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First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
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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