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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."
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
January, 2002, Vol. 02, Issue 01
Hopeful Views and Empowering News
By Ralph Stephens, BS, LMT, NCTMB
As you read this, the holidays have passed and we are settling into the new year, hopefully with optimism and enthusiasm. Never have the people needed massage more than in these times.One of the things I am particularly excited about is the potential for seated massage to expand from the relaxation paradigm to the therapeutic paradigm. One example would be the repetitive strain injury known as carpal tunnel syndrome (CTS). This condition is rampant in the workplace and represents a huge untapped market for seated therapists. With proper education, seated, on-site therapists could significantly reduce the pain and suffering of thousands of people. Therapists doing so will be able to make a very good income for their efforts. They won't even need to file insurance claims! Of course, they might be able to if they enjoy that exercise. I've heard that some do.
Carpal tunnel syndrome is a soft tissue injury aggravated by postural distortion. Technically, it is a neural compression condition involving the median nerve at the carpal tunnel (wrist). Almost all of the tissues involved with treating this condition can be addressed in the seated position. Specific massage and stretching techniques can be quite effective in the treatment and (more importantly) prevention of this condition. This is a very expensive injury; some years ago, a study concluded that the average carpal tunnel case cost workers' compensation over $63,000. Remember that insurance never pays for anything. In the case of workers' comp., the employer pays for it eventually through increased premiums. Wise employers would welcome a way to reduce this expense. On-site massage is often a tax deduction for a company through its wellness program. Seated therapists can easily learn therapeutic techniques for this condition, then approach businesses in a professional manner, representing themselves and their work accurately and honestly. By applying the methods effectively while educating the patients and employers about proper posture and exercise breaks, the individual therapist will rapidly create a successful practice. The word of success will spread, creating a huge market for massage therapists doing seated therapeutic massage. The result will not only benefit workers and employers; it also will increase the demand for massage therapy for other conditions as well. Let's not participate in the recession. Let's grow!
Heads Up ...
I thought some of you might want a heads-up on this one. The terrorist activities of the past year have resulted in several legislative efforts. One that is quite disturbing is the new proposal by the Centers for Disease Control (CDC). The proposal is called "The Model State Emergency Health Powers Act." (MSEHPA). If you would like to read this 40-page document, you can go to www.publichealthlaw.net. It is an easy read: lots of space on the pages and written in language that anyone can understand. This proposed act is to be taken to every state in 2002 and, the CDC hopes, passed by each state's legislature. It will give public health officials and the governor the power to declare "health emergencies." In a health emergency, the state will be under martial law. The discovery of any disease, contagious or not, could trigger a health emergency. The disease may be in plants, animals or humans. In a health emergency the state will be able to require anyone to undergo any medical exam, force anyone to be vaccinated, confiscate or destroy any property, ration food and fuel (among other substances), and if one does not cooperate they will be quarantined. While the state of emergency is only to last 30 to 60 days, the quarantine is indefinite and ruled by emergency judges appointed by the governor. All health care providers and facilities may be forced into service under public health officials, apparently without compensation. The governor and public health officials are given blanket exemption from liability for death or property loss or damage.
A sudden rise in HIV/AIDS cases could easily fit the qualifications to declare a health emergency. In a declared emergency, officials could lock-up, excuse me, quarantine, anyone with a disease or anyone who refuses to be examined, vaccinated or cooperate. This is a very dangerous proposal. If enacted, you can be sure that it will be used.
How it would affect us as professionals is unclear and subject to speculation. As individuals, the effects are very clear and could be devastating to both our health and our businesses, possibly even our lives.
Some might argue that controlling infectious disease or bioterrorism requires such totalitarian powers. I agree that some emergency powers may need to be given to the states, but not nearly as sweeping as this model legislation calls for. One quote from the draft bill asserts: "An infectious disease may, or may not, be transmissible from person to person, animal to person, or insect to person." So a disease is whatever the state says it is. Granting this much power to a state's public health department is unnecessary and unwise.
If the proposed MSEHPA concerns you, you might want to begin talking to your state legislators about it soon. In the current emotional state of our country, this legislation will probably be passed in some form in every state. Hopefully it can be scaled down to protect the rights and freedoms we have fought to maintain for hundreds of years. If we give up our rights and freedoms to protect ourselves from terrorists, the terrorists have won, because one of their goals is to take away our rights and freedoms.
An example to learn from is the recent anthrax outbreaks. Many people were virtually forced to take Cipro because it was the FDA's drug of choice. Look up the side effects of this expensive drug. They are devastating. Weeks later, we learned that common penicillin and doxycycline are just as effective, with less cost and fewer side effects. If they are effective, so are many natural remedies. Bayer wins. The people lose again.
The freedom of choice with regard to individual health care is one of the most basic and essential freedoms we possess. Without health, what good is freedom? Our profession depends on this freedom. If not actively defended, it will be taken away. The good news is, we do live in America, and we can still participate in this decision. Do what you think is right.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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