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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.
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.
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.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
June, 2002, Vol. 02, Issue 06
White House CAM Commission Delivers Final Report
By Editorial Staff
After two years of various meetings, hearings and site visits, and after listening to written and oral testimony from more than 1,000 members of the health care community and the general public, the White House Commission on Complementary and Alternative Medicine Policy has issued its final report to the Department of Health and Human Services.The inch-thick document, which the Commission's chair calls "a ground plan ... for ways to integrate complementary and alternative medicine approaches to health care into the system,"1 lists more than 100 recommendations and courses of action, many of which emphasize information and education as the keys to making intelligent, objective decisions about health care. It also suggests that the federal government will play an increasing role in the evaluation and implementation of certain forms of complementary and alternative medicine.
The Commission's recommendations are divided into six categories, covering nearly every aspect of complementary and alternative medicine. Among the more noteworthy suggestions:
Several recommendations were aimed specifically at the quality of dietary supplements:
Education and Training
Access and Delivery
Coverage and Reimbursement
Wellness and Health Promotion
"There's a lot that needs to be digested ... before taking the next step."
Although the Commission's recommendations are non-binding, and are intended to serve merely as a framework for future government studies, they have stirred controversy among both critics and advocates of complementary and alternative medicine. Some of this controversy may be attributed to the non-specific nature of the report, which lumps both proven and unproven forms of CAM into one category. For instance, while the group recommends that insurers and managed care organizations "should offer purchasers the option of health benefit plans that incorporate coverage of safe and effective CAM interventions," the report fails to mention which forms of CAM they consider safe and effective. In fact, in the report's introduction, the Commission's members admit that "most CAM interventions have not yet been scientifically studied and found to be safe and effective."
Furthermore, not every member of the Commission agreed with the final report's conclusions. In a separate statement, two panelists criticized the report for being overly generic and vague.
"While many of the Commission's recommendations will help maximize the benefits of proven safe and effective approaches, practices and products, they do not appropriately acknowledge the limitations of unproven and unvalidated CAM interventions or adequately address the minimization of risk," they wrote.
The Commission acknowledged the other panelists' criticism in its introduction. "The report does its best to distinguish in its recommendations between those proven safe and effective ... and those that are not. But the Commission recognizes that this distinction may not always be clear," they wrote.
It is also unclear as to how much credence will be given to the Commission's work by the Bush administration, given that the organization providing the report was created by former President Clinton. In an interview with Reuters Health, Bill Hall, a spokesperson for Health and Human Services, said, "There's a lot that needs to be digested first before taking the next step of saying where we're going to go."2 Hall added that the department would consider the Commission's recommendations, but that it was "premature" to say what might happen in the future.
Others have voiced their support for the group's efforts, including Senator Tom Harkin (D-Iowa), a long-time proponent of alternative therapies.
"I'm hopeful the commission's recommendations will help move toward the day that Americans can get the best of both traditional medicine and complementary medicine," Harkin told the Washington Post. "Public policy has not kept up with consumers or the science in this area. People are spending record sums out of their own pockets for complementary health care, and they have a right to expect good and reliable information and continued access."3
Exactly what impact the final report of the White House CAM Policy Commission will have on complementary and alternative medicine in the United States remains to be seen. Nevertheless, in many ways, the "final" report represents an important first step that has been taken in the recognition of complementary and alternative medicine. With its mantras of education, information and research as the keys to making informed, intelligent decisions about health care, the Commission's report sets the foundation upon which further actions by the federal government and private health care organizations can be built, and is sure to spark debate among practitioners across the full spectrum of the health care profession for years to come.
Editor's note: A complete copy of the White House CAM Commission's final report is available for viewing and printing via the Internet. Interested parties can access the report at http://whccamp.hhs.gov.
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