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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 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.
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.
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.
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.
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.
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.
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.
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).
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).
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.
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.
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%.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
June, 2014, Vol. 14, Issue 06
Socializing in Your Slippers: Building a Virtual Village
By Kimberly Thompson, LAc
When I graduated college, I had grandiose dreams of becoming an amazing acupuncturist. I wanted to build a great practice and make a good living. For four years, 13 semesters to be exact, I had a spreadsheet.I always knew exactly how many classes I still needed to take and how long it would take for me to complete them. If I wasn't studying, I spent my time imagining how life would be "after college." I created an image in my mind of the perfect community for my family. It had four seasons; hunting, camping, fishing, affordable housing, a hometown feel, a university and an airport.
The lifestyle I wanted to enjoy was perfectly planned and based on how many patients I would eventually treat. I'd done the math, crunched the numbers and laid out a plan. I would become a specialist in chronic pain, pregnancy and pediatrics. I had rubbed shoulders with the best while I was in school and I'd continue to do the same in my career. I wanted to continue learning and growing, with the end goal of someday retiring and teaching other acupuncturists the things I'd learned. The picture was perfect. I bet many of you have had these same plans as you navigated chiropractic college and prepared to venture into your practices.
How the Story Begins
I found the perfect community that fit my vision precisely. I had everything I wanted for my family and my practice. Well, almost everything ... My plan would involve moving far away from California after graduation. This was a bit scary. California was my hub. If I ventured into the great unknown (beyond California), who would I turn to for support, to discuss cases, get clinical advice and learn new techniques? I thrive on continual growth. Could I do that in a small town without any other practitioners? I had a decision to make. My opportunities to rub shoulders with colleagues would be few and far between. I did not want to become a boring practitioner who wasn't progressing in the field. I knew that if I wanted to teach someday, I would need to develop those relationships. On the flip side, I also knew that my family would do best in the community I had chosen.
I was apprehensive, but the decision was made. My family came first. I settled — knowing that I couldn't have it all, but the decision I was making was good. I was getting 90 percent of what I wanted. Maybe I'd create a new "happily ever after," and move back to the hub once my kids were grown.
The Next Chapter
Now that I was done with school, I had plenty of time on my hands. My kids introduced me to Facebook. I thought it was a good way to keep up with family back in California. Little did I know that the AMAZING, beautiful world of social media would allow me to change the ending of my life story!
Who knew Facebook, LinkedIn and Twitter could open so many opportunities to rub shoulders with pracitioners all over the world. No longer was I alone in Idaho! Social media changed the way I communicated with colleagues. As it turned out, I have friends and associates who answer questions and give advice instantaneously.
Let me share what I've learned.
A Place to Rub Shoulders
There are social media groups to fit the interest of any practitioner, whether it be your alumni group or groups with specific interests such as Acupuncture, Building your Dream Practice, Microcurrent, etc. It's all out there.
Social media isn't just for socializing with your family. Some call it a waste of time, but I have found it a valuable resource for connecting with fellow practitioners. One group I belong to has more than 6,300 following practitioners. I love "rubbing shoulders" with so many amazing practitioners who share their advice openly, many of which are BIG names in my field. It's a great place to stay up on anything that is new or changing. I can't tell you how often I've been able to read advice directly from practitioners.
If I have a question, there are always immediate answers. The advice you receive through practitioners on social media will often include personal clinical experience along with references and resources on how to study a subject deeper. Sometimes, there are even heated discussions and differing opinions relating to the politics of our profession. (This makes me feel like I'm back in California with my colleagues!) You can learn about anything you want through social media. Here are a couple of interesting topics that have shown up in my feeds within the last few months:
The archived conversations have proven to be an amazing resource. The search tool allows you to quickly bring up conversations that may even be two or three years old. I've found some really great clinical pearls of wisdom hidden behind that little looking glass.
I keep a file in my computer called "Treatment Strategies." In this folder, I keep notes for things I've searched and things I've learned from practitioners via social media. Some of the notes I've saved include: fibromyalgia, frozen shoulder, Multiple Sclerosis and sprained ankle.
Getting Your Name Out There
I've seen many up and coming big names get their start through social media. Have you heard of Medigogy? Medigogy is defined as the study of health and wellness via online media. It is a great resource. I did an interview with Dr. Lorne Brown, the owner of Medigogy.com, and I was pretty impressed.
First, he explained how Medigogy helps practitioners build their knowledge, for free, by offering one-hour lectures from a plethora of great instructors. For example, he offers one-hour webinars from practitioners all over the world who have clinical experience to share with colleagues. These webinars are archived on his website, ready to teach people like me (in Idaho) who want to learn, but don't want to travel.
Finally — once we, the practitioners, decide the new up and coming teacher is awesome, (because of our reviews) he takes them to a higher level and helps them to create a name for themselves by teaching more webinars through Medigogy as well as expanding into the field of paid seminars through a sister company offering CEU/PDA credit. Lorne says Medigogy has an "Oprah effect" in that after offering one to three webinars, the speakers experience spikes in book sales and they receive invitations to lecture internationally at conferences.
In Medigogy's free learning website, you will find free educational video training. You will also find amazing up and coming practitioners teachers. What a great way to learn. It's free, it's relevant and I can do it from Idaho!
How does the story end? The dramatic changes in the world of communication has allowed me to build a life I didn't even know was possible. My learning opportunities are infinite —which makes my potential unlimited. And yours, too!
There was a time in my life when I was willing to settle. Not anymore. Technology allows me to see bigger and to be better without compromise. I'm not just big on technology for communication. Technology is great in your practice as well. With a changing world, technology makes us better practitioners in every way imaginable.
I won't wait until I'm retired to teach; I can do that now — in my slippers. Maybe I'll inspire others to embrace all forms of technology in their practices. I can live anywhere and do anything I want, and so can you!
Kimberly Thompson is a busy wife and mother of 9 children. She and her family reside in Meridian, Idaho. In her spare time, she enjoys cooking, sewing, camping, fishing and casual bike rides. Follow Kimberly's page on LinkedIn: Acupuncture Technology, her blog at Miridia Technology miridiatech.com/news/ and @acukimberly. She can be reached at
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