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Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
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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