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.
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.
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?
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).
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.
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.
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.
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 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.
#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.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
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.
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.
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.
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?
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.
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.
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:
"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.
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 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.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
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.
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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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
January, 2013, Vol. 13, Issue 01
The Facts About Sugar: The Sweet and the Sour of It
By Sharon Puszko, PhD, LMT
While on a flight to Phoenix this past fall, I came across an article on sugar that I found interesting. It made me wonder exactly how much sugar was in the non-fat, no whip, grande peppermint white chocolate mocha I was sipping.After settling in at the hotel, I checked Starbuck's website for the nutritional information, and interestingly, sugar is not listed. After some more online research, I found out my drink had 49 grams of sugar. Well, what exactly does that amount to? Is it a lot? We have been hearing more and more about the excessive use of sugar in our society and its possible effect on obesity and diabetes. But exactly how much we should or should not be consuming has not been made overtly clear. Since we work in the wellness field, it would certainly behoove us to get a sense of where our eating habits fall in the sugar-consumption spectrum.
It turns out that 49 grams of sugar is indeed a lot of sugar. In fact, it is more than double the recommended daily intake of added sugar for women. For the first time ever, in 2009, the American Heart Association published recommendations on sugar consumption (Circulation, August 2009). The report explained that we need to start limiting the amount of added sugars we consume, not naturally occurring sugars such as those found in fruit, vegetables and dairy products. For women, that means we should consume no more than 24 grams (about six teaspoons) of added sugar a day. For men, the recommendation is no more than 36 grams (about nine teaspoons) of added sugar a day, and for children the recommendation is 12 grams per day, or three teaspoons. Many a survey has found that on average, Americans consume about 22 teaspoons of added sugar on a daily basis.
After reading this report, I was quite shocked by how much added sugar most of us are eating without even realizing it. Now that I know how to read the nutritional labels (4 grams = 1 teaspoon or 1 gram = 1/4 teaspoon), I can try to do a better job of keeping track of my sugar intake. The problem, however, is that almost all processed foods have sugar added to them. That whole wheat bread I switched to in order to eat more healthy? Five added grams of sugar in one slice. My creamy peanut butter? Three grams of added sugar. Combined with my daily two cups of coffee (with cream and sugar) and I have reached already reached my limit. The half pint of chocolate milk children get from the school cafeteria? Well, that has 18 grams of added sugar. Add that to the sugar found in popular cereals, yogurts, granola bars and fruit juices, and you will soon understand why doctors are associating sugar consumption with the rise in childhood obesity and diabetes.
Let's be realistic: time and financial constraints make it almost impossible for the average family to prepare three meals a day without using any processed foods. So what, if anything, can we do to decrease sugar consumption?
I chose this topic because our personal state of health does directly relate to our ability to treat clients. If the body is constantly directing energy towards managing insulin levels, it is pulling that energy away from other areas. If we could train our bodies to resist the immediate gratification of the sugar “high,” would we feel even more energetic in the long run? Maybe we could handle doing one more massage a day? Or have enough energy to increase how much we workout? Many in the wellness and fitness industry condone sugar elimination cleanses. After writing this article, I am curious to learn more about them. For now, though, I think I will start by passing on the Starbucks mocha next time I fly.
Click here for more information about Sharon Puszko, PhD, LMT.
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