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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.
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 Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
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.
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.
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.
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.
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.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
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.
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.
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.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
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?
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
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.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
May, 2008, Vol. 08, Issue 05
Resistance Is Futile
By Ralph Stephens, BS, LMT, NCTMB
The human mind is the only thing in the universe that resists change. Everything is in a constant state of change, yet too many people want to stay in the 1980s (to pick a decade). Our profession has found an equilibrium that has made a lot of money for a lot of people and organizations. These people and organizations resist change. However, the world around us is changing dramatically. The structure that launched us in the 1980s has never been completed and now does not have the capacity to support massage therapy and bodywork as a profession.
So, the decision must soon be made, are we going to become a profession by elevating ourselves to that position, or lower ourselves to a trade? Currently, we sit in two different camps. Many of us consider ourselves to be professionals and this to be a profession. Others just see this as a job, a trade. I have been told by some, "Hey, it's just a massage." Career colleges see us as allied health care providers, as techs or assistants. In the tech or assistant role, we would be purely employees under gatekeeper (referral) control. This is a version of slave labor for the cartel, in my opinion, but hey, if it works for you.
Will we maintain our first-door providership? We can stumble along as we are now, clinging to a system reaching its breaking point. However, currently we are abusing entry-level students and patients. This cannot and will not continue. Change is inevitable. If we do not make it ourselves, it will be forced upon us. If we do not establish uniform, effective regulation with portability and uniform competencies, the public will abandon us, both as clients and entry-level students.
We need a professional model of licensure followed by meaningful certifications, or maybe we need to repeal regulation and work for freedom-to-practice acts. We need to decide if we are going to be alternative health care providers, allopathic symptom-reducers or body-rubbers. This will be the discussion here for awhile in the attempt to stimulate this discussion throughout the profession. Join in!
Too many complaints are coming in from all over the country. Therefore, in the interest of public safety and customer satisfaction, I would like to share, especially with less-experienced therapist readers, that deep-tissue massage does not just mean you press harder. What deep-tissue massage means is you become anatomically precise in your palpation and use techniques (strokes) that affect the deeper layers by moving the superficial layers over them or out of the way. If you are doing deep-tissue massage and the patient/client says it's too hard or is painful, you are working too hard for that person in that area. Respect the person on the table who is inside that body and lighten up, at least in that area. It will be easier on your body and theirs. Pain causes the body to tense up and contract. You can't contract and relax a muscle at the same time. If you are trying to bring about relaxation in the body on your table, you can't do so by inflicting pain. Lighten up to a pressure they can tolerate without tensing up and/or holding their breath. You will do more good at such a pressure and your rebooking percentage will increase dramatically.
In France, they are investigating two drug companies (GlaxoSmithKline and Sanofi Pasteur MSD) for manslaughter for failure to disclose the side effects of the anti-hepatitis B vaccine. Hep-B vaccines contain as much as 12.5 micrograms of mercury, more than 100 times the EPA's upper-limit standard when administered to infants. Mercury makes up 49 percent of the preservative thimerosal (Wikipedia), which is commonly used in vaccines. Mercury poisons the nervous system and accumulates in the brain. The term mad hatter is based on the fact that hat-makers of old used a lot of mercury in their processes and went "mad" (nervous-system poisoning) from inhaling the vapors.
In our country, the president and Congress are working to grant drug companies immunity for vaccine-induced injuries. It's amazing the amount of human suffering we justify in the name of profit. A "health care" system that only makes money from sickness and suffering must have an ever-increasing supply of sickness and suffering to continue to increase its profits. Think about that. Do we really want to join this cartel? Are we really complementary to allopathic medicine?
Have you ever had a vaccination? Did they give you the complete ingredient and side-effects list before they shot up you or your child? Did you ask for it and read it? Too many people are more careful about what they put in their car, their pets and on their plants than they are about what they put or allow to be put into their own body. Interesting priorities we have.
Have you noticed that last year, when there was a shortage of flu vaccine, it was a very light year for flu? This year, with lots of vaccine available, there has been lots of flu.
I have discussed restless leg syndrome (RLS) in my previous several columns. My original question was whether anyone else noticed a correlation between trigger points in the Achilles tendon causing a twitch response in the leg and it being perceived as RLS. Several therapists reported similar findings. In addition, several therapists who have RLS have reported some interesting treatments, including one who gets complete relief using a homeopathic remedy (Luyties magnesia phosphate, 30x). Another therapist is an LMT and has a major in human physiology from the University of Oregon. She feels RLS is a magnesium balance problem. She uses 250 mg of MagCitrate to alleviate all her RLS symptoms. If you have any RLS experiences or remedies you would like to share, e-mail them to me and I will pass them along.
See you in the July issue. Bring fireworks!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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