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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
April, 2002, Vol. 02, Issue 04
The Phantom Massage
By Robert Stump, LMT, NCTMB
What follows is a personal account of an unusual massage... of a missing right leg.
A man and his wife sponsored a wedding party at our spa, with a day of massage provided for the entire party.The man and his wife were the last to arrive, because the man had to finish an IV at his doctor's office. Three weeks prior, his right leg had been amputated due to a bad infection. He did not have a medical release for massage, so we could not massage him.
That's where the story begins.
We catered food for the party, and offered the man and his wife a seat by the food table. Food was provided downstairs and the massages were provided upstairs. I gave the wife a short, quick head and shoulder massage, then left the two downstairs, as they both seemed relaxed and at ease.
I continued massaging other clients upstairs, but was called about an hour later, between massages, by the wife of the one-legged man. Apparently the man had fallen down two times before he arrived at our spa, and now was quite uncomfortable. The epicenter of his distraction/discomfort was an unbearable pain in the bottom of his missing right foot.
He said, "Bob, this pain is so bad that I can't stand it. It has been hurting for 12 hours now. Can you help me?" From his description of the pain, it sounded like his flexor digitorium brevis was paining him.
I said that we would help him. The man said that he would be grateful for any relief I could provide.
All the treatment rooms were full, so I sat him in the waiting room. I got a stool and towel and sat in front of him. I placed the man's left leg on my right knee and began following the form of his left leg from mid-thigh to foot, with my hands cupping his leg (like a light effleurage). I did this about five times. He was wearing shorts, so my hands were right on his skin.
Next, I turned my attention to the missing leg. It was a high amputation, at about mid-thigh. I cupped the air about an inch below the stump of his right leg and followed the outline of where I guessed his leg would have been. I followed down the phantom leg twice. No real effect. I went to the left leg and followed it down three to four times, and immediately went to the missing right leg and followed it down two times.
After doing this three times, something curious happened.
As I began to follow down where I estimated the right leg would have been with cupped hands, I began to feel a strong sensation -- what I guessed to be the aura of the missing leg. I went down it twice and then back to the left leg. After stroking down the left leg another three times, I turned my attention back to the phantom right leg again.
This time, I felt a clear outline of the missing right leg in my cupped hands. The energy was so strong that I felt I was stroking an actual leg. The man said, "Hey, I feel a twinge in the calf of my missing leg!"
At that point, the stump of his right leg began to gyrate as if it was moving his leg around. I went down the leg again, starting from about an inch below the stump, and felt the aura of the leg as strongly as before. He said that he could feel his calf and his foot as well as if they were there.
I moved back to the left leg again; this time, at the end of my downward stroke, I massaged the bottom of the left foot with the fist of my right hand. I massaged his left foot for about 1-2 minutes. I moved to the phantom right leg again and stroked down the leg to where the foot should have been. The stump of the man's right leg began gyrating again, and he said he could feel his leg again. As I held his phantom right foot, I cupped my left hand in back of the imaginary right foot and rubbed the bottom with the fist of my right hand. I left about the thickness of his foot between my left hand and right fist and massaged for about one minute.
The man's leg stump continued to gyrate as if I was tickling his foot and he was moving his foot around. Then he calmed down and said the pain in his phantom foot was gone. I stroked the air where his right leg should have been, as if I was doing finishing strokes, and did the same to his left leg. He was now calm and relaxed. He said he was grateful and that the pain in his missing right foot was gone.
We shook hands; I wished him a good day and good luck, and went about my other duties.
I still remember the wonderful feeling of helping someone in need with the special skills taught me by my expert teachers at the Cayce/Reilly School of Massotherapy in Virginia Beach, VA and by Mary Hannigan-Nelson (originator of La Stone Massage), who taught me to feel the client's needs with my heart and spirit.
Robert Stump is a licensed and nationally certified massage therapist who graduated from Cayce/Reilly School of Massotherapy in Virginia Beach, VA. He is also a graduate of Basic La Stone Therapy, and plans to become a hypnotherapist by year's end. Robert works part-time at local spa and full-time as an analyst with a technologies corporation.
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