resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
January, 2006, Vol. 06, Issue 01
Whooping Cough: A Re-Emerging Disease
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Happy New Year! I, and I'm sure everyone else at Massage Today, hope that 2006 is full of joy, accomplishment and satisfaction for all of us. One way to achieve those goals is to keep healthy.On that note, let us turn to today's topic of discussion: whooping cough.
For most people born after 1950, whooping cough might sound like the stuff of 19th-century fiction - the kind of disease you'd find in Little Women or Huckleberry Finn. Indeed, whooping cough was at one time a common childhood infection with the potential to be deadly. The development of an effective vaccine in the late 1940s has largely eradicated the sense of threat this condition once carried.
Several decades later, however, whooping cough is viewed as an emerging disease that carries some significant threats. The reasons for this are twofold. First, the childhood vaccines many of us had do not (as was once thought) impart lifelong immunity; in fact, they probably begin to wear off after about five years. Second, as the threat of childhood death from infections like mumps, rubella and scarlet fever has declined, the sense of importance of childhood vaccinations also has declined. Consequently, many children are not fully immunized.
Note: This is not the place to debate the efficacy, appropriateness or legitimacy of vaccines in general. Vaccinations are not a black-and-white issue. Some vaccines have higher efficacy and lower rates of complications than others (and vice-versa). Anyone who would like to debate this point will have to find another platform. That discussion is not my intention.
Whooping Cough: What Is it?
Whooping cough, also called pertussis, is a bacterial infection of the respiratory tract caused by a pathogen called bordetella pertussis. (Dog owners might recognize this name because a related bacterium causes "kennel cough," or bordetella.) About 10,000 people are diagnosed with whooping cough each year in this country (although some studies indicated it might largely be under-reported), and it causes about 10 deaths per year. The people most vulnerable to dangerously extreme infections are young children.
How Does it Work?
Whooping cough is highly communicable through airborne respiratory secretions, so a person with a bad cough easily can spread it to others. This bacterium invades the respiratory tract, killing ciliated cells and releasing toxins that stimulate a systemic immune reaction. The coughing that ensues has a characteristic presentation: the infected person expels so much breath that air rushes into the lungs with a "whoop" sound.
After a 7-10 day incubation period, whooping cough develops in three stages. The first stage is called the "catarrhal phase." At this point, it is indistinguishable from a common cold, and it lasts for several days. Instead of resolving, however, it proceeds to stage two: characteristic paroxysmal coughing, which occurs for up to 50 episodes a day and lasts 2-4 weeks. Coughing episodes are exhausting, and can be so taxing that they induce vomiting. The third stage is convalescence, which typically involves 3-4 weeks of recovery. A full course of whooping cough can cause even a fundamentally healthy person to lose 6-8 weeks of productivity and good health. Its effects on young children can be much worse.
The coughing pertussis causes is so severe that it can lead to bruised or broken ribs, abdominal or inguinal hernias, and vomiting. In young children, additional complications include under-nutrition (it's hard to eat when you're coughing so much it makes you throw up), pneumonia, anoxia, convulsions and even brain damage or death from lack of oxygen. Young children have the highest risk for the worst complications of pertussis; the rest of the population might experience severe infection, but are unlikely to have life-threatening complications.
Treatment options for whooping cough present an interesting quandary. In its early stages, pertussis is indistinguishable from the common cold, and it's slow and expensive to culture. Any pediatrician might make a reasonable assumption that coughing, sneezing and mild fever are due to viral infection, and therefore not responsive to antibiotics. By the time a child has entered the severe coughing phase, antibiotics might no longer serve to shorten the duration or reduce the communicability of the infection. In short, the most efficient way to reduce the risks of pertussis in young children is to prevent the infection from developing, i.e., to be vaccinated.
Whooping Cough and Massage
Unless massage therapists work with young children, they are unlikely to see a client with the worst possible case of whooping cough. However, adolescents and young adults whose vaccinations have worn off are at risk for the infection, as are other people who come in contact with them. A client who has been diagnosed with this infection (or who has a family member with it) should wait until it has run its course before coming in close contact with other people. If a client has recovered from a pertussis infection, massage is, of course, safe and appropriate.
For Next Time
The floor is open. It will be early spring; crocuses will be poking up from a crust of snow. What disorders or diseases would you like to read about? One condition that's been generating a lot of attention lately is celiac disease, also called celiac sprue. While once considered rare, this gluten-sensitivity disorder is now considered by some researchers to be present in a low-grade form in about one out of every 33 people. Unless I hear otherwise, that's what I will pursue for March. If you have something else you'd like to discuss, let me know: what's on your table?
Until then, many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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