resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
May, 2004, Vol. 04, Issue 05
Mission to Peru: Giving and Receiving
By Eva W. Jones, LMT
I entered the massage therapy field in 1988 after teaching classical ballet, dance and exercise for 30 years. The world of massage has opened so many wonderful doors for me. The 1996 Paralympics gave me the chance to work with disabled athletes, where I learned how important it is to work hard with what you have and not spend time worrying about what you do not have.
Every year, a dentist in my hometown gathers a team of other dentists, oral and plastic surgeons, anesthesiologists, nurses and paramedics, and travels to Peru on a project she founded named "Rotocleft." The families of children with cleft palates cannot afford the expensive corrective surgery.And these children are at a disadvantage because of the negative societal implications of having a cleft palate. Sometimes they are ignored, shunned and even hidden by their families. Some may even be killed. How proud I was this past spring when this dentist called me. They needed a massage therapist on the team to work on the staff, and asked if I would I like to go.
"Don't Sweat the Small Stuff"
We were each issued two medical bags to check in at the airport, and we could only take one carry-on bag and backpack for our personal needs. "What about my massage table and supplies?" I thought. But I was told not to "sweat the small stuff"; we would see what we could put together when we got there.
We left on Feb. 27, first to Miami; and then a five-hour flight to Lima. We were greeted by the Rotary Club of Huacho when we arrived. They were so happy to have the team come and perform this valuable service for their people. We rode a bus for the two-hour trip to Huacho, where the team would perform its work. Huacho is on the coast and it is much like a beach town: sunny and warm.
Our hotel was nice. I had my own bathroom, hot water and a towel - but no washrag. Here again, I had to remember to make do with what I had and not to sweat the small stuff. At one point, I wondered if I had made the right decision to come. I had seen the grass, cloth houses of the town. I was told it never rains - at least not very often. So, what happened on Friday night? It rained. That is when I learned to never say "never." After checking in to the hotel, we toured the town. And during the course of the week the locals got to know who we were. I learned how to have conversation and ask questions in Spanish with lots of hand signals.
On our first morning we met for breakfast and got our duties. The team was to examine the patients wanting to have the corrective surgery. We walked in and lined up against one side of the hallway waiting for the hospital personnel to meet us. The children and their families were lined up on the other side of the hallway. We all just stood there and looked at each other and smiled. I looked at one little girl and smiled. She ran over to me and gave me a big hug and kiss. At that point, I knew I had made the right decision to come; I was so glad I had been asked to join this team.
The doctors were already performing visual exams and discussing the faces they were seeing; it was interesting to listen to. The doctors examined each child and chose their candidates for surgery. It was hard; every child could not have surgery because of the limited surgical supplies, the inability to perform follow-up corrective surgery, and the health risks and health limits of some.
Each patient had to have his or her history taken, a check-up, and examinations with the three surgeons and the anesthesiologist. They set the days and times of surgery, deciding to work on the babies and young children in the mornings, and older ones in the afternoons. A few adults were scheduled, as well, and were so thankful. One young girl had carried a hankie in front of her face all her life. When I saw her in recovery a few days later, she looked so pretty. It would be about six to nine months before the swelling would go down completely, but there would be no more hankies for her.
We started bright and early for the hospital for the first day of surgeries, and I was so excited. I had to wear a mask, scrub hat, and booties over my shoes while in the surgery suite. We all looked like light green fluffs walking around. The main room for our supplies was like a M.A.S.H. Unit. We lived out of boxes and it was "hunt and seek" for a couple of days. I was a gofer and helped in different areas. I sterilized instruments, which was an eye-opener for me. It was amazing to see the various instruments used to repair the lip and palate. CranialSacral Therapy (CST) is a favorite technique of mine; I thought about how it could be beneficial to a cleft palate patient for the process of healing.
We ran into a hitch on Tuesday, when one patient's surgery that was supposed to last an hour turned into a six-hour ordeal. This changed the lineup for the other doctors and patients. Some trades were made and things worked out, but the result was another late night getting back to the hotel. I was beginning to wonder if I was going to get a chance to perform massage at all. We were all beat that night. When I went up to my room I intended to lay down on the bed and rest a few seconds; I woke up the next morning in a daze. I still had my scrubs and shoes on. I had slept in them all night and in one position!
I showered quickly and took a taxi to the hospital. I wondered if I would get the chance to massage the staff. I knew the surgeons really needed it. I had observed some surgery and could tell that they needed work. I was amazed at the amount of hard work these medical professionals performed with enthusiasm; they never complained and were always so happy to help.
One surgeon and his assistant wife have completed 58 missions. Another surgeon from Greece described what he was doing during surgery as though he was teaching; I learned so much. I was amazed at the process of opening the face, making the repair, and piecing it back together, layer by layer. When the last of the stitching is completed, a face appears that was not complete before the operation.
Another young surgeon carried his patients to the operating room in his arms and then back to the recovery room. His caring heart really showed. I watched the nurses, too. Some had given up their vacations to aid in this wonderful work. I've received awards for work I have done in my community; I thought that I had done my share of giving and helping others, but compared to these folks I was way behind.
Massage at Last
In the M.A.S.H. room, one of the doctors asked me to massage her temples. "Wow! Yes! I am getting to do my thing," I thought excitedly. I massaged her cervical muscles and performed CST. As I was working, others began to line up. I was finally needed for my art. We used a packing box of medical supplies for the sitting massage area and it worked fine. I was working with what I had and not worrying about what I did not have.
The last patient came out of the operating room and into recovery when we were cleaning up for the day. I was called in to massage and I was set up in one of the operating rooms. I learned how to raise and lower the operating table - once again, I learned to work with what was available. I was thankful to have the table to work on. I had three clients that evening, and I was so energetic when we left for the hotel. I had been able to massage and it felt good.
Our final two days went quickly. I got into the routine of helping with sterilization and giving massage as needed. I am glad that I studied sports massage and CST. Those skills sure helped! I could not slow these surgeons down, yet I had to relieve their spasms and discomforts, and still give them energy to keep going. This was the same as working at a sports event.
We left the hospital on Friday afternoon. I had made friends with the nurses and workers at the hospital, and I realized that I might not see them again. It was really emotional. We hugged and cried and let each other know how much we cared for each other. They thanked us for helping their people. The surgical team had performed 42 surgeries and the dental team had completed 1,000 dental procedures. That evening, the Rotary Club of Huacho had us over for a fiesta, where they recognized each one of us, and gave us a certificate and a flag. By the time they got to me I was crying. I realized what wonderful work this was and was so thankful for the many volunteers that gave their time and talent to help so many people face the world without shame.
Massage does this in a way. Have you ever noticed the face of your client when he or she comes in? After the massage session you notice a different face - one of relief and relaxation that says, "I can face the world better now...look!" Our work is important and should be highly respected. We need to take a look at our peers who are working hard to bring relief to those in their care. Let's support them. We are given the gift of caring, and sharing of our knowledge and support is so important; not just to our clients, but to our peers. We need to think like a team, and not sweat the small stuff.
We left for home on Saturday. I had a hard time sleeping. I just wanted to think about those whole faces. Because of our group, 42 faces would wake up on Sunday and be able to smile and not hide. The massage world led me to this work. I have learned to do with what I have available - and not to sweat the small stuff.
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