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An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
March, 2003, Vol. 03, Issue 03
Where's the Water?
By John Fanuzzi
As we shift our focus from the specifics of building a successful spa to this next series, called "Where's the Water?" I can't help thinking back to my first experience with the word "spa." I was about 20 years old (about 1970); a friend invited me as a guest to work out on the weight machines and soak in the hot tub at a place called the "European Health Spa." I was impressed with the entire operation, especially the hot tub.I noticed I did not have any of the postworkout muscle soreness/fatigue that would normally occur if I was out of shape and started lifting weights after months of no exercise. I felt absolutely great, so I signed up with the spa as a member and attended regularly. I remember days when it was ice cold outside, but after going back and forth between the hot water (109 F) and the cold plunge (34 F), I felt no sensation of it being cold outside. I felt completely invigorated. That tingling feeling is something you can only get with alternating hot and cold water.
I live in the Paradise Valley in Montana, where natural hot water is abundant. There are at least five hot springs within an hour, including Mammoth Hot Springs in Yellowstone Park. The Native American Indians considered the hot waters sacred ground. They have been around for hundreds of years except the Indians didn't use the word "spa." (The word is derived from "Spau," the name of a small village in Belgium known for its mineral hot springs.) The Romans had their own terminology for what they called "taking the waters." The word "Kur" is commonly known in Europe, derived from "kur" (or cure) towns, where the hot springs served as vacation/regeneration places. Chico Hot Springs, which about five minutes from my home, and Corwin Springs, about 20 miles south, were used as hospitals at the early 1900s, before modern medicine came on the scene.
In Germany in the mid 1800s, Bavarian priest Sebastian Kneipp suffered from pulmonary tuberculosis. He discovered a book by Johann Siegmund Hahn (1696-1773) entitled Instructions on the Wonderful Curative Powers of Fresh Water. That book saved his life. Kneipp immersed himself in the cold waters of the Danube regularly, which lead not only to his healing, but also his refinement of the science of hot/cold/warm water treatments. He became the world-renowned "Water Doctor" and authored a book titled My Water Cure. (I plan on discussing this book extensively in an upcoming article.)
Let's get back to the 21st century. We have created this fantastic "spa" industry, boasting revenues of roughly $10 billion per year; yet only a few spas offer the therapeutic hot/cold water treatments (or wet treatments of any kind). The U.S. has ignited the spa buzz worldwide, and in a big way. Don't you think we owe it to ourselves to go back to the simple curative powers of water, if we are to properly represent the traditional SPA meaning? After all, water treatments are still used by the medical industry in Europe.
So, where's the water? Tune in next month to find out.
Click here for previous articles by John Fanuzzi.
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