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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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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).
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.
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.
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).
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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.
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%.
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.
We Get Letters & Email
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.
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.
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.
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.
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.
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.
December, 2002, Vol. 02, Issue 12
We Get Letters & E-Mail
More Perspectives on Legislative Problems in PA
By Editorial Staff
The following three letters to the editor comment on LaRose Daniels' article, "Legislative Problems in Pennsylvania," which appeared in the November issue.(To read the original article, click here.) The first letter was submitted by LaRose herself; the second and third letters were submitted by members of the American Organization for Bodywork Therapies of Asia (AOBTA), which is also working on exemption language for the proposed bill.
Thank you for this opportunity to respond to Ms. Flagg's comments regarding the article about legislative problems in Pennsylvania. Ms. Flagg suggests that APTA waited until it was too late in the process to get an exemption into the bill. This is inaccurate.
APTA has made its needs clear all along, which resulted in polarity therapy having a title exemption in the bill, until Ms. Flagg unilaterally removed it. Once it was removed, APTA has asked repeatedly that it be reinstated, and has provided the coalition in PA with model language as developed by the energy practices of the Federation.
Unfortunately, the coalition, of which APTA is a member, is not working according to the consensus process. It is a serious problem when one practice decides it can override and dictate to another practice.
LaRose Daniels, MS, RPP
This is in reply to your November cover story. For the record, AOBTA has been involved with the PA legislative coalition since the beginning. George Fleck began working with them, and we stepped in when we took over as AOBTA state representatives.
In the last few meetings, the mood in the coalition has changed. Previously, it had been one of joint effort and concern for all involved. Now, the AMTA just wants the bill passed, and it seems that it doesn't care who it affects adversely. AMTA truly believes its exemption wording will cover any touch profession that doesn't want to be in the bill, and we disagree. Our continued objections to the wording were not recorded in the minutes of any of the meetings. If AMTA didn't insist on having such a broad scope of practice, we wouldn't have the need for specific exemptions.
The PA bill isn't great for massage therapists, either, since they would share a revolving seat on the board with dieticians. So, for two years, they'd have no control over what goes on. Who would want that?
As Asian bodywork therapists, we are not opposed to licensing, so long as it's equitable. But we demand a voice in the legislative process, and want to have a seat on a board that legislates to us. Is that so hard to understand? We primarily want exemption from this bill because it gives us absolutely no voice. The Nursing Board (with one dietician or massage person) could easily ignore our Asian bodywork therapy education and credentials, requiring that we all go to massage school. (This has happened in other states.) This could severely limit our practices. We're not saying it will happen, but it could, and we need to be wary of that.
Despite AMTA's statement about only granting exemptions to practices with "recognized legal definitions," the bill, as it now stands, does have an exemption for reflexology by name. It is our understanding that reflexology does not have legal trademark status for its modality. At the coalition meeting, it was explained that, because reflexology had been working with the coalition for a long time, it was allowed the requested exemption.
As we've noted before, the AOBTA has also been involved in the coalition process for a long time, yet we were not given the same courtesy. If the AMTA can give a specific exemption to one profession, it must give it to others. We must stand up for ourselves and fight for our rights, before they are swept away.
Pattie Middlemiss, MSN, RN, ABT
Susan Wood, ABT
I have been a Jin Shin Do® practitioner for 27 years. Our profession has had its own "legal definition" for about 30 years. Twenty years ago, even though I had studied my profession for seven years, I was required to attend massage school for a year to qualify to sit for a licensing exam to touch in New York State. I am now a Pennsylvania resident, but I see the same type of legislation being proposed here.
In response to the comments submitted by Retta Flagg and Ron Precht, I think their words point directly to the concerns of non-massage bodywork practitioners. First, the discussion over the exemption clause at coalition meetings did not begin at the July meeting. AOBTA representatives questioned the language from the beginning, and sent to the coalition president language agreed upon by six of the seven members of the Federation of Massage, Bodywork and Somatic Practice Organizations, of which AMTA is a member.
The AMTA language leaves a large opening for interpretation by massage-oriented regulating agencies (as in New York) to define all touch therapy as massage, and thus to subsume all other bodywork practices under its auspices. This of course would require anyone practicing non-massage bodywork in states with these laws in the books to spend significant time and money to study a discipline unrelated to their work, just to be "legal" under these definitions.
I do not begrudge people their attempts to strengthen their economic base, except where it infringes unfairly on the livelihood of others. Essentially, this tactic supports a monopoly on touch therapy education and definition.
Deborah Valentine Smith, LMT
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