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Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
May, 2009, Vol. 09, Issue 05
An Opportunity and a Double Cross
By Ralph Stephens, BS, LMT, NCTMB
The recently passed stimulus bill has lots of interesting stuff in it. Several clauses of the bill deal with health care. There is $1.1 billion allocated to "comparative effectiveness research," looking at outcomes of different medical procedures.Will this research embrace, or at least include, alternative therapies such as massage? Boy, could we score big if the studies are set up fairly. Who is representing our profession, and advocating that we be included?
The American Massage Therapy Association's (AMTA) government relation's person told me that they have a legislative tracking service in relation to massage. But she was unaware of HR 676 (see previous article, MT March 2009, for my discussion on this bill) or any clauses of the bailout or stimulus bills. However, they are sending a representative to a National Institutes of Health (NIH) meeting soon.
An Associated Bodywork and Massage Professionals (ABMP) spokesperson said they are very aware of the legislation and are closely monitoring the situation. They are optimistic that changes in health care regulations will include us and other alternative disciplines. They do not have a formal action program or policy in place at this writing but they are ready to work for us when they see an opportunity to do so. At least they are in the building and in the right room, taking notes.
A new kid on the block with great potential is the Integrative Healthcare Policy Consortium (IHPC). It will be interesting to see what this group will be doing for us and other alternative disciplines in the future. They are already at the table, hard at work. Kudos to ABMP and IHPC! (More on IHPC in the July column.)
The transition to nationalized medicine will take several years, maybe longer. Will we be allowed into the new system? If not, will we be allowed to exist outside the system and still do therapy? How will the computerization of everyone's medical records affect us? Will we be part of it? Will we have access to it? Can our profession maintain its first-door provider status? Massage therapy as a wellness-based, alternative discipline cannot thrive if placed under gatekeeper supervision. (Access by prescription, and limited to only what is prescribed.) The PTs are already there, so where would we fall in the hierarchy?
The public is looking for alternatives to the current sickness-care system. The government is looking for more cost effective procedures since they are going to be picking up the bill. This is a perfect storm for our profession (and all the alternative professions) if we can get to the table and be heard. Massage therapy is the premier wellness modality and the most cost-effective, soft-tissue, pain-management therapy there is. It would be a crying shame if we get left out of the coming nationalized system as it is created just because no one was able to speak up and represent us. It is imperative that we get in on the early stages of any new health care system's development. Not just for the thousands of massage therapists, but for the millions of people we could help.
The Sucker Punch
While it is important to play ball in good faith with the government and the allopathic sickness-care industry, we must be aware at all times what the bureaucracy is up to so we can hopefully protect and defend our freedom to practice. Our profession has made a huge (for us) investment in research trying to validate what we do. It is important to study how massage works and its best applications. However, research is a double-edged sword, as this next report shNew FDA regulations are now threatening to ban any food supplement that has been researched in clinical trials. Currently, Section 201 of FDA regulations already prevents the marketing of dietary supplements which have been subject to published clinical studies, but only when they have also been the subject of an Investigational New Drug (IND) application.
The FDA's unprecedented, controversial and ambiguous changes to regulations, may mean that all food products, including dietary supplements, could be barred from being marketed if they have been the subject of published clinical studies. Gretchen DuBeau, executive director of the American Association for Health Freedom (AAHF), explains further: "This would strangle innovation. It would create a 'Catch 22' situation in which supplement producers who undertake scientific research on new supplements will find that their very research will lead to a ban on the proposed supplement."
It appears they are going after Stevia initially, a natural, zero-calorie sweetener, which is considered a threat by the giant sugar and artificial-sweetener industries.
See how we are being sucker-punched here? We are told that claims of effectiveness cannot be made without research to back it up - never mind clinical observation for several hundred years. It has to be current valid "research." They thought that would prevent the alternative health community from being able to make any claims because we could not afford to do the research. Now that research is being done that threatens pharmaceutical sales, they will ban the sale of products proven to be effective, classifying them as "drugs" that must be controlled for the "safety of the public." We are in a period of time where the mindset will be that the sacrifice of the individual for the good of the group is considered necessary. That's all well and good, unless you are an individual.
How does this apply to massage? Glad you asked. Those of us in alternative therapies such as massage and acupuncture are told we need research to validate what we know to be true. Research is now proving us right. Will they now take our research and ban us from doing procedures with which we get positive results? Would they do that? Will we get sucker punched by research, like the supplement industry just has been? Let's hope not. However, they justify human suffering in the name of profit. Where is the profit? Not in massage or other alternative therapies. We cannot follow the allopathic model and be an alternative to it at the same time. Health care freedom is something we will be able to tell our grandchildren that we once had.
All conditions in the physical begin as discordant thoughts and emotions in the mind. The physical condition distracts us from perceiving and recognizing the mental disturbance. For true healing to take place, the mind must be illumined to its part in the condition. Until the causative thought pattern, usually subconscious, is changed, the symptoms will return. Mind-body healing is the cutting edge of health care. Massage can bring about awareness on more than just a physical level. Be a teacher, particularly of awareness of the self.
We live in interesting times. See you in the July issue for America's birthday.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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