Guest guest Posted September 29, 2008 Report Share Posted September 29, 2008 Chinese Medicine , " Joy Keller " <JKellerLAc wrote: > " ...a grassroots movement in the works regarding educating the public on the differences between " medical acupuncture " and the system of medicine that we practice... " See Joy's original post for full story It IS vital that the public understand the difference between both 'schools' of acupuncture practice. It's probably even more important that allopathic health practitioners - physicians, surgeons, nurses, physioherapists, etc are educated to understand the difference! I feel one of the ways we can do this, is to create meaningful relationships with other professionals, so we can share and validate our work and insights. The Society for Integrative Oncology welcomes L.Acs, naturopaths, herbalists, TCM practitioners, massage and music therapists, as well as allopathic practitioners. http://www.integrativeonc.org/ See what you think Margi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2008 Report Share Posted September 29, 2008 Hi Joy, Elie, TCM group, May I suggest that we make sure to use *quotes* when using the term " Medical " Acupuncture. This term is utterly ridiculous. If that stuff is called " Medical " acupuncture, is the implication that L.Ac's practicing based on TCM training is somehow " non-medical " acupuncture? That is why I think whenever we refer to that term we should use quotes around " medical " to highlight the absurdity of it. ~edith -- Edith Chan, L.Ac. Doctoral Fellow Ph: 415.298.5324 www.EdithChanAcupuncture.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2008 Report Share Posted September 29, 2008 Edith I contend that it should be called something like MEDI-PUNCTURE when used by an MD/DO and of CHIRO-PUNCTURE when administered by the usual 100 hour DC. It is the KNOWLEDGE and CLINICAL TRAINING of the person behind the needle that makes it much more than someone who is untrained or poorly trained who just happens to be an MD or DC using acupuncture needles. It is the nomenclature wherein a fraud is perpetrated on the public such that what the untrained perform and bill for is passed off as real medical acupuncture and what the well-trained acupuncturists do is relegated to some lesser statuts. One of these days there just might be enough well trained LAc's STAND UP to this unscrupulous activity by both the allopathic medical and chiropractic communities. We all have heard from those few MDs, DOs and even DCs who went through COMPLETE training who castigate their own professions for trying to fool the public. All of them together ought to be ashamed of themselves and get a real profession by proper EDUCATION. Richard In a message dated 9/29/2008 12:23:41 P.M. Central Daylight Time, chineseherbs writes: Hi Joy, Elie, TCM group, May I suggest that we make sure to use *quotes* when using the term " Medical " Acupuncture. This term is utterly ridiculous. If that stuff is called " Medical " acupuncture, is the implication that L.Ac's practicing based on TCM training is somehow " non-medical " acupuncture? That is why I think whenever we refer to that term we should use quotes around " medical " to highlight the absurdity of it. ~edith -- Edith Chan, L.Ac. **************Looking for simple solutions to your real-life financial challenges? Check out WalletPop for the latest news and information, tips and calculators. (http://www.walletpop.com/?NCID=emlcntuswall00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2008 Report Share Posted September 30, 2008 Yes, well said Richard I could not agree more. It is also up to us to educate our clients as to the differences. I have found that my clients don't like me pointing out that their physio Chiro or Doctor is NOT practicing acupuncture in the TRUE sense and with very limited training or experience(in most cases).They do become defensive and think I am being over the top but I persist anyway. Ray _____ Chinese Medicine Chinese Medicine On Behalf Of acudoc11 Tuesday, 30 September 2008 6:57 AM Chinese Medicine Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. Acupuncture Edith I contend that it should be called something like MEDI-PUNCTURE when used by an MD/DO and of CHIRO-PUNCTURE when administered by the usual 100 hour DC. It is the KNOWLEDGE and CLINICAL TRAINING of the person behind the needle that makes it much more than someone who is untrained or poorly trained who just happens to be an MD or DC using acupuncture needles. It is the nomenclature wherein a fraud is perpetrated on the public such that what the untrained perform and bill for is passed off as real medical acupuncture and what the well-trained acupuncturists do is relegated to some lesser statuts. One of these days there just might be enough well trained LAc's STAND UP to this unscrupulous activity by both the allopathic medical and chiropractic communities. We all have heard from those few MDs, DOs and even DCs who went through COMPLETE training who castigate their own professions for trying to fool the public. All of them together ought to be ashamed of themselves and get a real profession by proper EDUCATION. Richard In a message dated 9/29/2008 12:23:41 P.M. Central Daylight Time, chineseherbs@ <chineseherbs%40gmail.com> gmail.com writes: Hi Joy, Elie, TCM group, May I suggest that we make sure to use *quotes* when using the term " Medical " Acupuncture. This term is utterly ridiculous. If that stuff is called " Medical " acupuncture, is the implication that L.Ac's practicing based on TCM training is somehow " non-medical " acupuncture? That is why I think whenever we refer to that term we should use quotes around " medical " to highlight the absurdity of it. ~edith -- Edith Chan, L.Ac. **************Looking for simple solutions to your real-life financial challenges? Check out WalletPop for the latest news and information, tips and calculators. (http://www.walletpo <http://www.walletpop.com/?NCID=emlcntuswall00000001> p.com/?NCID=emlcntuswall00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2008 Report Share Posted September 30, 2008 Ray It all depends on why one makes a statement of sorts regarding the MDs who have virtually no training or the 100 hour DCs. The only reason it has ever come up for me has been when the patient claims that acupuncture doesn't work and then I ask who they went to. That's when the truth comes out. So far in my exposure I have not had any patient tell me it was another TCM acupuncturist. Educate appropriately. Richard In a message dated 9/29/2008 10:32:54 P.M. Central Daylight Time, ray writes: Yes, well said Richard I could not agree more. It is also up to us to educate our clients as to the differences. I have found that my clients don't like me pointing out that their physio Chiro or Doctor is NOT practicing acupuncture in the TRUE sense and with very limited training or experience(in most cases).They do become defensive and think I am being over the top but I persist anyway. **************Looking for simple solutions to your real-life financial challenges? Check out WalletPop for the latest news and information, tips and calculators. (http://www.walletpop.com/?NCID=emlcntuswall00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2008 