MCA TOWN HAll MEETiNgS96bda424cfcc34d9dd1a-0a7f10f87519dba22d2dbc6233a731e5.r41.… · Chiropractic...

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Mark Your Calendar

• Thursday, September 20, 2012: Southeast District

• Thursday, October 4, 2012: Northeast District

• Tuesday, October 16, 2012: Southwest District

• Thursday, October 18, 2012: Metro East & Metro West

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1 MCA Journal September/October 20121

HOT TOPICS

• Protecting Your Most Valuable

Asset

• Scope… The Process Unfolds

• Legislature Toughens Runners

Statutes

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• Key Doctors

• Technology

• Winter Safety Tips

MCA Journal September/October 2012 2

Table of Contents

A Message from the President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3A Message from the Executive Director/CEO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4MN Chiropractors Recognized by the ACBSP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Members on the Move . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Save the Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7F4CP Points to NASA Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Travel to Treat: Gaining the Right to Practice in All States . . . . . . . . . . . . . . . . . . . 8In Remembrance of Dr . Roger Nelson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10How to Deal with Hyperglycemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Protecting Your Most Valuable Asset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13Scope… The Process Unfolds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-16Calendar of events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-18MN Chiropractors Encourage Backpack Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Local Liaison Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Board of Directors Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Wulff on Law . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21-22How to Deal with Hyperglycemia Con’t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Classifieds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Cottage Cheese Veggie Dip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Associate Business Members Listing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Advertising Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MCA Journal Published six times a year, the MCA Journal is the official publication of the Minnesota Chiropractic Association . Articles focus exclusively on the Chiropractic profession in Minnesota . Questions or comments should be directed to publications@mnchiro .com .

ArticlesMCA Journal regularly publishes a variety of by-lined columns authored by individuals whom we consider to be knowledgeable in their respective fields and who have a valuable message to share with Minnesota Chiropractic community . Opinions in these columns, however, are those of the authors and do not necessarily represent the opinions of the Board of Directors, members, or staff of the Minnesota Chiropractic Association .

Copyright 2012 Minnesota Chiropractic Association. All rights reserved.

Minnesota Chiropractic AssociationBoard of directors

2012-2013

PresidentDr . Christian KollarFirst Vice-PresidentDr . Scott MooringSecond Vice-PresidentDr . Doug BromanTreasurerDr . Lisa HellerudSecretary & ParliamentarianDr . Richard C . HueffmeierImmediate Past-PresidentDr . Jennifer NaasNortheast District DirectorDr . Gerald Priley

Northwest District DirectorDr . Vincent W . PankoninCentral District DirectorDr . Barbara DolezalMetro East District DirectorDr . John HynanMetro East District DirectorDr . Kathy CaseyMetro West District DirectorDr . Carrie GetzmierSoutheast District DirectorDr . Andrew KleinSouthwest District DirectorDr . Monica Schugel

Executive Director/CEO Debra Hurston

Mission Statement

The Mission of the Minnesota Chiropractic Association is to support and unify the Art, Philosophy, and

Science of the Chiropractic profession.


a messageDr. Christian Kollar

From the President

A Time to Hear and Be Heard

The re-codification of the chiropractic scope of practice is one of the most important legislative

initiatives we will ever take on . During the last legislative session, it was clear that more dialogue, engagement and clarification were needed among all stakeholders within the profession . Every chiropractor in Minnesota has a vested interest in and should be well informed about the proposed changes being put forward and how those changes may influence what we do. To help get as much information out to as many chiropractors as possible, we will be repeating some of our efforts from last year . Those include, posting information on the MCA website, pushing information through the MCA news-serve (list serve for members and non-members), producing videos and posting them on the website and publishing the proposed scope changes in the MCA Journal which goes out to every chiropractor in the state . Because we believe more dialogue is necessary, in addition to the previous items, this year we are also hosting town hall meetings in each of the MCA’s seven (7) districts . The MCA leadership, which includes the Board of Directors, district leaders and committee chairs, met this spring to prioritize what the MCA focuses on and how time and resources need to be allocated . What came out of that meeting were three key initiatives: • Improve the practice environment for Minnesota chiropractors • Continue educating the public about the benefits of chiropractic care • Provide more business management resources to doctors Re-codifying the scope is clearly under the umbrella of the first initiative regarding improving the practice environment . During the town hall

meetings, participants will find out how the current language leaves the profession vulnerable . In fact, to this point many of you can probably identify with the challenges of running your practice and business based on language written in the early nineteen hundreds . The town hall meetings are designed to be an informal setting that offers every doctor in the state an opportunity to come together to discuss this important issue . More importantly, it also gives us an opportunity to respectfully listen to different views and perspectives in addition to voicing concerns . As we dialogue, it is my hope that we can dispel inaccuracies and provide clarification with regard to the decisions we have made and the direction being taken . On behalf of all chiropractors in the state, the MCA has a strong and respected presence at the capitol . The upcoming legislative session like many before, will not be a place for the weak at heart . Legislators both new and seasoned, will have little tolerance for disorganization, in-fighting and fragmented messages . As a profession, it is important that we present ourselves as an organized, focused and single-minded force .•

“ On behalf of all chiropractors in the state, the MCA has a strong and respected

presence at the capitol. The upcoming legislative session like many before, will not be a place for the weak at heart. “


a messageDebra Hurston

At the End of the Day There’s One Common Goal

From the Executive Director/CEO

The MCA Board of Directors has identified three strategic priorities it plans to address this year . One

is “improving the practice environment” for Minnesota chiropractors . The other two priorities which you will hear much more about in upcoming issues are “increasing business management resources for doctors” and “enhancing the public’s understanding and awareness of the role that chiropractic care plays in overall health and wellness” . With respect to the first priority, the MCA Board of Directors recently established a Reimbursement and Insurance committee . The committee’s objective is to explore the challenges doctors face and to develop a strategy to address those challenges . They will also cultivate and pool resources to minimize or completely eliminate challenges when possible . This committee will build on the successes and benefit from the knowledge of so many doctors who have taken on some of these very same issues years ago . While the MCA is a state organization and our primary focus is on state issues, we are working with national entities to help facilitate positive change . In fact, the MCA Board of Directors recently reappointed Dr . Richard Hastings to serve as our liaison on the ACA’s insurance committee and the Carrier Advisory Committee . I would like to publically thank Dr . Hastings for his time and commitment . By serving in this capacity, he provides Minnesota’s’ entire chiropractic community…members and non-members… .with an opportunity to benefit from the information and resources available with respect to national issues and trends . Through his position, the MCA is able to see patterns, problems and successes and benefit from other states experiences . Additionally, this collaboration helps other states benefit from our experiences. The MCA’s relationship with Infinedi has its foundation in “improving the practice environment” which is key to our priority . What you may not be aware of is that through our relationship we are attempting to lay the ground work for Minnesota’s chiropractic profession to be in a more “offensive” position . Imagine what that could look like .

