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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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
January, 2007, Vol. 07, Issue 01
By Ralph Stephens, BS, LMT, NCTMB
A new year is here. I hope you had a joyous season and sold lots of gift certificates! In my previous column, I pointed out that professional regulation, the fancy term for licensure, is not really for the good or safety of the public, but for the good of the regulated profession.The public never has demanded regulation of a profession; it's always the profession that asks for it.
The professions want the monopoly and the other favors granted by the state, so they do what they must to get the legislators to grant them. Legislators will grant almost anything for enough campaign contributions or perceived support. This is why the medical lobbies are more successful in legislative efforts than the alternative disciplines. It's all about money in politics. Notice the DCs have become quite influential lately? They have quite a bit of money now, too. Interestingly, they now are often lobbying against good licensing laws for massage therapists or lobbying for bad ones. How quickly they forgot their own struggle to gain licensure and now want to pull the ladder up behind themselves or gain control over another profession. The AMA model and attitude is contagious, I guess.
Everyone says regulation is for the safety of the public, especially the public health bureaucrats who administer the laws. Some actually believe it. They don't think and discern enough to see through the propaganda. There always is "doublespeak" in government, like the "anti-cloning bill" in Missouri that legalized cloning, the Medical Privacy Act that made your records available to just about anyone but you and your family, and my favorite, the Paperwork Reduction Act that created more forms than ever. The public wouldn't stand for this stuff if it were accurately named and simply written. Laws are written carefully and deliberately. The authors know exactly what they are creating and why, except in our profession.
Can some good come to the public from licensing? Of course, and it does. Everything is a trade-off in this world of duality. The public receives a certain level of guaranteed mediocrity, a lowest-common-denominator standard, which feels like safety to them. The government gains revenue and more control, and the profession gets its monopoly (if the law is correctly written). It's important to understand this, as it's the game being played. For the most part, our profession is trying to play the game with a very naïve understanding of it, and as a result, we are losing instead of winning. This is obvious by the hodge-podge of laws we have passed, some of which place more restrictions on what we can do than are placed on unlicensed providers. Our current level of legislative skill is allowing the other players to use the system against us. We can do better, and we must. Next time, I will discuss one of the most important protections licensing provides - the disciplinary process, which was created to protect providers from the public.
When surveyed, 80 percent of Americans were dissatisfied with the cost of health care generally. Fifty-four percent are dissatisfied with the quality of health care in general. However, when asked about their own care, 57 percent said they are satisfied with the cost and 89 percent said they were satisfied with the quality. What an incredible disconnect. This is the "I'm OK but you're not OK" perception of life. Sadly, people will give up being okay just because they think others are not. Then, neither is OK and things get progressively worse. This shows how effective the government-media cartel has been in disparaging the best health care system on the planet, bungled as it is, as it attempts to make people believe there is such a crisis that the government must step in and provide universal health care. People have become so mind-numbed they can't tell the reality of their experience from the unreality (lies) of the media propaganda. The government wants complete control over your health care because that gives it complete control over you, in particular, and the complete control over population in general.
The state (the government) should exist to benefit its citizens. That never lasts long, as the power-hungry politicians, who fear nothing more than intelligent, free, self-reliant citizens, incrementally corrupt the system until the citizens exist to benefit the government. The people are conned into voting to tax themselves more and to give up their freedoms and rights, in return for the false sense of security they receive from an ever increasing and intrusive government.
The November 2006 election was a classic case of people's minds being manipulated into believing something quite different than the actual reality. By the way, I am not a Republican. I am an Independent. That being said, the irrational behavior brought about a good result in the "throw the bums out" effect. Now, if we can just throw the bums out every election until we get to the point that no one ever serves more than one term, we might have a chance at saving our Republic form of government. (No, it's not a democracy!)
Nothing sums up the current political situation better than two quotes from one of my heroes of the alternative health movement, Bob Livingston, who writes:
I bring up this perceptual disconnect because there soon will be a movement to resurrect the Clinton health care program. More on that to come in my next column. For now, just know that had the program passed as written, all independent massage therapists who address specific conditions (pain, injuries, headaches, etc.) would have been put out of business, or worse.
When treating tennis or golfer's elbow, remember that while the injury occurs just distal to the lateral or medial epicondyle of the elbow respectfully, the muscles course all the way to the hand and fingers. Be sure to examine the entire length of the muscle with massage and stretching and you will get faster and better results than just treating the injury site.
Enjoy this year's winter wonderland, wherever you are. Being a Midwesterner, during these three months I hope for global warming (just kidding). I'll be back again in March. Bring your kites.
Survey of the Week: Flu Shots Contain Mercury
A survey of more than 9,000 Americans found that an overwhelming majority of people had no idea their flu shots contain mercury. "More than 75 percent of Americans feel a mercury-containing flu shot should not be given to a pregnant woman or a child," said Lisa Handley, a founding parent of putchildrenfirst.org, the group that organized the survey. Handley's own son, Jamison, had an adverse reaction to a flu shot containing mercury in 2003. "I know firsthand how life-changing a flu shot with mercury can be, since our son began his regression into autism after his flu shot." In 1999, government agencies called for the removal of Thiomersal, the mercury-based preservative in most vaccines. Then, in 2001, the American Academy of Pediatrics stated, "Mercury in all of its forms is toxic to the fetus and children." Despite these actions, 90 percent of this season's flu vaccines still contain Thiomersal. Learn more at www.organicconsumers.org/2006/article_3400.cfm.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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