resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
September, 2013, Vol. 13, Issue 09
Let Food be Thy Medicine: Diet Plans with a Purpose
By Tina Beaudoin, ND
Every person is unique and as such they will have varying needs based on the individual's genetics and current state of health. Some people prefer to accomplish their health goals through diet and lifestyle alone, while others may opt to rely heavily on supplementation or pharmaceutical interventions.Nutrition, exercise and mental health are important predictors of whether or not you enjoy health and vitality versus illness and lethargy. In terms of nutrition, Hippocrates said it best; "Let food be thy medicine and medicine by thy food." Sleep, hydration and environmental exposures also play a considerable role in wellness, but for the purposes of this discussion, we will explore nutrition and diets that target specific elevated cholesterol and diabetes.
Pop media has shone the spotlight on many fad diets like the Atkins Diet and the South Beach Diet, but there are additional options that can help you target specific health conditions that go beyond the goal of losing weight. For example, the Mediterranean Diet supports cardiovascular health using Mediterranean-style cooking that focuses on primarily plant-based foods as well as fish, poultry and olive oil. There is also the anti-candida diet that eliminates intake of foods that contain yeast and high-glycemic foods to help re-balance intestinal flora. The Elimination Diet is the gold standard when your objective is to identify and remove food sensitivities. The DASH Diet has a list of recommendations to help control elevated blood pressure that focuses on limiting sodium intake while emphasizing vegetables, fruits and low-fat dairy products.
Elevated cholesterol and diabetes are prevalent conditions in which a targeted diet plan can offer tremendous benefit. Nearly 71 million Americans have elevated cholesterol and less than half of them seek treatment. The Center for Disease Control and Prevention reported that more than 16 million people are diagnosed with diabetes in our country. In addition, it is estimated that there are 7 million undiagnosed cases and an astounding 79 million people are considered pre-diabetic. The Portfolio Diet and the Low-Glycemic Index Diet are two great examples of how a targeted diet can help individuals "let food be thy medicine."
The Portfolio Diet is a two-fold plan that is designed to help reduce elevations in cholesterol. In a review of clinical studies, the Portfolio Diet was found to reduce LDL cholesterol by 22% to 30% after one month when all food was provided. A community-based study found a 15% reduction in cholesterol after six months. The first part of the recommendations involves following the Formal Step II dietary guidelines devised from the National Cholesterol Education Project which permits total fat calories to account for less than 30% of total dietary intake with less than 7% from saturated fat and less than 200mg per day of cholesterol.
As the name suggests, the second part of the diet relies on a business strategy of utilizing a diverse array of nutritional "investments" to increase returns. Four specific types of foods encompass the second set of recommendations that include:
Sterols are the cholesterol made by plants that block the absorption of cholesterol in the digestive track. Sterols are found in small amounts in legumes, vegetables, grains, nuts and seeds. To achieve the target recommendation of sterols it will likely be necessary to use supplements or consume sterol fortified foods. Eating a handful of unsalted almonds (as well as cashews or walnuts) is an easy way to incorporate the nut recommendation. Reading labels and enjoying a regular intake of soy and colorful vegetables will help you reach the fiber and soy protein goals.
It does not have the catchiest name but the results are fantastic when lowering blood sugar is your goal. Glycemic index refers to the amount of glucose released into your blood within two hours of a meal. As diabetes mellitus is one of the largest and most costly chronic disease facing Americans, learning to identify and incorporate low glycemic foods into your diet is a healthy step on the road to preventing or managing diabetes.
Foods with a high glycemic index release glucose faster into the bloodstream than low glycemic index foods. A quick rush of sugar into the blood stream puts a strain on the pancreatic cells that secrete insulin. Chronic strain on these cells will lead to decreased production and insulin resistance, precursors to diabetes. Balancing your meals and snacks with a combination of low glycemic-index carbohydrates, fats and proteins will help slow the release of glucose into the blood stream and support healthy blood sugar control.
Most people can guess that maple syrup, honey and high fructose corn syrup are at the high end while lentils, beans and nuts are at the low end of the glycemic index. White rice, breads and pasta are also at the high end of the spectrum along with popcorn and corn flakes. Whole vegetables and legumes nearly all have a low glycemic load with exceptions including white potatoes, corn, carrots and parsnips that are higher glycemic index veggies. Melons, pineapples and grapes are higher glycemic index fruits and should be minimized.
At the onset, it be challenging for individuals to remain compliant on a targeted diet plan. This is especially true when foods seem completely foreign. Consider adding the support of a licensed nutritionist to lend expertise in learning new foods and recipes. There are also low glycemic index applications available for smart phones, as well as numerous sites online to help individuals make sure they are purchasing specific low glycemic and low cholesterol foods. Be sure to enjoy the process by seeking support and keeping an open mind, as there are the many delicious options available.
Dr. Beaudoin is a Medical Educator for Emerson Ecologics, a distributor of professional nutritional supplements to healthcare practitioners. She also enjoys maintaining a naturopathic family practice and is the president of the New Hampshire Association of Naturopathic Doctors. She can be reached at
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