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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
September, 2006, Vol. 06, Issue 09
Massachusetts Passes Massage Legislation
Legislature overrides governor’s veto; state becomes the 37th to license massage therapists.
By Kathryn Feather, Senior Associate Editor
The legislative process can be an arduous one at best, often taking years to get an agenda advanced beyond committee.On June 27, 2006, the massage community in Massachusetts breathed a sigh of relief and took a victory lap as it became the 37th state to enact massage therapy regulation.
The Massachusetts House and Senate both voted to override Gov. Mitt Romney's veto of S.B.2258 to pass the bill, which creates a new state board to regulate Massachusetts' estimated 5,000 massage therapists. The new legislation requires massage therapists to meet certain educational or "hands on" experience requirements in order to be licensed to practice in the state. As the current law stands, the process of regulation is left up to the local boards of health. As of press time, S.B.2258 is set to become law in 90 days, effective in late September 2006.
In section 98 (a), the bill states, "There shall be within the division of professional licensure, a board of registration of massage therapy. The board shall consist of seven members who shall be appointed by the governor for terms of [three] years. The members appointed shall be residents of the commonwealth, three of whom shall be licensed massage therapists who have been actively engaged in the practice of massage therapy in the commonwealth for at least five years immediately before their appointments; one of whom shall be a health agent, board member or other health professional employed by or elected to a municipal board of health within the commonwealth; one of whom shall be an individual who is actively engaged in the operation of a licensed massage school; and two of whom shall be consumers who are familiar with the massage therapy field."
The duties of the board include adopting "rules and regulations governing the licensure of massage therapists, the practice of massage therapy and the operation of massage schools to promote public health, welfare and safety of citizens of the commonwealth, to establish standards for continuing education reflecting acceptable national standards and to investigate complaints, conduct inspections, review billing and treatment records and set and administer penalties as defined ... for fraudulent, deceptive or professionally incompetent and unsafe practices and for violations of rules and regulations promulgated by the board."
The bill also authorizes the board to make public a list of licensed massage therapists, as well as to publish a code of ethics. The bill spells out several definitions regarding the profession and defines massage as "the systematic treatment of the soft tissues of the body by the use of pressure, friction, stroking, percussion, kneading, vibration by manual or mechanical means, range of motion for purposes of demonstrating muscle excursion or muscle flexibility and nonspecific stretching. Massage therapy may include the use of oil, ice, hot and cold packs, tub, shower, steam, dry heat or cabinet baths, in which the primary intent is to enhance or restore the health and well-being of the client." The bill also defines what massage is not: "Massage therapy shall not include diagnosis, the prescribing of drugs or medicines, spinal or other joint manipulations, nor any services or procedures for which a license to practice medicine, chiropractic, occupational therapy, physical therapy or podiatry is required by law."
A licensed massage school is defined as "a facility which is licensed by the board after meeting minimum standards for training and curriculum." A massage therapist or practitioner is defined as "a person licensed by the board who instructs or administers massage or massage therapy for compensation."
S.B.2258 does make provisions for current practitioners. Therapists currently working in the state, have until approximately April 30, 2008, to qualify for a license under the grandfathering provision established within the bill. Current practitioners will be required to complete an application, pay all necessary licensing fees, provide proof of liability insurance and satisfy one of the following additional requirements:
However, licenses will not be issued until a board is appointed and rules are drafted. New massage therapy practitioners must satisfy the following requirements in order to qualify for licensure:
Other practitioners will be exempt from the regulations spelled out in S.B.2258, as long as they do not hold themselves out to be massage therapists. Exemptions include anyone who uses touch, words or directed movement to deepen awareness of patterns of movement in the body, or the affectation of the human energy system or acupoints or qi meridians of the human body, while engaged within the scope of practice of a profession with established standards and ethics; such services will not be designated or implied to be massage or massage therapy. The practices covered in the above exemption include, but are not limited to, the Feldenkrais method, reflexology, the Trager approach, ayurvedic therapies, Rolf structural integration, polarity or polarity therapy, polarity therapy bodywork, Asian bodywork therapy that does not constitute massage as defined, acupressure, jin shin do, qi gong, tui na, shiatsu, body-mind centering and reiki. Exempt practitioners who fall under the above guidelines may use the terms "bodywork," bodyworker" and "bodywork therapist."
Massachusetts massage therapists interested in applying for an appointment to the Board of Registration of Massage Therapy within the Division of Professional Licensure can send a resume and cover letter specifying the board of interest to:
To view the text of S.B.2258, visit the Web page for the 184th General Court of the Commonwealth of Massachusetts at www.mass.gov/legis/legis.htm.
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