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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.
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.
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.
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.
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.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
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."
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."
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.
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.
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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