Infinedi is a clearinghouse and when “you” use their service; our relationship with them will enable us to talk from an informed position based on data and facts with regulators, payers and legislators. We will also be able to affirmatively dispell a variety of misconceptions based on fear and even ignorance . There will be those who understandably feel threaten by the MCA and Infinedi relationship and we will try to work through those concerns . There will be even more who are looking at the bottom line from their own perspective . The MCA is and must look at this and everything from the entire professions perspective and bottom line . We’re also going to the source, which means you . Another tool we’re using to help improve the practice environment is information from YOU . By the time you read this column, the second of two surveys will be coming out . Thank you in advance for participating . These surveys are designed to help us gain a greater understanding of exactly what your experiences are . The Reimbursement and Insurance committee will analyze the responses, look for patterns and work with payers, regulators, policy makers and our lobby team to impact change . Know that at the end of the day the MCA through all of the committees, districts, councils, board, staff and lobbyists is committed to seeing the profession grow stronger and prosper . •

MCA Reimbursement & Insurance Commitee

Dr. Christopher Jo, ChairMs. Cathi HammondDr. Richard Hastings

Dr. Richard HueffmeierMs. Debra HurstonDr. Christian Kollar


Chiropractic in the News

BLOOMINGTON, MN - Three Minnesota chiropractic leaders were selected nationally to present one of only eight (8) podium presentations before the American Chiropractic Board of Sports Physicians (ACBSP®) . Their

presentation was based on research they conducted on the Susan G . Komen 3-Day for the Cure which is a three day 60 mile walk benefiting breast cancer research and community education. Dr . Craig Couillard, Dr . Sara Cuperus and Dr . Scott A . Mooring shared data relative to the type and frequency of musculoskeletal complaints encountered during a three day endurance walking event . Their presentation took place in Portland Oregon at the 2012 ACBS® Chiropractic Sports Sciences Symposium . In addition to being doctors of chiropractic, the three hold the following positions with the Minnesota Chiropractic Association and have certifications in the following areas:

Minnesota Chiropractors Recognized by the American Chiropractic Board of Sports Physicians

Dr. Couillard, CCSP®, CSCS, CES, PES • Certified Chiropractic Sports Practitioner®

• Certified Strength and Conditioning Specialist• Corrective Exercise Specialist• Performance Enhancement Specialist• Minnesota Chiropractic Association Legislative Committee Chair• Member of the Minnesota State High School League Medical Advisory Board• Member of the Minnesota Chiropractic Association Sports Council

Dr. Sara Cuperus, CCSP®, ATC, CCP, CDCPC• Certified Chiropractic Sports Practitioner ® • Athletic Trainer Certified• Graston Technique Certified• Certified in Chiropractic Pediatrics• Certified Doula• President of the Minnesota Chiropractic Association Central District

Dr. Scott Mooring, CCSP ® • Certified Chiropractic Sports Practitioner ® • Graston Technique Certified• Kinesiotaping Certified• Minnesota Chiropractic Association First Vice President • Minnesota Chiropractic Association Sports Council Chair• Minnesota Chiropractic Association Legislative Committee Vice-Chair

Dr. Craig Couillard, Dr. Sara Cuperus and Dr. Scott A. Mooring


Milt Edgren, PresidentCLU, ChFC, MSFS

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7 MCA Journal September/October2012

MeMbers on the Move

Member Services

Public Education

Body Part Chart - ABM

Dr . Jodi Dorpinghaus

Dr . Andrew Erlandson

Adam Mazzeo - Student

Dr . Jeffrey Wock

Welcome New Member Doctors

Thursday, Feb. 28, 2013

Save the Date!Chiropractic Day at the Capitol!

*If you are interested in becoming a key doctor for your district, contact Nikki at

the MCA directly 952-698-2351.

Foundation for Chiropractic Progress Points to NASA Update: Chiropractic Included in Expert Panel Addressing Health Concerns of Nation’s Astronauts

CARMICHAEL, Calif . — August 1, 2012 – Prior to advancing its human spaceflight sector, the National

Aeronautics and Space Administration (NASA) addressed the heightened risk of musculoskeletal injuries threatening astronauts, and discussed its concerns during a Spinal Deconditioning Injury Risk Summit . Among experts invited to the Summit was University of South Florida’s John Mayer, D .C ., Ph .D ., a supporter of the Foundation for Chiropractic Progress (F4CP), who believes chiropractic care represents advancement in prevention and protection protocols . “Deconditioning -- the breakdown of the spine’s musculoskeletal support system – is a very common and serious condition occurring in astronauts,” says Dr . Mayer, Lincoln College Endowed Chair in Biomechanical and Chiropractic Research, and associate professor, School of Physical Therapy and Rehabilitation Sciences at USF Health . “It is crucial that NASA continues to aggregate data and develop strategies to mitigate this problem . More times than not, this initial breakdown leads to other debilitating health concerns, such as disc herniation – an ailment space crews are five times more at risk for than average individuals .” During the Summit, a multidisciplinary panel of experts addressed various issues including identifying impacting factors

-- such as microgravity exposure, flight weight and landing forces -- and defining potential protection and prevention options . Going forward, NASA expects to develop and test new measures to counteract spinal deterioration in space crews, based on the panel’s recommendations . “Possible options to enhance safety measures for astronauts can include everything from developing new equipment to altering spaceflight exercise procedures to new healthcare practices,” says Dr . Mayer . “The use of an effective specialized musculoskeletal care, like chiropractic, may ultimately prove to be effective in reducing the incidence of injuries for individuals exposed to a variety of physical demands, such as astronauts .” Gerry Clum, D .C ., a spokesperson for the F4CP, notes the inclusion of chiropractic in these discussions as a positive signal from NASA . “With extensive experience in the chiropractic approach to addressing spinal conditions, Dr . Mayer will be an important asset to the NASA panel .”• About Foundation for Chiropractic Progress:To learn more about “The Doctors,” or to check local listings, visit: www.thedoctorstv.com/main/local_listings. To learn more about becoming a chiropractor, please visit: www.yes2chiropractic.com. To learn more about the Foundation, please visit us on the web at www.f4cp.com or call 866-901-F4CP (3427).

For the rest of the article visit www.mnchiro.com and look

on the For Members tab.

