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Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
April, 2013, Vol. 13, Issue 04
Help in Understanding Parkinson's Disease, Part 1
By Ann Catlin, LMT, NCTMB, OTR
More people over the age of 60 are turning to massage therapy for self-care and to help ease symptoms associated with chronic ailments. If you have clientele in this age group, it's possible that you will eventually have a client who is living with Parkinson's disease (PD).It's estimated that at least 500,000 people are diagnosed in the United States. It's important to have at least a basic understanding about this disease, what to expect and how you can best serve your client. Here, I will offer an overview of PD and how it impacts daily functioning of the persons who have it.
What is Parkinson's disease?
Parkinson's disease is a chronic and progressive disorder of the central nervous system. In other words, the symptoms of PD grow worse over a long period of time. PD is classified as a movement disorder. It's called Parkinson's disease because in 1817 a British physician named James Parkinson first described the symptoms. Such symptoms are caused when neurons in brain stem known as the substantia nigra die or degenerate. When functioning properly these neurons produce a chemical called dopamine. Dopamine carries signals between the substantia nigra to an area of the brain responsible for movement. When dopamine levels are depleted, impaired movement results. Other changes in the brain may occur as well, such as Lewy Bodies, an abnormal protein deposit that impairs cell function. It's not known what actually causes these neuron changes. Experts believe that genetics and exposure to environmental toxins are possible culprits.
Symptoms and Function
People who have PD experience a wide range of symptoms that affect people in many different ways. Here I'll focus on common movement symptoms and illustrate how these might affect a person's function in daily activities.
Early in the progression of PD these motor symptoms are considered classic.
As the disease progresses into advanced stages these symptoms emerge.
It's easy to see how a person with these movement impairments would have trouble with daily tasks. What was routine becomes a frustrating and time-consuming challenge. People with advanced PD need a great deal of assistance from caregivers for day-to-day activities and may even require nursing home care.
Treatment for PD typically consists of a combination of medications that help control symptoms and lifestyle changes. Some people have surgical interventions as well. Commonly prescribed medications decrease movement symptoms by increasing the levels of dopamine in the brain. One such drug is called Levodopa (L-dopa). Other drug therapies may be used for other symptoms such as depression, sleep disturbance and pain. Many of these drugs can cause severe side effects that negatively impact quality of life even further. Recommended lifestyle changes include diet modifications, regular exercise, balancing rest and activity, stress management and participation in a support group. Physical, occupational and speech therapies are commonly prescribed. Surgical interventions have been found to help manage symptoms in some people. One example is called deep brain stimulation where electrical stimulators are placed in the areas of the brain that control movement. Clinical trials for stem cell transplants are being studied.
I encourage you to take a look at these two short videos on Youtube to gain a better understanding of Parkinson's disease and how it impacts people's lives. This first video, is Joseph H. Friedman, MD, is chief of Butler Hospital's Movement Disorders Program and an international expert in Parkinson's disease (www.youtube.com/watch?v=IHDFQfmkKlg). The second video is called: A look into Parkinson's: what it is and how it affects the lives of my parents by Tommy Dimmel (www.youtube.com/watch?v=ggNlPYGuAAg).
In part II, I will explore how massage therapy can contribute an important approach in easing symptoms and improving quality of life for the person living with Parkinson's disease.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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