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Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
April 17, 2012
The CAMTC Money Grab
By Donald M. Petersen Jr., BS, HCD(hc), FICC(h)
It is a sad time for the massage therapy profession. A disturbing trend has continued, despite my hopes that the people involved would recognize how unhealthy it is for massage. I'm referring to the decision by the California Massage Therapy Council (CAMTC) board to vote themselves unnecessary travel money so they can attend a convention later this week, all expenses paid.
This money was originally approved for attending a convention as "roving ambassadors" with no real duties or responsibilities. After news of this decision was publicized last week by Massage Today, CAMTC CEO Ahmos Netanel submitted a list of duties board members will now be expected to perform.1
The decision was made on a board conference call on Tuesday, April 10, 2012. Kathryn Feather, Massage Today's Senior Associate Editor, was on the call. While it was not unanimous, the majority of those voting in favor of the measure were the ones who would receive the money.
For the record, this is who voted for and against a motion to take money for unnecessary travel:
Actions Reveal Intent
The vote was to reimburse board members to attend the American Massage Conference (AMC) in San Diego. This was in addition to already receiving free registration and free Gala tickets ($115 total value). This was the second time in the last 6 months that this board has voted to spend money on themselves for a convention.
What was strange is that attached to the board's meeting agenda was a worksheet listing those board members who had already decided to attend the AMC and how much they had already spent for their airfare and hotel registration.
A per diem allowance of $213 ($71 per day) was also included in the worksheet along with mileage reimbursement for those who would be traveling by car. In short, these board members had already decided to go and were making an effort to see if they could get free money from the CAMTC.
Note that these board members are attending in addition to the 6 staff members who will already be present. As a means of comparison, the ABMP, which is the global educational sponsor for the event, will only have four staff members there. And they have to coordinate seminars and speakers, as well as maintain their exhibit booth. The CAMTC will have a total of 14 staff and board members.
Efforts were made to contact these board members, but only four of those who voted for the motion responded; one through the CEO, two via e-mail and another declined to comment as he is not attending the convention. They appeared to be in hiding over their decision.
When Ahmos Netanal, the CAMTC CEO was contacted, he waited to respond until after the first article deadline. His ultimate response can only be described as one of panic. In fact, this is the most confused, poorly rationalized response I have seen in 30 years of journalism. When he finally responded to direct questions regarding the board's actions a few days later, his initial response had to be rescinded as his answers did not have the board's approval.
In an effort to justify the board's decision, the response included statements which were obviously untrue. Here are just a few examples:2,3
In September 2010, the board adopted an expense reimbursement policy that allows for reimbursement for costs related to "Council service" and "Council business." There was specific conversation during the April 10 board meeting that made it clear that the attending board members did not have any particular duties.
Neither the 2010 nor an earlier 2009 policy mentions a cap on how many board members can go or even when they arrive and depart.
Some of the board members are arriving on Thursday, April 19th, when the only event is the golf tournament. The exhibit hall, where the CAMTC has a booth, does not open until 1 p.m. Friday. Had all 20 board members decided to participate in the money grab, the total cost to the CAMTC could have been more than $20,000 for this single event.
Keep in mind that this is the second event where the board has decided to pay themselves. The first was in October 2011, the board okayed reimbursements for travel to the FSMTB convention in Southern California. With several massage events in California every year, it's not a stretch to imagine tens of thousands of dollars going to such expenses, the equivalent of hundreds of certificate fees per year.
Following the Money
The question that quickly comes to mind is: Why approve so many people for travel to an event already being covered by six staffers?
Ahmos Netanal introduced the resolution for reimbursement. As CEO, he currently earns more than $259,000 under a very lucrative contract that we understand is up for review later this year. While I have a hard time justifying over a quarter of a million dollars a year for this position, I have to assume it had something to do with the need to build the CAMTC from the ground up.
But now that they have been up and running since August 2009, the CEO compensation package should be reduced to the $85,000 per year that the chiropractic Board and other similar professional boards pay their executives.
