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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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).
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.
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.
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.
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%.
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.
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.
July, 2003, Vol. 03, Issue 07
Arizona Becomes 33rd State to Adopt Massage Regulations
By Editorial Staff
Arizona has become the 33rd state to pass massage therapy legislation. Senate Bill (SB) 1103, sponsored by Sen. Carolyn Allen, et al., was signed on May 12, 2003 by Governor Janet Napolitano, and will be formally introduced into law on July 1, 2004.
Elements of the bill could potentially assist massage therapists who have experienced difficulties practicing massage in multiple jurisdictions.Currently, individual municipalities have their own massage regulations, some of which contradict one another; this makes it difficult for massage therapists to work in more than one city. The Arizona House of Representatives cites this example: "... a massage/bodywork therapist practicing in Phoenix only needs 500 educational hours, while a therapist practicing in Chandler would need 700 educational hours. The cost of a license also varies depending on the municipality."1
Statewide licensure will require that all applicants meet the same criteria. Applicants will initially be required to complete a minimum of 500 hours of massage therapy education; pass a board-approved examination; and supply a complete set of fingerprints for state and federal background checks.
Provisional licenses can be issued to applicants who have completed a minimum of 200 hours of massage education and continuously practiced massage for three years; have been "self-supportive" as a massage therapist in Arizona since 1992; and possess a current professional massage therapy license from a municipality.
The bill will create the Board of Massage Therapy, to consist of three massage therapists and two community members, whose duties will include evaluating applicants; designating a national examination; issuing licenses; and regulating the statewide practice of massage therapy.
According to Susan Pomfret, chairperson for the Arizona Coalition for Massage Therapy and Bodywork (ACMTB), licensing legislation has been in the works for some time. "The great majority of massage therapists in Arizona do want statewide licensure," she said.2
Still, the bill has raised a few eyebrows in the massage community. A portion of the bill contains controversial language relative to massage therapists engaging in sexual improprieties: "...grounds for disciplinary action [include] ... engaging in sexual activity with a client ... making sexual advances, requesting sexual favors or engaging in other verbal conduct or physical contact of a sexual nature with a client."1
The bill also specifically defines what constitutes sexual activity or behavior.
The following excerpts are taken from letters Massage Today received expressing concern over the bill's language:
Pomfret strongly dened that opponents of the bill were mistreated: "All who have attended the ACMTB meetings have been treated respectfully ... I would respectfully disagree with the source that claims otherwise."
Judy Boyer, member of the AMTA-AZ board of directors responsible for legislative affairs, agrees: "... the coalition treated and continues to treat all participants with due respect."4
As for the bill's language, Boyer said, "This bill in no way restricts the practice of legitimate massage therapy. It draws a clear line between those who practice professional massage therapy and those who do not. This does not obstruct Arizona massage therapy professionals - it protects them. Indeed, the language is strong ... there can be no doubt that when you hire a massage therapist, you will get a massage, and if you get something else, you did not hire a massage therapist or someone destined to be a massage therapist for long."
According to Pomfret, many major cities in Arizona wanted to ensure the protection of massage therapists, as well as those seeking legitimate massage. "The city of Phoenix ... [and] ... other major cities in the Valley of the Sun have a strong interest in ensuring that individuals who would engage in prostitution under the guise of massage therapy have no room to do so in Arizona. The concerns of these Arizona cities have been taken seriously in the formulation of SB 1103."
As for complaints about the bill, Pomfret said, "There was no ambiguity about AMTA-AZs intention or the clear invitation for all who would potentially be affected to participate and have their voices heard ... therapists who do not want licensure had an opportunity to be heard in the coalition process; at the sunrise committee hearings; and when the bill was heard in committee in the legislature."
With the passage SB 1103, all but 17 states have some form of regulation. Look for continuing legislative updates in future issues of Massage Today.
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