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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 It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.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
Expedition Costa Rica 2004
By Madeleine Evans, LMT
February's expedition to Costa Rica went too fast and ended too soon. Seven massage therapists made the trip: Sandi Minck, Elise Linden and expedition leader, Elvis Mairena (NJ); Kathy Carlson (Ore.); Katie Haley and myself (Fla.); and Brian Nutter (Md.).Accompanying us were Brian's lovely wife, Rebekah (our much-needed interpreter) and the couple's beautiful 10-month-old daughter, Helena (our public relations person - nobody could resist her charm).
Elvis, a native of Costa Rica who now resides in New Jersey and works as a sports massage therapist for Rutgers University, got the idea for the Costa Rica project after his mother volunteered in an orphanage for handicapped children. The first successful expedition was in July 2003; a subsequent article published in Massage Today (www.massagetoday.com/archives/2003/09/03.html) engendered much interest, prompting Elvis to gather a new team of volunteers for this year's trip.
We first went to Tamarindo, in northwest Costa Rica by the Pacific coast. Some of us stayed at a tourist hotel, while others opted for the more modest cabaneras, which cost about $10 a night. From there, we drove to the Clinic Hogar Maria Immaculada in Puntarenas, and administered massage therapy to the residents and staff for two days.
Most of the clinic residents were at least 70 years of age; some were receiving massage for the first time. They suffered from various illnesses, including diabetes, cancer, polio, stroke, Alzheimer's disease and dementia, yet they appeared happy. They had an irresistible mixture of shyness and friendliness toward us. During the massages, there were many contented smiles and lots of laughter by our attempts to communicate in Spanish. We touched these people with our hands; they touched us with their smiles and kind words, and we made friends.
During our late lunch on the second day, I noticed that Elvis was up to something secretive; I noticed a group of 15 children and a few adults sitting outside on benches. Curiosity got the best of me and, armed with my video camera, I inquired about what they were doing. "We don't know," the adults said, and indicated that they had been called by the clinic's administrator to meet there with the children.
As it turned out, Elvis organized a lecture for the children on "good touch," which was a lot of fun. Elvis taught the kids some easy techniques, including how to apply pressure to a friend's hand if that friend had a headache, how to massage each other's shoulders, and other good remedies. At the end, he tested their mental math skills and offered small coins as rewards. The children were full of joyful energy. Most of the kids were predestined to work the land, Elvis said, but he was hoping that they would remember the massage lecture.
Who knows? Perhaps one or more of those children would become massage therapists some day. I was amazed that those adults and their children had waited patiently without knowing what was in store for them. If Costa Ricans were so trustful with us, we could certainly trust them in return, I thought. We left Puntarenas a bit reluctantly.
A couple of days later, we worked at The Inn for Elders, near Quepos, where we gave a lot of seated massages and a few table massages. We received the same warm welcome from the residents, and were again impressed by the cleanliness and bright look of the place. The tiled floors were impeccable and the walls were freshly painted.
We noticed that the residents did not have many personal belongings in the bedrooms and that they were always outside socializing, which, perhaps says something about how "things" become unimportant at the end of one's life, while being around other people remains desirable.
Three of the residents were dying; Sandi worked on a resident dying of cancer: "Once I put my hands on him and started to do the massage, his whole face changed. He got a big grin from ear to ear. At some point we made eye contact and it was an exquisite moment; no words needed," she said.
The last place we visited was the Disabled Children Clinic. Children suffering from cerebral palsy, Down syndrome, and other disabilities, were brought to us by their parents. Mothers watched attentively while we worked with their children, and later, the parents received massage. The director of the clinic told us how much the mothers appreciated what we had done for them. "Those mothers are so poor and so tired," she said. "Getting a massage is a miracle for them." We were happy to make that miracle come true.
We also got a kick out of playing Santa Claus. In a big sailor bag, I had children's clothes and stuffed animals donated by coworkers back home. The joy the gifts brought to these families made it worth dragging that huge bag through the airport.
Plans are already in progress for next year's expedition. Here are some words of advice to future team members:
My advice is to invest in a small Spanish translator - and have fun speaking with the locals.
In every possible way, the trip was a success. What surprised us the most was how much fun we had with each other. We were a group of strangers brought together by a common interest. We were all ready to be "nice" and "polite" to each other; what we had not expected was to become old friends in a matter of days. According to Sandi, the influence of a special dessert made of watermelon and guaro had a lot to do with our wonderful and sudden friendship.
I believe that when caring people are grouped together to do good things in the world, the Gods are always in their favor. And also, massage therapists tend to be really neat people!
For more info about the next expedition, contact Elvis Mareina at or Brian Nutter at .
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