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A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
July, 2004, Vol. 04, Issue 07
San Francisco Passes Controversial Massage Ordinance
By Editorial Staff
The Golden Gate Bridge. Lombard Street. Cable cars. San Francisco, long known for its distinct charm and appeal, has a little something for everyone. And effective July 1, 2004, "The City by the Bay" will add a controversial massage ordinance to its long list of unique characteristics.
In December 2003, former San Francisco Mayor Willie Brown passed the ordinance, which, among other things, shifts massage permit authority from the San Francisco Police Department to the Department of Public Health (DPH), and creates a two-tiered massage permit system that recognizes "therapeutic massage practitioners" on the one hand, and "adult entertainment massage workers" on the other.
According to information posted on the San Francisco Massage Ordinance Web site, the ordinance was created out of the need "to regulate adult entertainment massage and, in particular, massage parlors, which were perceived as a cover for prostitution-related crimes and as a magnet for activities ...that degrade the quality of life in a neighborhood." And though it was not intended to regulate massage practitioners, "therapeutic practitioners have been directly affected by the ordinance," nonetheless.1
The San Francisco Coalition of Therapeutic Massage and Bodywork Practitioners -- an alliance of professional massage therapists created to protect their interests -- did not believe in the necessity of city massage regulation; however, the coalition ultimately consented to the ordinance because of ensuing politics: "Most San Francisco elected officials have no desire to wipe out the massage parlors, so the net result is that therapeutic practitioners have to coexist, for the time being, with adult entertainment practitioners. We have come to the best compromise that we believe possible at this time."1
On the San Francisco Ordinance Web site, the coalition cited the following reasons for supporting the ordinance:
Under previous local legislation, all massage therapists were referred to as "masseuse/masseur" and required to have 70 hours of massage education. Under the new two-tiered system, the first level of practitioner, the "general massage practitioner," is required to have 100 hours to practice, while the "advanced massage practitioner" is required to have 200 educational hours.2
The ordinance also adds the "solo practitioner massage establishment" - a third business-permit option - to existing "massage establishment" and "outcall massage" options. The solo massage establishment business permit is available only to advanced massage practitioners and subject to fewer regulatory conditions.
While the ordinance may ease the permit process and clearly distinguishes therapeutic massage practitioners from adult entertainers, its implications do not sit well with some Bay Area massage therapists, especially since adult entertainment massage is often - though not always - associated with prostitution.
"Giving San Francisco's 'sex slave' rings, a compromise gift is not my idea of good massage legislation," said Brian Goodwin, BA, NCTMB, a massage therapist for over a decade. "I'm not necessarily saying California's massage law has to follow paths used by other states, but I do think any massage law should help protect the public. The new San Francisco massage law may offer the public a license to look at, but a license [that] represent[s] nothing."3
However, David Palmer, founder of the TouchPro Institute and co-chair of the coalition, sees things differently. "Legislation in the massage field is a complex issue," Palmer said in a phone interview with Massage Today. "The primary reason for all massage legislation is because of prostitution. Because prostitution is illegal, [some] are using massage as containers for business. In order to control adult entertainment, [we] need to regulate massage parlors...San Francisco is unique in that the Board of Supervisors does not see massage parlors as a 'legal' issue; they prefer to see massage parlor prostitution decriminalized except when there is a victim [of a crime]."4
According to Palmer, San Francisco city officials are primarily concerned with human trafficking offenses and the proliferation of sexually transmitted diseases. In order to address these issues, "San Francisco has not chosen to take a standard route to separate or distinguish adult entertainment from therapeutic massage," he said.4
And though Palmer admits the ordinance is "not a perfect solution," he believes it is a "clear step forward," and insists it is not a setback for the massage profession or future massage regulation. Instead, Palmer believes the ordinance benefits therapeutic massage practitioners, especially in regards to establishing private practices.
Palmer also stressed that the ordinance had the support of the American Massage Therapy Association (AMTA) and Associated Bodywork and Massage Professionals -- something Goodwin finds disheartening. "Months back, I wanted to get my picture taken setting my AMTA certificate on fire, and get [the photo] published," he said.
Goodwin has since taken a less drastic approach of conveying his distaste for the AMTA's support of the ordinance by simply withdrawing his membership.3
Conversely, Palmer is unfazed by critics. "San Francisco is a trendsetter," he said. "The message going out is that we've grown up in the past 20 years in this culture. San Francisco is saying, 'We trust [that] our citizens can make the distinction [between adult entertainment and therapeutic massage].'"
Palmer believes the ordinance is just the first of many transitions relative to San Francisco massage regulation. "It's not the last word in massage," he said. "But it's a good first word."
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