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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%.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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).
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.
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.
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.
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).
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.
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.
September, 2003, Vol. 03, Issue 09
By Ralph Stephens, BS, LMT, NCTMB
As readers of this column are aware, I am not a big fan of health insurance. I prefer to work for the patient, not an insurance company. I place a high value on the confidentiality of the patient-therapist relationship.I also place a high value on my privacy; therefore, I am very sensitive to the privacy of patients and their records.
Relatively new federal regulations regarding privacy of medical records became effective in April of this year. These regulations are artifacts of the socialized health care system proposed by the Clinton administration early in its first term. Fortunately, their original proposal failed; had it passed, massage therapists would have been restricted to purely relaxation massage, or would have had to work for a physician or hospital - unless they wanted to become felons. It would have been bye-bye to private practice and first-door provider status.
Several concepts of this proposal reemerged as the Kennedy-Kasselbaum Bill, also known as the Health Insurance Portability and Accountability Act (HIPAA) of 1996. This 1,500-page bill was signed by Bill Clinton and implemented by George W. Bush. It is a bipartisan effort to set the stage for socialized medicine and to give the government complete access to all patient records for virtually any reason. This will, if allowed to evolve, give the government control over every aspect of our medical care. Remember, the government that controls the health of its people controls its people.
Its very name is deceiving; the terms "portability" and "accountability" might lead the typical person to assume this bill is to protect their medical privacy and allow them to change jobs and keep insurance coverage. That is a faulty assumption; rather, HIPAA is designed to protect the government's right to privacy as they collect and use your medical records however they see fit. The days of "government for the people, by the people" have become the times of "government for the government, by the government."
HIPAA is now in its data collection phase. All providers that file electronically must comply, according to published schedules. Electronic filing is much more efficient than paper filing, often allowing for higher reimbursement rates and faster claims payments. For these advantages, most providers file electronically, therefore they must comply. So, if you must comply, that compliance means turning over your patients' records - all of them, everything you know about them - to the government's new database.
Interestingly, filing manually or "paper-filing" compliance is not required - yet; therefore, you can legally avoid turning over your patients' privacy to the government for a while by filing manually. Unless you support more government control of your life, you might want to encourage your physicians, providers and colleagues to "paper file." Full enforcement is not scheduled to begin until 2005. There is still time to get this changed!
If you must comply, it is your duty to explain the outrageous intrusion this requirement is on your patients. Inform your patients ("clients," whatever you call them) that you will have no choice but to release their records to government agencies; insurance companies; direct mail marketers; law enforcement agencies; researchers; and other parties. If you don't, the database will. The HIPAA consent form I have seen is nothing more than a "Miranda warning," advising patients that anything they say or put on their forms may be used against them. I am being brief and superficial, but the more you know about HIPAA, the worse it becomes. Isn't this creating a great environment in which to practice health and wellness care?
It gets worse. In the name of patient privacy, offices and clinics are supposed to have separate entrances and exits, so patients don't see each other as they enter and leave. Does your waiting room have separate, private cubicles for each patient so they cannot see each other? Do you call your patients by name? If so, you are "invading their privacy" if anyone else is within hearing distance. You should call your patients by a number or code. How healing.
Isn't it interesting that after all this hype about protecting patients' privacy, the information you submit as part of their insurance claims is made available to anyone who can get into the database to be used against both patients and providers? This is the "double-speak" of today's regulatory environment. If you like this, if you believe in this, then you'll love what's to come. If you don't, you'd better start fighting with both hands to defend your rights and your patients' rights. Educate your patients and get them involved. Once rights are taken, they will not be easily returned.
There is potential help: The Association of American Physicians and Surgeons (AAPS) is fighting HIPAA. They have forms that help providers legally avoid HIPAA and explain it to patients. They are also working to repeal HIPAA with a bill that has been introduced in the House of Representatives. If you care about this, you should help support these efforts. Visit the AAPS Web site at www.aapsonline.org.
Of course, if you are a fan of socialized medicine and believe the government is going to better the lives of alternative providers (like massage therapists) when, in reality, they completely control us, good luck in your compliance efforts. I hope your office remodeling is enjoyable and the payback on your investment is prompt.
Be sure you are also providing the government with a huge amount of information about yourself and your practice by filing your patients' records with the insurance/government database. The information can be used against you, too!
If you do not want to be a government spy by collecting and providing the most private, personal information on your patients to the government (for who knows what purposes), you must join the fight for freedom of choice and privacy in health care, now!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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