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Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
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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