Archive for the ‘Healthcare Reform’ Category

Initiating A Lifestyle Change

Monday, December 19th, 2011

By: Kylie K. Boos, RN

We all know the feeling; you get a great idea and you just go with it. You go full out, head first, with an enthusiastic, “I can do this” attitude and then the realization of reality kicks in and you get the wind knocked out of you. In all of your glory you forget that you actually have to do something in order for the great idea to happen.  This, my friends, is what goes through our minds when we think about initiating a lifestyle change. Whether it be challenging you to go to the gym or vowing to eat organic, we all have this great intention but don’t always follow through.  With the New Year just around the corner I figured this would be a great time to nudge you to stick with it with a little advice.

The most challenging hurdle that we must all overcome in order to succeed at anything is ourselves!  We are our worst enemy and the only way to get past our reservations is to push the mental challenge in a positive yet selfish direction.  You might think, positive yet selfish? You’ve
got to be kidding me. No I am not. This is the hard reality here.  You want to think positively as in “I can do this” but you also need to be thinking, “I can do this because this is what I want.” When setting a goal you have to keep in mind that this is your goal. Not anyone else’s.  No one is going to wake you up at 5am to get you motivated to hit the gym.  You have to rely on yourself and be strong.

Staying strong especially through the holidays is really tough to do.  Pre-holiday festivities, holiday work parties, after-the-holiday parties and plenty of other reasons to overeat and forgo the gym are upon us. This is the time where our will power is tested and where we can really show ourselves that we have what it takes in order to succeed.  The best thing to do is to stick to as normal of a routine as possible.  If you go to the gym after work on a regular basis, continue to do so.  If you have an obligation to attend then work out before you go to work.  Make small changes in your routine, do not alter altogether because this will disrupt your normal pattern and can ultimately lead to you accidentally “giving up” on your goals.

Forget the past and move on. Slipped up and ate too much or skipped a couple of workouts? Don’t panic.  You cannot waste time or energy thinking of ways you could have “been better”, what’s done is done.  The only thing you can do is get back on the horse.  After a binge at a holiday party or a couple of unexcused absences from the gym, the best thing to do is to acknowledge the mishap and get back into your normal routine.  Congratulate yourself for feeling guilty and know that this is a good sign, it means you care. It’s not too late to being again with extra enthusiasm and some insight as to what can happen if you get off track.

Now is the time for you to start a change!  The holidays and the New Year is a good excuse for initiating a lifestyle change but honestly, any day is a good day to start.  It does not have to be a New Year’s resolution or anything pertaining to anybody else.  This has everything to do with you and what it will take to get you motivated enough to think about making a change and then actually implementing it.  The idea of making a change is exciting and thrills even the best of us but it is those who actually stick to their idea who are really rare.  My only question is, are you strong enough to be one them?

ILADS 2011 Conference Impressions

Thursday, November 24th, 2011

By:  Ron Stram, MD and Jennifer Enos, NP

TREATMENT OPTIONS

Having attended the International Lyme and Disease Society  (ILADS) conference last month in  Toronto, we came home  both reassured about the treatment options we  offer and with additional therapies to improve our treatment options for our  growing number of lyme patients at the Stram Center for Integrative Medicine, Delmar office.  One of many interesting developments was discussed by Dr. Richard Horowitz  on the topic of Babesiosis diagnosis and treatment, for example: usage for an herbal supplement used in Ethiopia to treat malaria,  cryptolepis,  has been shown to be effective in this co-infection.

 CHANGING SYMPTOMS REQUIRE  CLOSE EXAMINATION

We  came away  more reassured about the complexity of this growing, insidious disease and the treatments we  already offer our patients: an integration of modalities with antibiotic therapies, nutritional support and herbal supplements are the most effective way of treating this disease.  In addition, and not to be understated is the utmost importance of the ongoing and compassionate listening required of the practitioner because of the ever changing and evolving symptom response to treatment. This perhaps is the most challenging part of the management of lyme and of  living with the disease itself.  Therapies must be flexible  in response to one’s changing symptoms.

