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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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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).
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).
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.
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.
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.
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%.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
October, 2012, Vol. 12, Issue 10
Disaster Proofing Your Massage Practice
By Rita Woods, LMT
These days, we are accustomed to hearing about disaster preparedness, the zombie invasion, when "it" hits the fan and keeping your BOB (bug out bag) updated. What you are not hearing so much about is how to prepare your small business for the same set of disasters.Whether you have a small practice in your home or a large facility with several employees, maintaining the integrity and continuity of your business is the key to a speedy recovery should disaster strike. Whenever you think of a personal or family disaster preparedness plan, include your business as a parallel entity. Whatever you do for the family plan, do for your business plan. Let's look at some specifics.
It is advised that you maintain your homeowners insurance policy, wills, bank account numbers and such in a portable fireproof safe. This makes it easy to grab and run should the need arise, and to protect them from fire and the elements. You should be maintaining secure backup records of important business documents in the same way. These might include your continuing education records, insurance policies, licenses and permits, and client records to name a few. Massage schools and educators should also maintain off-site backup files of student transcripts. If you have a website, be sure that a backup copy is being created and maintained on a regular basis. There are companies that provide "cloud" storage of your internet and computer files so you may want to look at that service.
A friend of mine was in a F4 tornado that literally took her house out from around her. She was left squatting in what used to be a closet holding a pillow over her head. She had nothing left but the pajamas she was wearing. As most of us do these days, she had entered contact information of friends and family into her cell phone. When disaster struck she didn't even have phones numbers to call for someone to come get her and could not contact them afterwards to let them know she was alive. Her advice is to store information in an online address book so you can access it later. Don't depend on your computer or cell phone as they can easily be destroyed or lost.
Disasters come in all forms, shapes and sizes. If something happens, you may be stuck at your office and unable to get home or stuck in your car trying to get home. What's the first thing that crosses your mind when you envision that scenario? Think that process through, then be proactive in addressing each concern with proper planning and preparation.(I've included links at the end of this article that will help you make a good plan.) Being proactive will help keep you and your loved ones calm in an emergency. I have a GHB (get home bag) that is in my car at all times. I change it according to the season and my destination. In a medium sized back pack I have everything I would need to survive (in relative comfort) for several days. Civil unrest often follows a disaster because people do not have basic supplies. Remember, a person was killed during Hurricane Katrina over a bottle of water. Your key to personal safety is self sustainability. Your office should be as prepared as your home.
Be prepared by keeping your favorite (portable) comfort items in the office. Maybe you like a cup of hot coffee or tea. Keep it on hand and have a way to heat your water. If you have no electricity, you might want to have some candles and an extra blanket. At least you'll have a massage table to sleep on – there is some good news! If it's winter, you might want to invest in one of those portable indoor/outdoor propane heaters. Be sure it's safe for indoors as some are not. Keep an extra set of clothes and shoes on hand. If your office is on public utilities, then you will probably have water as the flow is gravity fed from the water tower. If not, then you will need to keep some on hand. Now we come to the part no one talks about – the bathroom issues. If you have running water, no problem. If you can get outside and dig a hole, no problem. But if your situation leaves you empty handed on the bathroom thing, you may need to keep a five gallon bucket around with some trash bags and kitty litter. I'll leave that for you to figure out the details.
Unless you have been caught in a tornado like my friend I mentioned earlier, you will probably have your cell phone or office phone. However, if you have no electricity, you will need the old fashioned phone that does not require electricity. They cost about $10 and are worth their weight in gold in a power outage. Phone lines usually work even when you have no electricity. You should have one of these for your home and office to communicate with the family. It saves your cell phone batteries and leaves the cell lines open for emergency use. To charge your cell phone battery, I suggest one of those emergency weather alert radios that you can wind up. Some of them have a port for charging cell phones. Do your homework to be sure it serves all your needs. Mine is a cell phone charger, emergency weather alert, radio, LED light and can be run via hand cranked, solar, battery or AC power.
By the way, be sure to have ICE (In Case of Emergency) entered as a contact in all cell phones. Enter the contact person and phone number of who should be contacted in case there is an emergency. First responders are trained to look for this in the event that the individual is unable to communicate.
Remember this: Not to prepare is to prepare to fail. Include your practice as part of your emergency planning to ensure a swift recovery to business as usual.
Click here for previous articles by Rita Woods, LMT.
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