Report Share Posted September 30, 2008 What will it take to get a law passed where those without a CA board license in Acupuncture, but have another medical license, mandate them to be called " medi-puncturists, chiro-puncturists " etc. and also say that they are in the act of practicing " medi-puncture " or " chiro-puncture " ? And if they fail to do so, have their rights to dry-needle stripped? Can this be written into the acupuncture regulations solely or does this also have to be written into the MD and DC laws and regulations as well? Do we need lobbyists for something like that? How much money would it take? What about Naturopaths and Doctors of physical therapy who may be inserting filiform needles into people (dry needling)? I hear this a trend now as well. It's bad enough that we have to be business people on top of medical practitioners. Now we have to be lawyers as well. Are we serious enough to get this pushed through? or are we going to have to figure out another way to universally educate our patients that we actually have a real education in acupuncture and herbal therapy, in comparison with those who might take a 100 hour course and say that they are " board certified medical acupuncturists " . If I was a prospective patient, I wouldn't know the difference, but I would probably go with the guy who is both an MD and " board certified " to practice acupuncture. Plus, my insurance might cover the complete costs for treatment. Yes, this is a major issue for all of us, especially as acupuncture becomes more accepted by the public, thereby more profitable for those who would like to get a piece of it too. As the economy falters, why wouldn't MDs and DCs not want to diversify their portfolios and dry-needle? Some MDs are now doing house-calls and integrative medicine is the hot trend. Why wouldn't someone who have never tried acupuncture not want to go to an MD for these procedures, especially if they already know them, trust their social and professional status (degree) and it's completely covered by insurance? K. On Mon, Sep 29, 2008 at 8:32 PM, Ray Ford <raywrote: > Yes, well said Richard I could not agree more. > > It is also up to us to educate our clients as to the differences. > > I have found that my clients don't like me pointing out that their physio > Chiro or Doctor is NOT practicing acupuncture in the TRUE sense and with > very limited training or experience(in most cases).They do become defensive > and think I am being over the top but I persist anyway. > > Ray > > _____ > > Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > [Chinese Medicine <Traditional_Chinese_Medicin\ e%40>] > On Behalf Of > acudoc11 <acudoc11%40aol.com> > Tuesday, 30 September 2008 6:57 AM > To: Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. > Acupuncture > > Edith > > I contend that it should be called something like MEDI-PUNCTURE when used > by > > an MD/DO and > of CHIRO-PUNCTURE when administered by the usual 100 hour DC. > > It is the KNOWLEDGE and CLINICAL TRAINING of the person behind the needle > that makes it much more than someone who is untrained or poorly trained who > > just > happens to be an MD or DC using acupuncture needles. > > It is the nomenclature wherein a fraud is perpetrated on the public such > that what the untrained perform and bill for is passed off as real medical > acupuncture and what the well-trained acupuncturists do is relegated to > some > > lesser statuts. > > One of these days there just might be enough well trained LAc's STAND UP to > > this unscrupulous activity by both the allopathic medical and chiropractic > communities. > > We all have heard from those few MDs, DOs and even DCs who went through > COMPLETE training who castigate their own professions for trying to fool > the > > public. > > All of them together ought to be ashamed of themselves and get a real > profession by proper EDUCATION. > > Richard > > In a message dated 9/29/2008 12:23:41 P.M. Central Daylight Time, > chineseherbs@ <chineseherbs%40gmail.com<chineseherbs%2540gmail.com>> > gmail.com writes: > > Hi Joy, Elie, TCM group, > > May I suggest that we make sure to use *quotes* when using the term > " Medical " Acupuncture. > > This term is utterly ridiculous. If that stuff is called " Medical " > acupuncture, is the implication that L.Ac's practicing based on TCM > training > is somehow " non-medical " acupuncture? > > That is why I think whenever we refer to that term we should use quotes > around " medical " to highlight the absurdity of it. > > ~edith > > -- > Edith Chan, L.Ac. > > **************Looking for simple solutions to your real-life financial > challenges? Check out WalletPop for the latest news and information, tips > and > calculators. (http://www.walletpo > <http://www.walletpop.com/?NCID=emlcntuswall00000001> > p.com/?NCID=emlcntuswall00000001) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2008 Report Share Posted September 30, 2008 K Within each separate state the appropriate language MUST be in MD/DO statute and the DC statute. What exists within the acupuncture statute as it relates to MDs/DOs/DCs would be irrelevant. This is not legal advice.......just by experience. Possibly a national organization such as the AAAOM might like to take this on? Many years ago they worked with one of the biggest lawyers/lawfirms which had experience representing pharmaceutical companies. As to the reimbursement for MDs/DOs/DCs for acupuncture with little or no training.......well that's the insurance company scheme. They totally know this. For if they reimburse a modality by a practitioner as such.......there will be little or no results. Insurance companies make their BIG money off investing high premiums NOT off reducing premiums. As to MDs calling themselves Board Certified in Acupuncture.......the AMA at least in the past was totally against MDs from calling themselves Certified in ANYTHING.....unless they went back to school for 3 to 4 years and take a recognized test (passing it). That Board Certification MUST be one approved by the ABMS American Board of Medical Specialties and the last I looked they had no such Board certification in acupuncture. In 2007 I filed complaints against approximately 30 MDs and DOs in Florida with the documented proof that they were calling themselves Board Certified in Acupuncture. This way by the way a violation of their own statute AND the Department of Health statute. Every single complaint was thrown out with a gobbledegook nonsensical statement. So you see it makes no difference even if you are 10000% correct. The system has designed it so the incompetent's get reimbursed and we do not. So far the best one can do is forewarn your patients. None of the above is meant as legal advice.....just experience. I was the ONLY one who ever filed a Class Action LawSuit AGAINST ALL of the major insurance companies for failing to pay acupuncturists. Not one other national or state acupuncture organization has ever done that not to mention any individual acupuncturist. It was as expected.......the judges are rigged in these kind of cases and my the claim was disregarded. But I tried anyway....just to test how rigged the system is. Now if 20,000 LAc's in the United States stood