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.
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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