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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.
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.
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.
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?
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
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.
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.
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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