resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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."
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.
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."
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.
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.
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.
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.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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.
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.
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.
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.
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.
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.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
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."
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.
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.
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 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.
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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