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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.
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.
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.
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.
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.
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.
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.
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.
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.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
March, 2001, Vol. 01, Issue 03
An Ethics Addendum
By James "Doc" Clay, MMH, NCTMB
In its recently issued Standards of Practice document, the National Certification Board offers two standards governing our treatment of each other namely, that we should:
These two areas of mutual respect deserve a closer look:
First, we are quite a motley assortment of practitioners, certainly more varied in our beliefs and practices than any other health profession.We might be ridiculed for it from the outside, but the fact is, that is our greatest strength. Our approaches have not yet been so thoroughly researched, documented, codified and standardized that anyone can say that this, that or the other approach is uniform and universal. This state of affairs may make it a bit harder for the consumer to decide which therapy (or therapist) to choose, but it also makes a broad variety of choices available.
One of the problems that this variety presents, however, is a kind of intense denominationalism among therapists, often amounting to cultism. Each developer and teacher of a new approach tends to offer his or her system not as a way to do bodywork, but as the way. It's very reminiscent of the proliferation of psychotherapies with which we were inundated from the '50s through the '80s, and the devotion to these cults has persisted in spite of research showing that no single psychotherapy was significantly more effective than another.
On a broader level, whole categories of bodyworkers turn up their noses at each other: the energy workers see the clinical types as materialistic and reductionist, and the clinicians sneer at the unscientific "woo-woo" approaches of the energy workers.
Lost in this struggle for "truth" is the client. The client wants something, and each of us is bound and determined that our particular approach will fill the bill. We all know very well that we must refer medical conditions to physicians, and mental health problems to counselors, but how many of us think to refer a client to another bodyworker when our approach doesn't seem to fit the client's needs?
I remember putting a lot of time and energy into convincing a client that his applied kinesiology sessions were a bunch of nonsense. All I did, in fact, was to provide him with increasing amusement, because he knew very well that the approach worked for him. And if a client knows that he or she is being helped, who am I to say that the client is wrong? It's all very well to have our beliefs, and to practice within their framework - but we have an ethical obligation, both to each other and to the public, to show respect for each other.
The second aspect of our ethical treatment of each other has to do with gossip. The ninth of the ten commandments tells us that we are not to bear false witness against our neighbor, and it's my guess that, right after the one about not coveting, it's probably the most universally violated.
There is a wonderful story about a man who hated his rabbi so much that he spread false rumors about him. He later regretted this behavior, and went to the rabbi to apologize, and asked him what he might do to correct the results of his actions. Without saying a word, the rabbi picked up a pillow and led the man outside, where a stiff breeze was blowing. He handed the man the pillow and told him to rip it open and scatter the feathers into the wind. The man did so, and the wind carried the feathers far and wide. Then the rabbi said, "Now go and get all the feathers and bring them back to me."
"But that would be impossible!" the man exclaimed. "They are scattered to widely for me ever to find them all!"
"And just as impossible," responded the rabbi, "would it be for you to bring back all the rumors you have spread."
When we believe that another therapist has behaved unethically or illegally, we have various resorts available to us. The NCBTMB has an ethics committee to adjudicate complaints about unethical behavior. In states with licensure, there are boards to receive such complaints. For illegal actions, we have courts of law. There are also civil courts. When we believe a wrong has been done, we obviously have the choice of reporting or not reporting it to the appropriate authority. But one resort to which we are ethically obligated not to turn is rumor and gossip, in the attempt to destroy a therapist's reputation. Such vigilante justice is clearly unethical, because it offers the accused no opportunity to mount a defense.
There are four things to remember when we hear of some unethical behavior:
Our professional organizations can set forth codes of ethics and standards of practice, but these are never the last word. The last word is the code of ethics inside us - one of self-respect and respect for others. That code takes precedence.
Click here for more information about James "Doc" Clay, MMH, NCTMB.
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