resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
November, 2001, Vol. 01, Issue 11
Bringing Relief to WTC Rescue Workers
Masssage Services Provided at New York City's Stuyvesant High School
By Liz Pasquale, LMT
Editor's note: Liz Pasquale is a licensed massage therapist in private practice in Ossining, New York since 1993.Liz and fellow massage therapist Susan Galbraith (who took the photos presented in this article) were two of many health care professionals providing care to rescue workers at Stuyvesant High School, only a few blocks from the World Trade Center.
The airplanes hit the Twin Towers on Tuesday, September 11th, at about 9 a.m. The next morning, I called my friend, Dr. Antonio Abad. He told me he had gone to the towers Tuesday morning to create a triage center at Stuyvesant High School on Chambers and West Side Highway, about two blocks from the site.
I asked him if he needed my help. "Come on down," he replied. "I don't know if you'll be able to get in, but if you can, we could use you."
It was a sunny day as I walked toward the black mushroom cloud. Emergency vehicles passed every few moments. The scene was overwhelming. I almost wished the guards would stop me, but no one did. In fact, I was given a ride to the door. I stepped out of the van into a sea of billowing dust, smoke and people rushing about in protective clothing.
It no longer seemed like New York at all, or any other place I knew. It was a war zone. I felt like I'd left my home state light years behind.
Asbestos Dust Coats the Air
The wind carried swells of dust into the school with us. It covered everyone. We looked like we were all wearing the same gray uniform.
Signs said, "Asbestos levels high. Please wear a mask." Almost everyone had a paper or surgical mask, generally hanging casually around his or her neck. None had filters. I placed one over my nose and mouth, though I suspected it was no good for asbestos.
I found my friend, Dr. Abad, and he explained my job: to ferret out workers showing signs of extreme fatigue and stress. I was to get them to lie down for a massage. If I thought they were in really bad shape, I was to get him or her a nurse to check them personally. It was pure chaos. One floor housed the food, a central area of communications, and a long hall with cots set up. There were IV units, medical supplies, doctors and nurses everywhere. The police and firefighters were in the school theater.
Everything was covered with that dust. With each step, it clouded around us. The communications center had no phones - the electricity was out. People would just come into the center of the room and ask for whatever they needed. The person behind the desk would shrug. Somebody in the crowd would overhear and point in the right direction, to a police officer or an army staff person or an emergency vehicle out front.
Generators provided the limited electricity we did have. The toilets had just gotten up and running again, for the first time since Tuesday. There were upwards of 200 people rushing about in the dust clouds, eating, organizing, talking, medicating. And always a few search dogs.
A Firefighter Shares His Sorrow
I found a dusty massage table in the midst of everything, so I took it upstairs and found a clean, quiet room. It was filled with school desks and historic pictures showing a barricaded village at the tip of Manhattan. Dr. Abad brought in a middle-aged fireman. I'll call him Paddy O'Flannery.
Paddy was covered with the asbestos dirt. On top of his clothes he wore fireproof gear. He took off his boots, and I had a moment of doubt. How was I going to feel anything under his gear? I decided to start with lymph drainage therapy and began at the clavicles. I could get my hand on the skin there. After that it was easy. The lymph rhythm actually came to me through the gear. I was in it.
Paddy was a chatty guy, but his significance detector quickly indicated we were in deep stuff. He said he had been home when he saw the TV report shortly after 9 a.m. He got over there right away. That was his home turf. He had wondered if his guys were dead already.
When he arrived, he was so glad to see they were all there. A fireman named Ray Downey walked over to them. "Ray Downey is a god," Paddy said. "He's got a chest full of medals. I've been in this business 15 years and I've got two puny medals. He's got a million of 'em. And he went to Oklahoma. Everywhere there's a big fire, he goes.
