resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
September, 2003, Vol. 03, Issue 09
Malignant Melanoma: Learn to Recognize a Killer
By Stephen M. Schleicher, MD, Lawrence A. Schiffman, DO and Brian J. Stairs, DO
Skin cancer has become an epidemic in the United States, with approximately 1 million new cases diagnosed each year. The most common form of skin cancer, basal cell carcinoma, rarely spreads to other organs; left untreated, however, this tumor will erode deep into the skin and cause local destruction of tissue. Another common type of skin cancer, squamous cell carcinoma, is related to two well-known risk factors: chronic sun exposure and smoking. If left untreated, squamous cell carcinoma has the potential to spread inward and result in death.
The most serious form of skin cancer is malignant melanoma, which accounts for the greatest number of skin cancer-related deaths worldwide. It is alarming to note that the incidence of this malignancy is rising at a faster rate than any other cancer.
Indeed, today it is estimated that 1 in 70 Americans will develop melanoma during his or her lifetime, with the risk increasing to 1 in 50 by the year 2010. Over 100,000 new cases of melanoma will be diagnosed this year worldwide. Unlike other types of skin cancer, melanoma can strike younger individuals, with one in four new cases occurring in persons below the age of 40.
Certain risk factors are associated with an increased chance of developing malignant melanoma, including having fair skin; blond or red hair; a history of blistering sunburns during childhood or adolescence; and a family history of this cancer. Certainly, anyone with a large number of moles is at risk, even more so if the moles appear to be changing.
Malignant melanoma is curable if diagnosed and treated in a timely manner. The key to survival is prompt recognition. The majority of melanomas remain symptom-free but are visible on the skin surface to the naked eye. Thus, every individual should examine his or her skin on a regular basis. Good light and a mirror are the only tools necessary for this self-screening; however, enlisting the help of a friend or relative for hard-to-view areas is recommended. Thoroughly examine the back; backside; posterior legs; scalp; and digits, including the toenails and fingernails. If a new skin lesion is noted, or if an existing lesion appears to have changed, consultation with a dermatologist is highly recommended.
Both the American Cancer Society and the American Academy of Dermatology recommend regular skin examinations by a trained professional, and individuals who fall into high-risk categories should be examined more frequently. Luckily, newer technologies using digital cameras and Internet-based image transmission will allow for more widespread screening, which will save more lives.
The ABCDs of Malignant Melanoma Recognition
What does malignant melanoma look like? When examining a skin growth, certain warning signs may signal the presence of this serious malignancy. These are easily remembered as the ABCDs of melanoma recognition.
Malignant melanoma is the most deadly form of skin cancer, but early recognition saves lives. Any mole that enlarges, changes in color or begins to itch should be viewed with suspicion and evaluated by a physician experienced in skin cancer recognition.
Caught early, malignant melanoma is a curable disease.
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