resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Electile Dysfunction: Setting a Dangerous Precedent
With the 2016 Presidential campaigns sucking up all available bandwidth in the media, there were two recent elections in the massage therapy field that passed under the radar that raise deep concerns about fairness, transparency and democratic process.
I'm talking here about the Board of Directors elections for the American Massage Therapy Association (AMTA) and the Federation of State Massage Therapy Boards (FSMTB). Both elections featured dubious changes in voting procedures that were not authorized by the respective memberships of these non-profit, tax-exempt organizations. The changes have resulted in the diminishment of the voice of the members and the further concentration of power in the hands of very few people.
AMTA's annual election for its Board of Directors and Officers have not garnered much attention in recent years, with less than 3% of the 56,000 professional members voting. However, these elections have been run according to an open and fair process, with all AMTA members having equal opportunity to run for seats on the Board. A Commission on Candidacy (itself elected by the membership) was in charge of ensuring that candidates met basic qualifications in the AMTA Bylaws.
This past August, the AMTA Board changed the entire election structure, giving the President the power to select the Commission on Candidacy (COC). The COC, in turn, was empowered to select a slate of candidates from the pool of those who submitted applications, with just one candidate for each Board seat. The entire slate was presented to the membership during a two-week window in November for an "Accept" or "Reject" vote. By the way, the voting instructions gave no information on what would happen if a majority of members rejected the slate. If that wasn't bad enough, the new election structure removed the ability of AMTA members to select the association's President and Vice Presidents. The officers are now chosen by the Board of Directors, after the rubber-stamp election takes place.
AMTA's 2014 Board elections reached a new low in cronyism, as Board members were allowed (for the first time) to publicly endorse their favorite candidates. The 2015 Board election has now enshrined cronyism as the law of the land, as the entire selection process is now controlled by the association's President. And this closed-shop mentality was used effectively to screen out some highly qualified candidates who would have pushed the association in much-needed new directions. Bar the door to change, and order up another round of drinks to celebrate!
The press release sent out by AMTA on the recent election touts its success in doubling the participation – up to a whopping 6%. They claim that 87.7% of the 3,389 members voted to approve the slate. Since there were no other choices or options given, this vote cannot be given any more credence than someone hitting the "Like" button on a Facebook post.
Why does this election process and the AMTA Board even matter? Because the organization is a public trust, and it is sitting on a cash reserve of $15 million that could be used to truly advance the profession and improve the quality of services provided. As it is, much of the association's money is used for the care and feeding of itself, the professional staff, and its state chapters. AMTA is little more than a social welfare club for those who serve in "leadership" positions at the state and national levels – massage therapists who get free travel, lodging and CEU's for conferences and conventions. Fun for them on your dime.
Here's another way to look at what has happened: Imagine that the election process for your local city council was changed by the council without being put to the voters for approval. The new rules allow the mayor to choose a committee to hand-pick candidates, and only one candidate is presented to the voters for each open council seat. And once the election is complete, the council chooses a mayor from within its own group. Conflict of interest? An affront to the principles of representative democracy? You're damn right it is, and it's exactly what AMTA has committed.
Their claim to being a "member driven organization" is now a total lie. They are now driven by the President and Executive Director, supported by a 1% "Ruling Class." No dissent allowed. And yes, I am an AMTA member.
It Gets Worse
Well, it's no prettier over at FSMTB, where its leaders have gradually reduced the power and voice of the state massage regulatory agencies that constitute the membership of this important organization. Just before representatives of the state agencies gathered for their Annual Meeting last October, the process for electing members of the FSMTB Board of Directors was changed without the permission of the Member Boards. Sound familiar? In the new process, candidates (hand-picked by the Nominating Committee) were pitted against each other for specific seats, instead of all candidates running at large for the available seats on the Board. It's a mystery who decided which candidates were to run against whom. And forget about Member Boards being able to nominate candidates from the floor during the meeting – that right was taken away a few years ago.
This last-minute change to the election process did not go over well, and a number of Member Boards abstained from the vote to express their concern with an action that had been taken without their permission. The meeting was further muddied by a vote taken on a resolution introduced by the New Jersey Board to change the exam requirements for the MBLEx. The resolution was passed by the Delegate Assembly, but was later invalidated by FSMTB staff because a page was left out of the materials provided on this resolution. Why even hold these meetings, with the appearance of a representative democratic process, if it can all be changed by the whim of professional staff "behind the curtain?"
FSMTB appears to be emulating some of the worst behavior of NCBTMB when that organization was in its heyday. Over the last several years, the Federation's annual meetings have become vacation junkets ... on the beach in San Juan, the French Quarter in New Orleans, and most recently in Albuquerque for the big international Balloon Fiesta. That one ensured there was plenty of hot air to go around at the meeting.
The success of the MBLEx has taken FSMTB from poverty to poshness in just seven years. With the organization now sitting on a cash reserve of about $8 million, they should be utilizing it for the good of the profession. As I mentioned in my last column, FSMTB can't even make good on its most basic obligation to provide exam preparation materials to students and massage schools. Why should we trust them to handle continuing education approvals?
As the expression goes, "Follow the Money." In the case of these two organizations, it leads to the executive directors of AMTA and FSMTB – each of whom are making more than $300,000 per year in compensation. These individuals are the ones in real control, with the glad-handing Boards of Directors there mostly for show. The problem is that the people in these elected positions have forgotten that they have the power to hire and fire their executive directors if they are not performing up to snuff. It's time for them to wake up and find association management professionals who can bring these organizations into higher levels of service.
If you care, you must put pressure on your State Massage Board to work to reform The FSMTB. If you are an AMTA member, you should let them know how you feel, and soon. The price of freedom is eternal vigilance and involvement. If you don't protect your rights and freedom, they will be taken away. And they are very hard to get back.