up and made these type of arguments to their lawmakers directly (forget about the rigged lobbyists).......there is a slim chance that something might be done. Logic......why would any patient go to an MD to receive acupuncture when he/she has little or no training? The answer is greed. Take for example Carpal Tunnel Syndrome. The same reason why people go and have mostly nonsensical costly surgery (and the MDs usually tell them there is no guarantee that it will work to cover their rear ends) instead of coming to an LAc and have it fixed let us say for $200 or less. The patient does not want to pay $200 out of their pocket if they can get the useless surgery paid for even if it won't work. Of course it all depends on how much pain they are in. Richard In a message dated 9/30/2008 10:35:13 A.M. Central Daylight Time, johnkokko writes: What will it take to get a law passed where those without a CA board license in Acupuncture, but have another medical license, mandate them to be called " medi-puncturists, chiro-puncturists " etc. and also say that they are in the act of practicing " medi-puncture " or " chiro-puncture " " chiro-puncture " <WBR>? And if they fail to do so, dry-needle stripped? Can this be written into the acupuncture regulations solely or does this also have to be written into the MD and DC laws and regulations as well? Do we need lobbyists for something like that? How much money would it take? What about Naturopaths and Doctors of physical therapy who may be inserting filiform needles into people (dry needling)? I hear this a trend now as well. It's bad enough that we have to be business people on top of medical practitioners. Now we have to be lawyers as well. Are we serious enough to get this pushed through? or are we going to have to figure out another way to universally educate our patients that we actually have a real education in acupuncture and herbal therapy, in comparison with those who might take a 100 hour course and say that they are " board certified medical acupuncturists " " board certified medical acupuncturis I wouldn't know the difference, but I would probably go with the guy who is both an MD and " board certified " to practice acupuncture. Plus, my insurance might cover the complete costs for treatment. Yes, this is a major issue for all of us, especially as acupuncture becomes more accepted by the public, thereby more profitable for those who would like to get a piece of it too. As the economy falters, why wouldn't MDs and DCs not want to diversify their portfolios and dry-needle? Some MDs are now doing house-calls and integrative medicine is the hot trend. Why wouldn't someone who have never tried acupuncture not want to go to an MD for these procedures, especially if they already know them, trust their social and professional status (degree) and it's completely covered by insurance? K. On Mon, Sep 29, 2008 at 8:32 PM, Ray Ford <_ray@rayfordacupunctray@rayfor_ (ray) >wrote: > Yes, well said Richard I could not agree more. > > It is also up to us to educate our clients as to the differences. > > I have found that my clients don't like me pointing out that their physio > Chiro or Doctor is NOT practicing acupuncture in the TRUE sense and with > very limited training or experience(in most cases).They do become defensive > and think I am being over the top but I persist anyway. > > Ray > > _____ > > _Traditional_Traditional_<WBRTraditional_Tra_ (Chinese Medicine ) <Traditional_Traditional_<WBRTraditional_<WBTra> > [_Traditional_Traditional_<WBRTraditional_Tra_ (Chinese Medicine ) <Traditional_Traditional_<WBRTraditional_<WB<WB>] > On Behalf Of > _acudoc11_ (acudoc11) <acudoc11%40aol.acu> > Tuesday, 30 September 2008 6:57 AM > _Traditional_Traditional_<WBRTraditional_Tra_ (Chinese Medicine ) <Traditional_Traditional_<WBRTraditional_<WBTra> > Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. > Acupuncture > > Edith > > I contend that it should be called something like MEDI-PUNCTURE when used > by > > an MD/DO and > of CHIRO-PUNCTURE when administered by the usual 100 hour DC. > > It is the KNOWLEDGE and CLINICAL TRAINING of the person behind the needle > that makes it much more than someone who is untrained or poorly trained who > > just > happens to be an MD or DC using acupuncture needles. > > It is the nomenclature wherein a fraud is perpetrated on the public such > that what the untrained perform and bill for is passed off as real medical > acupuncture and what the well-trained acupuncturists do is relegated to > some > > lesser statuts. > > One of these days there just might be enough well trained LAc's STAND UP to > > this unscrupulous activity by both the allopathic medical and chiropractic > communities. > > We all have heard from those few MDs, DOs and even DCs who went through > COMPLETE training who castigate their own professions for trying to fool > the > > public. > > All of them together ought to be ashamed of themselves and get a real > profession by proper EDUCATION. > > Richard > > In a message dated 9/29/2008 12:23:41 P.M. Central Daylight Time, > chineseherbs@ <chineseherbchimai<chineseherbschineseherbchi>> > gmail.com writes: > > Hi Joy, Elie, TCM group, > > May I suggest that we make sure to use *quotes* when using the term > " Medical " Acupuncture. > > This term is utterly ridiculous. If that stuff is called " Medical " > acupuncture, is the implication that L.Ac's practicing based on TCM > training > is somehow " non-medical " acupuncture? > > That is why I think whenever we refer to that term we should use quotes > around " medical " to highlight the absurdity of it. > > ~edith > > -- > Edith Chan, L.Ac. > > ************ ************<WBR>**Looking for simple solutions to your r > challenges? Check out WalletPop for the latest news and information, tips > and > calculators. (_http://www.walletpo_ (http://www.walletpo/) > <_http://www.walletpohttp://www.whttp://www.wallehttp_ (http://www.walletpop.com/?NCID=emlcntuswall00000001) > > p.com/?NCID= p.com/?NCID > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] > > > -- , L.Ac aka Mu bong Lim Father of Bhakti The Four Reliances: Do not rely upon the individual, but rely upon the teaching. As far as teachings go, do not rely upon the words alone, but rely upon the meaning that underlies them. Regarding the meaning, do not rely upon the provisional meaning alone, but rely upon the definitive meaning. And regarding the definitive meaning, do not rely upon ordinary consciousness, but rely upon wisdom awareness. [Non-text portions of this message have been removed] **************Looking for simple solutions to your real-life financial challenges? Check out WalletPop for the latest news and information, tips and calculators. 