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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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%.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
November, 2013, Vol. 13, Issue 11
An Ounce of Prevention Can Save You a Lot of Heartache
By Cherie Sohnen-Moe and Laura Allen
Like anyone else, massage therapists are also consumers. We need goods and services to keep our homes and our businesses going. A quick glance in the phone book or on the Internet and you can find anything you need, whether that's a laundry service, product supplier, cleaning service or something more professional such as an attorney or an accountant.
When choosing someone to provide us with a product or service, keep in mind that many of the same things that are so great about the Internet, and social media in particular, are also some of the same things we need to be concerned about. Just like a popular country song says, "I'm so much cooler online." When someone creates an Internet persona, or a profile for their business, they are putting out there what they want people to see. Sometimes that's as innocent as retouching a picture taken on a bad hair day. Other times, it's as serious as someone totally misrepresenting themselves and their business or their qualifications.
We often take those representations at face value instead of doing any further investigation. Between the two of us, we have thousands of people on our social media networks. Even if we were inclined to, we couldn't check them all out and unless we are conducting some kind of business with them, there's really no reason to. That's the key phrase: "conducting some kind of business with them."
This is certainly not meant as a blanket condemnation of making useful business contacts on the Internet. Our websites and our social media contacts have contributed greatly to our success. We've both made many useful alliances and even lasting friendships with people we have met online or with businesses that first came to our attention online. It's an unfortunate truth, though, and one that we cannot ignore, that there are scam artists everywhere. By this point in time, nearly everyone that has an e-mail account has probably received one of those messages that they've won a lottery or someone has died and left them a fortune or a friend is stuck in Paris after being mugged and having their passport and wallet stolen and they can't possibly get back home unless you help by sending them some money. These scams are usually obvious, although in the past few years, they've gotten more sophisticated.
Here is an example of a scam that has run through our industry several times. A therapist receives an e-mail request to schedule several massages for an upcoming trip to the therapist's city. The scammer asks for the therapist's fees and sets up the appointments, but then sends a check for much more than the appropriate fee. Another e-mail is sent by the scammer stating that an accidental overpayment was made and asks the therapist to deposit the check anyway and refund the overage. The check that the therapist receives is a fake, but unfortunately, the therapist's bank might initially accept it. It could take several weeks before the bank notifies the therapist that the check was fraudulent. In the meantime, the scammer has cashed the therapist's check for the overage. While the preceding example should set off alarm bells, what isn't so obvious are the so-called "experts" that are misrepresenting their credentials or people who do the old "bait and switch" routine.
Misrepresentation of Credentials
If someone is claiming to practice a licensed profession, that's easy enough to verify. Nearly every state board now has an online verification search option on their website so that you may verify any massage therapist, doctor, lawyer, accountant, teacher or others who might be required to be licensed in order to practice.
Let's say you hire someone to do your tax returns. If you're giving your business to an established firm like H&R Block or Jackson Hewitt, or a local CPA who is known to you or recommended by people you trust, you shouldn't have a problem. If you've hired someone over the Internet who is claiming to be a tax expert, you should first check their credentials. If they're claiming to be a CPA, verify that on the state board's website. Ask them for their PTIN (Preparer Tax Identification Number). If they are unwilling to give that to you, go elsewhere. Every tax preparer is obligated by federal law to put that number on every return they prepare.
Bait and Switch
How many times have you seen an offer that seems too good to be true? Chances are that it is too good to be true. Occasionally, companies make great offers to generate leads, bring in new customers/clients, or to celebrate a company's milestone. Unfortunately, many times this is just a ruse. A common example is the sales pitch in which you are contacted and told that you've won a free prize and all you have to do is review a new product the company is launching. Then, when the representative arrives, you are subjugated to a very long, hard-sales presentation and often don't even receive the prize unless you buy the product.
Credit card issuers and credit card processors are two entities that almost exclusively target small business owners, like massage therapists. They know they are not going to have any success in trying to take advantage of a large corporation that has in-house accountants and financial advisors. They'd much rather go after the little guy. One bait and switch is offering you a credit card for your business at 0% interest. Read the small print and you'll see that's only good for a short time — like 60 days — and then it leaps to 29%.
Legitimate credit card processors have been recently warning business owners of a scam known as "slamming." It works like this:
If this happens to you, try to make note of the number they are calling from and immediately inform your real credit card processor.
The Internet has also made it convenient to find reviews for individuals and businesses online. YELP is one of the most popular sites for reviews. While some of these must be taken with a grain of salt — anyone may have the occasional disgruntled customer — if there are numerous negative reviews, that should be noted before doing business with someone, particularly if the reviews mention unscrupulous business practices. A review claiming that a staff member was rude is one thing; a review claiming that an individual or business cheated people out of money by failing to deliver on goods or services that the consumer paid for is something else.