PATIENT ADVOCACY IS ESSENTIAL TO EFFECT CHANGE

Dr.  Daniel Cameron,  past president of ILADS, strongly urged that patient advocacy will be the leading force to aiding LYME to become a recognizable disease in the medical community. Therefore,  we encourage you, as people either afflicted personally, or are affected by  afflicted  members of your family or friends, to become as active as possible in your communities  to effect change on the front line for recognition of this verifiable, debilitating and tragic disease.

Please contact your nearest Lyme Advocate Association to help make this change happen.

 

The Right Practitioner for You

Sunday, November 6th, 2011

How Do I Find a Good Practitioner?

I’m often asked by people who are moving, or who live too far away from the Center for regular visits, “what should I look for in an acupuncturist?”  My answer is usually along the lines of: you look for the same things that you would in a good mechanic, personal trainer, doctor and almost anything else.  A good practitioner is communicative, responsible and effective.  Sure, you have to make sure that they’re licensed, and hopefully they have some experience with the health conditions that you are dealing with, but that is the bare minimum.

It Is About the Relationship

I’ll always remember what our founder Dr. Ron Stram told me when I was a new practitioner many years ago.  “People expect us to be good at our job. That’s just the baseline. It’s about the relationship.” And what makes a good relationship?  Open and clear communication working in two directions, attentiveness to someone’s needs and the taking of steps to show that you are actively engaged in meeting those needs.  A good practitioner is responsive, actively listens to you and makes clear effort to help you achieve your goals.  Like any other relationship, it has to be a good match as well- find the provider that you “click” with.

Best of Both Worlds

Numerous times in my life I have heard people saying that if they had to make a choice, they would pick a doctor who was exceedingly skilled over one who was kind and pleasant to work with.  Especially in the field of Integrative Health, where practitioners must understand and address the entire person- there is no such distinction.  The care giver who is exceedingly skilled is the care giver that is attentive, comfortable to work with and reliable.  To understand a client well, an acupuncturist has to be more than just technically skilled.  They have to be actively interested in their client, who they are, what they are going through, and how, whether by well-placed needle, by herb or by compassionate gesture they can be supported and cared for.

Yes, But is it Covered by my Insurance?

Means, motive and opportunity.  The great majority of healthcare providers want to give the attentive and compassionate care that we all try to embody.  Clients want attentive and reliable care, and providers want to have the relationship and time spent with clients that help ensure the best and most appropriate care.  So why so much discontent, and why so many stories of sloppy care because an health concern wasn’t given it’s due time and consideration?

We find ourselves in this position because you are no longer the consumer for your own healthcare!  Your insurance company is the healthcare consumer.  The consumer demands to the healthcare industry are less time and less care (i.e. less money paid out).  Since no business survives without listening to its customers, healthcare providers must bend to the demands of their consumers- the insurance companies- in order to survive.

My practice exists outside of this system.  There is no mediator between myself, and my client.  The only demands, needs, wants and hopes I listen to are those of my client, and that allows me to be the responsive and active practitioner that I strive to be.  I bring this up just to suggest the fact that maybe “is it covered by my insurance” isn’t the first question to ask when seeking out the right practitioner for you.  Just food for thought.

