resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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%.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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).
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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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