"So he walks over to us and says, 'Hey, why don't you stand back a bit. This is looking pretty sketchy.' So my guys turn around and start to walk back, and the other guys next to us walk to the right. All those guys, my buddies who walked to the right, they all got it. All gone. And my guys, we were running for our lives cause at that second it all comes down.
"And Ray Downey is gone. Thirty seconds after he told us to get back, gone. He was a god to us firemen."
A Stairwell Landing Becomes a Crossroad of Care
I noticed that a few chiropractors had set up on the landing between the first and second floors, so I joined them. We were between the door and the food, so everyone saw us when they passed. It was a never-ending stream of people carrying supplies, talking, and kicking up dust. Yet even in the chaos people would get up from the table after their sessions and say, "That was the most relaxing massage" or " I feel like I've slept for a week."
For days we treated overworked, traumatized firefighters, police officers, rescue workers and debris diggers. Some of them were brought there by their bosses and slumped onto the table wearing whatever they had on - bunker pants, harnesses laden with clips and ropes, gun belts, flashlights, pockets filled with tools. All covered with that gray dust. I had started working on Thursday. By the time most men reached my table, it was the first break they had allowed themselves since they began Tuesday morning.
I got into the habit of starting with lymph drainage therapy because it immediately relaxed them. Working over their clothes was no problem. I'd switch to CranioSacral Therapy, then to visceral manipulation as we went along.
Other massage therapists soon joined me. Eventually, we had about six or seven chairs and four tables set up. Most therapists were doing Swedish massage over clothes. Some did acupressure and shiatsu, while others worked on floor mats. After four days it grew to be 12 to 15 massage therapists on the landing, with two or three chiropractors who had moved to the 3rd floor.
A rough schedule evolved. It became busy around 9 p.m. The therapists were swamped straight through until dawn. Most of us worked without a break as long as there were men waiting. The funny thing was, I never felt tired. When people did, we would badger them to take a rest.
Then morning came and the night shift would leave. I'd have breakfast, shower, and sleep. Fresh faces would appear to man the day shift, which wasn't nearly so busy. I'd work on and off during the day when I wasn't napping. Then in the evening we'd be ready to start the all-night massage marathon again.
Emotional Releases Run High
Ordinarily in my practice, about 20% of my clients - usually people I'd seen a few times - experience an emotional release. But here, more than 80% of these men discharged their emotions, often in the first 5 to 10 minutes. Most of them I'd never met, and they'd never had a massage before.
This is how it went: First I'd give each man some water when he arrived. A quick evaluation always pointed to restrictions of the thorax: compromised lungs. This wasn't surprising, since they'd all been inhaling smoke for hours. Grief appeared to be omnipresent at the heart level.
I would check the cranial rhythm, which usually seemed shocked - very faint or completely stopped. Then I'd start with lymph drainage therapy at the clavicles, proceeding up the neck to the face. That's when the sudden presence of tears rolling down the man's face would alert me.
Only one policeman cried in silence, not telling me his thoughts. All the others related some traumatic event, usually involving a search through the debris.
Afterward, each man would continue to process quietly in what resembled a deep sleep. I would continue following the body, doing CranioSacral and visceral work. By the end of the session, the cranial rhythm would have revived somewhat, even approaching what one might consider normal. I often ended by inducing a few still points or returning to lymphatic work.
Memories Help Ease Fluid Dynamics
Before this tragedy, I had just returned two weeks prior from an Upledger Institute workshop in the Bahamas. We spent four days on The Upledger Foundation's boat, and had two sessions swimming with dolphins.
During the day we did bodywork in the warm, shallow water at remote beaches. The movement of the ocean became integrated with the cranial and lymph fluids we were palpating, which helped facilitate healing.
Now as I worked on this crowded, noisy, dirty balcony, I drew on that experience. I imagined all of us at the beach, immersed in water, using that vision to access each man's internal ocean. I imagined dolphins assisting us. As I did I gained easy entry into each person's fluid dynamics, and together we moved toward healing.
