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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
June, 2001, Vol. 01, Issue 06
When the Immune System Attacks, Ask Why
By John Upledger, DO, OMM
My life experiences have forced me to embrace a radical concept: tissues, cells, even DNA molecules each have their own individual consciousness.
This concept was not easy for me to accept.It flies in the face of my early psychological studies that focused on physiological and behavioral schools - virtually risk-free if your bent is toward the rational, scientifically proven, one-step approach. For me to consider that biosystems have individual consciousness was a huge leap of faith. My ongoing study of biochemistry has helped broaden my acceptance.
Years ago, I was extremely fortunate to have as my mentor Dr. Stacy F. Howell, the same man who discovered that enzymes were proteins. A Nobel laureate runner-up, he retired at the same time I received my doctorate in osteopathic medicine. As many do at that stage, Dr. Howell wanted to share the wisdom he had accumulated over years of teaching and research.
He showed me that each atom is a solar system: its nucleus is like the sun and its electrons are like the orbiting planets. He described molecules as interacting solar systems with tissues as mini galaxies. In my mind, he built a model universe composed of the atoms and molecules drawn together to create any matter or structure that might exist. The matter is the universe. Size is the only factor that differentiates what we consider our cosmic universe to be.
In short, Dr. Howell opened the door for me to welcome into my own consciousness the concept that organs and tissues, cells and molecules are individuals, much like people and animals. From there it was a short jump to accept the idea that each of these structures possesses a consciousness, and that each of these contributes to the next group consciousness up the line.
For me this was all happening in the early 1960s. Yet I continue to hold these concepts, not only because they still feel true but also because the model that has evolved from these seeds is extremely useful in patient care.
One recent example is Edith*, a 74-year-old woman who had been diagnosed at the Mayo Clinic with autoimmune disease of the liver. The first thing I did when she came to see me was put my hands to work. Using CranioSacral Therapy, I was immediately drawn to her liver and lower throat in the area of her thymus gland. Her craniosacral system vitality was also markedly reduced.
I blended with Edith and, as we became one, I was moved to ask her immune cells why they were attacking the liver cells. I asked her if she would allow her immune system components to speak with me using her vocal apparatus, and she agreed.
First, I asked her thymus gland if it would be willing to communicate. Edith's voice gave an enthusiastic "yes." So I asked the thymus if it knew about the immune cells destroying liver cells. Through Edith, the thymus explained that these were abnormal liver cells being destroyed. The attacking immune cells were macrophages working under thymus gland direction. I asked the thymus if it knew what happened to the liver cells to make them abnormal. Once again, the answer was yes.
Here's what I got: About four years ago, Edith had received x-ray therapy for some malignant growths that had been surgically removed from her colon. The effect of the excessive x-ray exposure was to change the nature [DNA] of some of the liver cells. These changed cells then divided and produced more abnormal cells. This had been going on for a while before the thymus received information about the existence and multiplication of the changed liver cells. Now it was the immune system's job to clear the abnormal cells from the liver.
It was clear to me that this "autoimmune disease" was the immune system's effort to restore the liver to health. I applauded the thymus gland and the immune system for removing the abnormal liver cells to protect the normal tissues from being invaded. However, Edith's blood samples had reflected liver cells being damaged. I explained that her body needed to construct new liver cells to take the place of the abnormal ones being destroyed.
Through Edith, the thymus agreed, so I suggested recruiting stem cells from the bone marrow to go to the liver and develop normal liver cells. Stem cells are capable of creating new and compatible cells in almost any tissue they visit. The bone marrow acts as a holding residence for these stem cells, where they await their instructions.
As I continued to communicate with Edith's body, I could feel energetic activity taking place under my hand. In less than a minute I could feel new and different activity in the liver. Toward the end of the session, I did some simple craniosacral balancing. Subsequently, Edith had six follow-up sessions with one of our staff therapists, who administered general craniosacral therapy.
Eleven days after her last session, blood tests showed significant improvement in liver function. Edith also reported much more energy and vitality. Repeat liver tests less than three months later were all within normal limits. Had we not established dialogue and rapport with the consciousness of Edith's immune sytem, she may well have been treated with immunosuppressant drugs to stop the macrophages from "attacking" the liver. The abnormal liver cells would probably have continued to multiply, and perhaps liver failure or possibly cancer could have resulted.
It certainly seems worthwhile to try something as harmless as dialoguing with the consciousness of body systems, organs and tissues before taking more invasive steps. Of course, it also requires more healthcare professionals to honor the possibility that cells have consciousness. I remember the teachings of Dr. Stacey Howell and continue to hold great hope.
*Name has been changed to protect patient confidentiality.
Click here for previous articles by John Upledger, DO, OMM.
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