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News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
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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