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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
September, 2002, Vol. 02, Issue 09
Beyond the Rub
By Ralph Stephens, BS, LMT, NCTMB
It is time to put heart back into massage. When I started the series of columns on failing massage education, I first documented the failing, then proposed several suggestions I believe could improve massage education.Most of my suggestions involved imposing additional government regulation on the profession in general, and on massage schools in particular. This is probably necessary in the short run. However, government is always the worst way to do anything except maybe to fight wars and collect taxes. Texas massage therapist David Lauterstein, RMT, says it well:
Once government establishes a minimum, that minimum also becomes the maximum. Why do more than you have to? While a few will strive for excellence, most will attempt to barely meet the minimum standard. I have observed several states before and after licensing. Before licensing, there were one or two good schools and one or two lousy schools. A few years after licensing, there were one or two good schools and dozens of lousy schools. Is this the desired result? I hope not!
It finally dawned on me that what has been lost in all the clamor is heart. The heart of massage is being lost Massage has the potential to be the premier wellness modality in health care. Wholism is the birthright of American massage therapy (as well as being just "good science.") The current medical emphasis in massage, and the emphasis on energy work freed of any logical constraints, seems a great loss in so many respects. Both paradigms sell the potential of massage/bodywork short. Most energy work has such little grounding in the physical sciences that it achieves no consistent results beyond the parasympathetic response of laying down in a calm environment for awhile. The medical emphasis usually focuses on nothing more than "rub here for this and there for that." It is usually taught with emphasis on insurance billing (drooling for dollars) and acceptance by the gods of the sickness sciences. Neither have much heart or wholism.
If we focus on sickness, we will have more and more sickness. That is the way the universe works. The allopathic sickness system has not lessened the amount of sickness by studying it. In fact, it has increased sickness, irregardless what it may have done for lifespan. The focus needs to be put on wellness. Until we study wellness with the fervor we study sickness, we will never achieve wellness. Since there is more money to be made treating sickness than in curing it, wellness will never be a priority in the allopathic system.
The same is true for massage education. If we put our focus on its failures, we will have more and more failure. If we concentrate on low quality, we will achieve it. If we study incompetence, we will have more and more incompetence. It is time to put our focus on excellence. Right now our emphasis is on competence. Competence is a lowest common denominator process. Our current system of regulation and national certification is a lowest common denominator standard. The results show it is not working. It is time to focus on and strive for excellence. David Lauterstein again puts this so well:
Greg Lawton, DC, of the American Medical Massage Association (AMMA), puts it another way:
To me, all this comes back to heart. If you are truly working from the heart, you will, out of love and compassion for your fellow human beings do the absolute best you can. You will never be satisfied with your level of knowledge and skill. Just learning to rub will not be enough. Just teaching others to rub will not be enough. Your desire to help others will drive you to study both the physical and the non-physical sciences. It will lead you to study holistic health. It will drive you to practice the principles of holistic health in your own life, so you can be an inspiring and motivational example to others, especially your patients and students. Heart will guide you to strive for excellence. It will not stand for incompetence or even just competence, either in yourself or the profession.
We need a lot more heart in massage education if we ever hope to move beyond the rub.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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