Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
December, 2010, Vol. 10, Issue 12
What About My Brain?
Staying Mentally Fit
By Sharon Puszko, PhD, LMT
Being a massage therapist, I am aware of how my body sometimes feels, in terms of muscle soreness, fatigue, illness or general aches and pains, since all of these symptoms can affect my ability to work.Recently, after an extended period of traveling in which I became quite sleep deprived, I began to focus on the other aspects of our health: the mental component of it. After all, without our brain functioning properly, none of our muscles would function properly, either. Information on keeping our brain healthy has increased dramatically over the past 10 years, as advances in medical equipment have helped scientists learn more about how this mysterious organ works. Recent research has demonstrated that one's exercise, diet, sleep, and career can impact the health of one's brain. There is also growing consensus in the medical community that certain choices about exercise and diet can impact the likelihood of being challenged with memory problems and Alzheimer's disease.
Sleep On It
A study headed up by Matthew Walker, PhD, director of the Sleep and Neuroimaging Lab at the University of California, Berkeley, examined how sleep, specifically, REM (rapid eye movement) sleep, impacts our ability to read emotions in other people's faces. In the study, recently reported in Time magazine, 36 adult volunteers were asked to interpret the facial expressions of people in photographs, following either a 60-minute nap, 90-minute nap or no nap at all. Participants who had reached REM sleep (when vivid dreaming mostly occur) during their nap were better able to identify expressions of positive emotions like happiness in other people than participants who did not achieve REM sleep or did not nap at all. In fact, those volunteers who did not experience REM sleep, were more sensitive to negative expressions such as anger and fear.
According to Walker, dreaming (REM sleep) allows the brain to sift through that day's events, process any negative emotion attached to them, then strip it away from the memories: "(REM sleep) tries to ameliorate the sharp emotional chips and dents that life gives you along the way." Walker continues, "Sleep not only rights the wrong of prolonged wakefulness but, at a neurocognitive level, it moves you beyond where you were before you took a nap."1
So, what does all this mean to you? Our success as massage therapists largely depends on our ability to perceive and connect with our client's emotional state during a massage. If a client does not feel a "connection" with his therapist, he is less likely to benefit from the massage, and less likely to return to that therapist. Likewise, the more connection a client feels with his therapist, the more likely he is to become a repeat client, and the more likely he is to recommend massage to someone else. Therefore, going to bed one hour earlier, or taking a quick nap during the day really can have an impact on the success of your business.
We all know the importance of exercise for maintaining a healthy weight and healthy heart, increasing the longevity of life and improving the quality of sleep. It now appears that exercise also effects the brain, in particular the regions that relate to Alzheimer's. In August 2010, the University of Illinois at Urbana-Champaign published findings from research led by Dr. Art Kramer at the Beckman Institute for Advanced Science and Technology. The research team was interested in examining the effect of exercise on neural connectivity between regions of the brain that function together in a kind of "network". For example, the default mode network (DMN) is responsible for people passively engaging with their environment, such as day-dreaming. The DMN and other similar networks seem to lose activity with age, and Kramer's research has shown that the brains of people with Alzheimer's, schizophrenia, and older adults struggle to control the DMN. This study demonstrated that just moderate exercise (40 minutes a day, three times per week), can increase connectivity in the DMN, which aids with planning, strategizing and multitasking.2
It is beginning to seem like the benefits of exercise are endless! While some are vigilant about exercising regularly, others are easily bored by it. For those of you who aren't fans of working out in the traditional manner, there are plenty alternative activities that will not only exercise your body, but ALSO your brain! The following are some great activities (found in a recent article "Everyday Ways to Stay Sharp"):
To Read or Not to Read?
That is the question. There seems to be good reason our educators thrust British Literature upon us in high school. We have known for a long time that reading keeps the brain active and encourages good writing skills. However, we now know that reading Shakespeare has a particular effect on the brain that goes beyond the normal benefits. New studies link Shakespeare's linguistic technique known as "functional shift" (e.g. using a noun to serve as a verb) with positive brain stimulation. This process causes a sudden peak in brain activity and forces the brain to work differently in order to fully understand what Shakespeare is trying to say.
According to Philip Davis, an English professor at the University of Liverpool, "The brain reacts to reading a phrase such as 'he godded me' from the tragedy of Coriolanus, in a similar way to putting a jigsaw puzzle together. If it is easy to see which pieces slot together you become bored of the game, but if the pieces don't appear to fit, when we know they should, the brain becomes excited."4
With that information in mind, I would recommend inquiring at your public library about any Shakespeare book clubs. If you have the financial means, and a community college nearby, you could consider taking a literature class on Shakespeare. OMG, there is so much I can do to work on my brain! There are many more things one can do to keep the brain healthy and active: switch hands when writing or play sports, do crossword puzzles, eat well, journal, and just play.
We have just recently begun to understand the relationship between our external environment and its effect on the brain. It is an exciting area of study, especially when thinking about the connection between wellness and brain function. I look forward to learning more about the link between massage and brain function, and the possibilities it will lead to in our profession.
Click here for more information about Sharon Puszko, PhD, LMT.
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