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News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
December, 2009, Vol. 9, Issue 12
Year-End Observations of Our Profession
By Ralph Stephens, BS, LMT, NCTMB
Kudos to Dr. Janet Kahn, PhD, and the Integrated Healthcare Policy Consortium (IHPC) for their successful efforts to ensure that alternative practitioners have a place in the new national health care legislation.They managed to get an amendment into the Senate health care take-over bill that adds the language "licensed complementary and alternative medicine providers and integrated health care practitioners" to the definition of the health care workforce. This is huge.
At least someone is working for us in this stampede toward socialized medicine, which may be a done deal by the time this article reaches the printing press. I hope not. I hope it is completely defeated and the country can start over on a simple, understandable plan that will improve people's health care instead of increasing politician's power over us.
The work of IHPC is ground-breaking and they deserve our support. They are the only organization of which I am aware that is actively engaged in the debate in Washington, D.C. Hopefully their amendment will survive the process as the various bills move through the legislative process. I am confident they will stay on it. Sadly, in several states where massage therapists are not licensed, we are going to be excluded. Registration, certification and other bogus forms of regulation enacted in some states will not count. The shoddy, patchwork quilt of massage laws passed by our major associations will be put to the test if (when) the draconian health care regulation bills in Congress are enacted.
Fortunately, there is one group that has the potential to salvage the mess made primarily by AMTA, and by ABMP to a lesser degree. By "mess," I mean the state massage laws that have been passed with no uniformity, model, or intent of protecting and expanding our scope of practice and facilitating portability. After all, these are the main purposes of professional regulation. For the most part, good meaning people who have no understanding of professional regulation have written our laws. This has created portability nightmares for therapists and in several states sold out and given up our historic scope of practice. Our regulation "system" is so discordant that it is mostly a burden on therapists. And our associations are so proud of their "work" that there is little hope of them working to change anything for the better.
However, the Federation of State Massage Therapy Boards (FSMTB) has the opportunity and the potential ability to create model practice act legislation and have it enacted uniformly in every state. There are a lot of pieces in the puzzle that must come together, but FSMTB is the only hope I see for uniform regulation and thus easy portability.
This organization is already moving ahead with an ambitious plan to bring about reciprocity for therapists moving from one state to another ("portability"). Other standardization language will also be developed. FSMTB has the potential to raise the standards for our profession, something our associations and massage schools have no financial incentive to do. FSMTB deserves our support; they need volunteers who care about our profession for committees.
Less Than Good Stuff
The National Certification Board for Therapeutic Massage and Bodywork (NCB), which has continually refused to accept its real purpose of being a certification agency, has now decided to become an insurance vendor and a pseudo-professional association. This will be interesting. I wonder if it will use the same tactics to keep its insurance customers that it uses on its primary certification exam customers: the state regulatory boards, which is lawyers and intimidation? Threatening clients has never been an effective marketing tool for customer retention, except maybe for the Mafia. NCB has sealed its fate and will not be around much longer. Its poor service, legal actions and legislative tactics have created incredible ill will against it in the regulatory arena. You can never win a war against the bureaucracy. Maybe a battle or two, but eventually the bureaucracy will have its way. NCB's days as a licensing exam are over once the lawsuit agreements expire. The ongoing transition of our profession to a trade will minimize the demand for a certification credential. NCB was initially a good idea. Too bad it didn't live up to the high expectations. Oh by the way, I actually hope I am wrong about this observation. It would be such a waste of time, money and energy if NCB was lost. Time will tell.
Speaking of insurance vendors, there are two principles being demonstrated in the massage world at this time. The first is that obscene profits bring ruinous competition. AMTA once had a monopoly on the professional massage practitioner insurance package. Then along came ABMP. Now there are many vendors, the newest being NCB. Most are competing on price. The icing is melting off the insurance cake and the big two are losing business and thus, profit.
The second principle being demonstrated is the Third Law of Thermodynamics. This law of physics says that a system tends toward entropy (chaos) as its energy becomes disorganized over time. However, the practical application of the law also provides that local order can be produced while increasing overall entropy. This is what is happening. Smaller groups are bringing a more localized order to the massage community. However this is at the expense of increased chaos (less order) in the overall group. This may be a good thing internally, but who is going to represent the entire massage community externally in issues like state legislation and the new national health care system, whatever that turns out to be? This increase in overall entropy will probably not help us as a profession unless it somehow evolves to separate the profession from the trade in a way that elevates the profession. At this time, it is probably helping the good to get better. We need the good to get larger, to be an ever-increasing percentage of the whole. At this time, that is not evident. But hey, there is always hope for change we can believe in.
Merry and Bright Stuff
It is hard to believe that the holiday season is already upon us again. Hope you sell lots of gift certificates! However you celebrate it, remember there is a bigger reason for all these special and sacred days than just shopping. May all the various holidays bring you joy and peace. Here's to a better year in 2010! I wish a healthy and very Happy Holidaze to all. See you back here in January.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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