Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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?"
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!
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.
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.
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.
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.
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.
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.
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.
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.
July, 2008, Vol. 08, Issue 07
Suffering for Profit
By Ralph Stephens, BS, LMT, NCTMB
Never has the direction of our profession been brought into focus more clearly than by the recent legislative activities of our major professional associations. With little, if any, understanding of the professional regulatory mechanism, our associations are working hard to pass massage licensing laws, state by state. They obviously only have themselves in mind, not the profession and certainly not the public.
At one time, the AMTA was the association working for regulation and the ABMP was the association working against it. Times have changed. The two have now teamed up against us. Most professions, through their associations, are constantly working to expand their scope of practice to better serve the public. Not our associations. They are working for themselves so they can say, "We passed a law." Never mind the laws they are passing are deeding away huge portions of our traditional scope of practice. Who cares about joint mobilization, stretching and exercise? We'll trade them for a new law. One new law defines what a massage parlor is relative to us. Great - we've just legally defined adult entertainment as a part of massage.
On pessimistic days, I see our profession merging into adult entertainment, with the boundary being very unclear and no one really caring. How many hours does it take to train a prostitute? What anatomy must they know?
Of course, there is no set amount of anatomy a massage therapist must know. One hundred hours sometimes is specified, but 100 hours of what? According to the recently passed law in Massachusetts, therapists are forbidden from doing exercise, period. Better not be seen in a health club if you are a therapist in that state. A new law being proposed in a major northeast state will forbid us from doing joint mobilization, among other things. This precedent will now be the standard demanded by the dark forces of allopathy for all future laws and, of course, they will now add even more demands to limit us. The physical therapists have been given the charge to negate us. We're letting them win.
Any muscle-head in a health club, with no qualifications whatsoever other than large biceps, can give the public stretches and exercise, but massage therapists can't. Thanks, AMTA and ABMP - great job. You've done a great job of selling us down the river.
If you like the laws being passed by your associations, you should let them know. However, if you don't, it's even more important to let them know. Call the AMTA at (877) 905-2700 or the ABMP at (800) 458-2267. No law is always better than a poorly written or bad law. Laws that restrict our traditional scope of practice are bad laws.
Who is the winner and who is the loser when bad laws are passed? The associations and the schools win. The schools get to keep grinding out minimally trained therapists and the associations keep signing them up. As usual, the public loses because they are denied the full potential of massage therapy care in the name of profit for schools and associations. It's amazing the human suffering we justify in the name of profit, isn't it? At one time, this profession offered an alternative to the profit-driven allopathic model. I fear that time is nearly gone. Only you, through your involvement, can save alternative health care. Do you care?
More Sauce, Please
Do you know what the massage lubricant you're using is made from? There is some very dangerous stuff being sold as massage oil, lotion and gels. As lotion gets cheaper and cheaper, do you really think it's getting better and better? You put it on your patient/client for an hour or so at a time, now and then. You put it on yourself every session. Many colleagues are developing skin reactions to massage products. Worse, some are developing liver problems. Even clients are reacting negatively to some of the products being put on them. Read the labels on your massage products. If you see terms such as Quaternium-15 (or any of the Quaterniums), which are harsh; skin-sensitizers; BHA/BHT, which are linked to cellular changes in lab experiments; or maybe glyceryl cocoate ethoxylate (a water dispersant that can cause skin irritation/sensitivity), you should seriously consider why you're exposing yourself and your patients to these chemicals, and maybe find a cleaner, more natural product.
By the way, just because something says it's natural or even organic on the front label doesn't mean it really is. For example, Splenda, the artificial sweetener, starts with pure sugar, but there is little resemblance to the natural substance once it is processed. It's buyer beware, as it should be. However, that places the responsibility on you, the buyer, to become educated and aware of exactly what you are buying or using.
Even More on RLS
Interesting information continues to come in on restless leg syndrome (RLS). The following comes from Valerie Whiting, MS, OTR/L, LMT, in Knoxville, Tenn. I find it quite insightful, as it correlates with some qigong information I have come across recently that says a lot of our problems come from lack of walking in a full and correct gait pattern. "The RLS folks have habitual short stride length, so the limit may be from hip, knee or even ankle injury, but the problem is that stretch doesn't occur as it does naturally in a long, easy walking stride. Personally, I find that with people sitting on the job, tight quads limit the stride length. That concept is the base of my assessment for RLS complaints." Send in any RLS information you would like to share and I will pass it along in a future issue.
As this is the July issue, Happy Birthday, America! Have a great 4th of July. See you in September.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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