resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
May, 2007, Vol. 07, Issue 05
Scope It Out
By Ralph Stephens, BS, LMT, NCTMB
Ignorance is only bliss until reality smacks you in the face. As promised last time, the discussion of regulation (licensure) continues. This month's subject is scope of practice, an area in which we really are punishing ourselves and decreasing our ability to help the public, due to the poorly written laws we are passing.
Another purpose of licensure is to define the scope of practice of a particular profession.To use more accurate terms, scope of practice defines the extent of the monopoly granted by the state. Of course, the MDs who were first to the trough have a virtually unlimited scope of practice. That was their goal in creating licensure: a complete monopoly, along with the elimination or complete control of all competing forms of health care. It still is their goal, and universal access to health care may give it to them if we are not diligent. Every other profession has their scope limited by their licensing law.
Most professions desire as much extension of a scope of practice as they can get and always are working to expand it. Sadly, ours is not this way nationally. Our national leadership has given up huge aspects of our scope for no apparent reason, other than to just pass something. For example, any muscle-bound meathead at a health club can do specific stretches on anyone who walks in the door, but we pass laws for ourselves that prohibit us from doing specific stretches or joint mobilization. This has got to stop and should be reversed.
Our profession has failed miserably when it comes to defending our scope. I have watched it shrink to a shadow of what we should be able to do. In most licensed states, we no longer can do what massage therapists of the 1950s and 1960s did very well - without licensure. Our national leadership's willingness to restrict our scope of practice actually is endangering the public and limiting the care the public can receive. If alternative disciplines give up scope of practice, where can the public receive it? The public frantically is searching for alternatives to the current health care system, which is the single biggest killer of Americans. That's right. According to their own figures, allopaths kill more than 250,000 people each year; yet allopaths call alternative practitioners "quacks." By passing laws that end our ability to perform what historically has been the scope of massage therapy, we are forcing the public back into the hands of the allopaths - to face cuts, burns, poisons and even death. "Sorry, we used to be able to treat the soft-tissue conditions of scoliosis, but our new law won't allow us to manipulate the spine. So, I guess you will have to go get rods installed." How does it feel, Indiana?
By not having a logical, aggressive plan to pass uniform legislation for massage in every state to protect and expand our scope, our national leadership is depriving the public of the soft-tissue care it seeks, needs and deserves. In the process, our leadership slowly is killing the therapeutic side of our profession. It's the first-door-provider, therapeutic massage practice that the public needs and that allows massage therapists to make a comfortable income. Every massage licensing law should give us first-door access to the public, along with the right to assess, examine, manipulate and otherwise treat connective tissue with whatever means, techniques and equipment we are trained in. Training should be able to come from school or post-school sources. Stretching, movement and alignment techniques are necessary for proper and complete soft-tissue care, and should be included in our scope. While we might have to do it subtly, language-wise, this is the outcome we should achieve. Anything less is merely a self-imposed tax on our practice with no resulting benefit, except maybe to our egos - "I'm licensed."
If the massage profession is going to impose licensing, it should benefit from it, not suffer from it. Remember, the purpose of licensure is to benefit the profession and to protect it from the public and other professions. Don't say that when you are trying to pass a bill, but it is the reality of the situation and needs to be kept in mind. Every professional benefits from good legislation and suffers from poorly written laws.
At one time, I was a huge proponent of licensure. However, in the past few years I have been on the opposing side of several laws, because the laws were so poorly written that, had they passed, they would have been more of a burden than a benefit. Be alert as to what is being proposed in your state. Don't let a law restrict what you can do more than if you didn't have the law. Wakeup out there! A bad law is worse than no law.
Speaking of bad laws, Indiana is in the process of passing one. It will be another patch in the quilt of completely incompatible laws we have imposed on ourselves. It will be nothing but a burden on practicing therapists, but the schools are going to love it. Allowing schools to do whatever they want is all that is important, right? Indiana therapists, if there still is time when you read this, I encourage you to fight the legislation. If it's already passed, read this and weep.
So, what is the point of all this licensing discussion, other than just the educational aspect of it? Well, colleagues, it's about paradigms and what our profession once was, could be, but instead is becoming. Not enough ink to write on that until next time.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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