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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
April, 2003, Vol. 03, Issue 04
Healthy Dissent and Alignment
By Ralph Stephens, BS, LMT, NCTMB
Currently, the United States spends about 1.5 trillion dollars a year for health care, and that figure is projected to double in less than 10 years.To quote Dr. James Mercola, "The sad tragedy is that we are spending all of this money on disease management focused on drugs and surgery, and our return on this investment is profoundly poor. More and more people do not have the energy they need to get through the day, while millions of others are suffering with painful crippling diseases because they have violated basic health principles."
The sad truth is that the basic principles of health are carefully not taught. Of course, this benefits the allopathic-pharmaceutical cartel, which only makes money if people are sick. Last year, health reporter Nick Regush explained it this way:
Unfortunately for the health of Americans, the medical monopoly is not going down gracefully, but kicking and screaming. It is mostly screaming, "Quackery, anything and everyone but us is quackery." Their only hope is to gain control of and co-opt the alternative health care movement, which is more than a movement, but a trend; a wave of change sweeping across the country. Why are the alternative disciplines desperately seeking the approval and acceptance of the dying, allopathic medical cartel? Why they do this instead of establishing themselves as the clear, health-care alternative is beyond me. The need to be accepted, to be "normal" is so strongly programmed into people, isn't it?
The public is running toward us with open arms and wallets, and we are dragging them back into the allopathic system so insurance will pay for it. History proves that insurance will not pay for enough of it for true alternative health care to be effective. Allowing only 10 visits a year for fibromyalgia, 20 visits for chiropractic, etc., is probably worse than nothing, as it drives people back into the allopathic system for care. The allopathic gatekeepers will put massage and other alternative treatments on the shelf once they gain control of them through insurance. Look back and you will see that "manual medicine" was deliberately phased out of the medical system once already. Once the allopaths gain control over it again, history will repeat itself. When that happens, with no alternative available to the public, the sickness system will blunder on, continuing to be the leading cause of death. Think about this as you lust after the fabled pot of gold at the end of the insurance rainbow, and the acceptance of the medical community.
Dissent is everywhere these days. Consider the following quote:
Dissent is good. From dissent comes change, progress and improvement in the human condition. May we always view honest dissent as healthy and welcome it.
I promised more on smallpox this month, but more information is rolling in as we speak, so stay tuned. In the meantime, if you are concerned about this issue, start looking into homeopathy.
Last month, I asked the question, " In relation to posture, what are the three most important bones in the human body to have properly (correctly) aligned on the horizontal planes?" According to Jerry Hesch, a physical therapist from Albuquerque, N.M., and one of the foremost experts on sacroiliac joint dysfunction (and a really great guy), the three bones are the talas, the sacrum and C-1.
For a chiropractic perspective, I asked Dr. Jason Cupp, DC, from Iowa City, Iowa (another great guy). He suggested, that from a straight chiropractic perspective, the three most important bones are L-5/sacrum, T-5 and C-2. He finds that C-1 tends to shift laterally, but remains on the horizontal plane, while C-2 is more likely to rock or tilt.
According to I.A. Kapanji, L-5 is tightly bound to the sacrum by ligaments and has minimal ability to move on its own. Therefore, one could argue that where goes the sacrum so goes L-5. C-1 and C-2 are really a working unit. Think about this for a minute.
What to do about it? Start with a careful assessment of each of these bones, its joint system and the patient's overall posture. This is done visually and by palpation.
Specific massage techniques, precise stretching, manipulation and strengthen exercises have been the methods found most effective to align these bones. Drugs have not been found to be affective or to bring about changes in alignment of these bones unless the drugged patient falls, in which case the resultant movement seldom brings about a desirable correction. Of course, any thrusting manipulation must be done by a provider with an appropriate license.
No Therapist Is an Island
Often it is best for the patient if a multidisciplinary approach is utilized. Through some combination of massage therapy, chiropractic, osteopathy, physical therapy and exercise, change may be accomplished faster and last longer. Of course, not every one of these disciplines needs to be involved; however, any two or more can work together, based on the needs of the patient, to accomplish the desired goal.
There needs to be more networking and interdisciplinary cooperation, with each provider respecting the value of the other's techniques, recognizing the limitations of their own, with the focus always on the good of the patient, never on the good of a practice or a profession. Think the pharmaceutical cartel and its puppet politicians will allow that to happen? If this is an unpleasant question for you to ponder, continue reflecting on the three bones, and how to best bring about skeletal (and maybe even planetary) alignment.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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