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Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
March, 2001, Vol. 01, Issue 03
An Ethics Addendum
By James "Doc" Clay, MMH, NCTMB
In its recently issued Standards of Practice document, the National Certification Board offers two standards governing our treatment of each other namely, that we should:
These two areas of mutual respect deserve a closer look:
First, we are quite a motley assortment of practitioners, certainly more varied in our beliefs and practices than any other health profession.We might be ridiculed for it from the outside, but the fact is, that is our greatest strength. Our approaches have not yet been so thoroughly researched, documented, codified and standardized that anyone can say that this, that or the other approach is uniform and universal. This state of affairs may make it a bit harder for the consumer to decide which therapy (or therapist) to choose, but it also makes a broad variety of choices available.
One of the problems that this variety presents, however, is a kind of intense denominationalism among therapists, often amounting to cultism. Each developer and teacher of a new approach tends to offer his or her system not as a way to do bodywork, but as the way. It's very reminiscent of the proliferation of psychotherapies with which we were inundated from the '50s through the '80s, and the devotion to these cults has persisted in spite of research showing that no single psychotherapy was significantly more effective than another.
On a broader level, whole categories of bodyworkers turn up their noses at each other: the energy workers see the clinical types as materialistic and reductionist, and the clinicians sneer at the unscientific "woo-woo" approaches of the energy workers.
Lost in this struggle for "truth" is the client. The client wants something, and each of us is bound and determined that our particular approach will fill the bill. We all know very well that we must refer medical conditions to physicians, and mental health problems to counselors, but how many of us think to refer a client to another bodyworker when our approach doesn't seem to fit the client's needs?
I remember putting a lot of time and energy into convincing a client that his applied kinesiology sessions were a bunch of nonsense. All I did, in fact, was to provide him with increasing amusement, because he knew very well that the approach worked for him. And if a client knows that he or she is being helped, who am I to say that the client is wrong? It's all very well to have our beliefs, and to practice within their framework - but we have an ethical obligation, both to each other and to the public, to show respect for each other.
The second aspect of our ethical treatment of each other has to do with gossip. The ninth of the ten commandments tells us that we are not to bear false witness against our neighbor, and it's my guess that, right after the one about not coveting, it's probably the most universally violated.
There is a wonderful story about a man who hated his rabbi so much that he spread false rumors about him. He later regretted this behavior, and went to the rabbi to apologize, and asked him what he might do to correct the results of his actions. Without saying a word, the rabbi picked up a pillow and led the man outside, where a stiff breeze was blowing. He handed the man the pillow and told him to rip it open and scatter the feathers into the wind. The man did so, and the wind carried the feathers far and wide. Then the rabbi said, "Now go and get all the feathers and bring them back to me."
"But that would be impossible!" the man exclaimed. "They are scattered to widely for me ever to find them all!"
"And just as impossible," responded the rabbi, "would it be for you to bring back all the rumors you have spread."
When we believe that another therapist has behaved unethically or illegally, we have various resorts available to us. The NCBTMB has an ethics committee to adjudicate complaints about unethical behavior. In states with licensure, there are boards to receive such complaints. For illegal actions, we have courts of law. There are also civil courts. When we believe a wrong has been done, we obviously have the choice of reporting or not reporting it to the appropriate authority. But one resort to which we are ethically obligated not to turn is rumor and gossip, in the attempt to destroy a therapist's reputation. Such vigilante justice is clearly unethical, because it offers the accused no opportunity to mount a defense.
There are four things to remember when we hear of some unethical behavior:
Our professional organizations can set forth codes of ethics and standards of practice, but these are never the last word. The last word is the code of ethics inside us - one of self-respect and respect for others. That code takes precedence.
Click here for more information about James "Doc" Clay, MMH, NCTMB.
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