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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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).
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.
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.
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.
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.
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.
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).
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.
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.
April, 2004, Vol. 04, Issue 04
Therapist Finds the Right "Tools" to Unite CAM Providers
By Rebecca J. Razo
"What is the right tool for the job?" In conflict resolution, this quasi-rhetorical question seems perfectly natural, but former community and court mediator, Sonia Turanski, a successful massage therapist for the last 10 years, found that this question - her mantra, of sorts - could be asked in other settings, including the health care profession."It is my disposition to respect all sides of an issue," Turanski said in an e-mail interview with Massage Today. "And so, from the beginning of my massage training and career, I have seen every approach of medical care as a valid, important tool, with [that] question always [at the center]."
Indeed, Turanski asked this question again when she relocated to Maine's Blue Hill Peninsula, a quaint seaside community south of Bangor, and found a wide range of complementary and alternative medicine (CAM) practitioners in need of organization. Turanski discovered that a local hospital was recruiting for a community CAM liaison; she inquired about the position, and although it did not pan out for her, the seeds for her greater vision were planted. "My interest in creating a bridge between the differing camps of providers in our community came into focus," she disclosed.
A short time later, Turanski created the Acadia Health Association (AHA), a network of local providers spanning many different realms of CAM, including massage therapists, chiropractors, herbalists, psychologists, medical doctors, and many others. For Turanski, creating AHA was an important step in developing a unified system in which health care providers of all disciplines could network for the purpose of promoting the benefits of integrative health care to the communities in and around the Blue Hill Peninsula.
"The byline of AHA is 'integrated health care begins with us,' meaning that a system is not going to come down from above that we all plug into and magically become integrated, but that we, the providers, need to embrace the idea of working together with mutual support at a grass roots level," she said. However, once AHA was up and running, Turanski realized that the providers were only half of the equation. "I realized the need still existed for the population at large to have a resource for access to information and education about the variety of options available in health care, as well as a way to find out who in the community provided those services," she said.
That's when Turanski created Whole Health Access (WHA), "a holistic resource and referral service," according to its motto. WHA seeks to empower patients so that they can make informed decisions related to their health care. Turanski was preparing to present her idea for WHA to the local hospital where she originally inquired about the community CAM liaison position, when she received a visit from a childhood friend, Dr. Allen Tien, president of Medical Decision Logic, Inc. (MDLogix), a medical-based information technology software company in Towson, Md.
Since a number of MDLogix's projects are funded through grants, Dr. Tien suggested creating a Web-based database program for WHA, and offered to partner with WHA and apply for a grant to get the project off the ground. MDLogix applied for a grant through the National Institutes of Health's (NIH) Small Business Innovation Research (SBIR) program, and was approved in August 2003 for Phase I: a grant for $100,000 used for project research, development and testing, but not market research or marketing. According to Dr. Tien, principal investigator and overseer of the grant, Phase I, which usually lasts about six months, ensures that the project's goals are feasible; upon completion of Phase I, applications for Phase II may be submitted. Phase II usually lasts for about two years and funds are in the amount of $750,000.
Currently, WHA Phase I testing is underway. Local providers (some of whom belong to the AHA network) and a group of clients volunteered to test the software system over a three-week period. Providers enter information about their services, including contact information, specialties, etc., into the database, while clients conduct searches on the site based on health-related concerns by clicking on a series of checklists grouped under three categories: physical, mental and spiritual.
Clients also have the option of indicating preferences, including whether a provider is male or female, licensed or unlicensed, and insurance type. The system then matches a client's choices to appropriate providers in the network; however, what Turanski appreciates most is the database's interactive nature. "If someone doesn't find a descriptive term that applies to them, they can add it to the list. In this way, the lists of concerns and attributes are self-educating, with the system reflecting the actual words and categories of the people who use it," she noted.
During the testing of Phase I, the volunteer clients will evaluate the results generated by the search. At the conclusion of the study, all volunteers will fill out a survey describing their experiences with the service and provide suggestions for improvement. MDLogix plans to submit the application for Phase II on April 1. If funding is approved, Turanski hopes to test the program in other areas, including Baltimore; Portland, Maine; and Seattle.
For now, Turanski would like to see AHA continue its growth to include providers from all aspects of health care, and she notes that one of her goals for WHA is to de-emphasize the importance of categories that divide practices into conventional, traditional, alternative, and complementary. "My favorite saying [from massage school] is, 'when you are a hammer, everything looks like a nail.' I love this saying, because it so accurately reflects the self-importance that seems rampant in every school of thought. We need to respect the variety of skills out there, and to understand the limits imposed by our own beliefs...across the spectrum of health care, all providers offer important and relevant services. The question should not center around whether certain professions are better or more legitimate, but around 'what is the right tool for the job?'"
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