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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.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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 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.
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.
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.
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).
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).
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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%.
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.
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.
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.
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.
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.
September, 2006, Vol. 06, Issue 09
By Ralph Stephens, BS, LMT, NCTMB
We live in interesting times. It seems the good is better than ever, but the bad is worse than ever. Chaos Theory says this is an ongoing evolutionary process, so expect it to continue to even greater extremes.Maybe some global polarity therapy could help.
The "corporatization" of America continues to accelerate and thus the corporatization of the massage profession continues along with it. I have nothing against corporations by the way. The tax laws are written to favor corporations. If your business is not structured as one of the several corporate entity forms, you probably are missing out on a lot of advantages. There is one limitation, a huge one, for individual massage therapist's setting up a corporation, so incorporate only with good professional advice. But, I digress.
Some of the corporate mergers and buy-outs will be good for the profession overall. However, when it comes to the delivery of massage therapy to the public, for the most part, this corporatization means guaranteed mediocrity. For example, I spoke recently with a therapist who works for one of the up-and-coming massage franchises. She must do the massage routine exactly as choreographed, asking the same questions, the same way, at precise times during the massage. The "Cosmic Mother Company" sends in "mystery shoppers" who check her out for compliance. If the customers request a particular therapist for return appointments, that therapist is grilled as to what she/he is doing different or special and "mystery shopper" visits increase. I am sure such franchises are impatiently waiting for the day when they can install mechanical massage robots. The McDonald's- and Wal-Mart-conscious faction of the public probably is just as anxiously awaiting that day and will stand in line to receive it.
A colleague reported he went to a very large, exclusive day spa on the "Gold Coast" of Florida where he paid $145 for an hour massage. The therapists were not allowed to touch, let alone massage, the abdomen or the hips. Yes, forbidden to touch the abdomen or hips - some of the hardest working and most important musculature of the body, and not even if the customer requests massage in those areas. Pitiful.
This is what the public is experiencing as "massage." This certainly is not health care, nor is it compassionate touch therapy. For many years, I have argued that we should use the term "patient." I never even considered the term "customer," but that is the appropriate term for the recipients of massage in venues like these.
On a much more positive note, Dr. Tiffany Field and the Touch Research Institute have just released a study, funded by Biotone, showing that a 30-minute massage twice a week can significantly reduce lower back pain, increase range of motion, decrease pain-induced sleep disturbance and improve overall mood. Cool! This is huge. Now, where can the public get this massage?
Quilting Bee Continues
I see the great state of Massachusetts just got a massage law passed, and over the veto of the governor no less. I think that is a first. Congratulations! The bad news is that the patchwork quilt of dissimilar state laws grows. This new law has some very interesting language in it. Massage therapists cannot stretch a specific muscle, but can do a "non-specific stretch" and many standard terms now used in our profession appear to be forbidden in advertising, like "medical massage," "orthopedic massage," "neuromuscular therapy," etc. My favorite clause forbids a massage therapist from doing exercise. No, it doesn't say anything about on a patient, it says, "No person licensed to practice massage or massage therapy shall perform any of the following: exercise. It's very clear. So, there will be lots of out-of-shape massage therapists in Massachusetts, I guess.
Speaking of licensing laws, my next few columns will focus on professional regulation. You need to know this stuff. I will keep it interesting and entertaining. Professional regulation is a classic example of the political double-speak we are faced with everyday. Like The Medical Privacy Act, HIPPA, which sounds like a great idea until you realize the only privacy it provides is to the government, insurance companies and medical researchers to go through your personal health care records without you ever knowing about it or being able to prevent it. You now have no privacy; in fact, you barely can get access to your own records or the records of your family. Who passed the act? The government. Who gets the privacy? The government and its health care cartel do. All true cartels are linked to government. Your government and mine got the public to fall for the privacy act because the public believes their privacy is at risk and the government is there to protect and help them. The first part is true, but the second part is no longer the case. The government is now there to protect itself and help itself to more and more control over you, as well as to an ever-increasing share of the fruits of your labor.
Professional regulation (licensure of some sort) is another form of double-speak, only more subtle. We are told licensure is to protect the public, right? That's the mantra from the departments of health and/or professional regulation, "protect the public." Think about what you have observed about licensure. Do you ever remember the public going to the legislature demanding the licensure of a profession? I am not aware of it ever happening, certainly not in the last 25 years. It's always the profession that goes to the legislature begging to be granted a monopoly in the form of a license to practice. The dirty little secret is that professional regulation was originally created specifically to protect the profession being regulated from the public.
Think about that, and I will explain more of the licensing scam in November.
Don't Try This
Pesticides (insecticides), which are derivatives of WWII nerve gas weapons, kill by attacking the nervous system of insects (or humans). A new Harvard study, the largest ever done, has linked pesticide exposure to a 70 percent increased risk of Parkinson's disease. Learn more at www.organicconsumers.org/2006/article_902.cfm.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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