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.
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.
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.
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.
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.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
#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 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.
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.
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.
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
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.
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.
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.
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.
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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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.
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?
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.
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.
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.
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.
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).
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?
April, 2013, Vol. 13, Issue 04
The Danger of Hidden Toxins
By Ann Brown, LMT
As a massage therapist, your job is hands-on wellness. Every client that comes to your massage table wants to feel better, and as a massage therapist, you are trained to use your time with that client to their benefit. If you do your job well, that client will want to come back, but there is always competition ready to turn your client's head. You have to be different – better in a memorable way – than your competition.
As you consider how you develop your brand and what you are known for in your client's mind, think about how the wellness service you offer can go beyond the massage table. Think about how your focus on holistic, natural health can help your client to lead a life of wellness. Sharing knowledge of how to lead a cleaner, non-polluted life at home will give added benefit to your client and may be the differentiator you need to build even tighter guest loyalty and more repeat business.
When the client comes to the massage table, you connect with the guest through the skin, the body's largest organ. The strokes and techniques you apply may provide immediate relief and lingering benefits, but what happens after the massage session is over? Do you ask your client about what is coming into contact with his or her skin? Many hidden toxins linger in everyday products. By educating yourself on research and risks, you can share valuable information on how to avoid toxicity with your clients who seek a higher level of wellness.
The quality of drinking water is a common concern, and you may already be using a filter to eliminate pathogens or contaminants. Your bathing water, however, may also have a negative impact on your health. A chemical commonly used to disinfect public water supply, chlorine reduces the level of pathogenic bacteria in the water we drink, but it may also damage beneficial bacteria in our bodies. Several studies connect chlorinated drinking water with toxicity issues. According to Chris Kresser, an internationally known integrative medicine practitioner, chlorine in your water supply can combine with organic matter to form compounds called trihalomethanes (THMs), also known as disinfectant byproducts. A common THM, chloroform is a known carcinogen. THMs are toxic when consumed, inhaled, or applied to the skin.
Several studies of communities with chlorinated drinking water show concerning results, such as increased risk of bladder, kidney and rectal problems, poor birth outcomes, spontaneous abortion, birth defects and low birth weight, among others. More studies are needed to provide substantial research, but Kresser argues that it is reasonable to assume a harmful relationship between chlorinated water and beneficial intestinal flora. For example, a strong connection exists between asthma, acne, autoimmune disorders and the health of our intestinal flora.
While you may try to protect yourself with filtered water, your daily shower or bath may be allowing the chlorinated water to adversely affect your body's systems via skin absorption. Kresser cites studies from Rutgers University and Kyungpook National University in South Korea to provide supporting evidence that the health risks of chlorine may be related to dermal and inhalation exposure. A single, 10-minute shower equates on average to ingesting two liters of water. Chlorine-filtering shower heads and bath filters will remover chlorine from your water, but be aware that another toxin, chloramine, may not completely be removed by such a filter. Very potentially damaging to the lungs, chloramine may also release ammonia. Whole house water filters address chlorine, chloramine and other toxins, or look for a Vitamin C shower filter – an effective and inexpensive way to remove up to 99 percent of the chlorine and chloramine in your water.
Educating Your Clients
Suggest that your clients check with their local water supply company and ask about the disinfecting agents used in the community water supply. Advise them to pay attention to the toxins that may be entering their bodies via skin absorption and to limit their chlorine and chloramine exposure.
Laundry detergent is also another very common and hidden source of toxicity for many households. A 2008 University of Washington study found that 99 percent of laundry detergents released cancer-causing chemicals – substances deemed as hazardous and toxic by the Environmental Protection Agency. Among the most damaging of these chemicals, nonylphenol ethoxylate is also used as an ingredient in pesticides and, through your skin, can enter your blood stream and cause serious damage to heart and muscle function.
Formaldehyde is also a cancer-causing ingredient found in many detergents and those pleasant fragrances many consumers enjoy are phthalates, which can build up in your skin and body. According to the U.S. Centers for Disease Control and Prevention, phthalates are linked to liver cancer. In addition, the chemicals in laundry detergents may damage your reproductive systems and interfere with your hormones.
You can find simple recipes for homemade laundry detergents on the web (check out www.motherearthliving.com, for example). Making your own detergent saves money, the environment and your health. Make up a batch and give small packets of the powder to your clients as a gift, reinforcing your dedication to their health and your expertise as a wellness provider.
More studies are needed on the subject of toxins in our water and common household products, but based on what we do know, it is wise to protect ourselves from toxicity risks as much as possible. Share your own passion for natural, toxic-free living with your clients and solidify your position as a true wellness provider in their minds.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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