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U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
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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