 

 

Acupuncture for the West

Friday, October 2nd, 2009

By: Christopher Reilly, L.Ac
I was interviewed today by a student at SUNY Albany who was doing a paper on natural healing.  At the end of a series of very well thought out questions, she asked me if there was anything else that I would like people to know about acupuncture and traditional Chinese medicine.  I had to pause for a moment to consider the question before beginning to answer.
The common perception of acupuncture is steeped and clouded in mysticism and associations with the culture of China and the East.  I’ve often thought about the general opinion that seems to portray acupuncture as a mysterious and magical art performed by wizened Chinese practitioners in the back of old herbal shops in China town.  It has become obvious to me over the years that one of the most consistent barriers to accepting acupuncture in the West is this concept of acupuncture as a metaphysical art tied to mysticism of the East, and impenetrable to the understanding of the modern mind.
Acupuncture most likely began in China, and we owe a debt of gratitude to it’s rich history.  The first manned flight was achieved in Kitty Hawk, North Carolina.  And while we applaud the efforts of the Wright brothers, it is obviously a silly notion to think that the pilots and engineers of the rest of the world who aren’t embedded in American culture are unable to understand the dynamics of flight.  The laws that govern flight are the same for everyone.  In the same way, the laws that govern acupuncture are universal to the human being.  Acupuncture is a science that requires training in a very special way of interacting with the human body to facilitate health and healing.  It is a human science.  And while we look to China to study the history of acupuncture, it is to the West that we must fix our gaze to see it’s further evolution.
The best research in the world on Acupuncture is now being down in countries like the U.S. and Germany.  This research is helping to peel away the shroud of mystery that has separated acupuncture from the modern medical community, and kept it from being accepted as a true science by the average citizen.  Acupuncture isn’t a system of magic, belief or a supernatural feat.  It is a science that works with the natural systems of the human body in a way that other forms of medicine have not yet been able to.  It’s value is in it’s use for the treatment all mankind, and its future will be found in its integration with the broader medical community.  In this spirit, I hope that we can increase the acceptance and growth of acupuncture in the West not as an elitist or secretive mystical art, but a science of interacting with the human body in the service of all people, regardless of culture or background.

Is it Possible to Have Acupuncture Covered by Insurance?

Monday, August 31st, 2009

By: Rebecca Rice, L.Ac
Is it possible to have acupuncture covered by insurance?Yes! In light of the plethora of news about the reformation of health care, where does Chinese medicine stand?  Many practitioners in the field of holistic and complementary medicine are trying to encourage lawmakers to include services such as acupuncture into the new health care plan.  The national governing bodies for Oriental Medicine, the NCCAOM and the AAAOM are backing this measure.  To support acupuncture coverage please visit:  http://www.aaaomonline.org/  
For information on President Obama’s statement on preventative health care visit:
http://www.acupuncturetoday.com/mpacms/at/article.php?id=31983

Uncle Sam Wants….Us

Friday, August 7th, 2009

by: Chris Reilly, L.Ac
According to a recent article in Acupuncture Today (http://www.acupuncturetoday.com/mpacms/at/article.php?id=32014), the programs that the U.S. Army, Navy and Marines are developing to more effectively support soldiers diagnosed with post-traumatic stress disorder (PTSD) will now emphasize an integrative approach.  To the standard treatments of drug therapy, psychotherapy and cognitive-behavioral therapy, these programs will add tai chi, reiki, yoga, acupuncture and medical massage.
 
This news comes in addition to news from 2008 when the Air Force began a pilot program to train a number of physicians to apply acupuncture for soldiers still in the field (http://www.acupuncturetoday.com/mpacms/at/article.php?id=31882).  This “battlefield acupuncture” was and is being developed as a way to relieve musculoskeletal pain and some other health problems that can adversely effect a soldier’s ability to function at full potential.
 
Acupuncture’s reputation continues to grow by the year, and with innovations like those listed above, I’m sure that exciting new insights for the use of acupuncture, and the combination of integrative therapies with more conventional treatments will come to light!