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Guest guest Posted October 1, 2008 Report Share Posted October 1, 2008 These are the issues that we should be dealing with in our local state and national professional associations. If we all joined, our dues could be used to pay for lobbying, to pay for legal advice, so that we could take powerful positions to shape our professional future. If we all became active in our state and national associations, we could create some collective backbone to address these and other issues, such as limitations to our scope of practice, efforts to limit our access to herbs, etc. We could also much more sucessfully educate the public collectively, rather than struggling individually on a one to one level. Collectively, we could hire professional help to educate the public, so that we are taking control of what message we want to get across and how we want to say it. We can let the public know about our education, training, the benefits of acupuncture and . It requires money, but also, it requires getting active, getting involved. It requires a commitment to our profession. It requires us to work together as a profession. For those in CA, I'm on the board of CSOMA and would love more participation, otherwise, if your state doesn't have an association, create one, if it has one, join and get active. Sincerely, TruthSayer, L.Ac., LMFT Diplomate in Oriental Medicine(NCCAOM) Transcendental Acupuncture 2275 Market Street #C San Francisco, CA 94114 415-686-1193 <johnkokko Chinese Medicine Tue, 30 Sep 2008 8:30 am Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. Acupuncture What will it take to get a law passed where those without a CA board license in Acupuncture, but have another medical license, mandate them to be called " medi-puncturists, chiro-puncturists " etc. and also say that they are in the act of practicing " medi-puncture " or " chiro-puncture " ? And if they fail to do so, have their rights to dry-needle stripped? Can this be written into the acupuncture regulations solely or does this also have to be written into the MD and DC laws and regulations as well? Do we need lobbyists for something like that? How much money would it take? What about Naturopaths and Doctors of physical therapy who may be inserting filiform needles into people (dry needling)? I hear this a trend now as well. It's bad enough that we have to be business people on top of medical practitioners. Now we have to be lawyers as well. Are we serious enough to get this pushed through? or are we going to have to figure out another way to universally educate our patients that we actually have a real education in acupuncture and herbal therapy, in comparison with those who might take a 100 hour course and say that they are " board certified medical acupuncturists " . If I was a prospective patient, I wouldn't know the difference, but I would probably go with the guy who is both an MD and " board certified " to practice acupuncture. Plus, my insurance might cover the complete costs for treatment. Yes, this is a major issue for all of us, especially as acupuncture becomes more accepted by the public, thereby more profitable for those who would like to get a piece of it too. As the economy falters, why wouldn't MDs and DCs not want to diversify their portfolios and dry-needle? Some MDs are now doing house-calls and integrative medicine is the hot trend. Why wouldn't someone who have never tried acupuncture not want to go to an MD for these procedures, especially if they already know them, trust their social and professional status (degree) and it's completely covered by insurance? K. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 If in those states where a state association does not exist, (as we did even though a state org existed) form an organization but resist using lobbyists. Lobbyists are generally co-opted by forces behind the scenes and will take lots of your limited funds while accomplishing nothing. Avoid not-for-profit corporations for those are easily taken-over by forces not in the individual practitioners best interests. Closely held corporations even though for-profit cannot be invaded covertly or otherwise. As individual practitioners you can (at least here in Florida) LOBBY for yourself needing nothing other than registering with the state with no fees to pay. And that is lobbying both in the legislative AND executive branch of government. As to national orgs.......let me say from personal experience that the same applies. Often large lumbering organizations which try to please everyone often move at at slower than a snails pace. When many years ago the lobbyist for the primary Florida state acupuncture organization I took over as legislative chair for that association.....the long time lobbyist asked me what my vision was for the profession. After hearing what I had to say....her comment was that it was very nice but that it would take at least twenty years. I commented for her to watch it be accomplished in two years and it was. Of course I was legally abused by frivolous law suit-attacks afterwards for over five years in two wrong level courts.... which ultimately wound up that we have even stronger unofficial titles (now called words and phrases under the First Amendment of the US Constitution - Commercial Free Speech) and the night-trade-schools trying to sell yet another " dream-degree " for some $60,000 are annoyed to say the least. They want to monopolize for a high price the word " doctor " . At that same time......Acupoint Injection Therapy was also put into place.... annoying a heck of a lot more people many of which are acupuncture practitioners. They are upset that we call ourselves " doctors " to which response is often given.........since the Florida Acupuncture Practice Act (LAW) says that we are a form of PRIMARY CARE and that we DIAGNOSE & TREAT ILLNESS & INJURY what might you functionally call that - if not DOCTOR? As previously stated in all the years that acupuncture has been licensed in the US, never before had anyone or for that matter any state or national acupuncture organization filed a class action lawsuit against every major insurance carrier for discriminatory reimbursement practices against LAc's. Yes....just one person accomplished this act. I did it for many reasons without it costing me any money. I found a law-firm which I thought at the time would do the right job but in the end found out that " the system " will block you every step of the way. Still.......if enough individuals took a little of their own money and instead of blindly giving it over to state and/or national organizations........LOBBY YOURSELVES. Speak out yourselves. You would be amazed what one person can accomplish. Stated some time ago....I was shocked that in over 15 years none of the national OR state acupuncture organizations supported the Federal Acupuncture Bill. Congressman Maurice Hinchey of New York continues to sponsor the Federal AP Bill every two years. It again took one person to stir this up and finally after all those years others including AP organizations have jumped on the band-wagon. We may be fighting the Don Quixote wind-mills yet just maybe we will break through and not be left behind. One of my brothers is a Board Certified Oncologist for the past 30+ years. He recently sent me an excerpt book printed by the HEMATOLOGY/ONCOLOGY CLINICS OF NORTH AMERICA - August 2008 edition on INTEGRATIVE MEDICINE IN ONCOLOGY. Fascinating articles written by Oncologist peers on a number of modalities specifically including acupuncture AND Chinese herbs. So the AMA has a real problem on their hands. Its either accepted or not and if they or the American Board of Medical Specialties does their job correctly MDs/DOs