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The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
September, 2008, Vol. 08, Issue 09
Insuring Your Success
By Dixie Wall, Contributing Editor
When embarking on an alternative health career as a massage and bodywork practitioner, being sued for professional malpractice is not something we usually consider. While a lawsuit against you or your practice might be unimaginable, it still happens.A claim is more likely than we would like to think, especially when we live in such a suit-happy and sometimes greedy society. Even the most careful massage therapist may have something go wrong unintentionally. What are the common claims against therapists, and how can we avoid them? What steps can we take to keep our careers from being jeopardized by nuisance claims?
The essential element in protecting yourself is obtaining and maintaining professional liability insurance. Malpractice and liability insurance protects the therapist from lawsuits filed by a client due to injury or loss. Liability insurance is mandatory to satisfy licensing requirements in states such as Massachusetts, Missouri, South Dakota and Wisconsin, and even in some local, permitting regulatory agencies of California. Spas, clinics and other places of employment typically will require therapists or employees to carry insurance in order to protect themselves and their customers.
Standardized policies offer this additional coverage for places of employment through an additional insured option on the therapists' individual policy. This usually is anywhere from $10 to $50 extra a year (depending on how many places you need listed on your policy) and will cover the named business in case they also are named on a suit. If you're not an employee, liability protection can be expanded by adding your business to the policy whether you're a corporation or a sole proprietor.
Terms and amount of coverage generally is standardized or varies a little, but prices definitely vary. In general, malpractice insurance companies and massage and bodywork associations recommend you have all new clients sign some form of a "release of liability" statement along with the initial intake form. Insurance companies also suggest a claim should be reported as soon as possible. A claim must be reported within 48 hours to most providers.
Claims generally can be categorized into intentional acts or unintentional acts; unintentional acts are more commonly known as negligence. In this article, we will discuss unintentional acts or negligence claims, which can be further defined as failure to perform a degree of learned skills ordinarily possessed by a reputable health care professional.
Be aware malpractice insurance does not cover you when you perform intentional illegal acts or partake in activities not included in your policy. These acts include engaging in sexual misconduct with a client or using modalities beyond your scope of practice. When sexual impropriety takes place, the issue is no longer in the malpractice realm but now becomes a criminal issue. This subject will be discussed in a future issue.
I was able to contact a professional liability insurance provider in order to see what common claims have been occurring recently. After talking with Phil Stump, the president of the American Massage Council, I was able to get the most recent claims data. According to their data, the most popular claim was an unintentional or negligence suit involving physical injury to the client. A majority of these injuries were due to burns from heating pads and hot stones. The other common injuries involved the spine and ribs, and usually resulted from an excessive amount of pressure or disregard for a contraindication of the client.
Here are some examples of recent claims and tips to help you avoid this in your practice:
Ultimately, we are the creators of our own destinies by establishing and following our own professional standards. It is these principles in which we conduct ourselves that the solid foundation of a lasting career can be set.
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