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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
August, 2012, Vol. 12, Issue 08
Massage Profession Growing Up
By Christy Schumacher, NCTMB
Thanks to integrative medicine and the growing inclusion of massage therapists in conventional medical and health care treatment protocols, there is a growing segment of professionals who call themselves massage therapists, but provide services and expertise that go beyond either the delivery or teaching of massage therapy.We are business consultants, entrepreneurs, authors, marketers, academics and otherwise substantial contributors to varying industries that go beyond luxury and personal services to include medicine and health care, exercise and sports, among others. With these advancements, we are able to influence the politics, economics and delivery of health care in ways that advocate on behalf of patients and expand our options as professionals.
A little over a decade ago, I began studying massage therapy, nutrition, herbology and other means of "natural" healing. By 2003, I was practicing as a licensed massage therapist and obtained my National Certification in 2005. After developing a love of massage and integrative medicine (acupuncture, chiropractic, naturopathic medicine, etc) I decided to design my bachelor's degree around patient advocacy and the ethics of integrative health care. However, the love I had for practicing massage therapy was striking compared to my other endeavors. Even after graduating from a great university with a self-designed degree, I chose to continue on as a massage therapist at the spa where I worked for more than two years. However, in 2008 I found myself abruptly on disability with little chance of re-entering the massage profession. I began to wonder: if one cannot physically provide massage full-time (or even part-time, in my case), how can they call themselves a massage therapist?
After recovering from a number of orthopedic surgeries, almost two years on disability and facing a faltering economy, I decided to re-enter the integrative health care field through volunteer work. It was important to me to help an organization that understood how necessary it is to expand access to massage therapy and other integrative health services to under-served and low-income populations. My time in school revealed that the overwhelming majority of consumers of massage therapy (and other complementary and alternative health care services) are people that mirror several of the following demographics: white, middle to upper-class, college-educated and female. My contention is that massage therapy can provide an extraordinary contribution to the health care system of the 21st century for all communities regardless of status. And after going through an extensive orthopedic disability, with limited to no ability to access these services through my insurance, I became overwhelmingly committed to working to advance the massage profession for all patients.
At the end of 2010, I made contact with Alternative Healing Network, a 501(c)(3) non-profit in San Diego. The organization itself has three main endeavors: free weekly clinics in under-served neighborhoods, special events such as a Healing Arts Festival and an integrative health and wellness center called Adams Avenue Integrative Health. As soon as I began volunteering, I realized how special this organization was. This was the perfect opportunity to utilize my expertise in integrative medicine and contribute to the evolution of our health care system.
Alternative Healing Network is close to reaching sustainability through its storefront wellness center, the Adams Avenue Integrative Health. Profits subsidize services on a sliding scale, allowing access to almost all income levels, but more importantly, the storefront provides the means to provide free services each week in under-served neighborhoods. In 2011, an additional monthly clinic was started to provide services to survivors of domestic violence (and the employees who work at the shelter). This system of community service through internal sustainability is quite unique; most non-profits rely primarily upon grants and donations. It was an intriguing concept and one that I saw much potential in.
As the Chief Executive Officer, I have novel ideas about how to run Adams Avenue Integrative Health and make it truly sustainable while providing a template for the future of health care. One of the first changes I made was to announce that gratuity was included in our existing prices. Obviously not an easy sell to my staff, this has proven to be an incredible means for improving access to those who would otherwise not utilize massage for regular wellness care. My reasoning behind this: when do you tip your nurse, your doctor, your physical therapist or your phlebotomist? These are respected professionals who are considered legitimate health care providers. Why should we give our patients or clients another reason to not consider us similarly? Allowing consumers/clients/patients a means to access massage without the stress of not knowing how much to pay or tip, has been a powerful incentive to sustain their patronage.
One of the most interesting facets of my time at the center, is drawing upon my expertise in patient communication, compliance and ethics. I fully credit my education and work as a massage therapist in my by ability to speak to these issues. Every massage therapist knows that when someone gets on your table, they feel apt to reveal anything and everything to you. Often times, this bumps up (or even crashes) against our scope of practice as therapists. We have all been asked questions about things that are completely beyond our scope of practice and we must learn effective ways to answer these questions. Now that my job is to manage a team of varied clinicians, it is clear that this is not unique to massage therapists. In fact, all health care providers encounter this and benefit from knowing where their scope ends and their colleague's scope begins.
Leading a team of complimentary and primary health care providers is an incredibly fulfilling way to continue a career as a massage therapist. The technical education, the professional experience and the people I meet and work with have made it all worthwhile and unspeakably fulfilling. There are many ways to call yourself a professional massage therapist and pursue your ultimate dreams of helping those around you reach and maintain health and wellness.
Christy Schumacher is a medical ethicist and massage therapist who works with integrative health care practitioners to improve access to and utilization of professional massage therapy within conventional medicine. She has a strong background in public health, evidence-based medicine and outcomes-based models of care.
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