I worked on a man named Michael, who was there with his dog, Max. They had driven up from Mississippi in record time. "I saw it on the news at 9 a.m. By 11 a.m. I was 300 miles away, headed here," he said. "The police in my home state gave me an escort, changing as I crossed each county line. After I left Mississippi, each time a cop stopped me and I told him where I was going, he waved me on."
Michael had trained Max himself, and they had had a good day yesterday. But today was Max's best day. He found 17. "Most were parts. Confused the bejesus out of Max," Michael said. "He's not used to this. But neither am I. That's why I don't do this anymore. I usually train. I just come out for the big stuff. Like Oklahoma. But this is the biggest. Today we found a kid's hand. I can't take this anymore. I lost a kid myself, so I just can't take it." After I finished working on Michael, I worked on Max.
Light Touch Brings Profound Results
Later that night, Dr. Abad and I met privately. He wanted to know how it was going. When I told him most of the men I was seeing were having emotional releases, he was shocked. I told him it was the nature of the work. Lymph drainage moves fluids and tends to draw emotions out of the places they're buried. CranioSacral Therapy and visceral manipulation have the same effect, I told him.
"Keep it up," he said. "The others are only massaging for 20 to 30 minutes, mainly doing muscles. What you're doing is different and very helpful." At that point, I felt like every workshop I'd ever taken had led me to my work here, one week in time.
Sorrow Reflects Off the Altered Skyline
It was 2:30 Friday morning. The massage tables and chairs were full, and there was no sign that it was the middle of the night. As I gazed out the window, I was constantly struck by what wasn't there. I never thought in my lifetime there would be no Twin Towers. I remembered years ago when they were first built. People said they were so tall they might just fall over.
James was a volunteer from Connecticut. His boss's daughter was on Flight 11. He was working in the rain. Lasers are trained on the buildings still standing, so the emergency personnel can tell if they're going to fall. When the buildings move, they trip evacuation alarms. The rain had made the buildings heavier and the alarms were going off.
"Scariest thing I ever heard," James said. "I heard that alarm and ran as fast as I could. Everyone was in a panic. I saw a girl get trampled. They knocked her down. A fireman stopped to help her out. I just had to take a break after that."
Another man, Mario, began to shudder during his session. His body jerked as tears streamed down his face. "It's not right," he said. "I pulled a young woman out of the rubble today. She was in terrible shape. She was dead. She had red fingernail polish," he sighed deeply, "and no head."
Common Cause Transcends All Barriers
And so it goes, night after night. Generally, it seems to slow down during the day, pick up around 7 or 8 p.m., and then gets really busy around 11 p.m. and stays that way until 4 in the morning. By the fourth day, someone actually made a 3 a.m. appointment with me.
Eventually, I had a real respirator that filtered asbestos. I worked and slept with it on. Other supplies were plentiful. One hallway was packed with donated clothes. New socks, underwear, t-shirts, even boots. On the 5th floor I could take a shower, even a hot one by the fourth day. There was shampoo, soap, towels, toothbrushes, deodorant, anything you could imagine. The generosity was overwhelming.
And the food was really good. They eventually got the 7th floor kitchen operating, so the city's great restaurants started sending their chefs to our kitchen to cook. Hundreds of workers came in every day to help with it, all of them volunteers. Many lived here and just walked in when the trouble began. Others came from up and down the East coast.
"The Department of Health was in here today," Suzie said as I worked on her. "They told us to leave because we're not their employees. So I asked them, 'Who's going to feed all these people?' Now they're letting us stay."
So here it is, five days later. I'm still wearing my respirator and working on people wearing flak jackets, bunker pants, harnesses and gun belts. One man asks me if I've had a lot of marriage proposals this week. "More this week than ever in my life," I reply, my voice contorted by the respirator. "And they haven't even seen my face." He laughs and says, "We're not marrying your face. We're marrying your hands."
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