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A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
March, 2009, Vol. 09, Issue 03
Health Care Reform and the Massage Profession
A Crisis Too Great to be Wasted
By Ralph Stephens, BS, LMT, NCTMB
The current economic downturn is a crisis "to great too be wasted," according to our new president's chief of staff, and we will soon see some form of socialized medicine. It is not a question of if, it is a question of what and when. The point of this dose of reality is this: How is the massage and bodywork profession positioned to maintain its viability when health care is nationalized?
Health and health care is not really a right, it is a responsibility. Sadly, people in general do not want to take that responsibility and further, they want someone else to pay for their own irresponsibility and misfortune. We are in a period of rewarding bad behavior and poor decisions.
When "the people" ask the government to take over their personal responsibilities, this transfers individual rights and freedoms to the government. (And politicians can hardly wait.) The government that controls the health of its people controls its people. Ultimately, the State wants to manage its "human resources" (that's you and me) to maximize productivity for the State. It will take awhile, incrementalism is essential, but eventually it leads to population control.
Allopaths Versus Massage Therapists
In a government run system in the United States, "traditional medicine" (allopathy) will rule. Retirement is very unproductive and bad for the environment. In between, the allopaths get to skim their profits. Where does a health-based paradigm fit in? Think about it if you dare. Only a significant shift in societal consciousness (awareness) will change this.
The pharmaceutical-medical lobbies have the most money and thus access to the best politicians money can buy. The alternative health movement's window of opportunity is rapidly being closed, much to the delight of the allopathic system. Alternative providers tend to promote health and allopaths abhor health.
If that statement shocks you, and it is suppose to, remove your emotion and objectively look at our current health care delivery system. There is no economic incentive to the system to get or keep people healthy. They only make money off of sickness and symptoms. There is relatively little money to be made curing conditions, and even less preventing them. There are huge amounts of money to be made treating never-ending symptoms. This is why effective cures, cancer cures for example, are suppressed or run out of the country. Follow the money trail. You have to see the overall structure and philosophy of the system. Once you can, it is crystal clear. Of course there are exceptions within the system.
There will be a potential opportunity to bring wellness based care to the forefront in a nationalized system and that could be huge for us. It could save money and prevent a great deal of suffering (like 250,000 people dying from the allopath's admitted mistakes each year). Sadly, the government is not interested in cost-effectiveness or optimizing your wellness. It rewards inefficiency and ineptness. Allopathic sickness care is the epitome of both.
Current Bill in the House of Representatives
How will massage and bodywork, as a profession, be affected by the implementation of socialized medicine? It could be as benign as being left alone. If the Clinton plan is revived, we could have to become employees of hospitals or physicians or face being felons. There is currently a universal health care bill in the House of Representatives, HR-676. In this bill there are provisions for alternative providers to participate in the plan as long as they are licensed. This means our colleagues in states that are not licensed or that have some lesser form of regulation than full state licensure could be put out of business. Also, one of the three ways HR-676 will be funded is with taxes on the self-employed. That's a lot of us.
The Secretary of Health and Human Services' first first assignment will be handling health care reform. Obama's top pick for Health Secretary, former Sen. Tom Daschle of South Dakota, abruptly withdrew his nomination after admitting his failure to pay about $140, 000 in back taxes. While Daschle is out, his nomination gives us some guess as to the types of policies we will see after an eventiual appointment. Daschle, who was voted out of office by his own constituents in November 2004, has said the Clinton plan failed because it had too many details. Instead he proposed to pass a skeletal bill and let bureaucrats make the administrative rules that will fill in the details of the plan.
[Editor's note: As of press time, the appointment of the Secretary of Health and Human Services has not been made.]
The Crisis is Too Great to be Wasted
Bureaucrats are not very supportive of us. If you doubt this, notice how the U.S. Food and Drug Administration treats herbs and supplements. Notice how the Department of Agriculture treats the organic food movement. There are plenty of precedents to make one quite concerned about how the bureaucracy might treat us and what amount of freedom they would give us to do therapy.
Who is going to watch out and stand up for us when this "health care reform" is created? Who is going to be the voice of alternative providers? Who will offer a serious wellness model beyond mandatory allopathic tests and vaccinations?
Where are our beloved membership organizations on this issue? Are they ready to represent you, to protect you, to insure you are at least allowed to continue to practice? Will they stand idly by and let us be put under the thumb of allopathic gatekeepers, making us unwanted slaves in the physical therapy departments? If you care about this, you might want to find out what their plans are, or if they are just counting on hope. Hope has never accomplished anything.
Take Action: What We Can Do?
It will be in the best interests of all of us to be in contact with our U.S. Representatives and Senators and let them know we deserve a place as the first door providers we are now, in any new system they may implement. We need to lobby strongly for our right to practice therapy both with and without gatekeeper supervision. Let me be clear on this. If you want to work for the government that should be your choice, but if you want to work for the patient, outside of the government system like most of us are now, you should have that right too.
If we are forced to become employees of hospitals or physicians or can only access patients through controlled referral, we will not last long. Remember, they ran manual therapy out of medicine here a long time ago. It is not profitable enough.
To survive as first door providers, we will have to lobby individually and through our associations. Are we up to the task? If all else fails, we may have to play dumb and say, "Hey, its just a massage."
Happy kite flying! See you in May with how we may get sucker-punched by research.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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