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Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
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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