Ground-breaking legislation passed by the California Assembly (68-0 vote) and now under review by the state Senate requires doctors to inform pain patients about the dangers of opioids and the benefits of conservative care options before prescribing.
AB 888, introduced by acupuncture advocate Assemblymember Evan Low, goes a key step further by requiring doctors to offer patients a referral to an acupuncturist or other nondrug pain management provider (as determined by the doctor) in lieu of opioids; and requires both parties to sign a form acknowledging they have discussed the above.
"[A] prescriber shall discuss all of the following information with the patient, or, if the patient is a minor, the minor, the minor's parent or guardian, or another adult authorized to consent to the minor's medical treatment, before directly dispensing or issuing to a patient the first prescription in a single course of treatment for a controlled substance containing an opioid:
(1) The risks of addiction and overdose associated with the use of opioids. (2) The increased risk of addiction to an opioid for an individual who is suffering from both mental and substance abuse disorders. (3) The danger of taking an opioid with a benzodiazepine, alcohol, or another central nervous system depressant. (4) The availability of nonpharmacological treatments for pain.
"Clearly, Assemblymember Low has become a fierce advocate for both patients and the acupuncture profession," said Rona Ma, president of the California Acupuncture and Traditional Medicine Association (CalATMA), in a press release. "If Governor Jerry Brown is the 'Father of California Acupuncture' for legalization [of] acupuncture, then Assemblymember Low is the 'Uncle of California Acupuncture' for his work expanding access to it."
Consequences for HIPAA violations can often be quite harsh. If someone has breached the HIPAA privacy regulations – even without any malicious intent, civil penalties are applicable: $100 per violation for unawareness, a minimum of $1,000 for reasonable cause, a minimum of $10,000 if willful neglect is present and then rectified, and finally, a minimum of $50,000 for individuals who act with willful neglect and ignore the issue.
The luo vessels are important in the treatment of mental health issues. They are conduits of “ying qi”: blood and fluids. We believe that the shen is “housed” in the heart and circulated through the blood, making a channel system that “conducts” ying qi ideal for treatment of the mind and emotions.
As our health care ecosystem continues to evolve, I’ve found an increased emphasis being placed on an integrative approach to patient care. As an acupuncturist, you are an essential part of this collaborative system and health care team, cooperating with a range of other professionals including medical doctors, chiropractors, massage therapists, and others.
