resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
March, 2013, Vol. 13, Issue 03
Introducing Yourself to Your Client's Health Care Team
By David Kent, LMT, NCTMB
When patients experience pain, they instinctively touch the area that hurts. Since opening my clinic in 1992, one statement I hear on occasion from patients is "feel this bump, it was never there before." Sometimes they are right, the bump is abnormal and they must consult their doctor immediately.Other times, the patient is pointing to a bony landmark. I want to share a few practice building tips for educating your patients about their "bumps," which can then provide ways for you to introduce yourself to their health care team.
The foundation of my practice continues to be medical doctors referring patients for the treatment of myofascial pain in the head, neck and back. The pain usually originated from injuries sustained in a motor vehicle accident, while performing a home improvement or work related activity. So, in my clinic, patients most commonly report the following bony landmarks as "never there before:"
Pain affects every area of a patient's life: physically, emotionally, spiritually, financially, relationships at home and work, etc. Patients are scared and concerned about their pain. As health care providers, we must assume our patients do not know about bony landmarks or the structures that attach to them. This is a perfect opportunity to educate patients about form and function. To teach them about the roles bones and muscles play in providing structural support and movement.
I educate patients about bony landmarks using charts and models. I explain how and why bony landmarks form, why they might be tender after physical activity, stress or trauma and how we as health care providers use bony landmarks for postural analysis and other physical assessments. I also show the bony landmark on myself and on other people in the clinic. It is reassuring and comforting for the patient to understand the "bump" is normal and exists on everyone.
Some patients, when they are in pain, will see many different healthcare providers at one time. They will leave your clinic and drive directly to their chiropractor and or medical doctor. So, here is a simple and effective practice building tip. Write the name of the bony landmark with a note on the back of your business card and give it to the patient. For example "The External Occipital Protuberance is tender to palpation." You would be amazed how the patient will show your card to their doctors. This starts a conversation about your practice and the next thing you know, the doctor wants to meet you.
Patients are relying on you for guidance. It is important that you are familiar with normal human anatomy so you can identify abnormalities. Sometimes, the painful spot, is a "bump they have never felt before" and the patient is pushing into soft tissue, not a bony landmark and could cause potential harm. For example, if the spot is in the anterior neck region, running along the sternocliodmastiod muscle. The "bump" may not be the mastoid process, but a swollen lymph node or something more serious and the patient should be referred to a physician. The carotid sinus, body and vessels are in the same region and fatal circumstances could result from the patient randomly pushing deeply into the anterior neck.
Your knowledge of anatomy helps to protect your patients, improve assessment/treatment outcomes and build your practice by educating patients who then become raving fans. One unique way to learn about the skin, fascia, muscles, nerves, ligaments, vessels and other structures that compose the body is in an anatomy lab. Performing a human dissection is a unique opportunity to see, touch and learn about the body without any concern of causing harm. You can compare the same structure on multiple specimens of different gender, age, size, cause of death and occupation. You palpate diseased and normal organ tissue, examine surgical incisions to uncover pacemakers, artificial hips, or the rods, screws and connectors installed during a spinal fusion. You feel the elasticity, density, size and position of structures throughout the body like the spinal cord, heart, lungs, organs, etc. You leave the lab with a new level of confidence and knowledge that is integrated into your practice.
Be prepared when you here the words "feel this bump… it was never there before." If you laugh and make fun of the patient for pointing to a bony landmark, the odds of them scheduling follow-up treatments or referring others is very low. There is also the possibility you could identify an abnormality that ultimately saves their life. Apply your knowledge and turn the situation into a patient education and practice building opportunity.
Click here for more information about David Kent, LMT, NCTMB.
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