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Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
December, 2003, Vol. 03, Issue 12
Formerly Conjoined Twins Successfully Separated, Doctors Remain Hopeful
By Rebecca J. Razo
Last fall, Massage Today reported that conjoined Egyptian twins, Ahmed and Mohamed Ibrahim, were being evaluated by the Children's Medical Center in Dallas to ascertain whether they were candidates for separation surgery.During the process, Dr. Kenneth Sayler, one of the twins' surgeons and founder of the World Craniofacial Foundation, referred the boys to John Upledger, DO, OMM, and a team of therapists from the Upledger Institute for several rounds of CranioSacral Therapy (CST) to help their brains begin to function independently (www.massagetoday.com/archives/2002/10/01.html).
"We got a lot of independent functioning between the two children [following CST treatment], all the way from brain function to bowel movements," said Dr. Upledger. "When they first came here, it seemed that one twin was performing much of the physiological functioning for both of them. And I thought [that] if these kids were separated, the child whose systems aren't working as strongly may well die. So, we worked on bringing about as much independent functioning of their body systems as possible, and encouraged their bodies to begin a subtle separation where the brain vessels were shared."1
On Oct. 12, 2003, a team of 10 surgeons, nine anesthesiologists, and dozens of nurses, medical technicians and other support staff participated in the 34-hour surgery at Dallas Children's Medical Center, which resulted in the successful separation of the boys. Immediately following surgery, the boys were placed in medically induced comas to minimize the risk of brain swelling. Several days later, the comas were lifted, and on Oct. 24, the boys visited each other for the first time.2,3,4
"They play a lot with a tambourine and their stuffed toys, and there's a lot of giggling and laughing going on," said Dr. James Thomas, chief of critical care services at Children's. "The medical team continues to be pleased with their progress."4
Each day, the boys receive several therapy sessions, including physical therapy, speech therapy, and play and music therapy. They usually nap between sessions and are also sleeping through the night. Doctors continue to monitor the boys' brains for increased fluid pressure, but so far, none has shown any danger signs.4,5
Although the twins are making daily progress, they are still listed as "guarded" by doctors,* and there has been no speculation of when they might be able to return to Egypt; however, once the boys do return home, they are likely to travel to the States for additional therapy and reconstructive surgeries that could take several years to complete.2
"Once they're out of the woods, they'll probably come back for more CranioSacral Therapy," said Dr. Upledger. "I think we can help clear up a lot of residual tissue trauma to give them a reasonably good chance of [living] normal [lives]. I feel very good about it."1
Editor's note: As of November 14, the twins conditions were listed as "good." They have been transferred from Children's Medical Center to Medical City Dallas where they will continue their rehabilitatation and undergo craniofacial reconstruction.
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