resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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."
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.
May, 2001, Vol. 01, Issue 05
The Privilege of Being a Witness
By John Upledger, DO, OMM
"If you're not smart enough to know that it can't be done, you may be able to do it."
I first said that in 1975 at Michigan State University, shortly after I joined the faculty as a clinician-researcher in the department of biomechanics.I was embarking on research that would document what I was subjectively feeling when I worked on patients with my hands - the movement of the skull bones, one in relation to the other. The motion I was sensing was rhythmical, pulsing at a rate of about eight to 10 cycles per minute, yet the anatomy department was telling me it was all in my mind. To prove it, they showed me microscopic views of human skull bones taken from bodies in the anatomy lab. Sure enough, their slides showed skull bones that were calcified and fused to each other.
Fortunately, I was too "dumb" to accept that as proof that skull bones fused together. Instead, I chose to trust my own hands and senses. I kept on working until I finally decided to look at microscopic views of skull-bone sutures taken from brain-surgery patients. A neurosurgeon agreed to assist me with the project. He took the bone specimens during surgery, quick-froze them to preserve their architecture, and sent them to me by Federal Express.
Lo and behold, these specimens showed skull-bone sutures that were neither fused nor calcified. In fact, the spaces in the sutures were chock-full of arteries, veins, nerves, nerve receptors, elastic and collagen fibers. Nature doesn't structure things like that without reason. These sutures were designed to move. The original fused specimens from the anatomy lab were indicative of post-mortem changes and the effects of embalming fluids and preservatives, not of live patients.
My research at Michigan State University eventually led to my development of CranioSacral Therapy. But if I had simply accepted the premise that skull bones couldn't move in relation to each other, the craniosacral system might never have unfolded at all. And there would be many children and adults today who would never have received CranioSacral Therapy as a means of reaching a higher potential.
For instance, a man in his 60s showed up at The Upledger Institute with a left arm and hand that were developmentally infantile. He was born with a condition called Erb's palsy, which means there is something wrong with the function of the nerves and blood vessels to the arm. The arm just doesn't grow properly. After three unsuccessful surgeries to relieve the unrelenting pain in his left shoulder, he finally came to us for help.
Initially we were able to reduce the pain significantly using a variety of bodywork approaches. But I thought we might also be able to help the function of his arm. We worked on his craniosacral system to help release any restrictions that might be causing the problem. Soon he was able to use his thumb and fingers, which he had never done before.
As our work proceeded we could see his arm and hand begin to grow. We even had x-rays taken and compared them to those from before his first visit to us. Sure enough, the bones were growing in length and width. Once again we were witnessing the impossible.
From my perspective, science is just starting to scratch the surface of the biological miracles that can occur. Yet science is often skeptical. It doesn't understand, or seem to want to understand, the powers of intention, faith and love. I am so pleased that my intellect serves my intuitive side rather than inhibiting it. As a result, "impossible" dreams often do come true.
All of this has helped shape two of my own personal credos: (1) Before we try to change nature we should understand her; and (2) Man's ego is a major cause of disease. These beliefs, coupled with the fact that I refuse to recognize the impossible, have resulted in some wonderful things happening - incidents for which I am extremely thankful to have been given the privilege of being a witness.
Click here for previous articles by John Upledger, DO, OMM.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.