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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."
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."
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...
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.
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.
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.
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.
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.
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.
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.
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.
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 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!
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.
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.
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.
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.
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.
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.
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.
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.
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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