8MCA Journal September/October 2012

Travel to Treat: Gaining the Right to Practice in All States

Working as a team chiropractor or treating professional athletes is an exciting job, but there are unexpected

obstacles that can impede the care you give your patients . One such obstacle is the ability to practice in states where you don’t hold a license, or travel to treat . In short, travel to treat means that a doctor of chiropractic is able to enter a state, in which he or she is not licensed, to treat athletes or performers for a specific event. Although more states than ever before allow travel to treat, approximately one-third still do not allow DCs licensed in other states to practice within their borders .Difficulties for DCs Sherri LaShomb, DC, CCSP, vice president of the ACA Council on Sports Injuries and Physical Fitness (ACASC), is the official chiropractor for the Buffalo Bandits professional lacrosse team in upstate New York . If the Bandits have a game in a state that doesn’t allow travel to treat, Dr . LaShomb cannot provide chiropractic care to the players . “I have to call on my colleagues and hope that one of them is available to come and help me out,” she says . “It is nice to get to work with a friend and get some help with treatments, but there have been times where I’ve had trouble finding someone,” she continues. Shane Espinoza, DC, CCSP, former second vice president of the ACASC, had the same problem when he traveled with Winning Medicine International, the medical providers for the Dew Tour (an action sports tour featuring skateboarding, BMX,

snowboarding, freeskiing and motocross) to Indiana to cover an adventure race . “We had trouble finding any local doctors to volunteer at the events because we were in such a small town about an hour and a half from any major city, and nobody was available to help us out,” he says . “Not only that, but the available DC has to be interested in, and capable of treating, extreme sport athletes, and such a person is not always easy to find.” For example, according to Ted Forcum, DC, DACBSP, past president of the ACASC, the U .S . Olympic Track and Field Trials are held in Eugene, Ore ., but the local community doesn’t have enough individuals to field an appropriate medical staff. The size of the event requires DCs from other states to come in to help . If a DC were to manipulate or provide any type of chiropractic care to patients in a state without travel-to-treat provisions, there could be a number of consequences, from a written warning to a legal suit, Dr . LaShomb speculates . “Many DCs are not even aware of travel to treat . They have good intentions when treating an athlete out of state, but they are unknowingly putting their license on the line,” she says .Difficulties for States Travel-to-treat restrictions are not just an obstacle for DCs; they also can prove detrimental to states as far as publicity and the economy are concerned . “The Dew Tour only travels to states that allow travel to treat because the athletes know the benefits of chiropractic and they have specifically requested that kind of care,” explains Dr . Espinoza . “That’s lost revenue for the state because those promoters won’t bring their tours or shows there . And it doesn’t matter how bad the economy is doing; People will always love sports,” he continues . “During the Depression everybody listened to baseball on the radio .States are limiting their revenue by not allowing DCs to travel to treat .” The states that do not allow travel to treat are also curbing their publicity . Having an event such as the Dew Tour or an Olympic Trial take place in your state brings positive exposure to the area and can help improve the tourist trade . People will travel to your area to see such events, and that brings revenue and publicity to the state as well .•

About the Author:Caitlin Lukacs For more information visit http://www.acatoday.org/content_css.cfm?CID=4732


Roger Nelson, 82, died July 18, 2012, at United Hospital, St . Paul . He was born Oct . 6, 1929, in Minot, N .D ., to

Henry and O’delia (Odden) Nelson and grew up on a farm near Wyndmere, N .D . Roger was a chiropractor in Fergus Falls for 28 years . He was active in the Noon Kiwanis Club and Grace United Methodist church . Roger loved sports . He played tennis, bowled and especially loved golf . After retiring, Roger and Lois moved to Battle Lake and spent winters in Mesa, Ariz .In 2007, they moved to Roseville, and continued to go to Arizona for the winter . Roger is survived by his wife of 57 years, Lois; a daughter, Denise (John) Hankey; and grandsons, Matthew and Alex of Roseville, a brother, Jacy (Phyllis) Nelson of Seattle, Wash.; and a sister-in-law, Elaine Nelson of Portland, Ore.; and several nieces and nephews . He was preceded in death by his parents; and two brothers, Dennis (Edna) Dunham and Harvey Nelson .A private burial and gathering of friends and relatives is planned at 5 p .m ., Friday, at Evergreen Methodist Church in Wahpeton, N .D .•

In remembrance of Dr. Roger Nelson

Obituary


Reframing hyperglycemia for the patient

It is not uncommon for people to trivialize hyperglycemia; that is fasting blood glucose levels that exceed 100 mg/

dL or a two-hour postprandial glucose level greater than 140 mg/dL, but less than 200 mg/dL, which reflects overt diabetes (1) . This may be due to the fact that the potential clinical impact of hyperglycemia is not adequately emphasized . What if patients knew the following information? A study that considered hyperglycemia and disease expression concluded that, ”the findings support the hypothesis that higher postprandial glycemia is a universal mechanism for disease progression” (2). Patients should specifically know which diseases are promoted by hyperglycemia, which is one component of the metabolic syndrome . Most patients will understand that there is a connection to diabetes and heart disease; however, the urgency of this problem is often not realized as a visceral experience for the patient that invokes behavioral changes . Perhaps this is because hyperglycemia is not typically associated with pain or other symptoms and so, the insidious nature of diabetes and heart disease is commonly not felt until there is adequate end-organ damage . A clear problem is that, for the patient, diabetes and heart disease seem like distant problems from metabolic syndrome and so the importance of maintaining proper blood sugar levels needs

to be reframed so patients embrace the dangers when its presence is identified. In addition to diabetes and heart disease, many other conditions are known to be promoted by hyperglycemia/metabolic syndrome including cancer, fatty liver disease and cirrhosis, gallstone disease, sleep apnea, and hypertension (3) . Women concerned about breast cancer and individuals with hypertension are rarely told that hyperglycemia is an underlying cause of these conditions . In the case of cancer, it is well documented that tumors thrive on glucose and so hyperglycemia must be avoided . (4-6) . With this knowledge about hyperglycemia and disease expression, it is possible to reframe hyperglycemia for the patient . Reframing hyperglycemia for the chiropractor As a chiropractor you may read the above information about reframing information for patients and think that these are not common conditions that you discuss with your patients; however, germane to the typical musculoskeletal chiropractic practice is the fact that hyperglycemia also promotes musculoskeletal aches and pains . For example, hyperglycemia/metabolic syndrome has been linked to what would otherwise be misinterpreted as “mechanical neck pain” (7), and in general, local and widespread pain expression has been clearly linked to hyperglycemia (8,9) . Even tendinosis expression is associated with the metabolic syndrome in both sedentary individuals and elite athletes (10,11) . Osteoarthritis, another misunderstood so-called “mechanical condition” is also associated with hyperglycemia/metabolic syndrome (12) . While the precise details have yet to be unraveled, it is known that hyperglycemia leads to glycosylation of peripheral tissue components including musculoskeletal tissues (12) . Operationally, it can be described to patients that hyperglycemia chemically injures musculoskeletal tissues . Hyperglycemia is simultaneously associated with immune activation and the promotion of systemic inflammation, which increases in proportion to the level of postprandial hyperglycemia (1) . Because the American diet is rich in sugar and flour, researchers maintain that Americans spend most of their waking hours in a postprandial inflammatory state (1), which likely adds to musculoskeletal pain expression .

