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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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.
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.
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.
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%.
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.
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.
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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