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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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%.
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.
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 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.
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.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
January, 2003, Vol. 03, Issue 01
Institute of Medicine to Study CAM Use in U.S.
By Editorial Staff
Last spring, the White House Commission for Complementary and Alternative Medicine Policy released a report detailing more than 100 recommendations regarding the implementation of complementary and alternative medicine (CAM) into American health care.(Editor's note: See "White House CAM Commission Delivers Final Report" in the June 2002 issue). At the time of its release, the report was hailed by alternative medicine advocates as "a ground plan ... for ways to integrate complementary and alternative medicine approaches to health care into the system."1
Following on heels of that report, the National Center for Complementary and Alternative Medicine (NCCAM), the federal government's leading agency for scientific research on alternative medicine, has announced the launch of a $1 million, two-year study on the implications of CAM use by the American public. The study, co-sponsored by 16 federal offices and agencies, will be conducted by the Institute of Medicine (IOM), and is intended to answer several questions regarding issues of regulation, coverage and policy toward complementary and alternative medicine. Lyla M. Hernandez, MPH, a senior official with IOM, will lead the study.
The Institute of Medicine is a component of the National Academies, a private, nonprofit, nongovernmental institution created by an act of Congress to supply the nation with objective information on matters of science and technology. The IOM's role, as it relates to the National Academies, is to examine policy matters regarding public health, and to provide timely, authoritative health information and advice to government, corporations and the public.
For the study, the IOM will assemble a panel of approximately 16 experts from a broad range of CAM and conventional aspects of health care. Over the next two years, the panel will review existing data on CAM use, hold workshops, invite speakers to address the panel, and conduct other activities necessary to achieve the following objectives:
In addition, the IOM study will attempt to answer the following questions:
Why conduct such a study, and why put it in the IOM's hands? According to NCCAM Director Dr. Stephen Straus, because IOM is a nongovernmental organization, it was judged to be best suited to consider questions of CAM policy and research critically, yet impartially.
"Americans use CAM therapies in record numbers," Dr. Strauss elaborated. "The IOM's report will give us a clearer understanding of the scope of CAM use by Americans, as well as CAM's public health impact, and scientific and policy issues that will better inform our research decisions."2
In addition to NCCAM, the study is being cosponsored by the Agency for Healthcare Research and Quality and numerous divisions within the National Institutes of Health. Given the typical bureaucracy that takes place between government agencies, especially when funding is involved, the fact that 17 separate organizations were able to agree on one common subject shows the increasingly important role complementary and alternative medicine are playing in American health care.
Recruitment of panel members is already underway. For more information on the study, contact the NCCAM's press office at (301) 496-7790.
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