Hyperglycemia Con’t on Page 23

How to Deal with Hyperglycemia Nutrition


Protecting Your Most Valuable AssetWhat do you consider to be your most valuable asset? Most

individuals believe that their biggest asset is their home or business . While this is a valuable item, for most of us, our biggest asset is the ability to work and earn an income . Everyone who works for a living is familiar with what can happen if they lose their job . Yet the possibility of a serious disability is a risk few seem to consider . According to the Council for Disability Awareness, 1 in 4 of all Americans in the workforce suffered a disability lasting at least 90 days . The risk is real . The question is, “What to do about it?” Disability incomeinsurance is designed to replace a portion of the income you lose if you are too sick or too injured to work . Typically that portion is roughly 66% of your yearly income . Keep in mind, that benefit is delivered tax free upon claim when set up properly . There are two main sources of disability insurance that most chiropractors can access while running their own practice or partnering with other D .C .’s . Private disability programs, such as the plans made available to the members of the association, and government sponsored disability insurance . A word of caution; most are not aware that programs offered through the government’s social security office do not cover partial disability, and both have a very strict definition of what it means to be disabled . In fact, in 2008, only 37 .9% of initial claims for Social Security disability benefits were accepted. Skilled individuals frequently play a crucial role in the success of a business. This is particularly true of chiropractor offices in which one or two talented people possess highly specialized skills or knowledge that other employees do not have . If such a “key” person, especially an owner, were to suffer a long-term disability, not only would the individual face substantial financial risk, but the very survival of the company could be in jeopardy . Questions that arise are: How would the rent get paid? The lights stay on? Staffs retain salaries? Replace the missing employee? Continue income into my household for expenses? One strategy many business owners have found valuable is business overhead expense (BOE) . This is a form of disability insurance specifically designed with the business owner’s needs in mind . BOE policies are designed to reimburse certain business expenses of the owner while he or she is totally or partially disabled . Typically they are determined by the fixed expenses included in your taxes each year. This makes documentation easy and allows a business owner to make up lost funds due to tax write-offs and business expenses . The funds provided by the BOE policy help the business survive during the period of the owner’s absence due to disability . Some of the expenses that are typically covered by a BOE policy include rent, utilities, payments on debt, leased equipment, office supplies, salaries of non-owners, business taxes, worker’s compensation, etc . Plans can be designed to provide a significant portion of your regular monthly income (generally 60 percent) and benefits can be timed to begin according to need .

There are four main factors when companies are deciding if they will take on the risk of insuring any worker . Those are occupation, age, health, and income. There are lots of efficient ways to design a plan that is specific for your situation. There are also many options to choose from . Make sure as you are looking into disability plans, you will want to find a company that rates the chiropractic profession favorably . Each of the four factors will have a large impact on the premiums charged, but occupation class is one you can control during the process by knowing where a company rates chiropractors . Other than paying monthly lump sum benefitsfor a specific amount of time that you design, disability income policies also could continue to pay benefits during rehabilitation, job re-training and part-time employment. A survivor benefit would pay a lump-sum benefit to your beneficiary if you die during a period of disability . Optional features (riders) could be added to most disability income policies at extra cost . These include, but not limited to, a cost of living adjustment to compensate for inflation, own-occupation rider to specialize skilled job definitions, and future insurability options for chiropractors who know business growth is on the horizon . Nobody wants to think about becoming disabled, but ignoring the risks could result in a catastrophe . Can you afford to miss more than two months of work without having to borrow money? The problem is borrowing often isn’t feasible because it can be tough to get approved for a loan without an income . Social Security will pay disability benefits, but only after a lengthy waiting period . You can tap your savings, but that will exhaust most workers’ savings in about two months . Selling your assets is a last resort – but you may not get fair value for your assets and then you will have nothing . Planning bridges the gap between the healthy and bankrupt . New in 2012 is the partnership between the Minnesota Chiropractic Association and Mutual of Omaha . What this means for the members is there is now a financial resource made available to the members who specializes in working with chiropractic professionals. There are new and improved benefits that are ONLY available to the members of the MCA . ***I am proud of the partnership between the Minnesota Chiropractic Association and Mutual of Omaha . I hope we can be a valuable asset for the members and help further enhance the environment of the profession of chiropractic care . ***The partnership includes large discounts on Disability, Life, Long Term Care, Critical Illness, Business Planning, and Retirement Plans . For Disability alone, this translates to about a 20% reduction in cost, regardless of income or age .•

About the Authors: Kyle Luebeck & Adam Patterson, Mutual of Omaha, Being an ABM member of the MCA, we will continue to be an open resource for the financial needs of your practice. Please contact Kyle for any additional information on the new program at [email protected].

Business Management

Scope… The Process Unfolds

With the upcoming elections and a new legislative cycle approaching, the Minnesota Chiropractic Association

(MCA) is taking advantage of this time to further refine it efforts to modernize the chiropractic scope of practice in Minnesota . Enacting scope legislation is always difficult. Some groups think we are trying to expand our practice parameters, others feel that we are trying to restrict their practice parameters, and others, including some within the chiropractic profession, feel our existing scope is already too broad . Scope legislation is also complex because the choice of words and their order mean different things to different professions and people . And, we also have the challenge of massaging the language to manage the appropriate interaction between state statute and rule, and among the various scopes of practice of health care professions . During the past legislative biennium, the MCA drafted and promoted legislation that would modify the current chiropractic scope of practice in Minnesota . The legislation was chief authored by Rep . Tara Mack (R—Apple Valley) in the House, and Sen . Sean Nienow (R—Cambridge) in the Senate . The legislation, HF1334/SF1065, was introduced to modernize, strengthen, and clarify the current chiropractic scope of practice in Minnesota to better reflect current educational standards and enforcement practices . The intent of the bill was neither to restrict the current allowed practices of any other health care professional nor to expand the existing chiropractic scope of practice .

The current chiropractic scope was first enacted in 1919, long before many of the more recent “professions” were recognized in state law . Updating the practice act will add clarity to the current law resulting in ensured fairness in enforcement and a better understanding of professional requirements .HF1334 defines “chiropractic” as “the health care discipline that emphasizes the inherent recuperative power of the body to heal itself without the use of drugs or surgery by focusing on the relationship between structure, primarily the spine, and function, as coordinated by the nervous system, and how that relationship affects the preservation and restoration of health.” This definition replaces the 1919 definition that states that “chiropractic” is “the science of adjusting any abnormal articulations of the human body, especially those of the spinal column, for the purpose of giving freedom of action to impinged nerves that may cause pain and deranged function .” Additionally, HF1334 proposes to define a number of terms in statute: chiropractic services, manipulative technique, chiropractic manipulative technique, abnormal articulation, acupuncture, diagnosis, diagnostic services, and therapeutic services . Some of these terms—acupuncture and diagnosis—are already defined in Minnesota Rule, but are being proposed to be inserted in Minnesota Statute instead . Others, like “therapeutic services” heavily borrow from existing statute and rule by reference . Finally, other terms were defined in an attempt to clarify the current scope and to delineate between what services are uniquely


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chiropractic, and those that are not . The language in some of these definitions has created concern among stakeholders and will likely need modification as the proposal moves forward . These definitions are then used in the proposed scope to identify the “umbrella” of services that an individual licensed as a chiropractor in Minnesota can perform . The language states that “an individual licensed under section 148 .06 (the examination language for chiropractors in current law) is authorized to perform chiropractic services, diagnostic services, and therapeutic services within the context of the practice of chiropractic .” This language ties the various definitions together, but needs additional work to ensure that it is neither more limiting nor expansive than current law .HF1334 was heard in a House committee in 2011 . An hour before the committee hearing, Rep . Tara Mack, our

