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.
March, 2013, Vol. 13, Issue 03
Curbing Label Overwhelm
By Jaclyn Chasse, ND
For the average consumer, reading a food package can be overwhelming; natural, organic, non-GMO, gluten free, free-range ... you get the picture. Massage therapists can serve as the healthy living experts for their clients, so having a good understanding of what a "healthy" food looks like can allow you to provide your clients with information that adds even more value to their visit with you. Here are some of the most important terms used on labels and what they really tell you about the food you eat.
Let's begin with the most sought-after term on a label. Many consumers are switching to organic food and for good reason. Organic foods are free of antibiotics, hormones, genetic engineering and genetic modification, radiation, synthetic pesticides and synthetic fertilizers. Many of these food additives and practices have demonstrated harm at high levels, and avoidance is by far the safest option for the health conscious consumer. In 2000, after 10 years of development, the U.S. Department of Agriculture implemented its rules surrounding the use of the term "organic" and the USDA organic seal. You will see a few versions of "organic" on a label.
The first, and best, is "100% Organic." This means, as you would expect, that the product contains only organic ingredients. The second is "Organic." Now, you may expect that this would be the same as 100% organic, but in fact, it only requires 95% of the products ingredients to be organic. The remaining 5% can be non-organic as long as they are on the USDA's approved list. These two categories may display the USDA logo. You may also see "Made with Organic Ingredients" on a label. This is the third regulated term by the USDA and requires that at least 70% of ingredients be organic. The package must label at least three of the organic foods on the label as organic so the consumer can know which ingredients are organic.
All-Natural & Natural
According to the USDA, foods labeled "natural" do not contain any artificial ingredients or preservatives and the ingredients are only minimally processed. However, these foods might contain antibiotics, growth hormones and other natural (yet often undesirable) additives. You also might see "all-natural" on a label. This is an unregulated term, so while it usually follows the same guidelines mentioned for "natural," it doesn't technically have to.
Free-range & Cage-free
In order for a product to be labeled with "free range" or "cage free," the animals must have some access to the outside and not be contained. Unfortunately, this term is not well-regulated. There are some food producers who will keep animals very closely confined, but without cages, and still use the term "cage free." Ideally, this label should mean that the animals cannot be contained in any way and have access to freely roam and forage on open land. That's what they show us in the label's picture, right?
With California's vote this year on Prop 37, to label genetically modified foods, there has been a growing awareness on what genetic modification is and the risk it may pose to your health. According to the Non-GMO Project, genetically modified organisms, or GMOs, are plants or animals created through gene splicing techniques or biotechnology that merges DNA from different species, creating combinations of plant, animal, bacterial and viral genes that cannot occur in nature or in traditional crossbreeding. While GMO food producers tout the equivalence and safety of genetically modified (GM) foods, little published research is available to demonstrate safety, and so conscientious consumers are left questioning whether they should be consuming these foods and the majority of consumers don't even know they are consuming them.
You are probably seeing more foods labeled GMO-free. This is currently an unregulated term; however, some non-profit groups, including the well-known Non-GMO Project are certifying and labeling foods that can be verified as GM-free.
The most common GMOs are soy, corn, cotton, canola, sugar beets and Hawaiian papaya, with around 90% of the U.S. crop being genetically modified. Alfalfa and squash (zucchini and summer squash) are also frequently genetically modified. The non-GMO label on products can assure consumers that the product does not contain any genetically modified organisms. Organic foods also can not contain GMOs, although they are not required to test for the presence of GMOs to be labeled organic.
Gluten Free And Other Allergens
Gluten is a protein contained in wheat, barley, rye, spelt and kamut. It is one of the more common food proteins triggering allergy and sensitivity in humans. Foods labeled "gluten free" must be below 20 parts per million (ppm) of gluten. To put this in perspective, if you were to eat a 1 oz slice of gluten free bread, it could contain up to 0.57 milligrams of gluten, which will not cause symptoms in most people with a sensitivity. I commonly see gluten free patients come to me with questions about whether a product labeled "wheat free" is also "gluten free." The answer is no, it does not have to be. It could still contain spelt or another gluten containing grain. So, be sure to read labels carefully.
Regulations around declaring allergens is taken very seriously in this country, and food companies are required by law to declare if a food contains a major food allergen including wheat, milk, egg, fish, Crustacean shellfish, tree nuts, peanuts or soybeans. Labels are clearly marked, in bold at the end of the ingredient list, with allergens that they contain. Failure to disclose allergenic ingredients could leave a manufacturer subject to an immediate mandatory recall.
In today's day and age, it can be difficult to be an educated food consumer. There are so many food choices available and slick marketing can easily fool a consumer into thinking that a food is healthier or more natural than it really is. Even educated consumers can be fooled. The best way to ensure you're eating healthfully is to choose foods with only one ingredient-usually, these are things without a nutritional label at all (like apples). But, if you are choosing processed foods, hopefully this guide will allow you to more easily understand what it is that you are buying. Make sure you choose wisely!
Dr. Jaclyn Chasse, ND, is a practicing naturopathic physician in New Hampshire and is the Medical Director at Emerson Ecologics. She also holds an adjunct faculty position at Bastyr University, teaching courses on reproductive endocrinology. Dr. Chasse is a graduate of Bastyr University and has an undergraduate degree in Biochemistry and Molecular Biology. For additional information, visit www.emersonecologics.com.
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