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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.
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.
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.
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.
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.
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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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."
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.
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.
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.
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.
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.
July, 2004, Vol. 04, Issue 07
Hepatitis C: The Silent Epidemic
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
The votes are in, and we have a clear winner: Hepatitis C is the disease under discussion this month. I got several letters asking for an article on this topic, but this one really caught my eye:
I am so grateful to Kimberly and her willingness to ask questions like this. I called infection control at my local hospital and was referred to the Centers for Disease Control and Prevention. They publish a guidebook (167 long pages) on occupational exposures to hepatitis B, C and HIV (www.cdc.gov/mmwr/PDF/RR/RR5011.pdf), but the long and short of it is this: HIV and hepatitis C are most efficiently communicated through blood or sexual fluids. They do not occur in large enough amounts of saliva, sweat, urine, or other accessible fluids to be considered communicable in this form.
As long as Kimberly avoids open lesions (on herself and her client) and washes her surfaces (table, linens, bottles, hands, clothing) carefully, there is zero risk of contracting or transmitting either HIV or hepatitis C to her clients or family. Here's the lowdown on this mysterious infection:
History and Demographics: Way back in the late 70s, we had hepatitis A, hepatitis B, and a third little-understood pathogen called "hepatitis non-A, non-B." The virus wasn't named officially until 1989. (Now we have identified hepatitis types D, E, F, and G.) This virus, which is unrelated to any other hepatitis virus, causes long-term infections with a high risk for chronic liver disease.
Only 5 percent to 25 percent of infected people recover spontaneously; the rest are considered to have chronic hepatitis C infections. About 15 percent of that group develops cirrhosis within 10 to 20 years, and the risk of liver cancer is much higher than that of the general population. The presence of other illnesses, specifically HIV, hepatitis B, or alcoholism, raises the risk of complications from long-term hepatitis C infections.
Hepatitis C is the most common bloodborne infection in the U.S. It is carried by close to four million Americans, and almost three million people have the disease as a chronic infection. Hepatitis C is estimated to cause about eight to 10 thousand deaths per year.
Communicability: Blood-to-blood contact is the most reliable way to transmit hepatitis C, though in about 10 percent of all cases, the mode of transmission is unclear. Blood-to-blood contact can come about in the form of shared drug needles; accidental needle sticks in medical settings; or contaminated medical, tattoo, or body-piercing instruments. Hepatitis C is also considered a sexually transmitted disease, although this appears to be a relatively inefficient method to spread the disease, unless the uninfected partner is already health-compromised.
Signs and Symptoms: Symptoms of hepatitis C are weakness, fever, nausea, and possible jaundice. They often do not appear until many years after infection, when the liver can no longer compensate for the damage that has accumulated; however, an infected person can spread the infection to others well before symptoms appear. Because of the delay between exposure and the development of symptoms, the majority of people diagnosed in the 1990s were probably infected in the 60s and 70s when the long-term risks of unprotected sex or intravenous drug use were not fully understood.
Treatment: No vaccine or gammaglobulin shots protect against hepatitis C. Treatment starts with good sense (rest, fluids and good nutrition) and close monitoring to watch for signs of complications. Interferon and ribavirin may be prescribed separately or together to try to control the severity of the viral attack. Ultimately, a hepatitis C patient may have to consider an organ transplant. Almost one-half of all the liver transplants conducted in the U.S. every year are to correct the damage brought on by hepatitis C infections.
Massage for hepatitis C?
Many people with hepatitis C have no discernible symptoms, because their livers can keep up with the damage caused by the virus. These people are also good candidates for circulatory - or other types - of massage. Later in the disease process, judgments must be made based on the overall health and circulatory resiliency of the client. It is important to remember that the liver is a keystone for fluid management in the abdomen. Because it processes blood from both the hepatic artery and the portal vein, if the liver is overtaxed, the result may be distant edema or ascites (the accumulation of excessive peritoneal fluid). Any client who is positive for hepatitis C and who shows any signs of liver dysfunction (jaundice, malaise, edema) should consult his or her primary health care provider to determine if the circulatory impact of massage might overcome the liver's ability to adapt.
Next time: What would you like to see: West Nile Virus? Warts? Herpes? If I don't get a consensus from you, I will explore a fairly newly recognized phenomenon: metabolic syndrome. This is a group of signs and symptoms that set the stage for type 2 diabetes and heart disease -- the leading U.S. killers.
Drop me a line and let me know... what's on your table?
Many thanks and many blessings,
Ruth Werner, LMP, NCTMB
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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