placebo) did not result in a significant increase in the risk of CV mortality and all-cause mortality.

The same was true for adverse CV outcomes, as follows: major adverse CV events (risk difference [RD] 1.40 percent), myocardial infarction (RD, -0.06 percent), stroke (RD, 0.10 percent), or new-onset hypertension (RD, 1.58 percent).

Among patients with existing CV disease, the findings were consistent and the test (Egger’s regression test) did not detect significant publication bias.

The evidence were limited by the presence of low to moderate certainty, the researchers said. Recommendations of evaluating CV events and mortality as an outcome were stated by the researchers, as well as defining major adverse CV events, and comparing the outcomes among different doses of febuxostat over a longer follow-up duration in future trials.

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Therapeutic potential in COVID-19 with colchicine

Cr. Fusion Medical Animation

Source from MIMS.com

Based on a study, survival rate in patients with COVID-19 was improved with the use of colchicine, which are usually used for the treatment of gout and other inflammatory disorders as compared with standard of care (SoC).

The well-recognised anti-inflammatory effects and potential antiviral properties made it as one of the drugs that was considered for the treatment of COVID-19.  140 hospitalized patients who contracted COVID-19 had their outcomes evaluated as they were treated with SoC (hydroxychloroquine and/or intravenous dexamethasone; and/or lopinavir/ritonavir) and in 122 patients treated with colchicine and SoC.

The SoC group, have lower serum concentrations of C-reactive prottein and ferritin, as well as neutrophil count but higher PaO2/FiO2 ratio at baseline.

Survival when being compared over 21 days of follow-up, it was more favourable in the colchicine than the SoC group. A lower risk of death was strongly associated with colchicine, on Cox proprortional hazards regression (hazard ratio, 0.151).

At entry, there were a higher serum levels of ferritin, worse Pa02/Fi02 and poor survival at older age for the risk factors. 

With no treatment discontinuation due to severe adverse events, colchicine had a good safety profile. In nine patients, dosing was reduced from 1 to 0.5 mg/day due to diarrhoea.

With the aim of preventing the patient’s autoinflammatory response, the current study provides proof-of-concept data supporting the possible use of colchicine in the treatment of the early phase of COVID-19.

To determine the efficacy and safety of colchicine, properly designed trials are needed with the best protocol in terms of dosage and timing of administartion in patients with COVID-19, said the researchers.

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Company registration in Malaysia: Here’s what you need to know

Cr. Drew Beamer

Source from bas.com.my

There are few different methods in legal structure to register your new venture or company in SSM Malaysia:

A) (LLC )Limited Liability Company also know as Sendirian Berhad (Sdn. Bhd.) in Malaysia
B) (LLP) Limited Liability Partnership 
C) Partnership or Individual Company  (Sole-proprietorship)

The size and scalability of your business is important as the type of registration would be based on your business.

Option A would be the best recommendation to register a Limited Liability Company (Sdn. Bhd.) as it offers:

  • A vehicle for your business to a separate entity legal structure and it protects your personal wealth and end up with the company having a limited liability up to its paid-up capital.
  • More tax savings plan for small and medium business in terms of tax incentives and better tax rates by the Malaysia government.
  • Better monitoring and control for Sales and Services Tax (SST) under a company
  • A variety of sources of financing fom banks loan, investor and even capital market with the vehicle
  • An investment for holding company and joint venture project using the Special Purpose Vehicle (SPV)
  • Starting and maintaning a company is affordable for all type of businesses when comparing the values.

Budget and plans needed before starting

  • Search the availability of the name you have chosen: pick more than one just to be safe
  • Have at least one director and shareholder, based on the new Company Act 2016
  • Open a bank account and check with your banker to make sure that they accept your company.
  • Have a budget estimate at an appropriate amount of rate for yearly professional charges for the company.
  • Prepare a full set accounts for audit and tax purposes by hiring a full-time clerk or part time account person to help you.
  • Open an income tax file number with LHDN once the company start to issue bill/invoice.
  • To register with IRB (LHDN) as Employer (E number) when your company is starting to hire staff
  • Contribute EPF, SOCSO and EIS for your staff is statutory requirements
  • Deduct PCB from their pay and remit it to LHDN if you are paying your staff more than RM3,000 per month.
  • If you are withdrawing director’s salary from the company, please contribute EPF, SOCSO and EIS for yourself
  • If you are withdrawing director’s fee from the company, then you do not need to contribute EPF, SOCSO and EIS
  • Apply for SST license if your company’s yearly sales for taxable goods and taxable services is expected to be more than RM500,000 and RM1,500,000 for a restaurant. Refer to Taxable Services threshold table.
  • Get trading/signboard licenses from local authorities/governments (DBKL, MBPJ, MBSJ, MBAJ, etc…) before opening your shop/office
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Setting up your own clinic

Cr. Martha Dominguez de Gouveia

Source from bas.com.my

Malaysians nowadays are gradually shifting towards private healthcare system due to better facilities and care that are being offered compared to Public healthcare system. Not to forget how Public healthcare system are usually dealing with overcrowding issues.