Massage Therapists are Health Professionals

Wednesday, July 8th, 2009

by: Sue Coughtry, LMT

Something that I find disappointing in my practice is how seldom doctors recommend therapeutic massage to theirpatients for the alleviation of pain.  They prescribe drugs, give shots, some recommend physical therapy (which is good and physical therapists can do some massage, but usually do very little in their work) and recommend surgery.  Only a rare doctor recommends massage or soft tissue work.  But massage therapy can do wonders for many conditions in a gentle way with only beneficial side effects.  I think part of the problem is that most doctors – and most people for that matter – look at massage therapy as simply a relaxing luxury instead of a set of soft tissue techniques for relieving pain.  This became obvious just this year as our Governor considered taxing massage therapy as part of the beauty industry, though we are licensed in a health field.  Fortunately the economic stimulus package allowed the Governor to drop this idea, but it made it clear how most people view massage therapy.

NYS has the most stringent requirements and the toughest licensing exam in the country for massage therapists.  While there is no separate licensing exam or certification for medical or orthopedic massage therapists, it is generally understood that a medical massage therapist has had more hours of schooling and continuing education to learn the latest and most cutting edge techniques for pain relief.  Medical massage therapists are specialists in muscles and they know how muscle imbalances can affect the joints and the organs and posture and cause pain. 

I’d love to see massage therapy taken seriously as the health profession that it is. I’d love to see options for higher levels of education and licensure. I would love to see physicians refer patients to highly trained massage therapists – medical massage therapists – as a first step to see if the soft tissue techniques can solve the particular problem before they try something more invasive.  I’d love to see physicians collaborate with massage therapists the way many chiropractors do now.   I’m so grateful and delighted to be working with a group of doctors and health professionals who do take this seriously.  We have great success working together here at the Center.

Acupuncture, Integrative Medicine and Healthcare Reform

Wednesday, June 24th, 2009

By Christopher Reilly, L.Ac

Now is the time to show our support for Acupuncture and Integrative Medicine. The reforms that will take place over the coming year will shape healthcare for generations to come. At no time will there be a better chance and opportunity to influence these changes. Programs that have already been established and set in motion will be much more difficult to change than programs that have yet to take their final shape.

Acupuncture Coverage Law

New York’s very own Congressman Maurice Hinchey has sponsored the acupuncture coverage bill H.R. 646 (http://www.washingtonwatch.com/bills/show/111_HR_646.html). This bill would include coverage for acupuncture under Medicare. This is very important, because state’s often follow national regulations when it comes to healthcare coverage, and it would make a NY state mandate to cover acupuncture much more likely. Please visit this link and vote in the poll to support acupuncture coverage.

In addition, you can contact your own Representative https://writerep.house.gov/writerep/welcome.shtml in order to request that he or she also support this bill.

Now is the time to make our voices heard as loudly as possible!

Integrative Medicine Reform

Senator Tom Harkin (D-IA) http://harkin.senate.gov/- a long time supporter of natural and integrative healthcare that I remember from his relationship with Bastyr University- and Senator Barbara Mikulski (D-MD) http://mikulski.senate.gov/ recently co-chaired “Integrative Care: A Pathway to a Healthier Nation.” The Institute of Medicine, part of the National Academies, also recently held a “Summit on Integrative Medicine and the Health of the Public” http://www.iom.edu/CMS/28312/52555.aspx. There is a very real buzz about prevention going on. We can all bring more momentum to the movement by letting our representatives know that this issue is important to us.

Contact your representatives in the senate: Senator Charles Schumer http://schumer.senate.gov/ and Senator Kirsten Gillibrand http://gillibrand.senate.gov/ and let them know this is important for you. Contact your representative in your district https://writerep.house.gov/writerep/welcome.shtml and let them know that you want them to support H.R. 646. It’s a rare opportunity to be able to have a say in your own government and healthcare at the same moment!

