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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."
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
August, 2002, Vol. 02, Issue 08
Hey, Doctor Wanna-Be's
By Ralph Stephens, BS, LMT, NCTMB
Want to be just like doctors? Here's your chance! At least once a week, I get something in the mail urging me to sign up in a managed care network. One network went so far as to threaten me by giving me a deadline that I had to have its forms completed and filed so it could meet some regulation.
These are usually followed by phone calls: "Mr.Stephens, did you get our application form in the mail?" The incredible opportunity offered to me is: 1) to do more paperwork, and 2) to charge patients less money who belong to the network's "group." My response to these offers is to send back their postage-paid envelopes empty. I do not believe in discrimination -- for example, charging one rate for purple people and another rate for green people. People in an insurance group are "purples"; they get the good rate. People not in the insurance group are the "greens"; they pay extra.
I can justify rate adjustments based on real need. However, these approved-provider, managed-care and insurance discounts are not based on needs. In reality, the affluent belong to the plans and the poor do not. Why give the rich a better deal? Participation in the discrimination created by these plans is immoral and unethical.
This unethical behavior ultimately comes home to roost in lower moral and job satisfaction, as documented by a recent study by the Kaiser Family Foundation. Doctors have been involved in these unethical schemes far longer than massage therapists have. Here's what we have to look forward to as we become more and more entangled in the allopathic insurance web. We will be just like doctors in this way. Won't that be great?
Physicians Report Declining Morale, Cite Dissatisfaction with Managed Care
Ninety percent of physicians who participated in the Kaiser study said that the overall morale of their colleagues has decreased in the last five years. A smaller percentage, although still a majority (58 percent), said that their own enthusiasm for practicing medicine has lessened during that time. Among the factors cited for the decline in morale are the number of work hours physicians spend on administrative activities; the lack of professional autonomy; their potential income over the next five years; and the amount of time they have for nonprofessional interests, family and friends.
The survey also indicated that managed care is a major source of doctors' woes. Three-quarters of the physicians surveyed said that managed care has had a negative impact on the way they practice medicine. Specifically, 95 percent said that managed care has increased their paperwork, and 88 percent said it has decreased the amount of time they can spend with patients. Although the physicians surveyed did credit managed care with increasing the use of practice guidelines and disease management protocols (these are currently being developed for massage... sigh), 73 percent said that managed care has decreased health care quality overall.
For more results from this survey, go to: www.kff.org/content/2002/20020426c/.
So, doctors are getting bummed out having to do all the paperwork, being told what they can do and how much of it they can do, and having to work more and more for less and less. See what happens when you let insurance companies and the government get between you and your patients? You lose. Ultimately, so do the patients. Third-party reimbursement (insurance) is like a drug to both the patient and the practitioner. The best response to the temptation is to "Just Say No!"
For those of you who care about health freedom, which should be all of you, it is time for an update on the Model State Emergency Health Powers Act (MSEHPA). I mentioned this act earlier in the year. This sinister legislation was developed by power-hungry public health bureaucrats and is being pushed onto every state. These opportunists have been planning this for a long time and are using the current crisis/panic state of people to fulfill their dream of complete state control over your health. After all, they believe they know what is best for you. MSEHPA will severely infringe on citizens' medical privacy and freedom to choose their health care. If you believe in mandatory vaccination, this bill is for you. If you like martial law, ruled by public health officials, you will love this bill. If you believe in freedom of choice in health care, this bill will be terrifying to you. Are you in a licensed state? If this bill passes in your state, you and all health-care facilities, doctors, and health-care providers will have to agree to abide by the MSEHPA during declared public-health emergencies to maintain licenses to practice or run a health-care business. This means you!
This bill will, by careful design, greatly diminish Americans' health freedoms -- including the freedom of doctors and other health care providers. Under the MSEHPA, doctors could be required to administer treatments to which they object. This legislation clearly would infringe on doctors' and other health care providers' freedom of conscience. Moreover, the draft legislation does not state clearly that it will uphold existing state laws that provide for exemptions to vaccination. However, it does state that individuals who refuse medical examination and treatment (including vaccination) could be quarantined or isolated. For the sake of your patients and your practice, you had better get out and work against this bill. In states that have already enacted this legislation (Maryland, New Mexico, South Dakota and Utah), it is too late for you. In states that have introduced MSEHPA (Arizona; California; Delaware; Florida; Georgia; Hawaii; Illinois; Kansas; Kentucky; Maine; Massachusetts; Minnesota; Mississippi; Missouri; Nebraska; Nevada; New Hampshire; New York; Oklahoma; Pennsylvania; Rhode Island; Tennessee; Vermont; and Virginia) - you folks better get to work! You still have a chance to save yourselves.
This legislation won't make any headlines. You will never know it passed, until one day they pull it out and stick it to you. MSEHPA is inactive or has been defeated in Idaho, Washington, Wisconsin and Wyoming. Congratulations -- you saved yourselves! Stay alert, they will bring it back again if more states pass it.
Your responses to my columns on massage education have been immense and positive. Hopefully, many of you are organizing to enact improvements in your state. Next month, I will present a vision of massage education. Stand by for "Beyond the Rub."
Hope you have had wonderful summer. Have a great Labor Day.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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