The Better Business Bureau posts complaints online including complaints received about businesses that are not their members. Businesses are categorized as accredited and non-accredited. Accredited businesses are members that have been vetted (e.g., licenses checked, affiliations verified) and agree to meet the BBB standards. There is a fee to become an accredited business. When the BBB receives a complaint from a consumer, they contact the business to get the business owner's or manager's side of the story, and try to mediate a satisfactory solution between the business and the consumer. The details of the consumer's complaint and any resolutions offered by the business can be found on their website. They also rate businesses on a letter scale according to how many complaints they have received against a business and whether or not the business was willing to offer a resolution satisfactory to the consumer.
Slander and Libel
While we encourage you to research people/companies, you must exercise caution when posting any type of negative review. It can be quite tempting to tell everyone about a bad experience you've had. We've overheard uncomplimentary conversations and read some rather nasty posts. Be careful of what you say so that you do not malign a colleague or are not sued for defamation.
The two major branches of defamation are slander (verbal) and libel (written). Make sure that you state your concerns as your opinion. It's fine to be emphatic and say, "I won't do business with this person and nobody else should either!" Always stick to the facts. The minute you start embellishing the truth you get into trouble. For instance, saying someone is a crook could be actionable, but stating that you never received a refund or the contractual obligations weren't met is acceptable from a legal standpoint. Hearsay — such as "So-and-so said you said/did/didn't do ______" — is not acceptable evidence in a court of law with very few exceptions and should also not be the basis for you to slam someone or their business.
Keep in mind that just because you do not work well with a particular practitioner or didn't receive the desired results does not preclude others from receiving benefits. Determine your intent before saying anything that may be construed as "bad-mouthing" or gossip. These types of actions often reflect more poorly on you than the person/company in question.
Avoid making accusations that are not based on your own personal experience, especially when it is second-hand information from someone you only "know" through social media and haven't even met. Sometimes this can be difficult, particularly when you are being inundated with messages from people complaining about a third party. We suggest you encourage those people to contact the proper authorities (if possible). Remind them that if they want to "warn" others about this person/company, they need to stick to the facts.
Also, action can be brought against you if you try to interfere with someone's right to contract. The term for this is Tortious Interference with Contractual Relations. The measure is if you stated something that is not true and contacted someone who is doing business with that person. For instance, you know that one of your Facebook followers has hired a business consultant that you don't really like. You could be liable if you contact that follower and badmouth the consultant. This liability is amplified if you post derogatory comments about that consultant on your Facebook page. Again, you can state facts, but be cautious about the wording. Gary Wolf, an attorney in Tucson said, "Truth is the best defense for a defamation claim."
Giving Until it Hurts
Massage therapists are a generous group on the whole, always ready to lend a hand or make a donation to a worthy cause. These days, "crowd-funding" seems to be all the rage. If you can afford to do so and you want to donate money to someone so they can take their dream vacation to Paris or buy a new house or a clarinet that's your choice, but do realize that those aren't tax-deductible donations. You can and should donate to any cause that speaks to your heart whether it's tax deductible or not.
According to the IRS website, hundreds of organizations calling themselves "non-profits" proliferate immediately following any natural disaster. Many are not legitimate. Other people start legitimate helping organizations but it takes them a while to be granted non-profit status (sometimes up to a year). You can check the status of any entity claiming non-profit status on the website at www.irs.gov or by calling their toll-free number at 1-877-829-5500. They can also give you the date the non-profit received that status and whether or not any prior donations you may have made are tax-deductible.
Penny Wise and Pound Foolish
The old saying "penny wise and pound foolish" refers to doing a little bit of work now and saving yourself a lot of trouble in the future. Besides being generous to a fault, massage therapists often tend to look at the bright side of things and expect the best from everyone, but when it comes to your business, that could be a huge mistake. It is much better to spend a little time investigating that person or company you're going to do business with prior to making that arrangement, than spending months trying to recover a bogus charge on your credit card, collect on the goods or services that an unscrupulous business person is trying to cheat you out of or even years trying to recover from outright identity theft.
If you feel that you have been the victim of identity theft, swindling or fraud, contact your local law enforcement immediately — as well as your bank and credit card companies.
Click here for previous articles by Cherie Sohnen-Moe.
Laura Allen has been practicing massage therapy since 1999 and is an Approved Provider of Continuing Education under the NCBTMB, an author, a frequent blogger and a contributor to professional publications. She resides in North Carolina and can be reached at: www.thera-ssage.com and www.LauraAllenMT.com.
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