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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
November, 2002, Vol. 02, Issue 11
My Dolphin Mentor
By John Upledger, DO, OMM
Since my first dolphin experience in 1954, I have had a strong intuitive and instinctive desire to do more with these wonderful beings. My first encounters occurred somewhere in the middle of the Gulf of Mexico.I was in the U.S. Coast Guard at the time, and our ship's captain would announce swim calls over the loud speaker. It was as though the dolphins heard the announcements and came to protect us. Oddly, I felt very safe and connected swimming 100+ miles offshore, even when we had seen sharks in the vicinity earlier.
Off and on over the next 30 years, I had so many positive dolphin encounters that my interest was well- maintained. Then, in 1996, we at The Upledger Institute had the good fortune to start a dolphin-therapist CranioSacral Therapy (CST) program in Grassy Key, Florida. The format was to float a patient in about four feet of water with three therapists working on the patient at the same time. Usually we had one therapist at the patient's head, another at the feet and a third at the pelvis. This left one side of the patient's body free for any dolphin that desired to join in the process. Never did we experience a dolphin's contribution as less than equal to our own.
We worked together with dolphins this way over a four-month period. During this time, I became very friendly with a particular dolphin named AJ. Actually, AJ initiated our relationship and I was more than happy to accommodate him. He would often lie very still in the water next to me while I was working with a patient. I could feel his presence even when we were not in physical contact with each other.
On one occasion, a trainer who had been observing from the pier suggested that I simply extend my left hand, palm down, upon the surface of the water. Within seconds, AJ was under my hand. He began moving so that my hand, which I held still, was rubbing up and down his back. Then he did something quite surprising. He put his blowhole - his breathing aperture - under my hand so that my palm covered it. Lore has it that you must never touch a dolphin's blowhole. Apparently the trainer agreed, because she nearly became hysterical. During her 18 years of experience with dolphins, this had never happened before. She later explained that you never touch the blowhole because the dolphin might go into a frenzy. With such powerful, energetic creatures, that could get very dangerous.
In any case, AJ kept his blowhole under my hand for a minute or so. Then he began moving his body fore and aft again for awhile before he left. During our contact, it felt as though his energy went through me. I felt empowered, and I had an innate sense that I would be able to tap into this vibrational energy and use it in the future as it seemed appropriate. Indeed, I did use it (and frequently still do) while working back on dry land at our clinic in Palm Beach Gardens, Florida. The use of this energy had become rather automatic for me. I didn't think about it much after our work with the dolphins at Grassy Key was over for the winter.
That spring, I flew to Edinburgh, Scotland, to conduct a symposium. There were about 70 therapists there, all of whom had completed intermediate-level studies in CranioSacral Therapy. At symposiums, I work on patients with difficult case histories who have been recommended by attendees. I think aloud as I evaluate and treat the patients, often inviting their therapists to join me in a "multiple-hands" therapy process.
During the morning of my second day there, I was working with a young boy who had suffered from cerebral palsy since birth. I encountered a very strong resistance to physiological motion in his head. This resistance was in the horizontal component of the intracranial membrane system (the dura mater of the tentorium cerebelli). Since I was working in a train-of-thought mode, I said aloud, "I'm going to use some dolphin energy here." The therapeutic energy input increased significantly at this time.
Ironically, during the lunch break, the audio-recording technician told me that as I applied the "dolphin energy," the static in his recording also increased significantly. He later reported that same effect each time I applied that energy over the course of the day.
After the symposium, I was approached by a conservatively dressed woman who appeared to be in her 60s. She informed me that she was a professor of physical therapy at the university in Edinburgh. She also told me she did not believe in anything that had not passed the rigors of scientific testing. Then, in a rather distressed voice, she explained that she, too, had heard the static of the dolphin energy through her hearing aid, which she had been using for over 20 years. She had never heard anything like this before. She said the static continued as I recruited dolphin energy throughout the third and final day of the symposium.
About a month after returning home from Scotland, I received a letter from the skeptical physical therapy professor. She told me that she was still did not believe in dolphin energy, but she also felt compelled to let me know that four days after the symposium, she discovered that she no longer needed her hearing aid. She said she could now hear a watch ticking with what was once her deaf ear.
She wanted me to explain what had happened. But by then, I had learned that there are many useful things you can rely on, but still can't explain. Among these are gravity, some electrical phenomena, and perhaps dolphin energy.
Thank you, AJ. You rank among my greatest mentors.
Click here for previous articles by John Upledger, DO, OMM.
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