resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
March, 2001, Vol. 01, Issue 03
Creativity and Cooperation
By Keith Eric Grant, PhD, NCTMB
Ten evenings of filmmaker Ken Burns's documentary on the history of jazz have impressed me in ways that spill over from the purely musical. Interwoven within the sound clips, biographies, and cultural history were themes on creativity and cooperation. I believe these themes are important to massage as we continue to explore, and struggle with how best to create an attitude and context for our own learning and practice. Using these themes from jazz as a lead-in, I'll give a brief overture to some observations on creativity and cooperation from drawing and systems thinking, leaving more thorough development for future columns.
One theme vividly expressed by the documentary was how much the ability to create and innovate depended on inner drive and on exposure to other innovators in short the creative context. When a situation became stagnant and overly formalized, the cutting edge of innovation moved on to a new source and venue. A second theme expressed throughout the series was the delicate balance between implementing individual agendas and being sensitive to the feedbacks and interactions with the total system of other musicians participating in a session. Wynton Marsalis most clearly gave voice to this balance:
A final theme from jazz that I want to underscore is the respect and acknowledgement given to individual virtuosity, rather than to a common standard. Bandleader Duke Ellington orchestrated his compositions to showcase the particular skills of members of his band, rather than for generic trumpeters, saxophonists, and drummers. As massage therapists, we too will benefit from respecting and giving appreciation to each other's massage skills and approaches, even when they differ substantially from our own goals and practice. Being dismissive and coercive are sour notes.
Playing music requires mastery of individual phrases, which in turn requires mastery of individual notes and relations between them. Slowing down to perceive the details is not unique to music. Art instructor Betty Edwards (Drawing on the Right Side of the Brain) observed that she could talk about drawing or she could draw, but that it was extremely difficult for her to do both at once. She hypothesized that a shift in processing mode was occurring. When she was talking, her mind was operating in a verbal-symbolic mode that largely ignored details. To draw successfully, she needed to shift away from symbols into a mode of perception that attended to the details of lines, shapes and shading. We make this same shift when moving from the concept of a muscle into feeling it take form beneath our fingers, as a client engages it ever so slightly.
Professional negotiators have made parallel observations. The inability to find consensus often stems from becoming stuck in symbolic positions, rather than from irreconcilable differences in actual needs. In debates about massage education, we play out this theme by arguing about the need for hours of education, what I call "round hour syndrome," rather than letting the required hours flow naturally from a determination of the need for specific educational content. When we discuss the need and timing for specific content, the discussion becomes much more concrete and much less postural and divisive.
Jazz improvisation depends on interaction. It is a dynamic process of listening, adding something new, and then listening for the response. At an intuitive level, jazz musicians become masters of systems thinking the acknowledgement of the myriad interconnections and feedbacks between individual components of a total system. Given such feedbacks, you can never change just one thing. Like the musicians in a jam session, all other aspects of a system will respond to any change introduced. If you focus too much on any one area, it's always done at the expense of everything else. Getting the right balance is an art, not a given.
These relatively simple postulates of systems thinking have profound implications for massage education. Massage educators may assume that kinesthetic and interpersonal skills will always be the strengths of entering students. Rather than teaching towards the totality of what we want to produce, we are tempted to simply continue former practices with the application of an enhanced anatomy and physiology "Band-Aid." Not only is this extremely bad thinking from a systems approach, but, as massage attracts a wider range of students, it's often less and less true, even as a first approximation.
Education can act as a filter and an enhancement. Ultimately, our profession will evolve from the details of what we explicitly value and nurture. My hope is that our ears and hearts will be able to hear the value of the melody and the interlacing harmony within our diverse profession. May we remain flexible enough in our personal agendas to listen to each other, and to let those entering our art find their own expression of virtuosity within it.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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