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Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
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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