resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
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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