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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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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."
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
January, 2001, Vol. 01, Issue 01
Beginnings and Visions
By Keith Eric Grant, PhD, NCTMB
Beginnings are both challenges and opportunities, whether the beginning of a new massage practice or a new column about massage. Beginnings prompt us to review where we have been and to extend ourselves in new directions.As this column begins, I invite you to participate in the journey with me and, by your feedback, to influence its course.
What I bring to this column is my personal Ramblemuse soup of background and perspectives. During the past eight years, I have been teaching sports and deep tissue massage, and further exploring nuances of orthopedic techniques. My interest in these particular venues of massage stems in part from my own varied movement experiences as a dancer, runner, ice-skater, and student of martial arts, and in part from a desire to know how to relieve pain and improve other's abilities to move effectively. Interwoven with these experiences is my background as a physicist and researcher. During the same eight years, I have also been constantly active in internet-based discussions on massage education and governance. Coupled with some earlier background in Ericksonian hypnosis and the use of metaphor, these discussions have propelled me into learning about the educational psychology of multiple intelligences and diversity in learning styles. As this column progresses, I will be drawing topics from these backgrounds of technique, movement, and educational psychology. To begin, however, I want to consider some very basic concepts of human interaction nonverbal communication and congruence.
What we accomplish with our massage clients is often done as much from our effects on the mind and nervous system as from our direct effects on tissue. We are not just technicians of touch, but also communicators. By our activities, we are acting to integrate healthy touch back into a culture that has become blatantly afraid of touch and the interpersonal intimacy and connection it brings. When we enter into the practice of massage, we consciously or unconsciously, willingly or unwillingly, take on the mantle of kinesthetic role models for our clients and acquaintances. We often will convey more to them via our body language, tone of voice, and overall attitudes toward touch and the human body than we will by our words and printed forms. It is for these reasons that we must face and know intimately the names of our own dragons if we are to achieve the greatest benefit for our clients.
These unconscious dragons often begin to surface as beginning massage students face a quality and quantity of touch for which, in some cases, they were little prepared. For most, this creates of state of growth and transformation that is life-affirming. For some, however, the classroom issues of emotional projection and transference originating from prior negative experiences and unresolved traumas can become a block to effective learning and practice. In these cases, there are issues that must be dealt with in therapy beyond the boundaries of the massage class.
Our beliefs, internal dialogs and mental visualizations have great impact on what we continually project and communicate via our nonverbal responses of gesture, posture, tempo of movement and tone of voice. When our conscious and unconscious beliefs are in accord, our verbal and nonverbal messages will be congruent. Our clients cannot help but perceive this. When we act with internal conflict or with our awareness unfocused, our clients will tend to believe our bodies rather than our words. In martial arts, we are trained to change our state of awareness as we enter and leave the place of practice. Part of this is a discipline for showing respect and appreciation for the place, participants, and tradition. Another element, however, is in developing the habit of leaving our personal issues off the mat along with our shoes. I encourage my massage students and myself to remember to leave our unresolved emotions at the door as we prepare to begin a massage. Unlike baggage at an airport, they will still be there for us to reclaim (should we still need them) on our way out.
A couple of years ago, Public Radio International used the following story as part of their promotion on a new program on world events (www.theworld.org):
One of my visions for massage is that, through the exercise of meaningful touch, we can help to make the world come right. As we help people to reintegrate their body, mind and spirit, we also facilitate them in acting with greater compassion and awareness. Although each contribution may be small, the totality of all the contributions can be great. One of the things that this presupposes is that, upon entering massage, we each must commit ourselves to a life-path of learning and self-congruity. In order to become kinesthetic role models for our clients, we each must seek to heal and reintegrate within ourselves. This reintegration cannot be measured in classroom hours, but only in moments of connection and awareness.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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