Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
March, 2007, Vol. 07, Issue 03
By Ralph Stephens, BS, LMT, NCTMB
This month, the ongoing discussion of professional regulation (licensure) continues. The purpose of this series is to raise your awareness of the licensing process, hoping that increased awareness will bring about the demand for well-written, more effective licensing laws.Better laws would provide more opportunity to bring alternative health care to the public, control over (and eventual elimination of) unethical therapists and schools, and the ability to expand our scope of practice, allowing us to better serve suffering humanity.
Aside from the monopoly that licensing grants, it also gives special protection to practitioners from normal prosecution for harming the public. The disciplinary process protects licensed practitioners. Apart from extreme cases, a doctor will not be arrested for an oversight. Instead, a complaint has to be filed with the medical board. (Death is not usually considered an extreme case, as practitioners have a license to kill. And I am not talking about abortion, but the 250,000+ fatal mistakes practitioners make every year - mistakes few seem to care about.)
This same disciplinary system applies to massage therapists, DCs, PTs, etc., in licensed states. The complaint process is confidential and is investigated by the board, which is in need of more investigators. For example, one state had two investigators who handled all the complaints for 17 boards. The medical board had its own investigators, but still not very many. This means investigations take months, sometimes years, to complete.
In the typical regulatory board disciplinary system, the accused provider is judged by their peers, not by impartial citizens (a jury). They usually are able to continue practicing until the decision is reached. Over this time, any negative publicity for the profession blows over and witnesses no longer pursue the case for various reasons: simply losing interest, moving, or in some cases, death. Finally, when the decision is reached, it's announced with little fanfare and usually results in an admonishment, a cease-and-desist order, or something fairly benign, like a token fine. Occasionally, a suspension or a revocation of the license might be ordered. Seldom is a practitioner banned from the profession, and imprisonment is virtually unheard of, except in cases of political persecution by medical boards. Then the appeals start.
In other words, licensure protects providers from the public better than it protects the public from the provider. It was designed this way and used to be much worse than it is today. Since licensing has expanded to the "other" health care practitioners (which wasn't supposed to happen when the AMA created licensure for MDs only), disciplinary processes have improved and are less of a sham. However, now medical boards in particular are using their powers to persecute practitioners who step off the reservation and provide patients with "unconventional practices," including such dreadful and dangerous things as nutrition, herbs, homeopathy, yoga, successful cancer cures; you know the stuff - quackery. If the standards of practice documents are ever completed for our profession, our boards will start doing the same things to us - something to look forward to. (If you have ever filed a complaint with a regulatory board, you know this statement is true. Some states are better than others.)
The point in explaining this is that in our profession, this disciplinary system does not work very well. Most of our boards are charged with approving and disciplining massage schools. Yet, the laws we have passed, which are modeled after regulations for other professions, have left our boards completely unequipped.
Further, when we "wimp out" and pass title protection laws, the boards have no way to stop dangerous providers and sexual predators from practicing. Title protection in massage regulation means anyone can do massage, but only people with a license actually can call it massage or other titles that are protected, like "bodywork," for example. Practice protection means no one can do massage without a license or a specific exemption in the law. These exemptions have gotten out of hand and, in some states, have turned practice protection laws into title protection.
Here's what happens. Some licensed massage therapist is sexually abusing clients. A complaint is filed. The therapist is found guilty. Instead of hanging the offender by their toes in a dungeon indefinitely, which is the least they deserve, all the board can do is take away the license. All the therapist has to do is change the name of their work to something not covered by the title protection, or call it something that has an exemption. The offender is back in business, and the board can do nothing more.
So, we are writing laws that protect the worst among us and punish the ethical therapists with fees and the hassle of compliance. In no way has this protected the public. We have to do better in the future. In May, I will discuss the scope of practice and how poorly written laws are taking away our ability to help the public, and how properly written laws can further expand our opportunities.
Working with patients suffering from whiplash caused by a rear-end collision? If their hands were on the steering wheel, there is a good chance they have suffered an injury to the rotator cuff. Be sure to examine every muscle of the shoulder for tender points and trigger points. Further, their jaw most likely will have snapped open and shut. Examine the temporalis and masseter muscles. One side usually will be worse. Normalize these and you might well prevent TMJ syndrome from developing in a few years. There always is more damage than initial complaints indicate. Provide a more complete service for whiplash victims and you will soon develop a very busy practice.
The Big Two
The two most common, yet modifiable, risk factors for heart attacks and strokes are poor diet and sedentary lifestyle. This makes sense. In fact, one definition of death is "lack of movement." Actually, the underlying cause of most disease is the body being too acidic. Get your pH up to ideal levels and you'll be amazed at how much better you feel.
See you next time, when April showers bring May flowers. Have a great spring!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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