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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
November, 2008, Vol. 08, Issue 11
Economic Crisis: Be Aware, Get Prepared
By Ralph Stephens, BS, LMT, NCTMB
Many businesses and industries have run aground because they had the wrong perception of their place and purpose in the market, especially during times of economic change and crisis. For example, at one time railroad companies thought they were in the railroad business.They didn't realize until it was almost too late that they were really in the transportation business. Once they adapted to that larger paradigm, the ones that survived did much better.
The massage profession faces a similar situation. I think we, as a profession, believe we are in the massage business. This is a very narrow, focused, myopic view. We are really in the people business and the health business. We serve the public with alternative health care not available from any other source in a manner to bring about better health, wellness, movement and relief of pain. Massage is the primary tool we use to accomplish that, but we also use related techniques, education and products.
We are confused about who our customers really are. Our customers are not the allopathic medical community, not the AMA, not the insurance companies, not HMOs and not the government, but the public, people, individuals. We must reach out and promote to these individuals in such a way that they demand that our services, techniques and philosophy be accepted and included by health care on our terms, not on the allopathic system's terms. We can do this, but we have to change our focus, and we have to be ready to state what our terms are and stick to them.
We are going through a time of economic change, and the turmoil during that change looks a bit scary. Be assured, massage has survived thousands of years and many elections, disasters, economic crises, wars, global changes, etc., and it will continue to survive. Massage will continue to be in demand because there is nothing that can accomplish what massage can do as efficiently, effectively and pleasantly.
The current economic crisis will present some challenges, but I assure you the answer is not to sell out to the failed traditional medical system. The answer is to provide a cost-effective alternative. People may not be able to afford insurance or traditional health care, but they will need pain relief and wellness care. It is cheaper to stay well than to get sick. It is cheaper to prevent/eliminate carpal tunnel syndrome with massage than to have surgery for it. Both people and businesses will be looking for cost-effective alternatives to unaffordable crisis medicine, and we are sitting pretty to provide it to them. Well, at least some of us are.
The small percentage of us who have invested in ourselves beyond entry-level and learned how to assess and treat specific conditions, relieve pain and, most importantly, prevent injuries and illness are very well-positioned. The general relaxation side of the profession will likely see a more serious downturn, except possibly chair massage, the most cost-effective version of relaxation. The good news about chair massage is that when given by a properly trained therapist, chair massage can also provide specific therapeutic treatment, especially for upper-body complaints affecting the shoulders, wrists (carpal tunnel syndrome), low back and neck.
Invest in yourself by acquiring the skills, knowledge, and techniques that enable you to help people in pain. Practice them until you are really good and you will most likely do very well in the coming years. You will be able to really help people, and people are really going to need help. Wouldn't you like to have people begging you to work on them instead of you begging for work?
Canada's Health Care Ship Sinking
Have you by chance heard of Claude Castonguay, the "Father of Quebec Medicare"? In the 1960s Castonguay chaired the committee whose recommendations became the glorious Canadian health care system of which we are told. He is now the chairman of a government committee reviewing Quebec health care. He has concluded that the Canadian system is in "crisis."
"We thought we could resolve the system's problems by rationing services or injecting massive amounts of new money into it," says Castonguay. This money would have to come from significantly higher taxes. But now he prescribes a radical overhaul: "We are proposing to give a greater role to the private sector so that people can exercise freedom of choice." Freedom? What a concept.
Castonguay advocates contracting out services to the private sector, even going so far as suggesting public hospitals rent space during off-hours to entrepreneurial doctors. He also supports co-pays for patients who want to see physicians. Castonguay, who once championed public health insurance in Canada, now urges for the legalization of private health insurance.
What would drive a man such as Castonguay to reconsider his long-held beliefs? Try a health care system so overburdened that hundreds of thousands in need of medical attention wait for care, any care. Try a system in which people in towns like Norwalk, Ontario, participate in lotteries just to win appointments with the local family doctor. Years ago, Canadians touted their health care system as the best in the world. Today, Canadian health care stands in ruinous shape, according to Canadian Dr. David Gratzer, MD.
If Castonguay is abandoning ship, why should Americans bother climbing on board a similar ship? Will we pass each other going in opposite directions? English economist Alexander Tyler documented that the downfall of democracy, usually within about 200 years, comes when voters realize they can vote themselves something for "nothing" from the public treasury. Once people become dependent on government, they are one step away from tyranny.
Someone gets the bill for free health care, and that someone is the average middle-class taxpayer. Sadly, no one is talking about getting government completely out of health care, which is too bad, since government is the problem.
Chew on This
Earlier this month in an unprecedented U-turn, the FDA dropped much of its reassuring language on amalgam (silver) fillings from its Web site, substituting: "Dental amalgams contain mercury, which may have neurotoxic effects on the nervous systems of developing children and fetuses." It adds that when amalgam fillings are "placed in teeth or removed they release mercury vapor," and that the same thing happens when chewing. Mercury is the sacred metal of allopathic medicine. By placing it in our bodies through vaccines and fillings, they make billions treating the resulting conditions that manifest from the damage it does to our nervous systems.
The FDA is now reviewing its rules and may end up restricting or banning the use of the poisonous heavy metal, at least in fillings. It's about time. Want to bet that the law passed by the new Democratic Congress and signed by President Bush, giving drug companies immunity from damages caused by drugs and vaccines, includes mercury? If the drug companies can get off free, the FDA can tell the truth. Who are they really protecting? Both parties and the bureaucracy of government agencies are completely controlled by the giant corporations. By definition, this is fascism. They justify human suffering in the name of profit. How does it feel?
As we are soon approaching the completion of another trip around the sun, I want to thank you, the loyal readers of this column, for your support throughout the past year. I wish a Happy Holidaze to all and remind you that this time of year is about something far bigger than shopping. See you back here in January. Bring hot (dark) chocolate. We'll talk more about a paradigm shift in health care only we can provide.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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