Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
February, 2001, Vol. 01, Issue 02
Attention to Learning
By Keith Eric Grant, PhD, NCTMB
The last couple of weeks, I have succumbed to the pleasures of revisiting some long fallow kinesthetic roots. When I was a graduate student in physics, I started taking massage and dance classes to enforce some sense of balance in my life. Surprisingly, many of the movements required to massage effectively seemed intuitive to me. Years later, when I began teaching massage, I realized the reason. There had been a period when, for much the same reasons of balancing life, I had baked the majority of the bread I consumed.
I learned to move with my whole body to knead the bread, rather than relying only on the easily fatigued intrinsic muscles of my hands and forearms. I developed a relaxed and steady tempo that allowed me to maul the dough into its required elasticity without tiring. I also developed my sense of touch, to feel the subtle changes in texture that occurred as the dough neared the point at which it was ready for its first rising.
Thinking back, as I recently made bread once again, I acknowledged that my first massage "instructor" used no words, but nonetheless gave me much feedback. From a behaviorist viewpoint, my attention and efforts were rewarded and reinforced by the bread I ate and shared with friends. When I began to learn massage, these neuromuscular patterns were already in place to transfer to a new and equally rewarding application.
What this story exemplifies for me is the diversity of kinesthetic and interpersonal skills that we bring to our first formal massage class. Both skills of interpersonal awareness and communication and those that require learning movement patterns can be transferred to new applications. Our minds and bodies don't care that we originally learned such skills for another purpose. Often, we learned them early and use them without being conscious of that use or of when we practiced and perfected them. In thinking of such skills as innate or intuitive, we fail to acknowledge those who modeled and reinforced them, in some instances before we had words capable of expressing our gratitude. We also fail to remember the amount of attention, awareness, and practice that was required of us. Returning our awareness to these early lessons allows us a model for what we already do well, and for extending our learning in new directions and to new depths.
Stages of Competence
Robert Jolles is a trainer of trainers for Xerox. In his book How to Run Seminars and Workshops, he presents a model for the stages of learning a new skill. The four stages are unconscious incompetence, conscious incompetence, conscious competence, and unconscious competence. Following this model, in the beginning we are unaware that we don't have a skill in place, and may also be unaware of our need for the skill. As we progress, we become aware that we need a skill and that we haven't mastered it. We then turn our focus and attention to learning and practicing the skill. Sometimes someone breaks it down into small increments for us; sometimes we practice the whole of what we see demonstrated as best we can. As we practice, we begin to learn new perceptions and motor skills that can add further refinements to practice. At last, when we consciously think about it, the skill is ours to use, and with more use and practice, the skill becomes natural and we begin to use it unconsciously. We have progressed through the learning stage, but over time will have to bring our attention back to it again and again to adapt to changing conditions, regain proficiency after a lapse of use, and keep current with new innovations.
Awareness Follows Attention
Learning occurs by becoming aware of interactions we previously did not perceive, and by consciously practicing movements until they become part of our kinesthetic vocabulary. In perception, awareness follows attention. As we consciously remind ourselves to attend to what our sense of touch is telling us as we massage a classmate or client, our awareness of differences in shape and tissue texture sharpens. As we consciously attend to nuances in others' gestures and body postures, our abilities to consciously be aware of the communications we are receiving increases. We can enhance our nonverbal perceptions by exposure, such as watching a movie with the sound off or observing the body motions of those con receiving increases. We can enhance our nonverbal perceptions by exposure, such as watching a movie with the sound off or observing the body motions of those conversing in a coffeehouse. Finally, as we practice movements with attention, we become aware of what we tried and what resulted. When we observe ourselves and noncritically note the results, we allow ourselves to learn new kinesthetic vocabulary short, habitual patterns of movement and balance that are the basis for our abilities to walk, dance, ski, play a musical instrument, and practice massage.
As we learn and practice, the behaviors and skills that are reinforced by our environment and our internal values take hold, as they did in our early lives. Given motivation and a gentle hand, there are few limits to what we can accomplish via the direction of our attention.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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