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Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
February, 2008, Vol. 08, Issue 02
Helping You Choose Wisely
By Angie Patrick
In my years of experience in the massage-supply business, I have had the tremendous opportunity to meet and speak with literally thousands of massage therapists. I often am asked questions about professional-grade products and how to know when it might be time to make a change. When I began in the industry years ago, there were only a couple of major players in the lubricant field, so the choices were not so difficult to make. But now, as our industry has grown and prospered, so have the choices in lubricants. My intent in this article is not to promote any specific brand, but rather give you some pointers so you can make the right decision for your own practice.
My first piece of advice: Always use professional-grade products designed and manufactured for professional massage therapist use. Products found in drug stores, discount chains and grocery stores are typically not designed for use on a professional level. Keep in mind you will be in contact with this product every day, with your hands immersed. You want to make sure the products you choose are designed for this type of extended exposure to skin and that it's not irritating to your skin after prolonged exposure.
Changes in skin-care technology have prompted many changes in lubricant markets. Manufacturers have become far more savvy in the ingredients they use and the overall effect the products have on the skin. In other words, it's OK to branch out and try something new because there is so much out there now. It's just a smart idea to stay in touch with new ideas in lubricants. Here are a few tips on how you can try new products without breaking the bank.
When looking for new products, it's always smart to ask your supplier if they happen to have any samples. Manufacturers sometimes will supply their distributors with sample-size products to try. In the event there are no samples, I would suggest you buy the smallest available size of the product in order to give it your evaluation. In most cases, once you break the seal on a product, it cannot be returned. This is the best reason I know to buy the smallest size on the first try. You can always buy a larger size if you like the product. Even if you have used the same lubricant for years, it never hurts to branch out a bit and see what else the market has to offer.
How should I care for my lubricants? This is a question I get asked all the time. I have to say, it's always best to avoid extreme temperatures. I have heard of therapists who have left their products in their cars for months during searing heat and bitter cold, and then wonder why it separated or smelled "funny." You should care for your lubricants by providing them storage in a temperate location not prone to climate changes. Oils like the dark, so a cabinet or closet works well. Avoid prolonged exposure to sunlight.
How do I know when my lubricant has "gone bad?" Most manufacturers provide information regarding the shelf life of their products. In some cases, you may even see an expiration date printed on the bottle or jar. You will want to avoid using any product that has an undesirable odor. Oils can sometimes have a faint "cooking oil" smell when they begin to turn. Lotions and crèmes can give an unpleasant smell that somewhat resembles "plastic," for lack of a better descriptive. Of course, should you see any discoloration or growth on the inside of the container or cap, you should discard the product immediately.
One way you can help inhibit the growth of bacteria in your lubricants is to avoid cross-contamination of the product. Never use your hands to dip product from a larger container to a smaller one. Always use a clean spoon or spatula. This will prevent bacteria that live on your skin from being transferred to the product.
Whether you decide to use an oil, lotion or crème, it's always important to make sure you have asked your client about any allergies they may have. Occasionally, you will have a client who may have a pronounced allergy to an ingredient found in your lubricants - most commonly nuts. Be sure you have asked the proper questions on your intake form so you can avoid your client having an uncomfortable reaction.
This brings us to the question, "Which lubricant type will work best for me?" This will depend largely on the type of massage you want to perform. Each type of lubricant has its own special properties that aid the therapist in treatment. Oils can be used for any modality in which you will need extended glide. Oil provides the least amount of friction and is widely utilized for Swedish massage. Seed oils and nut oils are widely used; however, I would again stress the importance of making sure your client has no allergies to the ingredients in the oil you use. Lotions and crèmes are better suited for modalities that do not require a great deal of glide but instead utilize grip. You will want a product that will allow you enough glide to warm the tissue, but finish with enough grip as to allow you to work the tissue below the skin.
Finally, "How do I clean my sheets and avoid staining?" This is a concern for therapists and spas alike. Once your sheets are stained, you really cannot use them again because your clients will have the impression they are unsanitary. So, how do you care for them? There are detergents on the market made especially for the removal of oils, creams and lotions. You can surf the Web site of your favorite massage-product supplier and find a number of eco-friendly and lubricant-specific detergents designed to break down and remove the residue. Also, many manufacturers are using ingredients that make the products "water-dispersible," which certainly helps when it comes time to do laundry!
I encourage you to check out all your options and begin your journey of exploration. There are so many wonderful and exciting things appearing on the market every day; you owe it to yourself to stay in the know and be informed about the newest advancements and product breakthroughs in the industry. It's a big sea of options out there; happy fishing!
Click here for more information about Angie Patrick.
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