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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
June, 2002, Vol. 02, Issue 06
The Fifth Element: Integration
By Robin Zill, LMT
Author's note: The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the fifth article in a 12-part series and focuses on the fifth of the 10 elements: Integration.
It is no secret that the underlying saga of the modern American is often one of time-impoverished disconnection.The search for greater understanding of optimal health has taken our culture by storm. We know we have sacrificed our need for an integrated world view for one that emphasizes measurements, quantities, efficiency and money. We are finding out that such a view doesn't always work for us, or for future generations. The fifth element of the spa experience, integration, speaks directly to these issues. We define integration as the personal and social relationship between mind, body, spirit and environment. Located in the center of the circle, the search for personal integration is at the heart of the spa experience.
So, how does the global spa movement address the need for integration? After all, it encourages the need for evolution in industries such as medicine, beauty, resort & hospitality, massage, nutrition, and fitness, to name a few. But even the word integration has lost some of its original intent for the industry. "Mind, body, spirit" often means nothing more to the consumer today than a wellness clinic that has a doctor, massage therapist, nutritionist, and acupuncturist (or a host of other services) renting space under the same roof and sharing a receptionist. The client pays for each of the services separately, and there is no cost-effective way to use the knowledge of this eclectic team in a comprehensive and holistic manner that really meets the needs of the individual in a profitable business forum. We are evolving however, and the desire for the "spa experience" is increasing exponentially in almost every market segment. In order to create the next-century profession, we need to create a synergy between all the various market strands. We need a common language.
The Ousia* (oo SEE ahh) concept, built upon the 10 elements, has begun to define for me the importance of sharing our individual journeys with the goal of creating a new common language. We need to rediscover our roots and update our thoughts, theories, and values. The ousia philosophy consists of four steps designed to facilitate an integrated spa experience: insight, cleanse, nourish, and transform. The steps are based on the Asclepian healing journey of the ancient Greeks.
Asclepius was the god of healing. Those who sought healing began with a simple step: the decision to seek a healthier life. An individual had to walk to the temple on his or her own. During the journey, the seeker saw others returning from the temple. Already the healing journey had begun, because the seeker realized she was not alone. At the temple, she experienced the Greek comedies and tragedies. The arts reflected back the joys and pains of the human experience. (Every healthy culture throughout history embraced the necessity of the arts and beauty in the healing process.) This part of the healing process corresponds to step one: insight.
The next step in the journey is cleanse: the process of purification through water. The ancient baths and bathing rituals of this time attest to the importance of this. Asclepian guests enjoyed a wide range of bathing experiences that prepared them for the therapeutic and transforming experiences to come.
The third step in the ousia journey is nourish: to feed the body, mind, and soul what it uniquely needs. Whether it be food, exercise, massage, medicine, or counseling, experienced staff members find appropriate ways to customize the treatment for the individual.
In the Asclepian journey, the next part of the path was the most important to achieving personal integration. This was the experience of rest and dreaming, letting the unconscious speak. In ancient Greece, the seeker traveled down an elaborate maze-like corridor, eventually ending up in a dream chamber. Again it was up to the individual to ask for greater guidance through dreaming. If lucky, the seeker received a meaningful dream and in a sense were transformed. In order to complete the journey, the seeker needed to leave something of him or herself behind; a sacrifice for the next traveler on the healing path.
In The Web of Life, Fritjof Capra says it this way: "When we see a network of relationships among leaves, twigs, branches, and a trunk, we call it a tree. When we draw a picture of a tree most of us will not draw the roots. Yet the roots of a tree are often as expansive as the parts we see."
Integration demands that we not ignore the "roots" or the "leaves." When all the elements of a spa experience are achieved, they add up to an elusive wholeness. That wholeness brings balance to the cultural pendulum and leads to more integrated lives, rich in connectedness.
Remember, spa is a people's movement. Your voice is important. You can e-mail me at .
* Ousia (oo SEE ahh) : essence, nature; that which makes a thing what it is; a person or object seen from within, yet not a material substance. Applied to our search for fulfillment, ousia denotes divine essence.
Click here for previous articles by Robin Zill, LMT.
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