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Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
March, 2003, Vol. 03, Issue 03
Of Parables and Other Things
By Ralph Stephens, BS, LMT, NCTMB
A parable can be a fun way to make a point. It is up to the reader to figure out what the storyteller is really talking about - there is always a deeper meaning or lesson to be learned.This month, I would like to share a parable submitted by a reader, James McFarland.
Wasn't that special? So many want something for nothing. Few realize the true cost they pay for a free lunch. Thanks to James for the story. He says he wants everyone to remember, "If you want to be part of the herd, you have to be willing to be milked."
Smallpox vaccinations have begun. My home state of Iowa is one of the first to vaccinate. I am so proud. This will wake up a dead disease. Smallpox is not explosively contagious and does not make for a good bioterrorist weapon. However, by implanting the virus in thousands of health care workers, an epidemic is quite possible. After all, they will become infectious to others for up to 21 days, while working around people most of whom already have weak immune systems or they wouldn't be in a health care facility. Of course they say it is only contagious by coming into contact with the infected site, which will be covered. If in fact smallpox can only be spread by physical contact with another individual's infected site, how could smallpox be introduced into a population, much less spread through it, except by vaccination? So, who are the terrorists, and where are they from? We will soon see. I Hope I am wrong. Stay tuned for more on smallpox next month.
Until then, if you are concerned about your health and want to know more about vaccines, health, and other interesting stuff, check out www.vaclib.org. Another good site is www.mercola.com - osteopath Joseph Mercola's weekly health newsletter is a wealth of alternative health information. For those of you interested in the battle between health and medicine, check out Tim Bolan's www.bolenreport.com or www.quackpotwatch.org/default.htm.
Pass the Carbs
Speaking of health, I just found a study showing that animals fed nothing but white sugar and pure starch (organic white sugar and pure starch, by the way!) died sooner than those who received no food at all. This should tell you something about the dangers of high-carbohydrate diets.
A Clinical Question
Every now and then, I can't resist incorporating a little technique into this column. So, ponder the following question, and I'll provide the answer in next month's column month:
Until then, take good care of yourselves - you deserve it. Tune in next month for more good stuff.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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