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Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
October, 2001, Vol. 01, Issue 10
Carol Kane Neilson, CMT
By Claudette Laroche, RN, LMT, NCTMB
Author's Note: Professional of Note is a column devoted to recognizing individual practitioners and what they are contributing to the profession. Each article highlights a unique feature of a practitioner's professional practice.The purpose of the column is take note of people who are not necessarily nationally known, but who are nonetheless making a significant contribution to the field. If you've ever experienced a helium balloon ride, you know the feeling of peace as the balloon lifts with a surge, then smoothly takes its course: soft as a whisper, but strong in its hold.
This is how I would describe Carol Kane Neilson's "takeoff," literally and figuratively, when she births and develops ideas. Her current passion, a unique, first-of-its-kind program, is the Vermont Race for the Cure Breast Cancer and Massage Project.
Carol's idea was birthed after attending the AMTA National Conference in Washington, D.C., in October 1998. At the conference, Carol took Cheryl Chapman's workshop, "Introduction to Mastectomy Massage." By the time her return flight landed in Vermont, Carol had a proposal outlined on her laptop computer. Within three days, a venue, presenter, and funds to operate were in place. Cheryl Chapman of New Jersey jumped at the chance to teach; the Vermont Race for the Cure event in Manchester, VT would be the site; and funds would be provided by the Vermont Committee Against Breast Cancer.
Talk about passion and motivation!
Carol's goal was to combine the Vermont Race for the Cure fundraiser for the Susan G. Komen Foundation with a free massage clinic for breast cancer survivors, along with a mastectomy massage workshop for massage therapists. The therapists would also partake in a sports massage workshop, preparing them to provide pre- and post-event sports massage the morning of the running race. Fellow massage therapist and partner George Glass, LMT, would teach the sports massage component and oversee the sports massage the day of the race. Carol organized, planned, implemented and oversaw the entire project through its debut in July 1999. Forty-eight massage therapists from the northeast attended the program, providing massages to 55 cancer survivors and sports massages to 330 race participants.
Carol decided to continue the quest for more sponsorship. To implement her goal of seeing this project spread to a national level, she prepared a grant proposal to present to the Komen Foundation. It was a lengthy preparatory process, one that successfully set her course.
As a result, the second massage workshop, held just prior to the July 2001 Race for the Cure event, was funded through a grant from the Vermont Affiliate of the Susan G. Komen Breast Cancer Foundation. The workshop was sponsored by the Vermont Chapter of the AMTA, Carol, and George Glass. Also obtained were a major anonymous donation from the community and services from Ignition, Inc., a local marketing firm.
The Susan B. Komen Breast Cancer Foundation was established in 1982. It is "an international organization with a network of volunteers working through local affiliates and Komen Race for the Cure events to eradicate breast cancer as a life-threatening disease." In addition to funding research, the Foundation and its affiliates fund community-based breast health education, breast cancer screenings, and treatment projects for the medically underserved.
The 2001 workshop, attended by 38 therapists, emphasized physiological and emotional benefits of therapeutic massage, as well as positioning and massage techniques for the breast cancer client. According to Carol, "the workshop blends theoretical information with clinical expertise. It provides unique training and then the opportunity to apply the new knowledge in a hands-on situation at the massage clinic for survivors the day before the race." She also mentioned that the free massage session, given by the massage therapists who were trained in the workshop, is self-directed by the receiver -- the breast cancer patient/survivor. The therapist takes his or her cue from the person receiving the massage, and only goes as far as the person is comfortable. At the 2001 clinic, a record 79 sessions were given to survivors!
Carol highlights the essence of what transpires this way: "For the survivors, being comforted with touch is a wonderful thing. For some of the women it is their first experience being touched after their surgery or radiation treatment. It is often very emotional, but we provide a safe place for the massage."
Cheryl Tardy, a massage therapist from Maine, wrote to Carol after the workshop to tell her "...what a profound experience I had. I returned back to practice as a much better therapist."
Susan Rawls, a breast cancer survivor and Carol's client of one year, said: "I can't believe the difference in one year, how good I feel and how much I am able to do. It's a wonderful place to be. Massage was a medical necessity that helped me regain more than 60 percent mobility in my shoulder after completing treatment for breast cancer in late 1999." Susan has continued with weekly massage therapy, which she credits as "essential to my health and the hope that massage therapy will become a standard treatment in breast cancer recovery."
Carol and her partner George have just moved into a new healing arts center, Mountain Healing Arts in Manchester Center, Vermont. The center houses seven treatment rooms, allowing for three massage therapists, one acupuncturist, one psychiatrist and one physical therapist to provide services.
Working on clients five days per week, Carol averages 36 client massages per week, all hour-long sessions. (More hours than I like doing in a week!) Her focus in her practice is medical injury rehabilitation and recovery. Techniques she employs are neuromuscular, deep tissue, myofascial release, and muscle energy release. She has been in practice for 10 years, and clients come to her primarily via word-of-mouth.
Carol also takes care of herself by receiving a weekly massage from her partner. When I asked Carol what she does for physical exercise and stress relief, she quipped "I muck the barn and load the elevator with bales of hay!" In her spare time, she oversees the care of her "menagerie of five horses, 10 cats, four dogs, and three birds," calling herself an "animal drunk!"
Carol, who graduated with honors from the Boulder School of Massage 10 years ago, is active in the AMTA Vermont Chapter, serving as secretary and education chair. She also is the wonderful DJ for the dances at the New England Regional Conference held every March. I would describer her as focused, detailed, organized, compassionate and passionate about whatever she does.
At the AMTA National Convention in September 2000, Carol received the AMTA National Humanitarian Award for her dedication in caring for breast cancer survivors.
Carol's long-term goal is to implement her model project in towns and cities across the country. She hopes that future funding will be made available for national promotion through a public relations firm that would like to donate some of their time as a community service. Because of Carol's dedication of time, energy, spirit, and love for humanity, I'm sure her goal will be realized.
This article is especially timely because October is National Breast Cancer Awareness Month. If you would like to make a donation to the Komen Vermont Race for the Cure, please send it to:
Your donation may help achieve Carol's long-term goal of having model projects across the United States!
Click here for previous articles by Claudette Laroche, RN, LMT, NCTMB.
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