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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
October, 2001, Vol. 01, Issue 10
Who's the Smartest of Them All?
By John Upledger, DO, OMM
In 1960, my mentor, Stacy F. Howell, said to me, "Upledger, I don't know why we're so worried about the Communists. It's the viruses that are going to get us." Dr. Howell, a biochemist and 1937 Nobel laureate runner-up, was referring to the overuse of antibiotics that began in the 1940s and escalated in the 1950s.
How would this make viruses a more significant problem? In our view (I soon shared his perspective) a natural balance exists between bacteria and viruses. Viruses need bacteria to reproduce, and bacteria keep viruses under control. When a virus is through with bacteria, the bacterial cell simply dies. Nature has set up a system that prevents bacteria and viruses from overrunning each other.
The problem is, antibiotics kill bacteria, but not viruses. We'd gone on a "kill the bacteria" campaign that was irrational and out of control. Doctors gave antibiotics to almost every patient with a cold or sore throat, and they were freely used to prevent other infections. This abuse has only just begun to slow down today.
Let's look at this from the viral point of view. The virus uses bacteria as a host in which to reproduce, because it's not equipped to do so on its own - viruses usually contain only DNA molecules (though a few have only RNA).
DNA carries biological information. It determines, for example, the color of your eyes; how smart you'll be; what you'll like or dislike; even whether you'll be a nice person. The virus is mainly a sac full of information. Since other cells contain different things, it seems reasonable to say that, pound for pound, viruses are actually smarter.
The virus enters your body, perhaps through your lungs, skin or mucus membranes, then travels around your blood stream until it finds a cell to fool. Your cells are surrounded by membranes penetrated by channels that select protein molecules from your blood and intercellular fluids, to be used as building supplies. The virus somehow discovers what a given channel will accept, then imitates that molecule.
When successful, the channel opens and admits the viral molecules. It then transports the viral DNA or RNA to the host cell nucleus, where the viral DNA immediately combines with the host DNA and modifies it to suit its purpose.
Once in the host cell, a virus can quietly exist for as long as seven years, according to some estimates. When the virus decides to activate, the cell releases new viruses into the fluids and bloodstream, often at a rate of up to 500,000 per minute. Is it any wonder patients can get sick so quickly?
When we started our antibiotic rampage years ago, we began killing bacteria by the trillions. The viruses undoubtedly noticed a shortening supply of cell hosts and adapted to the changing conditions. Soon we saw colds and flus become more severe when antibiotics were used, probably because the viruses were forced to invade more human cells. In the past few decades, we've seen an even wider array of viral diseases -- consider not only HIV and AIDS, but the tenacity of herpes and the rapid-acting, deadly Ebola virus.
There's little we can do pharmacologically. Vaccines have some use, but their focus is narrow and viruses can quickly outwit them. Witness the variable success of flu vaccines. Each year the virus changes just enough to require a new formulation. So any victories we achieve using chemical agents will probably be short-lived.
This whole picture may seem depressing. It appears humans have little hope if viruses decide to take over the world. Yet my real encouragement comes from the intelligence of the human immune system, where the "use it or lose it" rule applies.
Our immune system can miraculously improvise and adapt, learning to resist bacterial and viral disease-producing organisms. But if everything is done for the immune system, as in the use of antibiotics or vaccines, we'll never achieve our full potential. We need to be exposed, in moderation, to a wide variety of antigens that stimulate immune responses, rather than relying on external medicines to cure us.
An effective immune system requires exercise; plenty of rest; healthy habits; good nutrition; only reasonable amounts of stress; and a happy emotional and spiritual. The immune system even responds to your thoughts -- if you think you'll get sick, you probably will. However, if you sincerely ask your immune system for help, and express faith and gratitude for its assistance, it will do its best to perform more effectively.
Viruses are smart, but you can help defeat them with an energetic, well-exercised immune system.
Click here for previous articles by John Upledger, DO, OMM.
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