House author, in consultation with the MCA, decided to have the bill heard in committee but request that the bill be laid over to allow work on it during the legislative interim . Rep . Mack and the MCA could have forced a vote on the bill in that committee and most likely would have been able to move the bill to the next committee, but there are many steps in the legislative process and we had more work to do on the bill . A small win does not ensure a larger victory later . The MCA has been focused and we have a strong core group of bi-partisan legislative supporters . We do not want to rush to compromise for small wins in order to claim victory—too many other groups do that and end up with bad legislation . Because the chiropractic scope is important and complex, we need to make sure that the right choices are made for the right reasons . With patience and deliberation we will not only be successful, but have a better end product . The key to success is to work towards common goals that still provide the desired result . With that in mind, the MCA has reactivated the MCA legislative sub-committee on scope modernization under the leadership of Dr . Joe Sweere that initially drafted HF1334 . The sub-committee will consider changes to HF1334 to address various concerns of stakeholder groups . Once the sub-committee has developed a revised draft it will vet it with the MCA legislative committee, the MCA Board of Directors, a larger stakeholder group of chiropractors, and other stakeholders . The subcommittee will then rework the language as necessary before distributing it more broadly . After a refined draft is ready, the MCA will next broadly disseminate the new proposed scope language to all licensed Minnesota chiropractors . The communication will include the language and an explanation of similarities and differences from current law and the rationale for any differences . Additionally, the MCA will sponsor a series of open forum discussion “town hall” style meetings throughout the state in September and October to further solicit input as we prepare for the 2013 Minnesota legislative session . Our goal is to work towards consensus with various stakeholders for the benefit of the entire chiropractic profession in Minnesota . As a profession, there are many challenges ahead . To prosper as a profession and ensure the health of the people you serve, we need to come together with an unified voice and purpose . So, as this process unfolds, please be actively involved, share your concerns and be heard .•

MARK YOUR CAlENDAR

• Thursday, September 20, 2012: Southeast District

• Thursday, October 4, 2012: Northeast District

• Tuesday, October 16, 2012: Southwest District

• Thursday, October 18, 2012: Metro East & Metro West


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Upcoming Seminars

Save The Date!

Thursday, Sept. 27th, 2012

September 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

23

30

24 25 26 27 28 29

Professional Education

Committee Meeting

Executive Committee

Meeting

Communications Committee

Meeting

Sports Council Meeting

DOT & Alcohol Screening

CertificationTraining for the MN Limited X-Ray Exam

MCA Hole-In-One Golf OutingPractice Capacity-Webinar

Legislative Committee MeetingMembership Committee MeetingEHR Meaningful Use Incentive Webinar

Training for the MN Limited X-Ray Exam

DOT & Alcohol Screening Certification

MCA Family Picnic

Fool Proof Ways to Protect Against HIPAA

& Medicare Fines

Advanced Principles of TMJ, Ribs &

Shoulder GirdleAdjustment

Advanced Principles of TMJ, Ribs &

Shoulder GirdleAdjustment

Don’t forget to save the date!Sunday, September 16, 2012

MCA Family Picnic

Bring the whole family for fun, food & games!For more information or to sign up today

— call the MCA Central Office at 952-882-9411


MN Limited X-Ray Exam for CA’s Training Sessions Date: Saturday, Oct. 6, 2012 Review Session & ExamDate: Saturday, Oct. 20, 2012Place: Noran Clinic/MN Diagnostic Center 2828 Chicago Ave. #100, Minneapolis, MN Cost: $200 Reg. Fee, $150 Exam FeeSpeakers: Dr. Vinton Albers

Documentation, Care & ComplianceDate: Saturday, Oct. 6, 2012Place: MCA Conference Room 8120 Penn Ave. S Bloomington, MN Speakers: Dr. John Davila • Documentation – Determine the difference between care plans and treatment • Learn how to create functional documentation to show medical necessity • Understand the proper creation and use of the ABN form in practice • Learn how to move from active care to wellness care • Discover how to create compliance in marketing without violating insurance contracts

Upcoming SeminarsOctober 2012

Sunday Monday Tuesday Wednesday Thursday Friday Saturday1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

CommunicationsCommittee

Meeting

Sports Council Meeting

ProfessionalEducation

CommitteeMeeting

Legislative Committee Meeting

MembershipCommittee

Meeting

Training for the MN Limited X-Ray ExamDocumentation, Care & Compliance

Review & Exam for the MN Limited

X-Ray Exam

Building & Leading a Team

Webinar

ValidatingChiropractic

ValidatingChiropractic

Advanced Priciples of Upper

Extremities

Advanced Principles of Upper

ExtremitiesBoard of Directors

Meeting

For more information visitwww.mnchiro.com

Seminar Highlights


Edina, MN – Backpacks are a necessary item on all back-to-school lists . As students gear up for back-

to-school this fall, Minnesota chiropractors would like to offer parents ways to help children avoid backpack injuries .Over 79 million students carry a backpack to school each day . While carrying a backpack may seem harmless, it can cause painful back and neck problems for students who don’t pack or carrytheir backpacks properly . These types of childhood injuries can lead to long term health problems .Safety tips on how to avoid backpack injuries 1 . Wear both shoulder straps evenly to properly distribute backpack weight . 2 . Get the correct size backpack for your child . Do not pack too much weight, follow these guidelines:

Backpack Maximum Weight Chart (for children) According to the American Physical Therapy Association, American Academy of Orthopedic Surgeons, and the American Chiropractic Association;

* No one should carry more than 25 lbs . in a backpack . 3 . The backpack should not extend below the lower back . Bigger is not better .

4 . Lighten the load and put the heaviest items in the backpack first keeping them close to the body. 5 . Lift the backpack with your legs and place it on one shoulder strap at a time .

6. Do not leave backpacks on the floor where they can become a tripping hazard .

7 . Choose a quality backpack that has wide well-cushioned shoulder straps with a lumbar support/ padding . In 2010 the American Chiropractic Association began endorsing North Face for their high quality backpacks .

8 . Talk to teachers about reducing the need to bring home textbooks or if at all possible, have an extra set for home use .

If you would like personalized help for your child’s backpack and other health needs, please go to the Minnesota Chiropractic Association website at www.mnchiro.com to find an experienced doctor of chiropractic in your community .•

Minnesota Chiropractors Encourage Backpack Safety

Weight of Child(in pounds)

