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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
January, 2014, Vol. 14, Issue 01
The Psychotherapy of Massage: What Makes Us Human?
By Gerry Pyves
For fifteen years, I have been trying to keep my two disciplines of psychotherapy and massage completely separate, out of respect for the reasons why clients came to see me. Clients who come for psychotherapy want to explore the psychological roots of their dysfunction, while clients who come for massage want to sort out their physical problems. I have a confession to make: I have failed miserably.
Appallingly, I have been affecting the bodies of my clients in my psychotherapy practice, and I now confess to affecting the minds of my massage clients. The psychotherapy regulators would have me NOT TOUCH my clients or "get physical" with them for fear of creating "transference issues." The massage regulators would not have me go beyond my scope of practice and start "messing with the minds" of my clients. So shoot me.
Try explaining these "regulations" to massage clients that release psychological and emotional traumas in the presence of powerful healing touch. Try explaining these regulations to those psychotherapy clients who find their body's energy and physical structure transformed by their psychotherapy.
Fear of Touch
Alarmingly, I meet more and more massage therapists who seem to think massage is just about fixing a structural problem. Others simply relegate such touch to the category of "relaxation massage." For which read the unspoken, ineffectual and superficial.
What Does Massage Touch?
What we actually touch of course, is human skin. We may influence the muscles and tendons and bones, but we do not touch them. What we actually touch is skin. The skin of a living and evolving person, who carries their full life history in every inch of their body.
I do not have the space here to go into all the detail regarding the skin but recommend a reading (or re-reading) of Ashley Montague's classic, Touching: The Human Significance of the Skin and Deane Juhan's brilliant, Job's Body. Both writers refer to the overwhelming scientific evidence that, when we touch the skin, we are making direct contact with a part of our organism that is hard wired directly to the brain and with all that makes us human. So just what is it then, that makes us human?
I use my own acronym to understand what a human being is composed of. It is a model that has served me well for 28 years of clinical practice. It stands for:
P - Physical
When we touch a person's skin, it is impossible to only touch their physical body. In giving more than 20,000 massage treatments as a therapist, I have found it impossible to massage another human being without having a powerful impact on their energy system, their emotions, their mental outlook or their spiritual state.
So why then, our profession's current obsession with only the person's physical structure? Is someone out there afraid of how touch affects our emotions, our thoughts or our spirit? So many bodyworkers I meet seem to just want to prod and poke and frantically "fix" the body; as if it is an enemy to be controlled. Do we really have to subjugate and control the body? Must we still follow these apparently touch phobic leaders of the massage profession (whether male or female) who seem so very frightened of simple nurturing touch? Do we really have to follow blindly as they insist on our touch becoming so medical? If I wanted to be so medical, I would have trained in medicine.
I chose massage because the body is the most magical self-healing organism on the planet, and guess what triggers that self healing? Simple healing touch. Every massage practitioner who has spent any time at all in the treatment room observing our clients knows the muscles in the body have only one "origin" and one "insertion" - the mind. Experienced massage therapists KNOW nurturing touch enables clients to release all their tight muscles in just one breath. Because they are letting go in their minds.
So please stop trying to tell me which bits of my body are wrong and trying to put me right. Just give me touch that respects the journey of my life and properly values the history that twisted my spine and compressed my tissues. Then I will release what I am ready to release. In my own time. In my own way.
Please don't just sit there with your SOAP notes and address one fifth of what makes me human. See all of me. Listen to all of me. I come for touch that connects me with my very soul. Do my muscles release when I get this? Of course, they do.
Gerry Pyves lives in West Yorkshire, in the United Kingdom. He holds an MA from Oxford University and qualified as a massage therapist in 1984. He became a UKCP registered Transactional Analysis psychotherapist in 1999. He is the founder and creator of NO HANDS® Massage. He is currently looking for instructors to teach NO HANDS® in the U.S. For more information, visit www.nohandsmassage.com.
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