will have to actually take a 3+ year REAL course and take a REAL test before they are Board Certified in Acupuncture/OM. It is incumbent on us as individual practitioners not to allow the untrained or poorly trained to corrupt and co-opt the profession. Speaking about the word " profession " ......recently at a Florida Board of Acupuncture meeting one of the high ranking officers of a state AP organization spoke before the board calling what we do an " industry " . See this is what happens when a state organizations get co-opted by forces not in our benefit. They reduce a profession to a " cottage industry " . Our profession might be small compared to say 633,000 MDs/DOs but we are NOT an " industry " . Richard None of the above is meant as legal advice. Just experience from one person. **************Looking for simple solutions to your real-life financial challenges? Check out WalletPop for the latest news and information, tips and calculators. (http://www.walletpop.com/?NCID=emlcntuswall00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 Yes Richard It is almost exclusively for this reason, the patient tells me that acupuncture hasn't worked for them before. They have usually been referred by a friend and are having a last attempt before surgery or anti-depressants.The number of these type patients I see is increasing every month. Ray _____ Chinese Medicine Chinese Medicine On Behalf Of acudoc11 Tuesday, 30 September 2008 11:34 PM Chinese Medicine Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. Acupuncture Ray It all depends on why one makes a statement of sorts regarding the MDs who have virtually no training or the 100 hour DCs. The only reason it has ever come up for me has been when the patient claims that acupuncture doesn't work and then I ask who they went to. That's when the truth comes out. So far in my exposure I have not had any patient tell me it was another TCM acupuncturist. Educate appropriately. Richard In a message dated 9/29/2008 10:32:54 P.M. Central Daylight Time, ray@rayfordacupunct <ray%40rayfordacupuncture.com.au> ure.com.au writes: Yes, well said Richard I could not agree more. It is also up to us to educate our clients as to the differences. I have found that my clients don't like me pointing out that their physio Chiro or Doctor is NOT practicing acupuncture in the TRUE sense and with very limited training or experience(in most cases).They do become defensive and think I am being over the top but I persist anyway. **************Looking for simple solutions to your real-life financial challenges? Check out WalletPop for the latest news and information, tips and calculators. (http://www.walletpo <http://www.walletpop.com/?NCID=emlcntuswall00000001> p.com/?NCID=emlcntuswall00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 I would have to differ with you Kath. One does not ever risk opening the acupuncture practice act but in FACT lobbies to open the MDs/DOs/DCs practice act to make such changes. Acupuncture Practice Acts do NOT have any legal enforcement over other healthcare practitioners. As this is not legal advice if one is interested CHECK with a lawyer in your area. Richard In a message dated 10/2/2008 12:14:28 P.M. Eastern Daylight Time, acukath writes: john: exempting md's and chiros form practicing acu without our level of edu and certification isn't going to happen at this point, simply because we do not have the political clout to go up against the ama and the chiro assoc. its plain numbers: there's a lot more of them then there are of us. legally, to do this, we would need to open up each state's acu practice act individually and get an exemption put in to it saying that only LAc's can practice acu. of course the ama and chiro assoc would fight it, and we would not be able to get it through. kath bartlett **************Looking for simple solutions to your real-life financial challenges? Check out WalletPop for the latest news and information, tips and calculators. (http://www.walletpop.com/?NCID=emlcntuswall00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 Ray: i haven't had the defensive reaction from patients you are getting. undoubtedly we have different patient populations. maybe a softer approach to the subject would be received? just a thought. kath On Mon, Sep 29, 2008 at 11:32 PM, Ray Ford <raywrote: > Yes, well said Richard I could not agree more. > > It is also up to us to educate our clients as to the differences. > > I have found that my clients don't like me pointing out that their physio > Chiro or Doctor is NOT practicing acupuncture in the TRUE sense and with > very limited training or experience(in most cases).They do become defensive > and think I am being over the top but I persist anyway. > > Ray > > _____ > > Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > [Chinese Medicine <Traditional_Chinese_Medicin\ e%40>] > On Behalf Of > acudoc11 <acudoc11%40aol.com> > Tuesday, 30 September 2008 6:57 AM > To: Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. > Acupuncture > > Edith > > I contend that it should be called something like MEDI-PUNCTURE when used > by > > an MD/DO and > of CHIRO-PUNCTURE when administered by the usual 100 hour DC. > > It is the KNOWLEDGE and CLINICAL TRAINING of the person behind the needle > that makes it much more than someone who is untrained or poorly trained who > > just > happens to be an MD or DC using acupuncture needles. > > It is the nomenclature wherein a fraud is perpetrated on the public such > that what the untrained perform and bill for is passed off as real medical > acupuncture and what the well-trained acupuncturists do is relegated to > some > > lesser statuts. > > One of these days there just might be enough well trained LAc's STAND UP to > > this unscrupulous activity by both the allopathic medical and chiropractic > communities. > > We all have heard from those few MDs, DOs and even DCs who went through > COMPLETE training who castigate their own professions for trying to fool > the > > public. > > All of them together ought to be ashamed of themselves and get a real > profession by proper EDUCATION. > > Richard > > In a message dated 9/29/2008 12:23:41 P.M. Central Daylight Time, > chineseherbs@ <chineseherbs%40gmail.com<chineseherbs%2540gmail.com>> > gmail.com writes: > > Hi Joy, Elie, TCM group, > > May I suggest that we make sure to use *quotes* when using the term > " Medical " Acupuncture. > > This term is utterly ridiculous. If that stuff is called " Medical " > acupuncture, is the implication that L.Ac's practicing based on TCM > training > is somehow " non-medical " acupuncture? > > That is why I think whenever we refer to that term we should use quotes > around " medical " to highlight the absurdity of it. > > ~edith > > -- > Edith Chan, L.Ac. > > **************Looking for simple solutions to your real-life financial > challenges? Check out WalletPop for the latest news and information, tips > and > calculators. (http://www.walletpo > <http://www.walletpop.com/?NCID=emlcntuswall00000001> > p.com/?NCID=emlcntuswall00000001) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 john: exempting md's and chiros form practicing acu without our level of edu and certification isn't going to happen at this