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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
August, 2001, Vol. 01, Issue 08
New Florida Legislation Expands Definition of Massage
By Editorial Staff
Florida Governor Jeb Bush signed Senate Bill 1558 into law on July 19, 2001. The 800-page health care bill includes a small-but-significant section relating to massage, one that officially changes the definition of massage from manipulation of superficial tissues to that of soft tissues.This is a distinction that many believe will provide greater validation of, and access to, the benefits of massage.
With this language change, insurance companies and other professions cannot claim that Florida massage therapists do not have the right to treat deeper tissue (as was, unfortunately, too often the case in the past), based on any contention that it was not stated as such in the definition of massage. Essentially, massaging "soft tissue" includes superficial tissue massage, whereas massaging "superficial tissue" does not by definition include soft tissue work.
Officially, the change is written as follows in the text of the bill:
The language change was urged by the Florida State Massage Therapy Association (FSMTA) and the Florida Chapter of the American Massage Therapy Association (AMTA-FL), in conjunction with FSMTA lawyers and lobbyists. The change was then proposed to Florida Representative Frank Farkas, a longtime supporter of massage therapy, who fought to incorporate the new language into the text of the bill in the House.
Providing further insight into the significance of the bill, and the legislative process in general, is Michael McGillicuddy , LMT, NCTMB, first vice president of the Florida State Massage Therapy Association (FSMTA). The following article first appeared in the July/August 2001 issue of Massage Message, the bimonthly publication of the FSMTA. (Editor's note: The text of the original article has been amended slightly to reflect developments that occurred following publication.)
Florida State Massage Therapy Representatives Witness the Last Days of Legislative SessionBy Michael McGillicuddy, LMT, NCTMB, FSMTA First Vice President
At the last minute, an end-of-legislative-session trip was arranged for Lynda Solien-Wolfe and myself to attend the closing session of the Florida State Legislature. (Editor's note: Lynda is professional relations chair for the FSMTA, and a Massage Today columnist.)
The first stop on the trip was the governor's office. The request was such that we went straight to his office for the first appointment of the day. When we visited with him, you could tell the session had been stressful. He was very polite, and even shared some stories with us on some of the things that had been going on at the Capitol. He really loves massage and stated: "This is a great idea, having massage at our most stressful time. I'm sure you will be very popular the next two days." [Editor's note: Members of the FSMTA provided complimentary massage at the final days of the Florida legislative session.]
The second stop on our trip was to visit Representative Frank Farkas' office. A great deal of thanks should be extended to Rep. Farkas. He is the person who added the amendment to the bill in the house that will change the definition of massage from "the manipulation of superficial tissue" to "the manipulation of soft tissue of the human body." (Senator Burt Saunders was the sponsor of the language change in the senate version of the bill.)
The bill passed both the House and Senate and was signed into law by Governor Bush on July 19th. We feel that this language more accurately describes what our profession really does. It may even make insurance reimbursement a little easier for massage therapists. It clearly shows that massage has an effect on more than the superficial tissue, especially from a legal standpoint.
The whole time we were in Rep. Farkas' office, both he and his legislative assistant, Chris Davis, made us feel welcome and supported. I cannot tell you how nice it is to have that kind of friendship in Tallahassee. As our presence was soon discovered, we were soon visiting with Senator Sullivan, Senator Bronson, Senator Posey, Representative Heyman and Representative Trovillion.
We had a special mission to visit with Senator Jim King on this trip. For those of you who were at Legislative Awareness Days, Senator King arranged for us to visit the senate chambers while we were there. He had us take seats in the chambers, then talked to us about the importance of being involved in the political process. Senator King is also the man responsible for helping us get the massage language changed in the senate. A special thanks goes to Sen. King's legislative assistant, Kay Rousseau, for her help in inviting Sen. King to our convention. The senator spoke at the annual convention banquet. (Editor's note: For more information on the FSMTA 2001 convention, please see "Great Times in Orlando at FSMTA's Annual Convention" at www.massagetoday.com/archives/2001/08/03.html.)
The final moments of the legislative session were very tense. Our lobbyists, Janet Mabry and Allison Sellars-Carvajal, and our lawyer, Paul Lambert, were working to see that the bill our language was attached to did not get sabotaged. The House of Representatives' session was due to end at 9:00 p.m.; however, the House voted to continue until all bills on the floor had been voted on.
Representative Farkas did not get to the final reading of the bill containing our language until 10:30 p.m. If he had not done so, the bill would have died in the final minutes of the session!
The FSMTA Board of Directors voted to recognize both Senator King and Represenative Farkas for their outstanding support of the massage profession. It was an incredible experience watching the last-minute positioning strategies of lawmakers and lobbyists. Either their bills squeaked through at the last minute, or all their efforts were lost for the year.
What I enjoyed most about the trip was being a part of the process whereby a bill goes through the legislature from start to finish. It was an honor to be among the legislators to celebrate at the end of the session.Reprinted with permission from Massage Message, July/August 2001:16(4), pg 15.
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