resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
November, 2002, Vol. 02, Issue 11
Nutrition Research News
Supplements with Ephedra or Steroid Hormone Are Illegal for Minors, Says California Legislature
By James P. Meschino, DC, MS
In August 2002, the California legislature passed a bill on the sale and labeling of dietary supplements that contain ephedra and steroid hormone precursors.SB 1884 requires specific warning language, the FDA MedWatch phone number, and a notice that the product is not for use by individuals under the age of 18 years, on the label of all dietary supplements containing ephedrine group alkaloids (ephedra) or steroid hormone precursors, such as androstenedione and DHEA (dehydroepiandrosterone).
The bill makes it a misdemeanor for any manufacturer, wholesaler, retailer or other person to sell, transfer or otherwise furnish a dietary supplement containing ephedrine group alkaloids or steroid hormone precursors to persons under 18. This action comes on the heels of a number of deaths and adverse effects attributed to the use of supplements containing ephedra and anabolic steroids. The adverse side-effects of supplements containing ephedra and anabolic steroids account for 17 percent of all adverse events reported from the use of dietary supplements - the highest percentage of any supplements. Ephedra-containing supplements have been associated with sudden death, stroke, seizures, and heart attacks, even in young people. They commonly cause nervousness; anxiety; insomnia; palpitations; arrhythmias; and other troublesome side-effects.
Americans May Soon Claim Dietary Supplement Purchases As a Tax Deduction
Senators Tom Harkin (D-Iowa) and Orrin Hatch (R-Utah) introduced the Dietary Supplement Tax Fairness Act (S.1330) to Congress on August 2, 2001. The bill would put self-care products, such as dietary supplements, on a par with other medical care items, in that it would provide an IRS deduction for consumers who purchase them (when their total medical expenses exceed 7.5 percent of adjusted gross income). Premiums paid for insurance covering supplement purchases would also be deductible. The scientific panel of the Office of Dietary Supplement Research deems the legislation a valuable tool for the public health community by increasing the consumption of "disease-fighting phytochemicals."
Senator Harkin called the bill an effort to "advance sound health care policy." He added: "Our current policy is unfair and is failing to take full advantage of the potential to improve health and hold down health care costs through preventive health care practices available to consumers."
Senators Harkin and Hatch have been highly instrumental throughout the last decade in helping to create awareness of the scientific evidence indicating that nutritional supplementation may be a useful intervention in the prevention and/or management of many chronic degenerative diseases. Through their efforts, the Office of Alternative Medicine was established in 1991 at the National Institutes of Health (now the National Center for Complementary and Alternative Medicine -- NCCAM). The two senators also introduced the Dietary Supplement Health and Education Act, which has greatly improved consumer access to nutritional supplements and to the scientific evidence to support their safe and responsible use. In the words of Sen. Harkin, "Consumers need ready access to high-quality, reliable information. They need it and they are thirsting for it. And if it is done right, it will improve health, extend lives and reduce health care costs by keeping people healthy."
It is also interesting to note that the budget for the NCCAM rose from $3 million to $50 million in four years. For the fiscal year 2000, its budget was $68.3 million; when added to the other research initiatives undertaken by other institutions and centers in the U.S., the total complementary and alternative medicine investment in research and related activities was approximately $161 million for the fiscal year 2001.
Click here for previous articles by James P. Meschino, DC, MS.
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