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Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
July, 2010, Vol. 10, Issue 07
CA Law Defanged
By Christie Bondurant
They expected "a walk in the park." Instead, the proponents of a California anti-prostitution law that targeted massage therapists found themselves trying to retreat out of a political minefield wondering how it all went so wrong.
As of press time, Assembly Bill 1822 is still under review by the state legislature. But, thanks to massive protest by the massage community and missteps by its backers, the bill has been radically altered and essentially defanged of the original structure that subjected massage therapists to unnecessary scrutiny by local law enforcement.
Introduced in February 2010, the original version of AB 1822 restored the authority of local police departments to issue work permits for massage therapists. That authority had been wrestled from the cops under a 2008 law that placed this power into the hands of the state massage organization, the California Massage Therapy Council (CAMTC).
The CAMTC was formed specifically to end a situation where massage therapists would undergo police checks in every jurisdiction they had clients. Under current law, a statewide certificate is issued by the CAMTC after it conducts criminal background checks and verifies the qualifications of those seeking permission to work legally. Once certified, a therapist no longer has to go from jurisdiction to jurisdiction seeking permission to work.
While opposition was apparent at the bill's introduction, the political firestorm that ensued began after a critical piece of data surfaced.
In a Feb. 21, 2010 letter to the bill's author, Assembly Member Sandre Swanson (D-Alameda), California Police Chiefs Association (CPCA) President Susan Manheimer wrote: "We recently did a random/regional sample of CAMTC applicants and found that 57% were known prostitutes, 32% were of unknown legitimacy and required further inquiry, and only 11% were legitimate operators."
The CPCA data never addressed the question of whether the massage council has actually certified unqualified people. Even so, the police group said that it was "completely unrealistic" to think that CAMTC could properly handle a massive volume of applications and instead called for local police screening.
Thus far, the only public statement alleging that CAMTC has let undesirables obtain authorization to work has come from a lobbyist for the Police Chiefs Association, John Lovell, who told Massage Today that there have been "several hundred certificants with past convictions."
This contention was strongly denied by CAMTC executive director, Ahmos Netanel, who said that Council data shows that police departments are the ones who have allowed criminals to pass background checks, not the Council.
Under the current state law (Senate Bill 731), criminal history checks are conducted at both the state and federal levels prior to the Council issuing certification, Netanel said.
"The CAMTC has never approved anyone who was not already approved through the DOJ (Department of Justice)," said Netanel.
Netanel also stated in a document calling for opposition to the bill: "CAMTC has rejected 3,424 applicants, who had passed background checks by local law enforcement, but when checked through CAMTC's process did not pass muster. In fact, so far 346 of those already approved locally were found to have criminal backgrounds and denied the statewide certification."
Mike Schroeder, a CAMTC board member who has been a major force in opposing the bill added: "It is patently obvious that there is no data, no research or anything resembling either.
"The CPCA continues to hide behind a facade; they obviously never expected anyone to challenge their blatant slander of the massage therapy profession."
Proponents Back Down & Scurry
As the details of AB 1822 became known, massive opposition began to build from the massage community through e-mails, letters, and published articles. Behind the scenes, Netanel and Schroeder lobbied key state legislators to change the bill. Eventually, both the public protests and private lobbying caused lawmakers to stop in their tracks and seek solutions from their opponents. As one opponent of the bill told Massage Today, "they expected a walk in the park, it turned out quite differently."
For a sense of the type of united front that came from the massage community, Massage Today posted a "Vote NO on AB 1822" e-mail form addressed to a state assembly committee voting on the bill along with the bill's author. Within days of posting the e-mail form, more than 1,500 e-mails were sent, catching the attention of the committee members and proponents of the bill.
Assemblyman Swanson and Chief Manheimer sat down with opponents of the bill including the CAMTC and the American Massage Therapy Association California chapter to begin discussions of amendments. After these discussions, the proponents backed down on its most controversial aspect: local police certification for work permits.
Amanda Whitehead of AMTA-CA thanked the massage community for their overwhelming support in influencing proponents of the bill. "Please know that your letters, e-mails, Internet postings and publicity have both influenced lawmakers and inspired those of us whose job it is to deal directly with the legislature," said Whitehead.
After the massage community's backlash and the bill's apparent unraveling, proponents quickly began to scurry out of the spotlight. And the once crucial element of the bill's urgency, the survey data, became the red-headed stepchild that no one wanted to claim, including the author of the bill, Assemblyman Swanson. In fact, various sources have reported that Swanson is deeply embarrassed by the bill along with the data that caused the uproar.
In an interview with Massage Today, he apologized to the massage profession for Manheimer's data.
"I apologize frankly for any misunderstanding," said Swanson. "I have received some personal e-mails from massage therapists who I've answered personally, clarifying any misunderstanding that this was an assault on the profession."
He also stated that he would question the data: "I would question it (the data) ... In terms of the legitimate massage therapists that I'm familiar with, they have pride in their profession. They have years of training and they ought to be respected."
And in response to our questions regarding the data, Manheimer claimed that a lobbyist was responsible for the calculations: "The CAMTC sent to one of our police agencies the list of applicants from the zip codes within that agency's jurisdiction and just outside the agency's jurisdiction. After reviewing the names, our lobbyist found that 57% were known prostitutes, 32% did not have enough information to make a determination, and 11% were known massage practitioners."
No additional detail was provided, including whether or not those applicants were ultimately certified by CAMTC to get work authorization.
Further, Manheimer's statement that the organization's lobbyist, John Lovell, compiled the data somewhat contradicts what Lovell said in an interview with Massage Today. While Manheimer states that Lovell calculated the percentages, Lovell stated that he believed the police chiefs association calculated the percentages.
In the April interview, Lovell said that he was uncertain but he "imagined" that the police group simply compiled the data into three piles: known prostitutes, unknown legitimacy and legitimate operators.
While the bill's language regarding local certification of individual massage therapists was removed, some are still concerned about the remaining language.
"CAMTC is adamantly opposed to AB 1822," Netanel said in an interview with Massage Today. "However, we are pleased with the direction it has taken."
The bill keeps language that adds two law enforcement members to the CAMTC including a Police Chiefs Association position and a Sheriffs Association position.
Another amendment includes an added section to strengthen enforcement against illegal operators of massage businesses. Section 4612.5 of the Business and Professions Code reads: "Notwithstanding any other provision of this chapter, any city, county, or city and county may require any person who administers massage for compensation, or who owns a massage establishment or business, to also hold a business license or a massage establishment permit or both."
As of press time, the bill is still under review by the legislature. Massage Today will continue to follow this story with up-to-date information regarding the bill's standing.
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