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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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
October, 2001, Vol. 01, Issue 10
How to Say "No" When Your Client Says "Yes," Part III
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Author's note: since this article was written, our lives have been changed forever. For all the people who lost friends or loved ones in the terrible events of September 11, 2001, my heart goes out to you.Words are useless, but prayers are unceasing.
In my August 2001 column, we began to look at the delicate conversation that must occur when a bodyworker observes some sign that renders planned type of session impractical, or even potentially hazardous. What do you do? What do you say? Here's a basic formula:
These three steps can frame most difficult conversations with clients about anything, from an undiagnosed skin rash to chronic lateness. (This column is dedicated to discussing the role of massage in the context of disease and illness, however, so that's what we'll focus on here.) This formula can allow therapists to be kind, compassionate, caring people, who are still allowed to have boundaries for safety and professionalism.
As promised in my last article, here are some further guidelines that should flavor this difficult conversation:
No one looks forward to these conversations, and no one thinks they're easy. But as the number of people seeking massage increases, the possibility of seeing someone with a serious condition gets greater and greater.
Here is a case in point, from one reader:
It is quite possible that the therapist saved this man's life; appendicitis is notoriously hard to diagnose, but she recognized some important signals and terminated the session, so that he could seek the appropriate help.
Here's another example, from Wayne in Palm Springs:
These stories illustrate how close we are all the time to accidentally doing harm, even with the best of intentions. I've received other letters about working with clients who didn't share some important information on their intake forms, or clients who refused to fill out intake forms at all, and other circumstances that made doing massage as a career sound much more exciting than most of us probably planned on!
This issue of "How to say 'No'" seems to have hit a chord with many therapists, and it seems important to keep exploring it. For next time, I have two things I'd like to address:
I have no useful advice to offer Sharon, except that which she had already planned to do: consult with this client's health care team. But since this newsletter goes out to some 95,000 therapists, it seems likely that some of you might have had experience with clients in this situation. Do you have anything you'd like to offer Sharon, or other massage therapists working with clients who have shunts? Thanks in advance for your input!
Until then, good health, happiness, and blessings...
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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