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Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
April, 2004, Vol. 04, Issue 04
21-Year-Old Looks Forward to Pain-Free Adulthood
By John Upledger, DO, OMM
Author's Note: With all that has been written about scientific research, placebo effects, double-blind studies and such, one might wonder why I didn't listen to naysayers regarding CranioSacral Therapy (CST) and other techniques long ago.The following explains why I choose to listen to patients and their bodies, rather than to critics.
The smile on Jo Anna Wiersma's face speaks volumes beyond her words: "I've had pain for 12 years, and now it's gone." With one look, the tall, soft-spoken 21-year-old conveys all the hope of someone given a new chance in life - the first, really, for her.
Since the age of 8, Jo Anna Wiersma had lived at the mercy of reflexive sympathetic dystrophy (RSD), a neurological syndrome brought on, in her case, from a simple fall while roller-skating. Little explanation can be offered as to why she developed a life-altering condition from such a common childhood mishap. There is little beyond "the right set of circumstances all colliding together," as she puts it.
The pain began in Jo Anna's left foot about two days after the accident. It was a deep, persistent, "on-fire" kind of pain. The orthopedic doctor thought it was a sprain and put her in an air cast for six weeks. "It's the worst thing you can do," Jo Anna said. Casting and immobilization can actually worsen the symptoms of RSD. "My skin got a silvery sheen and was blue and purple." A family friend who was a nurse practitioner recognized Jo Anna's problem for what it was and recommended a doctor in the pain management clinic where she worked. Testing at Shand's Children's Hospital in Gainesville, Fla., confirmed RSD - a condition that has no known remedy.
Jo Anna found some relief during her teen years. "I was able to be in the marching band and on the swim team," she says. Then she started college, where she tried to do too much. The RSD flared up with a vengeance, spreading for the first time to her left hand. In a four-month span she went through seven lumbar punctures, two rhizotomies (in which the sympathetic ganglion nerves were severed), and an epidural catheter that left her paralyzed from the waist down for 11 days. That's when a friend of Jo Anna's mom recommended CST at the Upledger Institute HealthPlex Clinical Services (UI HealthPlex).
In a two-week intensive program, Jo Anna was found to have severe restrictions of her intracranial membrane system and dural tube - a compromised craniosacral system - and severe imbalances in her autonomic nervous system and myofascia. During the course of therapy, "I knew something was going on inside me," Jo Anna says. "There were times I forgot to take my methadone. And methadone is a drug that's really hard to forget because of the withdrawal symptoms and the pain that comes back." (Methadone is a powerful pain reliever that is extremely addictive; at this point, Jo Anna had been taking prescribed methadone for several years.) By the end of the intensive therapy program, Jo Anna's pain had improved enough that she was able to go back to school.
In January 2002, however, she faced another setback when she contracted encephalitis. Once again, the correct diagnosis was slow in coming. A neurologist, an infectious disease specialist and a rheumatologist all concluded that her condition was a complication of the RSD and medication. "They automatically assumed it was the RSD and was psychosomatic," Jo Anna recalls. In April, another neurologist finally confirmed the problem was encephalitis.
Jo Anna stepped up her appointments at the UI HealthPlex, coming at least twice weekly and going through another weeklong intensive program. Finally, this past December, "everything started to get better," she says. Though she readily admits it was a tough process. "There were times when I got very discouraged, wondering if this was even working. It took a good year to recover from the encephalitis, and I'm still feeling some of the effects. Especially when I'm under stress, I get very tired and the pain in my foot comes back. But I'm pain-free most days of the week now, which, actually, is a weird feeling. I honestly didn't remember life without pain."
Tad Wanveer, LMT, CST-D, worked on Jo Anna for her official "last appointment." "What a difference," he observes. "Jo Anna shows a high level of improvement and balance in the areas in which she initially presented. It's wonderful to see this courageous, intelligent, sensitive young woman able to go back and live her life, " he adds.
And living life is exactly what Jo Anna is doing: "I have a lot more focus, and I'm more sure about what I want to do. One of my goals is to run a triathlon, which I would never have been able to do," she says. "I've never been able to run even a quarter of a mile. I'm also graduating from my community college and going to college in Ft. Myers [Florida] for their pre-med program." From there, she wants to attend the Kirksville College of Osteopathy.
Laughing, Jo Anna says, "I have a twin sister, and we've always been competitive. She's in Tennessee going to school. She's a chemistry major with a biology minor, and I'll be a biology major with a chemistry minor. During the summers, she works for a big pharmaceutical company, and she's been gearing all her research toward finding a cure for pain. I keep telling her, 'It's right in front of your eyes!'"
The sparkle in Jo Anna's own eyes reveals how anxious she is to prove her point. "You know, a year ago I didn't even know if I'd get this far. I didn't even know if I'd graduate with my A.A. degree," she recounts. "I look at everything as a gift. I have my life back now. And it's a lot better life than I had before."
I will never forget the last time I saw Jo Anna. She came into the clinic and said simply, "I'm all better."
"What?" I asked, somewhat surprised.
"I think I'm finished," she said. "I feel great."
Seeing that smile light up her face, I couldn't help but agree.
Click here for previous articles by John Upledger, DO, OMM.
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