MaximumBackpack Weight

6060-75

75-100100-125125-150150-200

51015182025


Compliance

At the national level, the ACA will be meeting with the Medicare Sr . V .P . to discuss the denials, which have

become a pattern, pertaining to the mechanism of injury . Many parts of the country have seen denials for care because of what we believe is an appropriate reason for active chiropractic care . For example, and this is a more extreme example, a senior seeks care because they did some yard work and felt pain afterwards . It has gotten so ridiculous that the reviewer has stated that yard work is a normal activity of daily living and not a specific injury . There are many more examples which I won’t list here but, suffice it to say interpretations have gotten out of hand and they need to be corrected by Medicare rather than individual doctors having to be harassed and taking the time to fight individually . We are fortunate here in Minnesota to not have this going on in our area…yet! Hopefully this inequity will be remedied and we won’t have to deal with it . A big reason for a high error rate in chiropractic is not having a clear TX plan and objective goals based on function and then demonstrating functional improvement . Because of a lack of correlative documentation, there has been a lot of down grading of 98941 to 98940 . In

fact, some of the country has seen a pretreatment audit requirement on codes above 98940 .Many, if not most of the appeals to ALJ’s have been successful and in favor of the doctor . However the latest tactic by the reviewers is to claim the ALJ’s do not have a clinical background and therefore are not binding . The ACA is addressing this problem . The PQRS mandate is very important and I fear it is being ignored by too many . This is a federal mandate and you would do well to start now and become familiar with the process so that next year you have it mastered and in place for 2013 . If you wait until 2013 and do not comply, you then will automatically be penalized starting in 2015 . The MCA will be doing a seminar on this soon and more information is available at ACAtoday/PQRS .•

About the Author: Richard Hastings, D.C., MCA Representative to: ACA Medicare Carrier Advisory Committee, ACA Local Liaison Program, Founder & CEO OnSite Care Doctors, PLLC

The MCA Board of Directors amended the MCA Bylaws to establish two new standing committees . Both had been

Ad hoc Committees .

The MCA Reimbursement and Insurance Committee strives to maintain a positive dialogue between third party payors and members of the chiropractic profession which enhances patient access to quality chiropractic care while improving the overall practice environment for Minnesota doctors of chiropractic . The MCA Veterans Affairs Committee shall ensure that Veterans of the U .S . Military will have appropriate access to chiropractic care through establishing a positive working relationship with primary care physicians within the V .A . Hospital System and educating the chiropractic profession about proper claims handling procedures .

Local Liaison Update

MCA Board EstablishesTwo New Standing Committees

*Ad hoc committees are temporary committees focused on a single event or need and are dissolved when their task is complete . Standing committees address ongoing issues or needs that are important to the profession .


WULFF on lawLeGIsLATUre TOUGHeNs

rUNNers sTATUTes

You have an unpaid bill you think is being pursued by your patient’s attorney in their workers’ compensation claim .

You receive assurances from your patient or their attorney that the claim is being pursued and your bill will be taken care of . Months go by and suddenly you discover that your patient has settled their case without resolving your bill . You are told that your claim has been “extinguished” for failure to intervene as a separate party, or you are offered 25% of your bill and told if you don’t accept this offer you will be forced to proceed to a “Parker-Lindberg” hearing . Most of you have probably been threatened with the spectre of a “Parker-Lindberg” hearing in one or more of your workers’ compensation cases . Most of you probably have no idea what a “Parker-Lindberg” hearing is, but capitulate and accept less than you feel is reasonable because the defense attorney, or maybe even your patient’s attorney, scares you into believing you have no other options .

I am writing this article to shed some light on Parker-Lindbergh hearings and hopefully give you the information you need to make an intelligent choice when threatened in this situation .

Intervening in Workers’ Compensation Cases is Important

Pursuant to Minn . Stat . § 176 .361 and Minn . Rule 1415 .1100, you have the right to intervene in your patients’ workers’ compensation claims as a separate party to seek payment of your bill .

Minn . Stat . § 176 .361, subd . 2 provides: “Where a motion to intervene is not timely filed under this section, the potential intervenor interest shall be extinguished and the potential intervenor may not collect, or attempt to collect, the extinguished interest from the employee, employer, insurer, or any government program .” This is the basis for the insurer’s threat to “extinguish” your bill .

However, the courts have ruled that health care providers are not required to intervene in claim petitions filed by injured employees when the employee is pursuing payment of their bill . See Stoia v . Seagate Technology, 52 W .C .D . 417, 424

(W .C .C .A . 1995)(“The employee’s claim and the health care provider’s claim is the same – that is, entitlement to payment of the medical or chiropractic bills incurred by the employee – and in the usual case, a provider relies on the employee and the employee’s attorney to pursue payment of the claim . In such a situation, there is normally little or no need for a separate intervention by the healthcare provider.”); Adams v . DSR Sales, Inc ., slip op . (W .C .C .A Mar . 12, 2004) (“The employer and insurer contend that [Minn . Stat . § 176 .361] now requires a medical provider to intervene, regardless of whether or not the employee has asserted a direct claim for payment of the provider’s bill. We disagree.”); Stenseth v. Nordstrom, slip op . (W .C .C .A . Aug . 31, 2004) .

If your patient is being represented by a reputable attorney you can trust, choosing not to intervene may be a reasonable choice . However, there are many attorney’s who will not hesitate to settle your patient’s claims, and their claim for attorney fees, without making sure your bill is satisfied, leaving you to fend for yourself .

Filing a motion to intervene is not difficult. You should always intervene in every case where you have an unpaid bill . That way, the compensation judge will know you are an interested party and will make sure your claim is dealt with in some way .

You Cannot be Excluded from Settlement Negotiations

In Parker-Lindberg v . Friendship Village, 395 N .W .2d 713, 39 W .C .D . 125 (Minn . 1986), the Minnesota Supreme Court directed that in all future cases, compensation judges must ensure that all interested parties to a workers’ compensation claim are notified of a proposed settlement and given a meaningful opportunity to participate in settlement negotiations . Parties with an interest in the claim who object to the settlement must be given the opportunity to establish that they have been excluded or effectively excluded from meaningful settlement negotiations, or must be given the opportunity to proceed with a hearing to prove their entitlement to payment of their interest .

Your right to payment of treatment cannot be extinguished

Wulff on Law


by a compensation judge based solely upon your failure to file a motion to intervene absent a showing of material prejudice to the interests of the parties resulting from your failure to intervene . See Lamoreaux v . Honeywell, Inc ., 63 W .C .D . 468, 472 (2003) (“Failure to comply with the statutory intervention provisions, however, shall not result in a denial of the claim for reimbursement unless the compensation judge, or commissioner ‘determines that the noncompliance has materially prejudiced the interests of the parties.’”); Polfliet v. Northern Lights Distrib., slip op. (W.C.C.A. Apr. 13, 2011) .

If you are excluded from participation in settlement negotiations, you are automatically entitled to full payment of your bill by the insurer . See Brooks v . A .M .F ., 278 N .W .2d 310, 315, 31 W.C.D. 521, 531 (Minn. 1979); Le v. Kurt Mfg., Inc., 557 N.W.2d 202 (Minn. 1996); Burdick v. Inver Grove Ford, 55 W.C.D. 195 (W.C.C.A. 1996); Ronzino v. Action Mailing Serv ., Inc ., slip op . (W .C .C .A . Sept . 4, 2003) .

If you are included in settlement negotiations but the settlement offer you receive is unreasonable, you may be deemed to have been effectively excluded from meaningful settlement negotiations and therefore entitled to full payment of your bill . See Parker-Lindberg and Ronzino, supra .

What constitutes an “unreasonable” settlement offer will depend upon the unique circumstances of your patient’s case . If the insurer has a fairly strong defense, an offer of 25% may be reasonable . If the insurer’s defenses are weak, an offer of 50% may be unreasonable .

