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Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
November, 2009, Vol. 9, Issue 11
Clients Who Are Reluctant to See a Physician
By Ben Benjamin, PhD
Question: How do you get people to see a doctor to screen for serious conditions when they don't want to?
Answer: As I mentioned in a previous column (September 2009), whenever a client comes to me with an injury or pain condition, I make sure the person goes to see a physician if they have not already.I recommend this policy to all the practitioners I have trained around the country, and believe it is one of the most important steps we can take to protect our clients, our profession, and ourselves. However, it's not uncommon for clients to put up some resistance. Many individuals have had bad experiences with doctors and other health care providers. This isn't surprising; outside the mental health field, medical professionals often receive very little training in how to develop therapeutic relationships. They may never receive instruction in communication skills, relationship building, conflict resolution, customer service, and building a safe environment -- all crucial skills to have when dealing with something as personal and private as the human body.
In your first session with a client, you're taking a major step in building a therapeutic relationship. As you greet them for the first time, take a history, perform an assessment, and then open up a dialogue about what the client wants from the work you do together. The person will get a good sense of whether he or she feels safe and comfortable with you.
Your confidence, your presence, your voice tone, your gentleness and kindness, and your clear boundaries will give the client reason to trust you and to believe what you say. If you have done all of this well, it may be much easier than you think to influence the person to see a doctor.
It also really helps to have one or more excellent physicians in mind. Whenever I set up a practice in a new location, the first thing I do is go in search of good doctors. I ask people, whose judgment I trust, who their doctor is. I invite the doctor to breakfast or lunch (they have to eat sometime!) to discuss their work and to see how I feel being with them. If I have a good experience, I begin to refer patients to that physician for medical screening.
I have sent hundreds of clients to doctors who don't rush them, speak in plain English, and do a thorough job. When clients persist in their reluctance to see a physician, I set a clear and kind boundary. At the end of my assessment session, I might say something like: "You have a serious injury in your neck and I would very much like to see if I can help you with it. In order to treat you in a responsible manner, I will need you to see a physician before I begin the treatment process. My training and knowledge are limited to certain areas of expertise, so I rely on physicians to screen out conditions that are outside of my scope of practice. Once you've seen a physician, whether it's one I'm recommending or one you choose on your own, I would be happy to treat you."
I've found this approach to be successful in the vast majority of cases.
Click here for more information about Ben Benjamin, PhD.
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