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Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
June, 2009, Vol. 09, Issue 06
A Hard-Fought Road to Acceptance
By Vivian Madison-Mahoney, LMT
It's 5 a.m., and I can't sleep. I keep going over yesterday's events in my head. I attended the Families USA Health Action 2009 Conference, a national health care reform conference held annually in Washington, D.C.Attended by health care advocates across the nation, the conference featured political experts such as CNN's Paul Begala, national leaders such as Sen. Chuck Grassley, (R-Iowa), House Majority Leader Steny Hoyer, Rep. Henry Waxman, (D-CA), health policy expert Dr. David Blumenthal who has just been named as the new National Coordinator for Health Information Technology (IT) and other health policy officials discussing various health care topics and reform proposals, including all aspects of insurance. The conference was informative and exciting; I had some very insightful and stimulating conversations with many there; however, it was one particular conversation that continues to nag at me.
At the end of one of the plenary sessions, I walked over to a Washington Post reporter to shake his hand and tell him I appreciated the sensible and constructive comments he had made to the group. Once he learned that I was there for the massage therapy industry, he quickly spouted: "You all need to change the name of massage because you will never go anywhere with massage." He ended with: "Massage therapists should get off their ego trips and work for physicians and physical therapists, period." This was the ultimate slap in the face.
Before I could reply, he placed his ski cap on his head and promptly walked away, not giving me a chance to defend myself, or my profession. The sting of his words left me trying to sit through the rest of the afternoon sessions holding back tears, still feeling the pain of his words. Yes, it's my fault that I am thin-skinned and that I have great pride and love for my profession. However, I'm concerned that the complete ignorance and frankly, arrogance shown by this Washington reporter is shared by others throughout the nation.
An Honorable Profession
I have proudly been in this profession for nearly 25 years and serve as the insurance consultant for the Florida State Massage Therapy Association (FSMTA). It was on behalf of this great association and its nearly 5,000 members that I attended this conference to stand up for our profession and create further inroads for insurance inclusion when our services are prescribed by treating physicians for medically necessary treatment.
All these years, I have worked legitimately and ethically to provide for my three daughters, keeping clothes on their backs and food in their mouths. I was thrilled and proud that I never had to return to welfare and food stamps or ever again have to go to the Salvation Army to provide Christmas presents for my little girls. Because of this profession and my massage therapy business I was able to help save my daughter's life when doctors tried to discourage me from having hope. Massage therapy helped keep her from possibly spending the rest of her life in a fetal position, so said the trauma room neurosurgeon, who helped to save her life after an auto accident that left her with traumatic brain injury (TBI) and in a coma for nine months. I worked on her various body areas day and night for three solid months in the intensive care unit, continuing through the coma state and onwards. Slowly she recovered to much better than ever expected with no memory loss, a fantastic sense of humor that would put us all to shame, and a personality that makes everyone love her even though she is a handful to care for in her condition.
I was always able to hold my head high while effectively helping thousands of patients who were suffering mentally, emotionally and physically when their physician's felt that massage therapy would be beneficial to them. I've known judges of compensation claims for Workers' Compensation Court to order lifetime massage therapy for patients in my office, "to prevent deterioration." And I've had the pleasure and satisfaction of hearing patients say how much better they felt and in many cases, how this therapy has helped them more than any other for their specific conditions.
These patients would report that massage therapy had helped them sit, bend, stand, and walk. They also reported that they were relieved of migraines and other pains which had plagued some for years; they were able to sleep through the night for the first time in a long time and were able to once again interact freely with family and friends. Other cases were more serious; patients would gladly report that they were finally able to get off their medications, some so adverse that they became even more ill from their medications, causing them to spit up blood, make them too tired, weak or dizzy to operate normally during the day.
This is what massage therapists and massage therapy is all about; helping patients, and in many cases, helping patients like my daughter overcome serious health conditions. It is not "massage parlors" or escort services there to make an easy buck off of senators, representatives, preachers, governors and laymen we read about in the news.
Massage therapy is a professional healing treatment. Because I ran a respectful and ethical massage therapy operation I was able to keep my young daughter out of a run down county home. Because of this business I could afford the costs of $4,600 to $6,200 a month for nearly two years, to care for her at home before she was placed on the Med-Waiver Home and Community Based Services Program. I built my practice to over half a million dollars in the 80s, charging extremely low rates, and working 6-7 days a week. When no one else had a clue, I was successfully accepting insurance for patient reimbursement. Over 175 physicians believed in me and referred their patients to my medically oriented massage establishment.
I represent the nearly 100,000 state licensed and/or certified massage therapists who are giving their all, who work, train and bend over backwards to help the innermost healing processes of those injured, ill or dying. Those who offer relaxing, pampering, professional massage therapy are also to be commended. They offer a legitimate service, unlike those who offer it for sexual gratification to those who are seeking and paying for it. Just as there are a few unscrupulous senators, governors, representatives, preachers, physicians, lawyers, or other professionals we hear about in the daily news, we do not avoid, condemn or consider all to be of the same sleazy nature.
I have been working with an insurance company's fraud unit because medical doctors and chiropractors are using our profession to make money off insurance companies and off the backs of patients. Do these few physicians represent all physicians? No. Nor do these few massage therapists, heard about in the news, represent the entire profession.
Here to Stay
It's time for people like this reporter to realize that we are a profession that is here to stay and that has worked diligently to renew and protect our hard-earned professional image. We are the ones specifically trained and state licensed, some under the board of medicine in their states and/or nationally certified and legally classified as "health care practitioners." We are the givers, the hands-on caring part of health care. We are the ones who still provide the positive bedside manner that people used to love about their physicians when they had time to provide it. We are the ones who spend time, an hour or more, treating medical conditions; this service is offered by no other health care provider today. We do not proclaim to be physicians; we are the extended arms of physicians, working independently much as a pharmacist provides medications per physician orders.
We are an ethical and caring profession of health care providers who are finally being recognized across the nation for our hard work, efficacy and patient satisfaction. This has been a long and hard road; a road that has actually put many therapists out of the business because they felt dirty, sleazy and unprofessional when asked by "patients" to provide services that "satisfy their needs." And then there were those who were hurt or felt degraded because of statements made such as the one made to me yesterday. Had his sharp, arrogant statements been made to me in my early days, I am afraid I too would have been joining those in the unemployment lines today.
So to those in our profession, our health care practitioners across the nation, thank you for all you do and continue to do. We will prevail, in spite of people like this reporter who continue to downgrade us with judgments and false accusations because of others who have given us a bad name. We are here to stay.
CORRECTION: In this article, the reporter was incorrectly published as a Washington Post reporter. The reporter was actually a local Washington, D.C. reporter. The correct statement should be a Washington reporter.
Click here for previous articles by Vivian Madison-Mahoney, LMT.
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