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First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
October, 2012, Vol. 12, Issue 10
The Importance of Water, Part 2
Water, Salt and Protein
By Ben Benjamin, PhD and Lois Orth-Zitoli
Water does not work on it's own. It needs help from both salt and protein. Salt and protein are like guardians, they move water to where it should be and keep it there.Without sodium (salt) in the body, the water you drink would never be absorbed and drinking a glass of water would cause diarrhea. Basically, salt pulls water through the intestinal lining and into the circulation. Once water is in the circulation, proteins attract water in almost the same way that iron filings are attracted to a magnet. The attraction of water for the proteins in the blood maintains the blood volume and circulation. If there were no proteins in the blood, the water would flow right through the walls of arteries and veins and into the surrounding tissue. The blood volume would drop and cells and tissues would not receive necessary nutrients and oxygen and the cells would die. Insufficient salt and protein results in low blood volume and, therefore, very poor blood circulation. The most common symptoms of this are cold hands and feet, low blood pressure and dizziness when standing quickly from lying down or sitting.
Besides helping to control fluid volume in the body, sodium is also required for the absorption of many minerals and amino acids (proteins). Many people know that too much salt can be "bad for you." Individuals who eat a lot of processed foods have high salt diets that can be detrimental. One reason is that excessive salt intake causes increased excretion of calcium in the urine. Of course, processed foods do not contain adequate calcium or other quality nutrients so eating refined foods actually causes depletion of nutrients. However, if you are on a whole foods diet and do not eat a lot of refined or processed foods, you might need to add some salt to your food. Many health conscious individuals are actually salt deficient. Recent research has even found a link between salt deficiency and chronic fatigue syndrome.
The quality of available salt is very variable. Salt in its natural form is 82% sodium and chloride and 18% other minerals. Most salt sold in the grocery store is processed and therefore is almost 100% sodium and chloride. The purpose of adding iodine to processed salt is to prevent iodine deficiencies. Adding iodine to sodium chloride crystals causes them to turn purple. Since purple salt is not "acceptable," the salt is bleached to turn it white again. Flow agent chemicals are added to reduce the absorption of moisture from the air and keep the salt flowing from your salt shaker. Most table salt is no longer in its natural form, it has had all the minerals except sodium and chloride removed and it contains residues of the bleaching chemicals along with the flow agents. Sea salt, frequently sold in health food stores, may also have had all the minerals except sodium and chloride removed. If a salt is very white and dry, it has had the additional minerals removed. Salt in its natural form is usually greyish, off-white, or even pink, and is moist. One of the best sources for natural salt is the Grain and Salt Society. The Celtic Salt they sell is harvested from the Brittany area of France using methods that have been used for hundreds of years. The salt is grey and moist and to most people has a much more pleasing taste than either sea salt or processed salt.
Editor's Note: Adapted from an article by Joy Bicknell and Ben Benjamin
Click here for more information about Ben Benjamin, PhD.
Lois Orth-Zitoli, of Full Circle Health, maintains a private practice in massage therapy and health/nutrition coaching in Chicago. She is a graduate of the Institute for Integrative Nutrition in New York City. Lois leads workshops on nutrition, coaches both individuals and groups, and teaches healthy cooking classes. She can be reached at
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