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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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
January, 2010, Vol. 10, Issue 01
Heart on the Bottom Line
By Ralph Stephens, BS, LMT, NCTMB
Happy New Year! I have observed with fascination and wonder as our professional associations have willingly given away huge chunks of massage therapists' traditional scope of practice. Most professions have associations that hire lawyers and lobbyists to fight tooth and nail to expand their scope of practice.Not ours. We give up more and more every year. Look at the state massage laws passed by our associations in the last few years. We have given up traction, stretching, exercise and joint mobilization, and saddled ourselves with establishment licenses in some states. No other health care providers have to obtain establishment licenses. Why are we doing this to ourselves? At times, I've surmised it was just desperation to get some law, any law passed. That coupled with ignorance of the professional regulation "game."
In collusion with our associations, when it comes to giving up scope of practice are the majority of our schools. Not all schools of course. There are a few good ones left, and you know who you are so do not take offense. I have lamented this sad situation before. However, I have never been able to understand why our associations and schools are giving up the rightful, historical scope of our profession. Finally, while lost deep in nature in Massachusetts during an extended teaching tour this past fall, the truth was revealed to me. It is so simple and obvious, yet so sad.
It's in the financial interests of schools to give up and dilute as much of our scope or practice as possible. The less they have to teach, the less it costs them. Just teach the simple, basic stuff. Sadly, we have set a lowest common denominator with national certification and licensing exams, and all schools need to do is "teach to the tests". Thus in legislation battles, it's easy for the opposition to say something is not in our scope as it's not taught in entry-level programs, even though it's being very thoroughly taught in our continuing-education courses. So, they turn on continuing-education instructors and try to suppress and restrict them from teaching the advanced work and/or restrict therapists' ability to perform it even if they know it. As sad as it is, I can understand the schools' part in this. It's simply the easiest way out and makes them the most profit.
But why the associations? Why are they not working to increase our opportunities to help the public by fighting to expand our scope? This is the big revelation: They are insurance vendors. They make their money from the insurance they provide their members. The less scope they have to insure, the more money they can make and the less claims they might have to defend. It's in their interest to give up scope, especially any advanced work. The less we can do, the better for our insurance vendors. The less they have to teach, the better for our schools.
The two groups that historically lead a profession to greater scope of practice, less restrictive regulation and higher levels of income are leading the massage profession in the opposite direction. Maybe it's not quite as malicious as it seems. Maybe it is just that they are not aware of the full potential of soft-tissue therapy and the historic scope of practice of massage. The effect is the same. They are depriving the public the potential of soft-tissue care and limiting the opportunities and incomes of massage professionals. This is what we get when the heart is on the bottom line. Anybody care? We pay an incredible price for ignorance. On a positive note, Florida should be our national model. Their licensing law gives them a great scope of practice and it hasn't yet been dismantled by the tyranny of the minorities or political correctness.
I cannot wait to read the reactions and outcries from the schools and association to this column. Pay no attention to what they so righteously will say. Look objectively at what they're doing. What are the measurable outcomes? Follow the money trail. What economic incentive do they have to expand our scope? When threatened, how hard have they fought to maintain it, let alone expand it? Never believe what politicians and sales/marketing/media people say. Only believe what they do. Actions speak louder than words.
We get so emotional. We want to believe so badly in some principle, group or politician that we only hear or read words that support our beliefs, and seldom compare words to actions. You can hope all you want but you will eventually find it is a poor strategy to accomplish anything. When you find yourself desperately wanting to believe something, stop and check it out. We pay a huge price for ignorance.
Alternative Health Care News: Flu
The good flu news is they cannot force people to be vaccinated if they don't have the mercury-laced vaccine to inject. I would much rather battle the flu than mercury poisoning. If you don't know the symptoms, you should look them up, especially if you consume high-fructose corn syrup and get vaccinated for the flu. You don't want mercury in your body.
In its attempt to prevent you from being well and avoiding the flu, the FDA is attacking any source for alternative information. Dr Andrew Weil was warned to change his Web site because he was offering an immune-boosting supplement. Read the FDA letter here: www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm186837.htm.
It's frightening how hostile our "new" government is becoming toward alternative health care and health in general. Its new appointees are working to dilute all organic standards. See: http://salsa.democracyinaction.org/o/642/campaign.jsp?campaign_KEY=27042. It's going to be a long, bleak winter, especially politically. I will be back on a more positive note in March. Bring your kites!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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