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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
February, 2001, Vol. 01, Issue 02
By James "Doc" Clay, MMH, NCTMB
All the foofaraw over the Great Election Debacle of 2000 made me think a lot about polarizations, and especially about the great polarization in massage therapy and bodywork: the anti-certification, anti-licensure folks vs.the certification and licensure supporters; or, at the extremes that polarization seems to force upon us, the wild-eyed anarchists vs. the compulsive organizers.
The big problem with polarization is that everyone is right. In this case, the anarchists are right that the great strength of massage therapy and bodywork lies in freedom and variety, and that the marketplace will gradually separate the wheat from the chaff. The organizers are right that official credentials will (rightly or wrongly) command more respect from the public and other health professionals, and that self-policing is better for us than arbitrary external controls.
Neither of these "right" positions, however, is without danger. I'm sure all of us have cringed at having assumptions made about us based on people's experiences with other therapists. The hard-core clinical types shudder at the thought of being associated with the "woo-woo" practitioners of energy work and obscure, often Eastern, quasi-religious approaches. AMTA-style draping enthusiasts are horrified at postural therapists who treat clients in underwear. And all of us are fearful of truly unethical practices such as financial scams, quackery and sexual abuse by therapists. One of the things we learned when the totalitarian regimes of the Soviet bloc countries fell was that freedom brings risk - the crime statistics in those countries shot up when the police state no longer reigned. The marketplace may sort things out, but it takes time. There's always a niche open for the opportunist and the con artist, and they reflect on us all.
At the same time, where there is organization, there are power structures, and where there are power structures, there is potential for real abuse of power. Whatever you may think of the National Certification Board, always remember that, elections of board members notwithstanding, it is emphatically not a democracy. The board has broad powers to do what it will, and that includes tight control over who is and is not allowed to run for office. Not only do massage schools understandably teach to the certification exam, they also bend over backward to teach to the standards both of the NCBTMB and the AMTA - that's their bread and butter. As more and more states adopt the National Certification Exam as their standard for licensure, the board gains power.
Everyone will have to take some sort of position on the issue - even those whose position is passive acceptance of whatever happens. There are those who will continue the valiant (but I believe rather quixotic) fight against certification and licensure. There are those who will doggedly insist on trying (all too often with success) to impose their own views of bodywork on the profession. But I have some suggestions, or requests, for all parties:
First, I ask the anarchists to consider what the loss of their voices in the corridors of power will cost. If you truly believe in the value of freedom, and really want to curb some of the excesses of those who would seek uniformity in the profession based on their own preferences or biases, please consider fighting from the inside, and lending your strength to the battle for freedom and diversity within the institutional structures. In short, run for membership on the national board!
And now, to the organizers: please remember how often the narrowness and closed-mindedness of the traditional, established health professions have frustrated us. Take note of how many different approaches there are within our discipline that are effective. Observe that imaginative and daring practitioners who explored new ways of doing things have developed all of those approaches. Never forget that the next Ida Rolf, the next Milton Trager, the next Aston or St. John or Berry or Upledger or Phaigh, is some as-yet-unrecognized therapist out there practicing anonymously, and needing to work without handcuffs. Remember that when you place limits on therapists, you also restrict the choices and options of their clients.
Please make rules only when there is a clear and pressing need - not just for the sake of making rules. We seek to be different in many ways from the traditional health professions. Therefore, consider not mimicking their models of standards of practice and codes of ethics. Please think outside the box. Do not be tempted by the notion that0 because 67.4% of bodyworkers do a particular thing in a particular way, all bodyworkers should do it that same way. Always respect the minority view, however small - it is from the minority that the most creative innovations will come.
Please do not try to homogenize us, because that will be our death.
Click here for more information about James "Doc" Clay, MMH, NCTMB.
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