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Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
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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