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F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
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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