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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
June, 2005, Vol. 05, Issue 06
Massage Therapist Overcomes Long Odds: "You Have to Play the Hand that is Dealt to You"
By Michael Tisdale
Editor's note: A few months ago, Michael A. Tisdale contacted Massage Today about the launch of The Universal Hands of Vision (UHOV), an online Yahoo! discussion group where blind and visually impaired massage therapists can exchange ideas and experiences, and share solutions to challenges (http://health.groups.yahoo.com/group/UHOV).We asked Michael to share his experiences and the challenges he faces as a visually impaired massage therapist with our readers.
When working on a client, do you ever close your eyes to focus on your palpation? If you don't, you might want to try it one day. In fact, you might want to try doing an entire session blindfolded, which is sort of like what I do all the time: I have been legally blind since birth and have lost most of my sight in the past few years.
Although we may not like it, sometimes there are things you can't do anything about. My blindness is one of those things. In my 52 years, I have developed "work arounds" for things that sighted people may take for granted. Have you ever thought about how you would squeeze toothpaste onto your toothbrush without being able to see when you had enough, or if it is even coming out of the tube? Try it. The results can be quite funny sometimes. Then there is that guy issue of aiming - you know what I mean. It is a different world but you have to adapt; you have to play the hand that is dealt to you. I decided that I would not fold that hand.
Just as I couldn't do anything about being born blind, I couldn't do anything about the fact that at 50 years old I found myself at a crossroads. Sometimes I wonder how I could have wasted almost 25 years of my life working in a corporate environment. I had made good money and was good at my job, yet I hadn't made a positive difference in any person's life. At 50, that was not a pleasant thought. I needed to do something, but being visually impaired really limited my choices.
One night, I thought of my friend, Charlotte. I'm not sure what made me think of her but I believe it was a sign of things to come. Charlotte has been a massage therapist for 10 years and every time she worked on me, I was amazed at what she did with her hands. I wanted to work the same kind of miracles as she; I wanted to make that kind of difference in people's lives. I wanted to become a massage therapist.
Finding a school was challenging. Most training programs are geared toward the sighted therapist. As luck would have it, I found a school that was willing to work with me. The teachers used me as the "demo" so that I could feel the techniques, and they used any means necessary to ensure I learned the subjects. I was able to get my books in Word and PDF formats so I could study at home using computer screen-reading software, and I was given oral exams. Still, I couldn't see diagrams or visual aids. I couldn't see where the instructor was pointing when she said, "right here." I couldn't see what the instructor was talking about when she showed the video of the dissected cadaver. (OK, maybe I was not too disappointed in not being able to see that particular visual aid!)
Was school harder for me than for sighted people? I don't know. I had to learn the same information at the same rate and had to pass the same tests. The courses were intense, the information amazingly complicated. Modern technology certainly helped, though, and I thank W. B. Saunders and Lippincott, Williams & Wilkins, for publishing textbooks accessible to visually impaired students. Through it all, I began to love what I was doing, and I ultimately finished with the second highest grades in my class - a testament to the teachers and my fellow students. I believe there are massage therapy schools that require students to do complete sessions blindfolded to help them use their other senses; this is a great practice.
But school was just the first challenge. As you might have guessed, the national certification test was a challenge, too. I had heard horror stories about the exam from online discussion groups for visually impaired bodyworkers. One Florida therapist requested someone to read the computer screen for her during the exam, which was provided. Unfortunately, on test day she was told that the person could only read the screen, not enter the answers into the computer for her. How stupid is that? Another therapist told me that her reader was allowed to enter the answers; however, the reader had a lot of difficulty reading the material.
My first experience with the testing company was not too different. I had to speak with an accommodations specialist, which was a joke. I had been approved for a reader but when I asked if the reader could also enter my answers, I was told that the reader was not a scribe, and that I had not been approved for a scribe. Again, how stupid is that? The situation was eventually resolved, but not before getting the runaround and having to write a letter to the national board requesting assistance.
I spent three weeks studying every day for at least eight hours to prepare for the exam. I used three study guides and every textbook from school. I studied until I thought my brain would pop. On the day of the test I knew I had a good reader/scribe. She was intelligent, warm and helpful at getting me registered and into the testing room. Then BAM! I didn't have a clue about the answer to the first question. I thought I knew it all. I immediately went into shell shock when BAM! I didn't know the second question. I had to sit back and take a few deep breaths. I thought I was in serious trouble. Why are they asking me who won the World Series in 1948? OK, maybe that wasn't the question, but it might as well have been. But I passed, much to my surprise.
After passing the state-licensing exam, I became a nationally certified, licensed massage therapist. I started a practice with a good friend and classmate, and we make a good team. She is good at helping me with visual assessments of clients. We have different specialties and complement each other's work, which is good for us and the business - not much different than sighted partners who work to make each other successful.
There are challenges trying to deal with blindness in any profession. We have those in massage therapy as well. There are surely things that I cannot do that would make me a better therapist. I can't, for example, observe a client walking down the hall to determine a structural issue that needs to be examined, but I can tell when one hip is higher than the other, if the femur is externally rotated, which direction the feet are pointing, where there might be hypermobility in a joint or hypercontraction in a muscle, or whether there is fourth-layer fibrosis in the lamina groove. These things I can do with my hands and my mind.
My clients do not find my blindness problematic. In fact, I think some are more comfortable with me since they know I can't see them.
I do have to be careful when I first approach the client to make sure I know where they are on the table so that my initial contact is in the right place. Yes, experience is the best teacher, and we should all learn from our mistakes. There are many great blind massage therapists in the country (all over the world, in fact) who have learned how to cope, and sometimes even consider their blindness an advantage. I know I do at times.
There are things people can do to help the visually impaired. First and foremost, treat them with respect. I can't tell you how many times people will ask my wife things like, "What does he want to order?" or "Is he going to need any shirts to go with those pants?" like I am not even there, or I can't comprehend the language. Just because we are blind doesn't mean we are stupid. (Don't get me wrong, there are some stupid blind people just like there are stupid sighted people!) If you see someone with a cane or a guide dog in a public place, ask if you can help them find where they are going. Canes and guide dogs are great mobility aids, but they don't know a doctor's office from a ladies restroom. Did I mention my visit to the ladies room when I was at a conference one time? Figured it out because I couldn't find any urinals, only stalls. Glad there was nobody in there - I think. That was before the universal symbols that can be felt to determine which restroom it is.
I also want to encourage massage therapists to volunteer to help visually impaired therapists they meet at seminars or conferences. It is great to have someone who can help with visual aids and demonstrations. And if you are teaching a seminar with a visually impaired therapist in attendance, see if that person would like to be the client for demonstrations. Sometimes we need help, sometimes we don't, but it never hurts to ask.
I love my profession and most people in the profession. I only wish I had figured out what I wanted to do when I grew up before I grew up. I would not have wasted so many years in the corporate environment where you are truly just a number and where the company doesn't appreciate anything you do no matter how much of your life you dedicate to it. In massage therapy, I have a positive impact on real people; I truly help others. This is what massage therapy is all about.
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