point, simply because we do not have the political clout to go up against the ama and the chiro assoc. its plain numbers: there's a lot more of them then there are of us. legally, to do this, we would need to open up each state's acu practice act individually and get an exemption put in to it saying that only LAc's can practice acu. of course the ama and chiro assoc would fight it, and we would not be able to get it through. Chinese Medicine On Tue, Sep 30, 2008 at 11:30 AM, <johnkokko wrote: > What will it take to get a law passed where those without a CA board > license > in Acupuncture, but have another medical license, > mandate them to be called " medi-puncturists, chiro-puncturists " etc. and > also say that they are in the act of practicing " medi-puncture " or > " chiro-puncture " ? And if they fail to do so, have their rights to > dry-needle stripped? > > Can this be written into the acupuncture regulations solely or does this > also have to be written into the MD and DC laws and regulations as well? > > Do we need lobbyists for something like that? > > How much money would it take? > > What about Naturopaths and Doctors of physical therapy who may be inserting > filiform needles into people (dry needling)? > I hear this a trend now as well. > > It's bad enough that we have to be business people on top of medical > practitioners. Now we have to be lawyers as well. > Are we serious enough to get this pushed through? or are we going to have > to figure out another way to universally educate our patients that we > actually have a real education in acupuncture and herbal therapy, in > comparison with those who might take a 100 hour course and say that they > are > " board certified medical acupuncturists " . If I was a prospective patient, > I wouldn't know the difference, but I would probably go with the guy who is > both an MD and " board certified " to practice acupuncture. Plus, my > insurance might cover the complete costs for treatment. Yes, this is a > major issue for all of us, especially as acupuncture becomes more accepted > by the public, thereby more profitable for those who would like to get a > piece of it too. > As the economy falters, why wouldn't MDs and DCs not want to diversify > their > portfolios and dry-needle? Some MDs are now doing house-calls and > integrative medicine is the hot trend. > Why wouldn't someone who have never tried acupuncture not want to go to an > MD for these procedures, especially if they already know them, trust their > social and professional status (degree) and it's completely covered by > insurance? > > K. > > On Mon, Sep 29, 2008 at 8:32 PM, Ray Ford <ray<ray%40rayfordacupuncture.com.au>>wrote: > > > > Yes, well said Richard I could not agree more. > > > > It is also up to us to educate our clients as to the differences. > > > > I have found that my clients don't like me pointing out that their physio > > Chiro or Doctor is NOT practicing acupuncture in the TRUE sense and with > > very limited training or experience(in most cases).They do become > defensive > > and think I am being over the top but I persist anyway. > > > > Ray > > > > _____ > > > > Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > <Chinese Medicine%40> > > [Chinese Medicine <Traditional_Chinese_Medicin\ e%40> > <Chinese Medicine%40>] > > On Behalf Of > > acudoc11 <acudoc11%40aol.com> <acudoc11%40aol.com> > > Tuesday, 30 September 2008 6:57 AM > > To: Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > <Chinese Medicine%40> > > > Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. > > Acupuncture > > > > Edith > > > > I contend that it should be called something like MEDI-PUNCTURE when used > > by > > > > an MD/DO and > > of CHIRO-PUNCTURE when administered by the usual 100 hour DC. > > > > It is the KNOWLEDGE and CLINICAL TRAINING of the person behind the needle > > that makes it much more than someone who is untrained or poorly trained > who > > > > just > > happens to be an MD or DC using acupuncture needles. > > > > It is the nomenclature wherein a fraud is perpetrated on the public such > > that what the untrained perform and bill for is passed off as real > medical > > acupuncture and what the well-trained acupuncturists do is relegated to > > some > > > > lesser statuts. > > > > One of these days there just might be enough well trained LAc's STAND UP > to > > > > this unscrupulous activity by both the allopathic medical and > chiropractic > > communities. > > > > We all have heard from those few MDs, DOs and even DCs who went through > > COMPLETE training who castigate their own professions for trying to fool > > the > > > > public. > > > > All of them together ought to be ashamed of themselves and get a real > > profession by proper EDUCATION. > > > > Richard > > > > In a message dated 9/29/2008 12:23:41 P.M. Central Daylight Time, > > chineseherbs@ <chineseherbs%40gmail.com<chineseherbs%2540gmail.com> > <chineseherbs%2540gmail.com>> > > gmail.com writes: > > > > Hi Joy, Elie, TCM group, > > > > May I suggest that we make sure to use *quotes* when using the term > > " Medical " Acupuncture. > > > > This term is utterly ridiculous. If that stuff is called " Medical " > > acupuncture, is the implication that L.Ac's practicing based on TCM > > training > > is somehow " non-medical " acupuncture? > > > > That is why I think whenever we refer to that term we should use quotes > > around " medical " to highlight the absurdity of it. > > > > ~edith > > > > -- > > Edith Chan, L.Ac. > > > > **************Looking for simple solutions to your real-life financial > > challenges? Check out WalletPop for the latest news and information, tips > > and > > calculators. (http://www.walletpo > > <http://www.walletpop.com/?NCID=emlcntuswall00000001> > > p.com/?NCID=emlcntuswall00000001) > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2008 Report Share Posted October 24, 2008 kath state by state is totally different. what may be true for the state you are in certainly does not apply to/in others. one would expect that law makers would clearly see that to best protect the health, welfare and safety of the public that ONLY well trained practitioners are allowed to practice acupuncture but that's not the way the it appears to work.....until there are to many medical errors as has been the case for at least regarding pneumothorax caused by those untrained in acupuncture. richard In a message dated 10/24/2008 5:04:02 P.M. Eastern Daylight Time, acukath writes: richard: you misunderstood my meaning. to exclude md's, chiros, etc from performing acu, we would need to open our own (acupuncture) practice act, state by state, and get an exclusion put in that only LAcs can perform acupuncture. obviously we do not have the political clout to do this. as you stated, we don't want to risk opening up our own practice act as this would open us up to a whole can of worms we do not want exploded. kath **************Play online games for FREE at Games.com! All of your favorites, no registration required and great graphics – check it out! (http://pr.atwola.com/promoclk/100000075x1211202682x1200689022/aol?redir= http://www.games.com?ncid=emlcntusgame00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2008 Report Share Posted October 24, 2008 