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NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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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