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Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
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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