resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.