A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
April 20, 2010
CA Anti-Prostitution Law Brings Firestorm of Opposition
Would Neuter State Board, Return Certification to Police Departments
By Editorial Staff
A California anti-prostitution bill that essentially forces professional therapists to get police permission to work has been moved on to the state Assembly Appropriations Committee.
Assembly Bill 1822, authored by Assembly Member Sandré Swanson, passed the Business, Professionals and Consumer Protection Committee by an 8-3 vote on April 20. If the bill becomes law it will effectively neuter the California Massage Therapy Council (CAMTC), a two-year-old body that now certifies massage therapy in California.
Swanson (D-Alameda), has called the bill an "urgency statute." He has also said that "Justifying the need for this urgency is a recent random sampling of CAMTC applicants, which concluded that the 57 percent of the applicants were known prostitutes and 32 percent had questionable backgrounds that required additional investigation."
However, the publicly cited sample data used by Swanson and other proponents of the bill, principally police organizations, only describes the backgrounds of applicants.
A very different picture emerges in sample data from CAMTC that shows who actually got work permits.
In reaction to the bill, the Council stated that "The CAMTC did not approve 25 massage applicants who were approved by the police in San Mateo. More than half (57 percent) of the applicants who were not approved by CAMTC were granted city permits."
Turning Back The Clock
If enacted, the legislation would result in a return to the old system used in California that required practitioners to be vetted and certified in each jurisdiction where they have clients. Both costly and complicated, the old system was replaced two years ago in favor of a voluntary statewide certification that supporters say has been far more effective in weeding out disreputable and unprofessional people from obtaining permission to work in local jurisdictions.
Swanson and the new bill's supporters claim: "The bill will have an important impact on reduction of Human Trafficking criminal schemes."Richard McElroy, CAMTC board member and a former police officer who investigated illegal massage parlors for more than 25 years, states that the CAMTC's review process is superior to all past methods of vetting massage professionals.
McElroy, who also wrote the Los Angeles Police Department's manual used to abate massage brothels, stated in documents opposed to the bill: "[CAMTC] not only examines the DOJ background report, but pays an additional charge to receive subsequent arrest notification from DOJ when the applicant is arrested at a later date. Local police departments do not."
The California Chapter of the American Massage Therapy Association (AMTA), worked closely with the legislature and all stakeholders in the massage industry, including law enforcement, in the creation of SB 731, passed in 2008. The intention of SB 731 was to provide a system that would clearly differentiate between legitimate massage practitioners and criminal actors seeking to co-opt their title. Having such a system gives law enforcement an additional tool in combating human trafficking, because it establishes a central clearinghouse of information on applicants around the state, and offers a clear, verifiable measure of a massage therapist's credibility: certification through the CAMTC.
According to CAMTC's Chairperson Beverly May: "AMTA-CA, as sponsor, spent over six years working with legislative members and staff as well as other stakeholders, to draft SB 731. We participated in a series of Taskforce meetings with vice officers arranged by the League of CA Cities.
"Business and Professions Code Section 4600 is the result of years of research and negotiation. The law contains some very powerful enforcement provisions. Notably, in response to city concerns about schools selling certificates, and the Sunset of the BPPVE, we made sure that the law allows the CA Massage Therapy Council the right to investigate if we have reason to suspect that an applicant has not received the education claimed.
"We have not approved any applications over the objection of local police. Quite the opposite - we have denied certifications to a great many applicants who already have city permits."
According to the AMTA: "SB 731 created voluntary certification through the [CAMTC], which is already providing a rigorous alternative to the haphazard patchwork of local regulations that has let illegal businesses flourish in California cities for too long.
"SB 731 represented six years of work in the Legislature and with every stakeholder in the massage industry, including law enforcement. AB 1822 entirely undermines the excellent tools and fair regulatory system created by those years of cooperation.
"The CAMTC has had the resources and knowledge to deny certification to hundreds of applicants who had slipped past local permitting procedures statewide due to its state and nationwide recourses:
"The CAMTC has unique access to statewide and nationwide resources:
In a letter (dated April 1, 2010) addressed to Swanson from Francisco Lobaco, Legislative Director and Valerie Small Navarro, Senior Legislative Advocate for the American Civil Liberties Union state:
"The ACLU opposes AB 1822, a measure to transfer a greatly expanded background check procedure for massage therapists from a statewide organization to local law enforcement. While we support effective efforts to curb human trafficking and child prostitution, we do not believe that requiring massage therapists to complete background checks by local law enforcement - rather than a statewide organization -- will combat trafficking. Instead, bad actors seeking to avoid detection will operate further underground to avoid subjecting themselves or the girls and women they are trafficking to increased scrutiny by local law enforcement."
The letter continues: "We oppose AB 1822 for the following reasons:
The American Massage Therapy Association, California Chapter is encouraging therapists to send their letters and emails to the Appropriations Committee immediately. A formatted letter of opposition is available on the AMTA-CA Web site at: www.amta-ca.org.
For a list of the Appropriations Committees' phone numbers and emails, go to: www.assembly.ca.gov.
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