For example, the same position with the California Board of Chiropractic Examiners pays $6,694 to $7,239 per month. The annual difference between these two positions is $173,112, equal to approximately 1,100 more certificate fees per year.
According to Board records (April 2011), "Mr. Netanel's base salary (was decreased) from $16,666.66 per month to $15,833 per month and add an additional $330 per month to his existing benefits allowance (from $3,000 per month to $3,333 per month). In addition, provide Mr. Netanel with $1,666 per month toward dependent benefits, and $833 per month (for 12 months only) toward his home office expenses. Total annual compensation package would increase from $236,000 to $259,980."
One would think that if the CAMTC is so drunk with money that, at the very least, they would reduce the amount they charge therapists for registration. I would actually prefer to see them just make better use of the money.
With three years under their belt, one would think that the board would decrease Netanal's compensation instead of increasing it by $2,000 per month. Given the recent reimbursement decision one has to wonder what their motive is. Is the liberal travel reimbursement for unnecessary travel part of a quid pro quo? It is not hard to see that if each of them collects a few thousand dollars a year, that they would be more than willing to let him have his quarter million. It will be easy to see if this is correct, just watch and see what the board does when the contract renewal comes up. If they don't severely reduce the compensation package, then their votes were bought and paid for.
The End of the CAMTC
The CAMTC is a nonprofit corporation operating under strict laws. It is also unique in that it is not directly under the state of California like most professional boards, at least not right now. The CAMTC is an experiment to see if the profession can manage itself without heavy-handed oversight by the state. The experiment may come to a close at the end of 2014 when the CAMTC is set to sunset unless it is renewed.
The current self dealing by the board and overpayment of Netanal puts the future of the CAMTC in jeopardy. With their current actions now public, it is not unreasonable to think that enemies of the massage therapy profession will be contacting their state legislators asking them to take action against the board. And our legislative friends may be embarrassed and hard-pressed to defend us particularly when the board comes up for renewal.
So why risk the future of the CAMTC by overpaying Netanal and allowing the board to take money to go places they were scheduled to go anyway?
What You Can Do
This issue is not something I ever expected to see in massage therapy. It seems counter to our culture. Having exposed this type of behavior in the chiropractic profession,4 I can tell you it is incredibly embarrassing for the profession and damaging to its reputation. It has a lasting impact that is not easily forgotten.
While you can't vote to elect or replace the board members, you do have a voice. You can encourage the board members to stop lining their pockets with travel money and reduce the CEO compensation to a level that will not anger the California legislature when it votes on the fate of the CAMTC in the next two years.
We have established a web page (www.massagetoday.com/moneygrab) where you can write an e-mail and, with one click, send it to the board members and Mr. Netanal. The hope is that they will see the importance of doing the right thing and make the necessary changes.
Please understand that I still have faith in this board. I know some of the people on it and believe that those who voted for the motion have been mislead in their decision to take money from the certificate holders. And while it may appear that we are "attacking" the CAMTC board or have some sort of axe to grind, the truth is that Massage Today has strongly supported the organization since its inception, most notably in the bruising fight over AB1822.
If they will make the changes necessary, the CAMTC can live on to do great things for our profession. If not, they will sunset in two years, ending the money grab. Rest assured that the legislature will receive an analysis from our enemies that will compare how this Board operates verses how they would be required to operate under State oversight. It is easy to see the legislators alienated by self dealing and by a CEO compensation package that is more than two and half times their pay.
Less than six months ago, Massage Today recognized the CAMTC for their investigation into human trafficking.5 How sad that this same board could themselves come under investigation for self dealing. Last year MT named the CAMTC Board the "2011 Heroes of the Profession." How heroic will they be if their desire for a few thousand dollars a year is one of the reasons the California legislature decides that we can no longer oversee our own certification. With millions of dollar at stake, the future of the CAMTC will get plenty of attention.
Please, take a few moments and make your voice heard. This is not just a California issue. This will impact the entire profession nationally: www.massagetoday.com/moneygrab.
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