richard: you misunderstood my meaning. to exclude md's, chiros, etc from performing acu, we would need to open our own (acupuncture) practice act, state by state, and get an exclusion put in that only LAcs can perform acupuncture. obviously we do not have the political clout to do this. as you stated, we don't want to risk opening up our own practice act as this would open us up to a whole can of worms we do not want exploded. kath On Thu, Oct 2, 2008 at 11:45 AM, <acudoc11 wrote: > I would have to differ with you Kath. > > One does not ever risk opening the acupuncture practice act > but in FACT lobbies to open the MDs/DOs/DCs practice act to make such > changes. > > Acupuncture Practice Acts do NOT have any legal enforcement over other > healthcare practitioners. > > As this is not legal advice if one is interested CHECK with a lawyer in > your > area. > > Richard > > > > > In a message dated 10/2/2008 12:14:28 P.M. Eastern Daylight Time, > acukath <acukath%40gmail.com> writes: > > john: > > exempting md's and chiros form practicing acu without our level of edu and > certification isn't going to happen at this point, simply because we do not > have the political clout to go up against the ama and the chiro assoc. its > plain numbers: there's a lot more of them then there are of us. > > legally, to do this, we would need to open up each state's acu practice act > individually and get an exemption put in to it saying that only LAc's can > practice acu. of course the ama and chiro assoc would fight it, and we > would not be able to get it through. > > Chinese Medicine > > **************Looking for simple solutions to your real-life financial > challenges? Check out WalletPop for the latest news and information, tips > and > calculators. (http://www.walletpop.com/?NCID=emlcntuswall00000001) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2008 Report Share Posted October 24, 2008 Hi Kath and Richard and All... I personally have been coming to the conclusion that the research is always going to come second to the politics - and that the politics is heavily influenced by public opinion. While research is able to prove effect (from acupuncture, let's say), this will do next to nothing for CM theory. There is no way to definitively prove CM theory. So our final (?) battle will be to protect an unprovable doctrine (kind of the way science is unprovable and accepted based only on its effects) - and it won't be science that does the proving. It will be proved in terms of public acceptance followed by pressure. If the public feels that our theory cannot provide us with anything of worth, we will lose. If the public feels that our theory provides us with something invaluable, then they will support us, and the public pressure will lead to the same results that it has lead to so far - acceptance of CAM, research into herbs, acupuncture, homeopathy, meditation, healing by prayer etc. It is important to understand that it is not science that lead us onto these paths - it was public pressure (their interest in, and use of, CAM modalities). So, go back to your clinics, do an absolutely excellent job, understand CM deeply and transfer that understanding to your patients. Thta's how we will achieve parity and collaboration. Parity and Collaboration people!!! Thoughts? Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.chinesemedicaltherapies.org ________________________________ " " Chinese Medicine Friday, 24 October, 2008 17:03:03 Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. Acupuncture richard: you misunderstood my meaning. to exclude md's, chiros, etc from performing acu, we would need to open our own (acupuncture) practice act, state by state, and get an exclusion put in that only LAcs can perform acupuncture. obviously we do not have the political clout to do this. as you stated, we don't want to risk opening up our own practice act as this would open us up to a whole can of worms we do not want exploded. kath On Thu, Oct 2, 2008 at 11:45 AM, <acudoc11 (AT) aol (DOT) com> wrote: > I would have to differ with you Kath. > > One does not ever risk opening the acupuncture practice act > but in FACT lobbies to open the MDs/DOs/DCs practice act to make such > changes. > > Acupuncture Practice Acts do NOT have any legal enforcement over other > healthcare practitioners. > > As this is not legal advice if one is interested CHECK with a lawyer in > your > area. > > Richard > > > > > In a message dated 10/2/2008 12:14:28 P.M. Eastern Daylight Time, > acukath (AT) gmail (DOT) com <acukath%40gmail. com> writes: > > john: > > exempting md's and chiros form practicing acu without our level of edu and > certification isn't going to happen at this point, simply because we do not > have the political clout to go up against the ama and the chiro assoc. its > plain numbers: there's a lot more of them then there are of us. > > legally, to do this, we would need to open up each state's acu practice act > individually and get an exemption put in to it saying that only LAc's can > practice acu. of course the ama and chiro assoc would fight it, and we > would not be able to get it through. > > Chinese Medicine > > ************ **Looking for simple solutions to your real-life financial > challenges? Check out WalletPop for the latest news and information, tips > and > calculators. (http://www.walletpo p.com/?NCID= emlcntuswall0000 0001) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2008 Report Share Posted October 26, 2008 Hugo I do not agree, all it takes is a well designed study in which the treatment group is treated using CM methods with all the needed flexibility and comparing it to another group either placebo which includes all the rituals and/or a neuroanatomical approach to acupuncture. If you can show superior outcomes that support the theory. Unfortunately we do not a single high quality study that does this. We do not even have a single high quality study that shows using acupoints to be superior to sham points 400 29th St. Suite 419 Oakland Ca 94609 alonmarcus Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2008 Report Share Posted October 26, 2008 Hi Alon, I hope you are right ... my understanding is that the feasibility of such large studies is not good. Large studies with multiple arms and full courses of (T)CM treatments would be very expensive and difficult to design. Having study therapists apply CM as it should be - flexibly and according to CM theory - throws a million uncontrolled variables into the study. The study will end up showing correlation but no definitive causation. Any skeptic reading it will riddle it with criticism. The biggest problem from my point of view is the definitive proof. At least on the face of it, biomedicine is about definitive proof. Biomedicine is not going to give up its banner easily - alternative explanations to CM theories will always be sought - even if they are, in the end, nothing but rewordings of our theory, co-optation will be a strategy used against CM, as it has been in the past. It all comes from the initial bias and attitude that only " they " (my apologies for being divisive) can possibly know what's best or real. What I think I am seeing happen, and what gives me hope, is that there are new, growing groups of medical clinicians and researchers who are sufficiently aware of the limitations of research to put it second tier relative to their experience, and are willing to go forward using simply their awareness and common sense. Complex " multivariate " interventions are beginning to be recognised for what they are - impossible, or nearly impossible, to reduce. We are finally coming out of the cave of single-variable effects, finally moving from the world of simple machines into the world of organism. As far as showing point specificity (acupoints versus sham points), we do not need studies for that - neuroimaging has already shown that to be true. We only need replication and less confusion on the subject. See Cho et al (1998) and the stupid reason the paper and its conclusions were retracted. Clearly the neuroscience behind the retraction is not sufficiently compelling since 3 of 8 authors fought the retraction to the end.