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Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
May, 2003, Vol. 03, Issue 05
FDA Proposes New Standards for Dietary Supplements
By Editorial Staff
The regulation of dietary supplements falls under the auspices of the Dietary Supplement and Health and Education Act (DSHEA), passed by Congress in 1994. Under DSHEA, makers of dietary supplements have an "essential responsibility" to substantiate the safety of the ingredients used in manufacturing a product, and are responsible for determining whether any claims made about their products are substantiated by adequate evidence to show that such claims are not false or misleading.However, supplement makers are not subject to mandatory standards for manufacturing or labeling, and if a product already on the market is found to be harmful, the Food and Drug Administration (FDA) bears the burden of proving it's hazardous, not the manufacturer.
On March 7, the FDA announced new guidelines for dietary supplement regulation in the U.S. The proposed guidelines would implement new, industry-wide standards in the manufacturing, packaging and holding of supplements, and ensure that they are labeled accurately and do not contain impurities or other contaminants.
"Americans must have confidence that the dietary supplements they purchase are not contaminated and that they contain the dietary ingredients and the amounts claimed on the labels, said Secretary of Health and Human Services Tommy Thompson in a news release. "Millions of Americans use dietary supplements, and we owe it to them to ensure that they are getting the products they're paying for."
The new rules do not address product safety or effectiveness of supplements; instead, they focus on quality control, and require manufacturers to follow new Good Manufacturing Practices (GMPs) to help increase the purity and quality of supplements. Specifically, manufacturers would be required to:
In addition, manufacturers would be legally obligated to evaluate the purity; identity; quality; strength; and composition of the ingredients contained in supplements, and to display accurate information on the product label.
The FDA would have the power to oversee the construction of manufacturers' plants, establish quality control procedures, and send inspectors into plants to test raw ingredients and finished products. It would also have the authority to remove products that are contaminated, contain the wrong substances, or have too much (or too little) of an ingredient.
The proposed GMPs would apply to all firms that manufacture, package, or hold dietary supplements or ingredients, including firms that test, label, distribute or oversee the quality of supplements. These regulations would apply to both foreign and domestic firms.
A company's size would determine how soon it must meet with the FDA's standards. According to the administration, there are approximately 1,000 dietary supplement makers in the U.S. Large supplement manufacturers would have to comply with the rules as soon as they go into effect, but smaller companies could have up to three years to implement the guidelines.
The FDA's announcement was welcomed by many consumer groups and members of the dietary supplement industry.
"The responsible manufacturers are happy to comply," remarked John Hathcock, an executive with the Council for Responsible Nutrition, which represents approximately 80 supplement makers that already follow voluntary quality standards. He added that some manufacturers "cloud our whole industry, and we're glad to see federal action to force them to ... get in line or get out of business."
"We think this will provide consumers with a lot more confidence in the products they are taking," added Donna Edenhart, a spokesperson for the Consumer Healthcare Products Association.
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