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Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
April, 2005, Vol. 05, Issue 04
We Get Letters and E-Mail
By Editorial Staff
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be edited for space and clarity, and published in a future issue or online.Please send all correspondence by e-mail to or regular mail to:
"I agree with the AMTA's position on accreditation"
I would like to add to the discussion on accreditation for massage programs ("Massage Therapy Education Accreditation: Industry Professionals Voice Their Opinions," Dec. 2004. www.massagetoday.com/archives/2004/12/02.html). I agree with the AMTA's position on accreditation. As long as all of the agencies use the same educational standards in their process, the overall goal of consistency of education in the profession will be achieved.
The problem with having different standards for education is that the potential students don't know who provides the best education, and the public is confused about the qualifications of the practitioners. The comments about accreditation not affecting curriculum or course content are true if the accrediting agency does not dictate the curriculum standards through the use of competencies. I have been involved in the accreditation process for the NATA and have seen how the implementation of competencies has boosted the level of education in the profession.
As far as higher educational costs, I would think that the administrative cost of hiring an experienced teacher would be well worth the student's investment. The only way we will elevate the profession is to have similar standards of education no matter what agency does the accrediting and have it mandatory that schools obtain accreditation.
Steve Jurch MA, ATC, LMT
"...50 percent plus tips won't look bad"
In response to Krystal Stone, LMT, (Jan. 2005, "We Get Letters & E-Mail," www.massagetoday.com/archives/2005/01/18.html) and others like her that don't like working for 50 percent plus tips. I suggest she open her own business then hire massage therapists to work at 70 percent or more -- plus they keep their tips! As new owner, Krystal will now be entitled to the percentage she only dreamed of before, along with the realities of having employees (who love her sense of fairness).
Krystal will now have to pay unemployment insurance state and federal, workmen's compensation, match social security and medicare payments, incur payroll expenses, which includes all the proper filing of government paperwork and yearly W-2 forms, and, of course, retaining these records. Did I mention malpractice insurance, public liability insurance, supplies, equipment for the therapists rooms, reception furniture, office supplies, etc.?
To keep her staff happy, Krystal will need a receptionist to schedule appointments and take care of the front desk duties -- and pay this person fairly, too. Fixed overhead expenses must be met, such as business lease of space, utilities and telephone. Variable expenses must be met, such as Mastercard machine and fees, client herbal teas, other refreshments, laundry and facility cleaning costs. (You can't expect the professionals to clean toilets and floors -- that is not what they went to school for.)
Advertising is a must in order to keep the staff working. Brochures should be printed, gift certificates and business cards. Is there room to negotiate health insurance or incentive packages for her staff? There are miscellaneous expenses, too: office supplies, appointment books, computer software, etc. I'm sure there are things I am forgetting, but I'll stop here and see if Krystal is now working at a 10 percent profit of her own service income, or worse, if she has provided a great business opportunity for other massage therapists, while she herself has spent all her money and long hours just to end up broke.
If Krystal has an attitude now, just wait until when she becomes the employer. I wonder what her idea of fairness will be then -- 50 percent plus tips won't look bad.
Dianne Marshall, LCA, MT
On Continuing Education
I agree with many of the points Alice Paprocki set forth in her letter complaining about the CEU requirements (Jan. 2005, "We Get Letters & E-Mail, www.massagetoday.com/archives/2005/01/18.html). The sticker shock from the price of workshops alone gives one pause.
However, as a massage practitioner, I must take issue with her on the matter of the need for all of us to have exposure to modalities that are not our own. As a former social worker in the public sector, I have seen what happens when professionals are not required to lift the lid from the jar on occasion. The air becomes stale, and innovation, improvement and flexibility are the casualties. We owe it to our clients and the profession to keep our minds open to new ideas; were we not required to do so, our busy lives might distract many of us from taking a look around.
Al Watkins, BSW, CMT
I am a massage therapist in Houston and have been doing massage therapy for over 30 years; the last few years I have done neuromuscular therapy exclusively. I have perfected a system that is effective for any muscular condition, particularly severe conditions that most doctors and other therapists cannot treat. I have worked extensively with chiropractors medical doctors who refer me patients when they don't know what to do with them anymore. In most cases, I can improve the conditions dramatically. I have taught seminars, trained massage therapists, worked in hospitals, and given lectures. I have contributed articles to medical and therapy journals. I have extensive knowledge of muscular anatomy.
When I first arrived in the U.S., I got my local massage therapy certificate and attended a comprehensive series of seminars, including kinesiology, sports massage, CranioSacral Therapy, neuromuscular therapy and many others. Some time ago the Texas board started a continuing education program that requires every massage therapist to attend each year in order to keep his/her license. I have taken a few six-hour classes that I found useless and elementary for the type of work I do.
I have reached the stage where I do not know what courses to take any more. Why must I spend my money for things that I already know and/or used to teach? I do not perform general massage. My patients need specific medical therapy. Can you suggest what I must do to avoid the boredom and the expense of taking continuing education classes that I do not need? Is there any provision that considers cases like mine?
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