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Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
September, 2005, Vol. 05, Issue 09
Bad Dog and Good Dog Let Out
By Ralph Stephens, BS, LMT, NCTMB
I have championed the term "medical massage" for several years. I think it's the best term to separate specific, therapeutic, outcome-based massage from relaxation massage (and certainly from adult entertainment).Medical massage clearly is neither relaxation nor entertainment. This easily is understood by the public and the medical profession. Unlike some, I don't think medical massage must be done in allopathic-controlled situations. I don't think it should require a diagnosis by a physician, and it doesn't need to be done under the supervision of one. Of course, it could be done in that setting, and it's fine if it is, but it should not have to be. We are first-door providers. Medical massage doesn't have to be paid for by an insurance company, but it could be. What makes a massage medical is not who pays for it or who authorizes it, but that the therapist, using advanced massage skills and techniques, is attempting to reduce the musculoskeletal complaint(s) of the patient.
The popularity of the term medical massage has grown very rapidly and it's only to be expected that over-eager people will try to gain control of it. Sadly, the first attempt has been made. David Luther and his association, the United States Medical Massage Association (USMMA), have sued State Farm Insurance. I have no problem with suing insurance companies, and his main goal - to prevent downcoding of claims submitted by massage therapists - is an honorable one. However, in the process, he has tried to get a judge to define, "Who is a medical massage therapist?" He told the judge it would be a member of his organization. Now granted, our profession does have trouble defining itself, but the last thing we need is to have some politically appointed lawyer/judge defining us based on an entrepreneur's bottom line. The USMMA doesn't have enough members to fill the demand Luther is trying to capture and control. His actions will more likely deny care to those who need it, instead of providing it. This is heavy karma to take on, in my opinion. Would you want to have to join some association just to be able to call the work you do "medical massage," or to be able to bill for it under that term, or under the codes for manual therapy and massage therapy?
I suspect the USMMA will face a huge backlash, not a huge surge in membership because of this action. I use history as my basis for that statement. How much good did it do the AMTA to write itself into laws, effectively giving it monopolies in some cities or states? It brought about lawsuits, bad public relations and resentment. The gain was short lived; the loss ongoing. Fortunately, the AMTA has learned this lesson the hard way and dropped the strategy. The USMMA will have to learn it, too. Associations are like governments - they both must be watched constantly. Their very nature is to acquire power and control by stealing it from the individual.
My biggest concern is that this will create a huge backlash against the term "medical massage" and we will lose the best term we have to reach both the public and our allopathic colleagues. I hope we don't let the action of an individual, an association or a judge cause us to throw the baby out with the bathwater. This event reminds me of an old fable about a beggar finding a magic lamp and letting the genie out. The genie granted one wish and the beggar wished for all the money in the world. He got it, only to find that the rest of the world, now absent money, had developed new exchange systems for value. All of the beggar's newfound money was worthless. Trying to gain a monopoly on medical massage will result in the same effect. A new term will be coined and the profession will move on. I only hope this can be resolved without losing the term, or the potential it provides our profession to help humanity.
I always believe in giving credit where credit is due. ABMP has stepped up to the plate to significantly fund and support the formation of a federation of state regulatory boards for massage therapy. This is huge and ABMP deserves respect, admiration and kudos for this visionary project.
Professional regulation is done at the state level, which is good. However, this requires that each state have its own law and its own board. There are no formal channels for these boards to communicate with each other. Due to the lack of leadership and consistency from the association that has passed the hodge-podge of laws for massage therapy we now have, it's becoming more and more difficult for a therapist to move from one state to another or for continuing education providers to present nationally. There is no mechanism in place to work on reciprocity, a uniform code of ethics, disciplinary procedures, education standards and a host of other issues. On two previous occasions, the formation of such an organization has been attempted. However, it was an effort by volunteers, most of whom were already overcommitted, and there was no funding or administrative support available; thus, both attempts failed. Since then, more states have become regulated, with laws written by well-meaning people who have little, if any, regulatory expertise and little guidance. So, the situation has become even worse.
Almost every other regulated profession has a federation of regulatory boards working on issues of mutual concern. Nurses, chiropractors, social workers, etc., all have organizations that provide interstate communication for their boards. I know how necessary it is that our profession develop such an organization, as I was on the Iowa Board of Massage Therapy Examiners for eight years. It's in the best interest of the profession and the public that this federation, or whatever it comes to be called, be established - and that it be successful.
A very competent group of people are working on this project and they deserve to be supported and encouraged. Thanks ABMP, and all the volunteers participating in this landmark effort. May your efforts be rewarded with acceptance and success. Lead on!
Summertime done come and gone; my, oh my. Hope yours was a good one. See you this fall!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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