Hence it is very appropriate for you to open your own private clinic at this time, which could bring a great deal of profit.

Ministry of Health regulates and monitors the private healthcare system while the Licensing Unit of Ministry is responsible for issuing licenses to private hospitals, maternity homes, clinics and nursing homes.

Steps to set up a Clinic in Malaysia

1. Location

A proper research is needed before a location is picked and lots of factors have to be considered like is it going to be in a residential or a commercial area, the population density, the financial status of the diaspora and most importantly presence of other clinics.  Having a spacious parking area available for your customers is always advantageous while catering to patients.

2. Obtain the Premises

Having your own building is great but if you’re thinking on renting then have an advance 3 months amount of rent ready and prepare a proper rental agreement after a  discussion with the building owner. 

3. Registration Process

Setting up a private clinic in Malaysia is not easy as they should register under the Private Healthcare Facilities and Services Act 1998 and Regulations 2006 with the respective state. The application may be accepted by the state office after taking a small amount of processing fee with all requirements fulfilled and after being issued a Letter of No Objection, the interior renovation and furnishing of the clinic can be started.

4. Proper Floor Plan Layout

Various physical criteria needed to be approved under Act 586 and it is necessary to work closely with the contractor that has been hired to draw out the layout you have in mind for your clinic which may include measurements for consultation room, treatment room, waiting area, pantry, pharmacy, dispensary, etc.

5. Annual Practising Certificate

Every medical practitioner needs to be registered with the MMC (Malaysian Medical Council) as per the Medical Act 1971 and must necessarily apply for Annual Practising Certificate (APC) every year. When you have kick-started your own private clinic, it is highly recommended to amend your APC to include your new clinic address. This can be quite easily done at the Ministry of Health, Putrajaya.

6. License for Advertisement

Starting with advertisements is advisable as it would attract future customers to your clinic but before that, a license need to be obtained for clinic advertisement issued your local council – like DBKL (Kuala Lumpur City Hall) which takes two months. You may start your advertisement campaign when it is approved and beat your competitors.

7. Procurement of Drugs

Open an account from various manufacturing companies so that you could procure the medicines and drugs needed for your clinic. Once the account is active (by using APC (Annual Practicing Certificate), you can place orders for drug supply.

8. Staff

Ensure staff’s EPFF and SOSCO procedures are completed at the nearby KWSP/EPF and PERKESO offices and to hire well-qualified staffs and helpers that would make your clinic thrive.

9. X-ray Machine Installation 

Remember to apply for a license if you ever planning to install an X-ray machine at your clinic as it is entirely different than the ones you currently have.

10. Companies Commission of Malaysia

The final mandatory requirement to set up your own clinic is to get registered with the Companies Commission of Malaysia, under the Registration of Business Act 1956.

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Differences between anxiety attacks and panic attacks

Cr. Victor Rodvang

Source from my.clevelandclinic.org

People have been using the terms “anxiety attack” and “panic attack” correspondingly, when in fact, they are two slightly different medical conditions.

A breakdown:

Anxiety is typical and although it is unpleasant, it helps motivate and protect individuals from threats.

Anxiety disorders comes in many forms and people usually respond to non-threatening things with outsized fear and dread.

Anxiety attacks is just another term for a panic attack.

Panic attacks occurs without warning and are intense attacks of fear and anxiety. It is usually harmless and last for about 15 to 20 minutes.

Panic disorder occurs when an individual has repeated panic attacks and it is also a type of anxiety disorder.

Panic attack symptoms

  • A feeling that what is happening around them is not real
  • Chest pain or discomfort
  • Chills or overheating
  • Dizziness
  • Fear of perhaps that they are dying or going crazy
  • Feeling that they might be choking
  • Increased heart rate
  • Nausea
  • Numbness
  • Sweating
  • Trembling or shaking

How to deal with panic attacks

  1. Labeling it. When panic attack happens, individual who are experiencing it often thinks that they are having a heart attack or losing their mind. It is advised to assure themselves that what is happening to them won’t kill them and that it will end.
  2. Keeping track. Note the attacks and when and where they happened, how long the duration was and things that might have triggered it.
  3. Breathe. Numerous claims from people of various backgrounds said that deep breathing exercises helps. It turns down the body’s panic response, helping the breath and heart rate to return back to normal.
  4. Distract the mind from focusing about the panic attacks. Do other things that helps. For example, smell something pleasant or watching a funny TV show.
  5. Getting help. Mental health professionals can help by using a Jedi mind trick, known as cognitive restructuring.
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Easy treatment for headaches

Cr. Adrian Swancar

Source from Healthline.com

Headache is defined as a pain arising from the head or upper neck of the body. The pain originates from the tissues and structures that surround the skull or the brain because the brain itself has no nerves that give rise to the sensation of pain (pain fibers). Several types of headaches exist, with tension headaches being the most common. Cluster headaches are painful and happen in groups or “clusters,” while migraines are a moderate-to-severe type of headache.

