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Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
August, 2014, Vol. 14, Issue 08
Legislative Changes Return Authority to Local Agencies
By Kathryn Feather, Senior Associate Editor
At a recent hearing before the California Senate Committee on Business, Professions and Economic Development, the latest amended version of Assembly Bill 1147 revealed some significant changes to the structure of massage certification; most notably a return of authority to local agencies to regulate and restrict the operation of massage establishments that might be engaging in illegal activity such as prostitution or human trafficking.
Assembly Bill 1147 would revise and replace Senate Bill 731 (passed in September 2008 and due to sunset this December), which established a two-tier voluntary certification system that allowed a massage therapist to practice lawfully throughout the state without being subject to city or county ordinances. It also established the CAMTC, a private nonprofit organization acting as the regulator of massage therapy certification. Prior to the passage of SB731, massage therapists in California were subjected to the ordinances enacted by individual cities and counties providing for the licensing and regulation of the business of massage. It was a patch work of various regulations many therapists were eager to see disappear as they were often paying multiple fees to practice in more than one city or county.
However, law enforcement agencies and city and county officials have come forward during this sunset review process to share their concerns and urge the legislature to sunset SB731 and the CAMTC, as they believe the current legislation lends to the proliferation of illegitimate massage establishments, prostitution and human trafficking. The League of California Cities was particularly vocal in a previous hearing in citing the reasons for a return to local control.
Bill co-author Chris Holden said that, "while the law that created the council, SB731, has helped legitimate massage businesses, it has had unintended consequences. These consequences have tied the hands of cities who want to keep illicit massage businesses out of their communities."
CAMTC CEO Ahmos Netanel shared the following statement with Massage Today in response to the hearings on AB1147.
"We believe it is important to work with state and local leaders, communities, law enforcement and businesses to achieve two goals:
"If enacted, the proposed bill that was recently amended July 1, 2014, would make significant changes to existing law and extend CAMTC's operations through the year 2016. Under the current law, cities and counties cannot impose land use rules, regulations, moratoriums, caps, etc., on businesses that use only CAMTC certified professionals to provide massage services for compensation, unless those land use regulations are also uniformly applied to all others that provide professional services. This proposed AB 1147 would remove that exemption and allow cities and counties to regulate massage businesses in any way that they see fit, as long as they do not:
"The proposed bill does not provide any transition from application of existing law to application of the new proposed provisions on January 1, 2015. This current version of AB 1147 will also add additional bases for denial of CAMTC applications and discipline of certificate holders such as engaging in sexually suggestive advertising related to massage; engaging in sexual activity on the premises of a massage establishment; engaging in sexual activity while providing massage for compensation; massaging the genitals, anal region, or female breasts unless the client consents in writing and the massage is supervised by a physician; and failing to fully disclose all requested information on CAMTC's application. The proposed bill would require passage of a CAMTC approved exam and 500 hours of education for CAMTC certification.
"We understand that local governments face real problems with illicit establishments, and CAMTC wants to help. Their goal is our goal – public protection. Over the past six months, CAMTC has been providing specialized training at not cost to local law enforcement agencies. Collaboration with these local agencies will make it easier for CAMTC to take action against applicants and certificate holders who violate state or local law and streamline the way to shut down illicit massage businesses.
"Professional standards must be extended to business establishments so that they will be held accountable. CAMTC supports legislation that will provide cities and counties the explicit authority to address establishments that use massage as a subterfuge for prostitution. AB 1147, with just a few additional amendments, will remove any ambiguity about the authority of cities and counties to close illegal massage establishments or to make their own decisions as to what constitutes a balanced business community."
In early August, AB1147 will go before the Senate Committee on Appropriations, where additional ammendments can be made. According to Netanel, "there are still a few issues that need to be corrected in the bill."
The last day for bills to pass the California Sentate and Assembly is August 31st and the Governor must sign or veto bills by September 30th.
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