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Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
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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