resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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."
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
January, 2010, Vol. 10, Issue 01
Go Green for a Healthy Office
By Shellie Enteen, RA, BA, LMBT
Our clients come to us to achieve a state of wellbeing, part of which includes receiving massage in a safe, healthy environment. In massage school, we were taught the importance of keeping our office, table and linens clean and sanitary.We were introduced to the list of universal precautions and made aware of our responsibility to keep ourselves and our clients free of communicable disease. But what about the toxins that are found in commonly used commercial cleaning products? Are our best efforts to keep a clean environment also creating side effects that are a health hazard?
How Toxins Manifest
Researchers tell us that the air inside our tightly sealed home and office is often more polluted than the air outside due to trapped fumes from these products as well as from commonly used scented candles, chemical air fresheners or fragrances. What are these toxic substances and what effects do they have? In the article "Toxins in Household Cleaning Products," (http://green.wikia.com/wiki/Toxins_in_Household_Cleaning_Products) we are told that despite being highly diluted, these substances are "bioaccumulative, meaning the chemicals do not purge easily from the body and, over time, even mild exposures can add up to toxic levels." These toxins manifest in three ways:
Common cleaners and other products found in any home or office such as deoderizers, plastic food wrap, and moisturizers can be sources of these lurking toxins. The following are considered the main culprits:
Formaldehyde. Formaldehyde is commonly known as a preservative. Many people do not know that it is also a germicide, bactericide and fungicide, among other functions. Formaldehyde is found in household cleaners and disinfectants. It is also present in nail polish and other personal care products. Formaldehyde is a carcinogen.
Organochlorines. Organochlorines (OCs) result from the combination of hydrogen and carbon. Some types are highly deadly, such as DDT. They are bioaccumulative and also highly persistent in the environment. OCs are present in pesticides, detergents, de-greasers, bleaches and drycleaning fluids. OCs are carcinogens and endocrine disruptors.
Styrene. Styrene is a naturally occurring substance derived from the styrax tree. Styrene is most commonly used in the manufacture of numerous plastics, including food wrap, insulated cups, carpet backing and PVC piping. Styrene is also found in floor waxes and polishes, and metal cleaners. Styrene is a known carcinogen and an endocrine disruptor. Exposure may affect the central nervous system, liver and reproductive system.
Phthalates. Phthalates are most commonly used in the manufacturing of plastics. Phthalates are also used as carriers for perfumes and air fresheners and as skin penetration enhancers for products such as moisturizers. These chemicals are classified as inert. As such, no product-labeling requirements exist. They are endocrine disruptors and suspected carcinogens. Phthalates are known to cause hormonal abnormalities, thyroid disorders, birth defects and reproductive problems.
Volatile organic compounds (VOCs). These are emitted as gases. VOCs present in perfumes, air fresheners, disinfectants and deodorizers. They commonly include propane, butane, ethanol, phthalates and/or formaldehyde. These compounds pose a variety of human health hazards. Symptoms include headache, backache, stiff joints, nausea, diarrhea, asthma or allergy attacks, dizziness, memory loss, stuttering, premature puberty, low sperm count, reduced motor skills, sudden mood swings, dyslexia, ADHD, antisocial behavior/autism and birth defects, among others.
Clear the Air
So how can we maintain our responsibility to our clients of keeping a clean environment without using toxic chemicals? There are some healthy ways to clean that are simple, inexpensive and effective. Far from causing health hazards, they will boost the immune system and have a positive effect on the mind and emotions. They do require putting the product together, but the experience and effects from cleaning this way is well worth the small effort to do so. All you need is white vinegar, baking soda, water and some antiseptic, antiviral essential oils.
Cleaning spray. For countertops, surfaces, mirrors, windows, face cradle and table, use the powerhouse antibacterial, antiviral, antifungal, antimicrobial essential oils of lavender (or lavindin, which is less expensive) and tea tree. Create a pleasant aroma by adding a citrus, spice, herb or tree essence. All of these essences also have antibacterial properties. You should use 10 mls (250 drops) of a blend of the chosen essences, with tea tree and lavender predominating. Put this into 2 cups of vinegar and pour into a 32-oz. spray bottle, then top with water. Shake well before using. For a scrub cleanser that will remove oil buildup, sprinkle baking soda on the area and spray with the cleaning blend, then clean with a soft scrub sponge.
Floors. Use the same blend, or create a pine or citrus-based blend. Add 15 to 20 drops to 1 cup of white vinegar and add that to water and damp mop. To freshen carpets, put 15 to 20 drops into 2 cups of baking soda, mix well and let stand for a few minutes. Sprinkle onto carpets (can be used on cloth-covered furniture, too) and allow that to stand for 10 minutes (keeping pets and children out of the room), then vacuum.
Get rid of commercial air fresheners and exchange your petroleum-based scented candles for unscented soy candles. Add an essence or blend to melting candle wax, create an air spray with essential oils and water, or use a diffuser with true essential oils. Try using different scents for different seasons.
Make a safe antibacterial soap that won't create chlorine gas when it hits water. You can also buy unscented castile soap (Dr. Bronner's is a good source) and add lavender and tea tree. Hydrogen peroxide can be used on its own to disinfect and remove stains.
Those who clean with natural products and essential oils have noticed the difference and get many positive comments. It can even be a pleasure to clean with natural ingredients.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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