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Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
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.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
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.
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.
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!
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
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.
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.
August, 2011, Vol. 11, Issue 08
Legislative Evolution in Texas
By Janine Ray, LMT, MTI, CCMT and Pamela Ellen Ferguson, Dipl. ABT (NCCAOM), AOBTA® and GSD-CI, LMT (TX)
Texas members of various associations of massage, bodywork and Asian bodywork therapies are busy forming a new Texas Legislative Coalition to prepare for an advisory board. Solid legislative efforts by the Texas Association of Massage Therapists (TAMT), the American Organization for Bodywork Therapies of Asia (AOBTA), the Texas Association of Acupuncture and Oriental Medicine (TAAOM), the American Massage Therapy Association (AMTA) and the Texas Medical Association, recently helped to kill the Texas Health Freedom Coalition Bills SB 1084 and HB 1716 at the end of the Texas 82nd Legislative session in June.
The Complementary and Alternative Health Care Services Bills would have given anyone the right to practice anything on a shopping list of more than 20 professions and techniques, including Bodywork, Acupressure, Traditional Oriental Practices such as Qigong Energy Healing, Polarity, Folk Practices, Mind-Body Healing Practices, Cranial-Sacral and more, without licensing or certification or minimal education requirements. The random list was proposed without any apparent reference to or support from national organizations which represent the major professions within bodywork therapies.
The solid clout of opposing voices was the peak of legislative discussions prompted by a historic and unique April 7th roundtable meeting during the AOBTA national convention in Austin. Organized jointly by Janine Ray, TAMT Legislative Director, and Pamela Ferguson, former AOBTA Director of Council of Schools and Programs, the meeting included some 25 national and state representatives from TAMT, AMTA, AOBTA, Associated Bodywork and Massage Professionals (ABMP), Federation of State Massage Therapy Boards (FSMTB), Feldenkrais Guild of America (FGNA), the Rolf Institute of Structural Integration (RISI) and the United States Trager Association (USTA). Everyone gathered to discuss legislation that was currently in the Texas House and Senate, as well as the proposed bill that TAMT had been working on that would make the conforming changes to HB 2644 to combine all Bodywork Therapists, Asian Bodywork Therapists and Massage Therapists under a Massage and Bodywork License which would also honor the respective educational requirements and scopes of practice.
FSMTB's Model Practice Act
Coincidentally, the April 7th meeting happened to fall in the same week that the FSMTB announced their special Task Force to craft a Model Practice Act (MPA) for Massage and Bodywork. The purpose, as summarized by Debra Persinger, FSMTB Executive Director, and Sally Hacking, Director of Government Relations, is to provide a resource to legislatures and boards, to establish standards of minimal competencies, educational requirements, methods of addressing consumer complaints and evidence of unethical practice. The FSMTB chose a seven member task torce from their 41 member states. Six members represent their respective state massage therapy boards, including Deborah Overholt of New Jersey, who is also Legislative Director of the AOBTA. The seventh member is Yvonne Feinleib, director of the Texas Department of State Health Services Massage Therapy program. The task force's first report is expected in October.
While there was a consensus of opinion regarding the wisdom of a comprehensive MT/BT Bill at the April 7th meeting, former AOBTA President Debra Howard pointed out potential problems that would need to be clarified and addressed as Texas moves thoughtfully toward a new bill. Howard quoted an example of scope of practice issues in Louisiana, where ABTs must be licensed as Massage Therapists. Moxibustion, a traditional Chinese technique within the scope of practice for ABTs, was banned by the state massage board after an unqualified MT instructor incorrectly taught the technique in a classroom.
To continue resolving all of the above issues with a view to achieving some solid common goals, including honoring differences within the various professions of Bodywork Therapy, Asian Bodywork Therapy and Massage Therapy, the Texas members of the various associations expressed a collective need to form a new Texas Legislative Massage and Bodywork Coalition. The aim is to fine tune a piece of legislation that would detail and clarify the definitions of massage and bodywork, core competencies, and ethical issues related to protecting the public. The aim is work in tandem with the DSHS.
The ultimate vision is to evolve into an all inclusive advisory board to discuss issues like a grandfathering clause, and how this will impact independent schools and community colleges, as well as all facets of the professions. Of course any proposed legislation will depend on the necessary budget allocation for DSHS to implement the bill.
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