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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
July, 2003, Vol. 03, Issue 07
By Ralph Stephens, BS, LMT, NCTMB
One problem with "sickness-care," as practiced today by the allopathic community, is the overall focus on the good of the professions, rather than the good of the patient. The public has embraced alternative providers for their health and wellness, as opposed to sickness-care.Alternative providers focus on the good of the patient in one-on-one relationships, but that seems to be changing.
Success brings with it greed and power struggles. The alternative professions are losing their patient focus and becoming more self-indulgent. The allopathic system loves this, as it slowly brings its competition under their control. One obvious sign of this degeneration is the lust for access to and acceptance by the allopathic insurance industry. For money and perceived status, alternative practitioners are willing to give up their independence as first-door providers, as well as their patients' rights and privacy, which, incidentally, will be much harder to get back than it was to give up.
"Turf wars," or battles for exclusive scope-of-practice regulations, are classic examples of self-focused, professional greed. Why should it matter if a patient finds relief from a trigger-point-induced headache from a PT, DC, LMT, MD, or an XYZ? Shouldn't the point be that the patient found relief? Should it matter who deactivated the trigger point? Wouldn't it be better for the public if more practitioners could deactivate trigger points or practice any technique of manual therapy? Of course it would; unfortunately, these days, it seems we dare not have the wrong people doing too much good.
Because the licensing scam invented by the allopathic physicians gives them unrestricted scopes of practice (they got there first), other providers have had to join the licensing game to legally define a scope of practice they can work in. Without being legally defined and allowed, any health provider other than an MD is technically "practicing medicine without a license" and in danger of prosecution at the whim of the medical board. Each profession attempts to carve out its niche - hopefully, as large a niche as possible - allowing it to do as much good for the public as possible. However, it must be realized that the professions are going to have overlapping or shared techniques that they all can and, arguably, must do. Touching the patient is one of these. When licensing efforts are used to restrict the use of common hands-on techniques like joint mobilization, range of motion and various alignment techniques that have been utilized by hands-on (manual) therapists for centuries, it is not for the good of the public: It is done out of greed.
Currently, DCs are trying to pass legislation aimed at PTs that will severely restrict the massage therapist's scope of practice. I detailed part of this unethical power grab by DCs in the October 2002 issue (www.massagetoday.com/archives/2002/10/13.html). I commend Cliff Korn for his excellent editorial on this subject in the May 2003 issue (www.massagetoday.com/archives/2003/05/10.html).
It is time for the health-care system to focus on the good of the patient, not the good of the professions. Patients deserve better than to be "practiced on" as their health is managed into the grave. The focus on the good of the industry at the expense of the patient is the reason so many people are seeking alternative providers. They are searching for health care and for caring. They want an alternative to the allopathic system. It is disgusting to see alternative providers carrying on like a bunch of allopaths, fighting over who can push on tissue in a certain way. The irony of chiropractors trying to "pull the ladder" up behind themselves would be laughable if they weren't so serious about it. Here is a profession that ripped off most of its foundational techniques from other professions and is now demanding they be the only ones allowed to use them! This is a classic example of how the health-insurance industry corrupts a health-care profession.
The arguments between PTs and DCs are not really over the welfare of the patient, although that is always the excuse used in public; rather, the arguments are over who gets to bill what to insurance. In the process, the massage therapist's scope of practice may well be curtailed to pushing oil around - lightly. Massage therapists need to become involved in this dispute, both as individuals and through our associations, to prevent this power grab by the chiropractors from becoming law anywhere. DCs plan to go state-by-state with it, so watch for it coming to your legislature soon. Shame on the DCs who support this. Bad DC - no donut!
I promised I would not mention Texas in this column again until I had positive progress to report. It didn't take long. A dedicated group of professional massage therapists assembled at a beautiful retreat center an hour north of Houston on May 16-17, 2003. The results of this meeting will, I believe, bring significant, positive changes to the massage profession in Texas. It may even set an example for other states to follow. The AMTA Texas Chapter has a new Board of Directors and new committee chairs planning meetings, surveys and events. This revitalized professional organization is going to be well worth getting involved in if you practice in Texas, if not as a member, then as a guest: The new leadership will welcome you. When the seeds planted at the May meeting bear fruit, the image of massage, the safety of the public and the safety of massage therapists will significantly improve. Watch this column for more positive news from Texas.
Hope you are having a great summer. Best wishes for a safe and happy Fourth of July!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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