You Always Have the Right to Prove Your Bill is Reasonable

If you are offered a “reasonable” amount from the perspective of the insurer, but you don’t want to accept the offer, you always have the right to proceed to a trial as a separate party seeking payment of your bill . This is what is referred to as a “Parker-Lindberg” hearing .

At the hearing, you will first be given the opportunity to prove that you were completely or effectively excluded from meaningful settlement negotiations . If you convince the judge this is true, you will be awarded payment in full pursuant to the above cases . If the judge decides you were given a “reasonable” settlement offer, you will still be given the opportunity to prove that your treatment was reasonably required to cure or relieve the effects of your patient’s work-related injury .

It is true that proceeding to a Parker-Lindberg hearing is not a very good option . You will have to hire an attorney and pay your own attorney’s fees and costs . You will have to come to the hearing and testify on your own behalf at your own expense . You will have to make arrangements for your patient to come and testify that your treatment was beneficial.

This is frequently difficult because once your patient has settled their claims they will be less willing to cooperate . The judge will know that everyone settled their claims except you and that may prejudice the judge against awarding your claim .

However, it is important for you to understand that you must always be given this option . You do not have to accept a low ball offer from the insurer .

Conclusion

Always make sure your patients are represented by reputable attorneys who will not leave you out in the cold . Always file a motion to intervene when you have an unpaid bill . If you discover you have been completely excluded from settlement negotiations, typically because you failed to intervene, contact the insurer and demand payment in full under the cases discussed above . If you are offered an unreasonably low amount in a case where the insurer’s defenses against your bill are not strong, understand that you have the right to proceed to a hearing where if you can convince the judge you were effectively excluded from meaningful settlement negotiations, your bill will be awarded in full . Understand that you always have the right to proceed to a Parker-Lindberg hearing and do not have to accept the amount you are offered .•

Disclaimer: Please remember that this article cannot be considered legal advice. Every situation is different and must be evaluated in light of the unique factual circumstances involved. If you have any questions concerning workers’ compensation law, no-fault law, or professional boundaries, please call David C. Wulff at 651-636-1900 or 800-949-8533.


Diet and supplementation to combat hyperglycemia Diet and supplementation can eliminate the hyperglycemia/metabolic syndrome . There is no need to complicate either intervention . I recently watched the new Chimpanzee movie and the chimps pretty much have metabolic syndrome under control . They exercise every day and they eat an anti-inflammatory diet that includes protein (monkeys and bugs), green vegetation, fruit, and nuts . We should consume our own version of lean protein and include tubers like sweet potatoes,

and the diet part of the equation is covered; there is no need to make it any more complicated than this . Exercise and caloric intake should be tailored to get the body mass index below 25 . Supplementation can be equally straightforward, and first, it is important to understand that no supplement cures the metabolic syndrome in the absence of dietary change, and the same holds

true for medications such as metformin . The approach should be to eat anti-inflammatory and supplement the diet with key supplements . The key nutrients for supporting proper glucose metabolism from a physiological and economic perspective include vitamin D (13,14), magnesium (15,16), chromium (17-19) and lipoic acid (20-22) .

The recommend levels of supplemental nutrients are listed below . Vitamin D is the only nutrient that can be measured and supplemented based on the lab results, which means that vitamin D supplementation can vary substantially . Vitamin D should be taken with meals, as it is fat soluble, while magnesium, chromium, and lipoic acid should be taken on an empty stomach, at least 1 hour before meals . Table 1 is provided as an example of a supplementation regime . Important to note is that there has never been a study wherein rigorous dietary changes were made and maintained, which were simultaneously complemented by the above-mentioned nutritional supplements . Consequently, monitoring of blood glucose levels is mandatory so as to avoid hypoglycemia .About the Author: David Seaman, DC, Professor, Clinical SciencesNational University of Health Sciences, Pinellas Park, FL

References1. O’Keefe JH, Bell DS. Postprandial hyperglycemia/hyperlipidemia (postprandial dysmetabolism) is a cardiovascular risk factor. Am J Cardiol. 2007;100:899-904.2. Barclay AW, Petocz P et al. Glycemic index, glycemic load, and chronic disease risk--a meta-analysis of observational studies. Am J Clin Nutr. 2008; 87(3): 627-37.3. Blaha M, Elasy TA. Clinical use of the metabolic syndrome: why the confusion? Clin Diabetes. 2006; 24(3):125-314. Klement RJ, Kammerer U. Is there a role for carbohydrate restriction in the treatment and prevention of cancer? Nutr Metab. 2011; 8:75. http://www.nutritionandmetabolism.com/content/8/1/755. Seyfried TN, Shelton LM. Cancer as a metabolic disease. Nutr Metab. 2010;7:7.http://www.nutritionandmetabolism.com/content/7/1/76. 60 Minutes. Dr. Sanjay Gupta reporting the on the disease-driving nature of refined sugar. http://www.cbsnews.com/video/watch/?id=7403942n7. Mantyselka P et al. Prevalence of neck pain in subjects with metabolic syndrome – a cross-sectional population-based study. BMC Musculoskeletal Disorders. 2010;11:171.8. Mantyselka P et al. Glucose regulation and chronic pain at multiple sites. Rheumatology. 2008;47(8):1235-38.9.Mantyselka P et al. Chronic pain, impaired glucose tolerance and diabetes: a community-based study. Pain. 2008;137(1):34-40.10. Malliaras P, Cook JL, Kent PM. Anthropometric risk factors for patellar tendon injury among volleyball players. Brit J Sports Med. 2007;41:259-63.11.Gaida JE et al. Dyslipidemia in Achilles tendinopathy is characteristic of insulin resistance. Med Sci Sports Exerc. 2009;41(6):1194-97.12.Steenvoorden MM et al. Activation of receptor for advanced glycation end products in osteoarthritis leads to increased stimulation of chondrocytes and synoviocytes. Arth Rheum. 2006;54:253-63.13.Schwalfenberg G. Vitamin D and diabetes: improvement of glycemic control with vitamin D3 repletion. Can Fam Physician 2008;54:864-66.14. Cannell JJ, Hollis BW. Use of vitamin D in clinical practice. Alt Med Rev. 2008;13(1):6-20.15. Guerrero-Romero F, Tamez-Perez HE, González-González G et al. Oral magnesium supplementation improves insulin sensitivity in non-diabetic subjects with insulin resistance. A double-blind placebo-controlled randomized trial. Diabetes Metab. 2004;30(3):253-8.16.Rodríguez-Morán M, Guerrero-Romero F. Oral magnesium supplementation improves insulin sensitivity and metabolic control in type 2 diabetic subjects: a randomized double-blind controlled trial. Diabetes Care. 2003;26(4):1147-52.17. Singh U, Jialal I. Alpha-lipoic acid supplementation and diabetes. Nutr Rev. 2008;66(11):646-57.18. Ziegler D, Ametov A, Barinov A, et al. Oral treatment with alpha-lipoic acid improves symptomatic diabetic polyneuropathy: the SYDNEY 2 trial. Diabetes Care. 2006;29:2365-70.19.Shay KP, Moreau RF, Smith EJ, Smith AR, Hagen TM. Alpha-lipoic acid as a dietary supplement: molecular mechanisms and therapeutic potential. Biochim Biophys Acta. 2009;1790:1149-60.20. Anderson RA. Chromium, glucose intolerance and diabetes. J Am Coll Nutr. 1998;17(6):548-55.21. Cefalu WT, Rood J Patricia Pinsonat P et al. Characterization of the metabolic and physiologic response to chromium supplementation in subjects with type 2 diabetes mellitus. Metab Clin Exper. 2010;59:755-62.22. Heimbach JT, Anderson RA. Chromium: recent studies regarding nutritional roles and safety. Nutr Today. 2005;40(4):180-95.