(http://tinyurl.com/6267rt) That is essentially half the team disagreeing - we don't know about the firmness of the tipping point (vote #5). Though any respectable researcher will be cautious in jumping to conclusions at any time, too many people with loud voices and power will use this situation as a type of proof. This retraction was very damaging. I prove point specificity in my clinic all the time, not only by knowing that I can't clear Liver Constraint with GB34 and that I can with Liv3, but also by showing far superior results to what I should be able to achieve according to all these acupuncture studies that purport to show the size of the acupuncture effect. But I rack my brains trying to figure how to transpose clinical reality into a _punchline_, and I can't seem to do it. And from what I see, nobody else can either. This is a problem because most (?) people have currently been sold into believing that the methods of testing used by modern medical science are the last word, all the while being ignorant of the fact that open heart surgery can't be tested that way, and neither can parachutes, and yet, we assume we can judge the effectiveness of each accurately without RCTs. Seems to me that there is something wrong with the system. It has been improperly tested! I don't think we can use it successfully. I was talking to a " masters of public health " yesterday, and, while she had her stringency when it came to testing and such, it was not difficult for her to put it aside and say that too many people she knew reported effects that were too good from CAM for her to feel secure regarding what she knew to be the state of research on the subject. While we're at it, for those who haven't watched it, visit (http://tinyurl.com/6g33kt) for the homeopathy debate, from a materials science perspective. The links on the right side will take you to parts II and III. Thanks, Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.chinesemedicaltherapies.org ________________________________ alon marcus <alonmarcus Chinese Medicine Saturday, 25 October, 2008 23:57:12 Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. Acupuncture Hugo I do not agree, all it takes is a well designed study in which the treatment group is treated using CM methods with all the needed flexibility and comparing it to another group either placebo which includes all the rituals and/or a neuroanatomical approach to acupuncture. If you can show superior outcomes that support the theory. Unfortunately we do not a single high quality study that does this. We do not even have a single high quality study that shows using acupoints to be superior to sham points 400 29th St. Suite 419 Oakland Ca 94609 www.integrativeheal thmedicine. com alonmarcus (AT) wans (DOT) net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2008 Report Share Posted October 27, 2008 Hugo its acceptable to put an intervention in a so-called black box without the need to control variable within it. What you must have is proper randomization to the different groups, proper placebo or a gold standard therapy for comparison, proper independent evaluation of outcome and proper statistics. This study design will pass any review of a high quality journal and should allow us to have a good study from CM perspective. To support a theory that is not understood you need to show that clinical use of it is superior to similar placebo or gold standard therapy. We do not have such studies as of now. It is not more expensive to do this kind of study than any other kind of acupuncture study because the real intervention within the black box is quite free. The only problem is the standard of the therapists. To do this well you need top notch therapists so that part of the study cannot be used to excuse a poor outcome. As far as neuroimaging the problem is clinical relevance. The final test in medicine is clinical relevance so it does not help with issue of point specificity. We have too few studies suggesting brain specific stimulation from different proximal areas but this does not support the specificity of acupuncture yet. Perhaps with more time and greater data. 400 29th St. Suite 419 Oakland Ca 94609 alonmarcus Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2008 Report Share Posted October 27, 2008 Hey Alon, this very useful summary will be printed up and placed in my copy of " Acupuncture Research " . Studying the history of western medicine I have come to believe less in science and more in political power plays. Thanks for your input, Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.chinesemedicaltherapies.org ________________________________ alon marcus <alonmarcus Chinese Medicine Sunday, 26 October, 2008 22:32:46 Re: Fwd: [PCOM Alumni] Medical Acupuncture Vs. L.Ac. Acupuncture Hugo its acceptable to put an intervention in a so-called black box without the need to control variable within it. What you must have is proper randomization to the different groups, proper placebo or a gold standard therapy for comparison, proper independent evaluation of outcome and proper statistics. This study design will pass any review of a high quality journal and should allow us to have a good study from CM perspective. To support a theory that is not understood you need to show that clinical use of it is superior to similar placebo or gold standard therapy. We do not have such studies as of now. It is not more expensive to do this kind of study than any other kind of acupuncture study because the real intervention within the black box is quite free. The only problem is the standard of the therapists. To do this well you need top notch therapists so that part of the study cannot be used to excuse a poor outcome. As far as neuroimaging the problem is clinical relevance. The final test in medicine is clinical relevance so it does not help with issue of point specificity. We have too few studies suggesting brain specific stimulation from different proximal areas but this does not support the specificity of acupuncture yet. Perhaps with more time and greater data. 400 29th St. Suite 419 Oakland Ca 94609 www.integrativeheal thmedicine. com alonmarcus (AT) wans (DOT) net Quote Link to comment Share on other sites More sharing options...
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