Keeping hydrate : The body need certain amount of fluid for it to properly function and by drinking too little, it may lead you to develop a headache. Researchers have found that the common cause of migraines and tension headaches mostly come from chronic dehydration. This can be relieved by drinking enough water which shown to relieve symptoms in dehydrated individuals within 30 minutes to three hours –  depending on their state.

Cr. LuAnn Hunt

Cr. Annie Spratt

Taking magnesium : A study suggests that treatment with 600mg of oral magnesium citrate per day helps in reducing the frequency and severity of migraine headaches. Headaches could be cured with prescribed medicines and can be prevented with consuming food that have high content of magnesium such as pumpkin seed, broccoli and certain amount of beans.

Limiting alcohol intake : Evidence shown that alcohol can trigger migraines in about one-third of individuals who experience frequent headaches. It also cause tension and cluster headaches in many people. Alcohol is a vasodilator, which widens blood vessels and allows more flow of the blood which may cause headaches in some people. The body could lose fluids and electrolytes from frequent urination as alcohol also acts as a diuretic which can cause or worsen headaches.

Cr. Giovanna Gomes

Cr. Gregory Pappas

Getting enough sleep : Sleeping less than you required can be detrimental to your health and may even cause headaches in some people. It is found that people who has sleep deprivation had more frequent and severe headaches but getting too much sleep has also been shown to trigger headaches. It is advised to have a minimum of 6 hours sleep a day, depending on the individual.

Practice yoga : One of the ways to relieve stress and improve your overall quality of life would be relaxing with yoga. A study was conducted and it showed that the effects of yoga therapy on 60 people with chronic migraines were reduced more than those who received conventional care alone.

Cr. Kiki Vega

Cr. Peter Secan

Having caffeinated liquid : Drinking beverages with caffeine such as tea or coffee may provide relief for a headache. It improves mood, increases alertness and constricts blood vessels. It also helps increase the effectiveness of common medications like acetaminophen and ibuprofen which are used to treat headaches with mindful caffeine intake.

Exercise : Increasing your activity level is said  to be one of the simplest ways in reducing headaches. A study which involved 91 people in 40 minutes of indoor cycling, three times a week was effective in reducing headache frequency than practicing relaxation techniques.

Cr. Jenny Hill

Cr. Dominik Martin

Sip some ginger tea : Ginger root has many beneficial compounds, including antioxidants and anti-inflammatory substances and they also helps reducing nausea and vomiting, which usually are the common symptoms associated with severe headaches.

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TB antibiotics in reaching targets

Cr. Simone van der Koelen

Source from Sciencedaily.com

Researchers have built up another technique that empowers them to envision how well antibiotics against tuberculosis (TB) reach at their pathogenic targets inside human hosts. The discoveries, published in the journal Science, boost understanding of how antibiotics work and could help direct the development of new antibiotics, which are truly necessary in the fight against drug-resistance.

TB treatment

TB stays as one of the world’s deadliest infectious diseases, with over a million TB-related deaths worldwide every year.

At the point when an individual is infected with Mtb (mycobacteria), their immune system attempts to clear the microorganism by calling upon specialised immune cells called as macrophages that perceive and engulf Mtb. However, the bacteria frequently discover ways to survive and duplicate, causing illness. Patients require at least four antibiotics for at six months to defeat the disease.

It was previously unknown whether antibiotics enter all the compartments of the macrophage where the Mtb hide and duplicate.

The method pioneered in this study, which consolidates three kinds of imaging (correlated light, electron and nano-scale ion microscopy), permits researchers to picture the circulation of TB drugs in Mtb-infected human macrophages at high resolution, for the first time.

A test-case TB drug

Utilizing bedaquiline as an test-case, the group contaminated human macrophages with Mtb, and following up after two days, they treated them with the medication. Their imaging results revealed that bedaquiline accumulated in various compartments of the cell, most eminently, inside lipid droplets.

The bacteria can interact with and consume these lipid droplets. Be that as it may, the group (Crick-led team) didn’t know whether bedaquiline would be moved to the bacteria, or whether the lipid droplets were retaining the antibiotic and keeping it from arriving at the bacteria. Including a chemical that kept lipid droplets from forming significantly decreased the measure of bedaquiline in Mtb, proposing that the lipid drops are responsible for moving antibiotic to the bacteria.

“Now that we can see exactly where antibiotics go once they enter macrophages, we can build up a much clearer picture of how they reach their targets, and harness these observations to design more effective treatments in the future, not only for TB but for other infectious diseases too” says Max Gutierrez, Crick group leader and senior author of the paper.

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