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Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
July, 2011, Vol. 11, Issue 07
Stop the Music
By Ralph Stephens, BS, LMT, NCTMB
Many well meaning, concerned people are watching our profession decay from within and are sincerely trying to do something about it. I appreciate that. However, PLEASE STOP with the more hours legislation.STOP with all legislation efforts for just a moment. Unfortunately, this column will probably not get published in time for this year's legislative season. Most state legislatures adjourn for the summer, but they'll be back, so let me explain my plea.
Our problem is not our quantity of entry-level hours. It is the quality of those hours; 600, 650, 680, 750 or 900 poorly taught hours will not make a better entry level therapist than 500 poorly taught hours, and might actually make a worse one. The longer an impressionable student is exposed to ineptness and incompetence, the less chance they probably have of rising above it. There is no verifiable basis for these numbers except for schools to get more Title IV finding. Always follow the money trail. Neither students nor the public are being protected or served by these random hour efforts.
One of the biggest complaints therapists have is lack of portability from one state to another. This is a real problem due to the total mish-mash of licensing laws successfully lobbied for by AMTA with no plan, rhyme or reason to them other than to get something, anything passed. While done with good intentions, the lack of a strong piece of model legislation and guidance from national, coupled with inexperience in legislative processes and statute language by local volunteers, has resulted in too many laws that inhibit the profession instead of enhancing it. AMTA says it supports portability, yet it has made it almost impossible. Passing more arbitrary hours standards and creating more fiefdoms of unique hours and requirements is just making a bigger mess than we already have. STOP IT! You've made a big enough mess that is going to be very difficult to fix as it is. Sit down, back off and let the pros take this over. You mean well, but you know not what you are doing.
The Federation of State Massage Therapy Boards is currently working on a piece of model legislation to improve the profession and bring about a well thought-out law that all states can work toward, to bring about portability and standardization of our profession's licensure laws. PLEASE stand down and allow them the time and space to get this document created. Then use your energy, enthusiasm and resources to support them in getting it universally passed and implemented. The result will be a much more beneficial, enabling system of regulation that will actually benefit individual therapists, particularly with scope of practice and portability.
It Can Happen Here, Probably Will
People have lost access to hundreds of over the counter herbal medicines in Jolly 'Ole England recently as European regulations came into force. Sales of all herbal remedies, except for a small number of popular products for "mild" illness such as echinacea for colds and St John's Wort for depression have been banned in the European Union.
For the first time, traditional products must be licensed or prescribed by a registered herbal practitioner. The British Government, "wanted to ensure continuing access to unlicensed herbal medicines via a statutory register for practitioners to meet individual patient needs."
However, most remedies were lost as it was only open to those who could afford the licensing process, which costs between #80,000 to #120,000. At least 50 herbs, including horny goat weed (so-called natural Viagra), hawthorn berry, used for angina pain, and wild yam will no longer be allowed to be stocked in health food shops, says the British Herbal Medicine Association.
The United States has signed on to this agreement. It will happen here soon if something is not done. Still think the allopaths support alternatives? We are small potatoes compared to the loss of business herbs and supplements cost them. The medical-pharmaceutical cartel does not make any money off of healthy people. If wellness broke-out it would be an economic disaster. The goal is to keep people ignorant, confused and sick thus dependent on the medical-pharmaceutical-government cartel. Our societal ethic condones justifying human suffering in the name of profit. This must change for us to evolve. The cartel is swatting the biggest losses to their revenue first. They will come after us with the same vengeance eventually. We will either be co-opted by losing our scope through restrictive legislation, as is already happening (P.T's are currently carrying the water on this), or placed under gatekeeper control. If all you do is general, non-specific relaxation massage you probably have nothing to worry about. Just because I am paranoid does not mean they are not out to get me.
A further example of government healthcare in action happened recently, when the Detroit Police Department, at the command of Child Protective Services, unlawfully kicked down the door of a woman's home and kidnapped her 13-year-old child. Her crime? She chose to follow a doctor's recommendation to take her daughter off a pharmaceutical drug treatment prescribed for psychosis that was worsening the child's symptoms, and instead chose to use natural remedies to treat the condition. The child's condition began days after forced vaccinations. The drugs to treat the post-vaccination "psychosis" made the child's condition worse. Stop the drugs, lose your child and go to jail. Still think the United States and our healthcare system have some soft spot for alternative methods? When we impact drug sales, lookout. This impacts women the hardest. The profession of massage/bodywork is 80 percent women. What are you doing about this? This is part of the ongoing encroachment by government agencies on the freedom of choice in healthcare. The survival of the therapeutic (clinical) side of our profession is dependent upon people having the freedom to choose their provider and methods of healthcare. Once lost, it will be very difficult to get it back. The price of freedom is eternal vigilance.
On A Positive Note: How To Earn More
A great business lesson is this: Generalists get paid, specialist get wealthy. The more specific and precise you work, the better your chances of a successful practice. Invest in continuing education courses that train you to predictably and consistently help people get out of pain and your practice will get busier. I have many testimonials from my students that verify this statement.
Best wishes for a great summer. Hope to see you at a seminar somewhere or back here this fall. Be well!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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