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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
February, 2004, Vol. 04, Issue 02
Federally Funded Reiki Study Underway in Washington
By Michael Devitt
While not strictly under the auspices of massage, Reiki (pronounced "ray-key") is nevertheless often practiced in conjunction with bodywork. The word Reiki comes from two Japanese words - rei, meaning higher power or universal force, and ki, meaning life energy.Loosely translated, Reiki means universal or spiritually-guided life-force energy.
Practiced for thousands of years throughout Japan, China, Tibet and other Asian nations, Reiki was "rediscovered" in the late 19th century by Dr. Mikao Usui, a Buddhist monk and educator, who used the therapy to heal the sick.1 In the 1930s, a Japanese-American woman, Hawayo Takata, brought Reiki to the West after she learned the practice from a Reiki master in Japan. Today, Reiki is used as a method of healing illness and reducing stress through light touch or, more commonly, by placing the hands near or above the body in specific positions or patterns. Through these positions, a Reiki practitioner can correct energetic imbalances in the body, improving health and restoring a person's energy levels.
Although the practice of Reiki is widespread - the International Center for Reiki Training estimates there are more than 50,000 Reiki masters and 1 million Reiki practitioners worldwide - and has been purported to help treat conditions ranging from heart disease to impotence, relatively few scientific studies have documented its effectiveness. Researchers at Harborview Medical Center in Seattle are attempting to add to the depth of knowledge about Reiki by using a $304,000 grant from the National Institutes of Health (NIH) to determine whether it can ease the pain and suffering associated with fibromyalgia, a debilitating rheumatic condition that affects roughly 6 million Americans.
Dr. Nassim Assefi, an internist and women's health specialist at Harborview, will coordinate the research. Dr. Assefi first learned of Reiki when she was doing her residency at Harvard Medical School, and observed one of her patients use the therapy to help lessen cancer pain. Dr. Assefi's patient happened to be a Reiki master; when she grew too weak to treat herself, the Reiki master who had taught the patient flew to Boston to provide care and help her die peacefully, a situation Dr. Assefi found "moving to watch."
"As a medical student, I had studied traditional Chinese medicine in China, and had seen some remarkable results from qigong and acupuncture treatments that could not be explained by the Western biomedical model, so I was already open to the possibility of other healing paradigms," Dr. Assefi explained in an e-mail to Massage Today. "Shortly after my patient passed away, Harvard offered me the opportunity to receive Reiki training, and soon thereafter, I integrated Reiki into my everyday patient care. I remain an open-minded skeptic about the mechanism of Reiki, but I have been impressed by my anecdotal experience; every time I use Reiki on patients, they feel better.
"No high-quality studies have thus far been published on the efficacy of Reiki for pain. Thus, I set out to apply the highest scientific standards to objectively answer the question of whether Reiki is beneficial in the treatment of fibromyalgia, a chronic pain syndrome that is not well treated by conventional methods. If Reiki proves to be effective for the treatment of fibromyalgia, our unique clinical study design will help answer preliminary questions about how Reiki works."2
The study will involve a total of 100 fibromyalgia patients divided into four groups of 25 participants each, and will take place at three treatment centers in the Seattle area. Patients in each group will receive Reiki treatments twice per week for eight consecutive weeks, with each treatment session lasting approximately 30 minutes. The breakdown of each group is follows:
Before enrolling in the study, participants will undergo an evaluation of their overall health and functional ability, along with a tender point exam (to determine the severity of pain and discomfort). Patients must also keep a one-week diary that documents the number of times they take analgesic medications. Once enrolled in the study, patients will complete brief questionnaires about their pain levels and health status at each treatment visit. In addition, every four weeks during the treatment phase of the study, as well as three months after the last treatment, participants will undergo an assessment identical to the initial evaluation, including questionnaires and pain/threshold testing.
Upon completion of the study, the results of each group will be compared and analyzed for publication in a medical journal. According to Roxane Geller, a licensed acupuncturist and research coordinator at Harborview, initial work on the study could be finished as early as July 2004, with a detailed analysis completed by the end of this year or early 2005.3 Study participants will also have access to the results through a secure Web site.
The Seattle research project marks the second time in the past few years that a major Reiki study has been funded by a grant from the NIH. The first grant was given to the University of Michigan Complementary Research Center in Ann Arbor, to study the effects of Reiki on approximately 200 people with diabetic neuropathy. While the initial findings of the Michigan study were completed in June 2003, the results are still being analyzed and will not be released until later this year.4
As we go to press, there are approximately 30 spots still available for patients interested in enrolling in the study; the researchers hope to finish recruiting by the end of February. For more information, or to be a part of the Reiki program, call (206) 521-1731 or visit http://depts.washington.edu/reiki.
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