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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.
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.
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...
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.
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.
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.
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."
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.
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.
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.
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.
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.
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!
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.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
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.
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.
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.
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.
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.
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."
October, 2001, Vol. 01, Issue 10
How to Say "No" When Your Client Says "Yes," Part III
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Author's note: since this article was written, our lives have been changed forever. For all the people who lost friends or loved ones in the terrible events of September 11, 2001, my heart goes out to you.Words are useless, but prayers are unceasing.
In my August 2001 column, we began to look at the delicate conversation that must occur when a bodyworker observes some sign that renders planned type of session impractical, or even potentially hazardous. What do you do? What do you say? Here's a basic formula:
These three steps can frame most difficult conversations with clients about anything, from an undiagnosed skin rash to chronic lateness. (This column is dedicated to discussing the role of massage in the context of disease and illness, however, so that's what we'll focus on here.) This formula can allow therapists to be kind, compassionate, caring people, who are still allowed to have boundaries for safety and professionalism.
As promised in my last article, here are some further guidelines that should flavor this difficult conversation:
No one looks forward to these conversations, and no one thinks they're easy. But as the number of people seeking massage increases, the possibility of seeing someone with a serious condition gets greater and greater.
Here is a case in point, from one reader:
It is quite possible that the therapist saved this man's life; appendicitis is notoriously hard to diagnose, but she recognized some important signals and terminated the session, so that he could seek the appropriate help.
Here's another example, from Wayne in Palm Springs:
These stories illustrate how close we are all the time to accidentally doing harm, even with the best of intentions. I've received other letters about working with clients who didn't share some important information on their intake forms, or clients who refused to fill out intake forms at all, and other circumstances that made doing massage as a career sound much more exciting than most of us probably planned on!
This issue of "How to say 'No'" seems to have hit a chord with many therapists, and it seems important to keep exploring it. For next time, I have two things I'd like to address:
I have no useful advice to offer Sharon, except that which she had already planned to do: consult with this client's health care team. But since this newsletter goes out to some 95,000 therapists, it seems likely that some of you might have had experience with clients in this situation. Do you have anything you'd like to offer Sharon, or other massage therapists working with clients who have shunts? Thanks in advance for your input!
Until then, good health, happiness, and blessings...
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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