Cont’d from pg. 12Nutrition

MCA Journal January/February 2011

The original state-wide vacation and practice relief provider is available in Minnesota for short or long term basis and emergencies . Logan graduate, providing over 31 years of excellent, reliable and specialized services and techniques on behalf of many satisfied doctors. Insured. ChiroCare®, and HSM credentialed . Reference available . Contact Dr . Rick Hueffmeier at 651 .256 .2256 or toll-free 888 .755 .6056 .

Grand Ave. St. Paul Practice For Sale. Exceptional lease/location . Cash practice . Average 85 patient visits per week . Seller financing and transition assistance. Contact Loren Martin, Practice Opportunities Inc . 952-953-9444 . email: loren .martin@charter .net . www .practiceop .com .

Stressed Out?:NCWW graduate retired from 16 years of full-time practice in the Twin Cities, now available for practice relief, since 2001 . References . Insured . Take a break, avoid burnout . Schedule soon for best availability . Contact Dr . Dennis French at (home) 952-470-0743 or (cell) 612-817-6406 .

Experienced Practice Relief:NWCC graduate with 30 years private practice and relief service experience available for practice relief services in Minnesota . Credentialed with most management companies . References available . Insured . Contact Dr . John Knox at 952-451-2032 .

Equipment for sale: ZENITH II 220 Hylo table, manual cervical and pelvic drops, great shape/low mileage, slate blue, asking $4100; ALSO: misc. x-ray accessories - from cassettes to lead apron - and EVERYTHING dark room for manual processing - from sensi-densi units to safe light; lead rolls also available to lead line your walls . X-ray items will sell dirt cheap separately or fire sale cheap for packages. Duluth area - leave message at 218-879-9240 .

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COTTAGE CHEESE VEGGIE DIP

Ingredients• 1/2 cup low-fat cottage cheese

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MCA Associate Business Member DirectoryCOMPANY CONTACT PHONE

Acurad Technical Services, L.L.C. Steve Danielson 612-781-2218

Advanced Filing Concepts Bob Scharber 651-481-8827

Anabolic Distributors Midwest Charles Crandall 952-474-0257

Beacon Accounts Management Ms. Nancy Boehmer 952-233-2011

Billing Buddies Bonnie Flom 763-546-2455

Body Part Chart Andrew Luckoff 313-373-6082

Center for Diagnostic Imaging Jarred Onarheim 952-543-6507

ChiroJuice.com Dr. Matt Caron 763-746-4087

ChiroTouch Erin Aguilera 619-488-9798

Consulting Radiologists Ltd. Tim Kratzke 952-285-3720

Core Products International, Inc. Doug Mattison 715-294-2050

Creative Comfort, Inc. Judy McDonald 651-200-3051

DMG Financial Group James Magnuson 952-446-3326

Future Health Software Steven Kraus 712-792-3344

Healthsource Chiropractic Michael Dixon 612-306-6955

Healthy Alternatives, Inc Arlene Bushard 320-834-2188

HighPoint Environmental Tim Guimond 763-757-4920

Hockert Sales Chris Hockert 763-434-2350

IC System Terri Lewis 651-481-6553

Infinedi, LLC Dawn Martinez 800-688-8087

Lake Superior X-Ray, Inc. Terry Hart 218-525-3393

Law Office of David Wulff David Wulff 651-636-1900

Medical Business Consulting, Inc. Cathi Hammond 763-862-5855

Medvantic Solutions Brian Lee 952-374-9817

Meyer Business Consulting/Eclipse Software Bonnie Meyer 612-210-6630

Mighty Oak Technology Judith Barnes 952-374-5550

Minnesota Craniofacial Center Midway Dr. Roy Hakala 651-642-1013

Multi Radiance Medical Rachel Salomon 440-542-0761

Mutual of Omaha Kyle Luebeck 763-639-1324

NCMIC Group, Inc. Mike Whitmer 515-313-4500

Noran Neurological Clinic Kelly O’Neill 612-879-1675

Nutrition Dynamics Greg Peterson 763-479-3444

Nutri-West JJ Munro 715-381-9990

Off-Site Office Solutions, LLC Kathy Altman 763-670-1224

OrthoCor Medical Junius Ho 612-568-5846

Physicians Group, LLC, MN Gary Kompothecras 941-552-1189

Practice Brokers Jerry Peterson 952-938-0092

Practice Opportunities Inc. Loren Martin 952-953-9444

Score Naturals Shannon Score 651-246-9663

Standard Process Nutrition of Minnesota Tracy Foley 651-226-5864

Superior Outsourcing Solutions, LLC Diane DeVries 866-200-1217

Therapy Equipment Services Jon and Char Esch 800-311-1834

Woodhill Financial Milt Edgren 763-746-8686

Advertising IndexCDI . . . . . . . . . . . . Inside Front Cover

Woodhill Financial . . . . . . . . . . Page 6

Billing Buddies . . . . . . . . . . . . . Page 9

Loren Martin - Practice Opportunities . . . . . . . Page 10

Cancer Treatment Centers

of America . . . . . . . . . . . . . . Page 11

Noran Neurological Clinic . . . Page 12

NCMIC . . . . . . . . . . . . . . . . . Page 14

Healthy Indoor Air . . . . . . . . Page 16

Body Part Chart . . . . . . . . . . . Page 23

Nutri-West . . . . . . . . . . . . . . . Page 24

Acurad Technical Services . . . Page 25

AdvertisementsThe contents of advertisements that appear in the MCA Journal are solely the responsibility of the advertisers. Appearance of an advertisement in the MCA Journal does not constitute and endorsement by the association or the MCA Journal of the goods or services offered. Publication of any advertisement may be subject to review by the MCA Journal Communications Committee.

For more information on advertising in the MCA Journal, call 952-882-9411.

MCA is a proud sponsor of the Foundation of Chiropractic Progress

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Chiropractic AssociationMinnesota

8120 Penn Ave . S . #270Bloomington, MN 55431952 .882 .94111 .800 .864 .3769Fax: 952 .882 .9397www .mnchiro .com

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Don’t forget to save the date!Sunday, September 16, 2012

MCA Family Picnic

Bring the whole family for fun, food & games!

For more information or to sign up today — call the MCA Central Office at 952-882-9411

MCA TOWN HAll MEETiNgS96bda424cfcc34d9dd1a-0a7f10f87519dba22d2dbc6233a731e5.r41.… · Chiropractic...

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