Prevention as a Model for Healthcare Reform

Sunday, June 14th, 2009

by: Ron Stram, MD

If you are reading this, you may have already embraced the concept of prevention as a model for healthcare reform since you find yourself on an  Integrative Medicine website- prevention being the wholemark theory behind Integrative Medicine. You are not alone. More than 40 billion dollars are spent out of pocket in this country by those seeking to prevent an  illness or abort its progression through complementary care. At least half of all people between the ages of 35 and 55 have used at least one  complementary service this year alone. This is just a small portion of the 2.5 trillion dollars that the nation spends each year on healthcare-nearly one fifth of the American economy. It is cleary a time for change and fast. Hospitals, the American Medical Association, health insurance companies, pharmaceutical industries and our congressional leaders must all step up to the challenge and consider prevention as the necessary antidote for our healthcare ills. Why would prevention serve to be of such benefit? Simply put prevention is one step ahead of an illness both acute and chronic and can save enormous sums of money.  Haven’t the insurance companies learned that they will pay much more for knee surgery and months of rehabilitation than they would for a series of effective acupuncture treatments? Haven’t they heard of the scientific benefits of such treatments?  My experience as an Emergeny Physician and Regional Administrator allows me to observe firsthand what can happen to a a person who has not lived a life with preventional care. It is mind boggling to find an emergency room visitor of young to middle age come in with an acute cardiac condition which will now force the healthcare system to spend thousands and thousands of dollars both acutely and  long term to help control a disease that may have been prevented all together by such simple choices as eating habits, exercise and smoking cessation. We all need to become stewards of change. Write to your congressional leaders and ask them to be on the side of  prevention as we develop our nation’s healthcare reform.

Acupuncture Insurance Coverage: Patients’ Rights, Insurers’ Responsibility

Friday, April 10th, 2009

By: Christopher Reilly, L.Ac

The single biggest hurdle for acupuncture in New York is a lack of insurance coverage. MVP Gold, Goldanywhere and Trivantage, as well as BlueShield of Northeastern New York’s Blue Health Plus and Aqua programs cover acupuncture. Most plans, however still lack good acupuncture coverage.

Some insurance companies have a directory of acupuncturists that have agreed to give their customers a discounted service. This is not real coverage. The acupuncturist takes a cut in his or her rates in exchange for the advertising in the insurance directory. The insurance company isn’t supplying any reimbursement.

Some NY insurance companies will provide coverage for acupuncture only when performed by a certified acupuncturist (C.A.), not when performed by a licensed acupuncturist (L.Ac.). The requirement for a C.A. is to have only 200 hours of training in acupuncture theory and practice (which may be over the internet)and only 100 hours of supervised clinical experience. A L.Ac. in contrast, is required to have earned a three-year Masters degree in acupuncture consisting of at least 1,450 hours of classroom and clinical (not internet) training, and must pass a national level examination to achieve national certification. Most Masters degree programs have well over 3,000 hours of training.

Seeing that L.Ac.’s have literally ten times the training of C.A’s, and have proven their knowledge of acupuncture by taking a national exam, why would anyone want to see a C.A. instead of an L.Ac.? A certified acupuncturist is a physician or dentist who has taken a certification course.

Insurance companies may feel that a M.D. or dentist will make a more effective and safe acupuncture therapist. A study published in The Archives of Family Medicine in 2000, however, found that medical acupuncturists reported more than twice the amount of adverse events compared to full-time acupuncturists. The difference? For a L.Ac. acupuncture is the focus of their entire day and practice, and is an extensive field in its own right.

On many occasions, I will have a client who has already tried acupuncture from a C.A. with no relief. Working with me, these same clients often see substantial relief. Not only is there financial harm to those paying for a C.A. when they could be receiving more effective care, but there is also harm to the profession of Acupuncture when patients think it can’t work for them merely because their therapist has not been adequately trained.

Seeing your physician for acupuncture is like seeing a urologist for a brain trauma. A urologist has training in the basic sciences of human health, but they are not the experts for brain trauma. Likewise with acupuncture- it is best to see the experts.

The answer? As consumers we should let our insurers know that we are aware that acupuncture is a proven therapy, and that we demand service from fully-trained professionals who are equipped to serve us best. Insisting on proper coverage is an integral part to being active participants in our own healthcare, and to helping change how medicine is practiced in our time.

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