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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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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).
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).
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.
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.
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%.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
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.
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.
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.
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.
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.
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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