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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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%.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
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.
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.
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.
April 20, 2010
CA Anti-Prostitution Law Brings Firestorm of Opposition
Would Neuter State Board, Return Certification to Police Departments
By Editorial Staff
A California anti-prostitution bill that essentially forces professional therapists to get police permission to work has been moved on to the state Assembly Appropriations Committee.
Assembly Bill 1822, authored by Assembly Member Sandré Swanson, passed the Business, Professionals and Consumer Protection Committee by an 8-3 vote on April 20. If the bill becomes law it will effectively neuter the California Massage Therapy Council (CAMTC), a two-year-old body that now certifies massage therapy in California.
Swanson (D-Alameda), has called the bill an "urgency statute." He has also said that "Justifying the need for this urgency is a recent random sampling of CAMTC applicants, which concluded that the 57 percent of the applicants were known prostitutes and 32 percent had questionable backgrounds that required additional investigation."
However, the publicly cited sample data used by Swanson and other proponents of the bill, principally police organizations, only describes the backgrounds of applicants.
A very different picture emerges in sample data from CAMTC that shows who actually got work permits.
In reaction to the bill, the Council stated that "The CAMTC did not approve 25 massage applicants who were approved by the police in San Mateo. More than half (57 percent) of the applicants who were not approved by CAMTC were granted city permits."
Turning Back The Clock
If enacted, the legislation would result in a return to the old system used in California that required practitioners to be vetted and certified in each jurisdiction where they have clients. Both costly and complicated, the old system was replaced two years ago in favor of a voluntary statewide certification that supporters say has been far more effective in weeding out disreputable and unprofessional people from obtaining permission to work in local jurisdictions.
Swanson and the new bill's supporters claim: "The bill will have an important impact on reduction of Human Trafficking criminal schemes."Richard McElroy, CAMTC board member and a former police officer who investigated illegal massage parlors for more than 25 years, states that the CAMTC's review process is superior to all past methods of vetting massage professionals.
McElroy, who also wrote the Los Angeles Police Department's manual used to abate massage brothels, stated in documents opposed to the bill: "[CAMTC] not only examines the DOJ background report, but pays an additional charge to receive subsequent arrest notification from DOJ when the applicant is arrested at a later date. Local police departments do not."
The California Chapter of the American Massage Therapy Association (AMTA), worked closely with the legislature and all stakeholders in the massage industry, including law enforcement, in the creation of SB 731, passed in 2008. The intention of SB 731 was to provide a system that would clearly differentiate between legitimate massage practitioners and criminal actors seeking to co-opt their title. Having such a system gives law enforcement an additional tool in combating human trafficking, because it establishes a central clearinghouse of information on applicants around the state, and offers a clear, verifiable measure of a massage therapist's credibility: certification through the CAMTC.
According to CAMTC's Chairperson Beverly May: "AMTA-CA, as sponsor, spent over six years working with legislative members and staff as well as other stakeholders, to draft SB 731. We participated in a series of Taskforce meetings with vice officers arranged by the League of CA Cities.
"Business and Professions Code Section 4600 is the result of years of research and negotiation. The law contains some very powerful enforcement provisions. Notably, in response to city concerns about schools selling certificates, and the Sunset of the BPPVE, we made sure that the law allows the CA Massage Therapy Council the right to investigate if we have reason to suspect that an applicant has not received the education claimed.
"We have not approved any applications over the objection of local police. Quite the opposite - we have denied certifications to a great many applicants who already have city permits."
According to the AMTA: "SB 731 created voluntary certification through the [CAMTC], which is already providing a rigorous alternative to the haphazard patchwork of local regulations that has let illegal businesses flourish in California cities for too long.
"SB 731 represented six years of work in the Legislature and with every stakeholder in the massage industry, including law enforcement. AB 1822 entirely undermines the excellent tools and fair regulatory system created by those years of cooperation.
"The CAMTC has had the resources and knowledge to deny certification to hundreds of applicants who had slipped past local permitting procedures statewide due to its state and nationwide recourses:
"The CAMTC has unique access to statewide and nationwide resources:
In a letter (dated April 1, 2010) addressed to Swanson from Francisco Lobaco, Legislative Director and Valerie Small Navarro, Senior Legislative Advocate for the American Civil Liberties Union state:
"The ACLU opposes AB 1822, a measure to transfer a greatly expanded background check procedure for massage therapists from a statewide organization to local law enforcement. While we support effective efforts to curb human trafficking and child prostitution, we do not believe that requiring massage therapists to complete background checks by local law enforcement - rather than a statewide organization -- will combat trafficking. Instead, bad actors seeking to avoid detection will operate further underground to avoid subjecting themselves or the girls and women they are trafficking to increased scrutiny by local law enforcement."
The letter continues: "We oppose AB 1822 for the following reasons:
The American Massage Therapy Association, California Chapter is encouraging therapists to send their letters and emails to the Appropriations Committee immediately. A formatted letter of opposition is available on the AMTA-CA Web site at: www.amta-ca.org.
For a list of the Appropriations Committees' phone numbers and emails, go to: www.assembly.ca.gov.
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