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Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
January, 2002, Vol. 02, Issue 01
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
I'd like to take this opportunity to thank you all for your support on this, the one-year anniversary of my column and, coincidentally enough, of Massage Today! I appreciate your questions and suggestions, and I answer all letters.(If you wrote and did not receive a reply, your message got lost in a shuffle between new computers. Please try again.)
I thought this would be a good month to answer the most commonly asked question I've been asked: "How can I learn more, and what books do you recommend?" I'd also like to tie this question in to a much larger issue - how people portray themselves, particularly with regard to their training.
First off, qi is a completely experiential phenomenon; you cannot learn about it from books. It is energetic in nature and thus, elusive. There is absolutely no substitute for training with an experienced instructor. You can get an idea about the functions of qi, etiology, pathology and treatment strategies from books and articles, but it is not going to come together without someone to help sort it all out. Start collecting brochures from places that you know are reputable, such as www.aobta.org and other websites. Decide if Chinese medicine is really what you want to do, then figure out how to do it!
As far as books go, there is one that I recommend that, if you only buy one book for the rest of your life, get Foundations of Chinese Medicine by Giovanni Maciocia. It is not cheap, but divide the price up over the years that you will use it and it is clearly a bargain. Foundations of Chinese Medicine is the most readable, comprehensive text written in English (or Italian if you would prefer). Everything in it is applicable to shiatsu and Asian bodywork. If you also want an acupoint book, try Peter Deadman's Manual of Acupuncture. It is also expensive, but you'll never need another meridian and point location book. Either of these books can be ordered from redwingbooks.com, and AOBTA members receive a discount.
So, let's say you've read all my articles, and purchased and read both of the abovementioned books. Maybe you've even taken a weekend course. Are you ready to add shiatsu to the list of "specialties" on your card? Probably at this point you're response is, "Heavens no, of course not!" but I know for some it may be tempting. It seems fashionable these days to list many specialties on business cards, websites and other places.
One problem in doing that is, people are less likely to call you. Narrow down what you specialize in. Interestingly enough, the more you specialize, the busier you get! The public perceives those who claim to do many different practices as jacks-of-all-trades and masters of none. The public is accustomed to seeking out "specialists." There are obviously other reasons to seriously consider how you portray yourself.
How do you feel about people who say they do massage therapy after maybe only a few weekends of training? If you think this does a disservice to your profession, you may sympathize with how I feel. Substitute the word "shiatsu" for "massage" in the scenario above. It is painful for me to see people with little or no training portray themselves as shiatsu therapists.
I have been studying for over 15 years, and I have only covered the tip of the shiatsu iceberg. How much is enough? What is the minimum? Just as the National Certification Exam (NCE) is considered as entry level into the massage profession, the Asian Bodywork Therapy (ABT) Certification Exam, administered by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), is considered the benchmark in the field for shiatsu and ABT. Each exam requires approximately 500 hours of training as requisite; the curriculum requirements are separate but equal. Both the NCCAOM and the NCBTMB are NCCA-certified and members of NOCA. The NCCAOM also certifies acupuncturists and Chinese herbalists, has been in existence almost 20 years, and has exams accepted for licensure in over 40 states.
Do I think that there are excellent shiatsu therapists who have not taken the ABT exam? Absolutely! However, I believe that by taking the exam, they would benefit themselves and the field of ABT as a whole. Do I think that there are excellent shiatsu therapists out there with less than 500 hours of training in ABT? Maybe. But few would come close to having the high level of sensitivity, knowledge, assessment and treatment skills that I expect from an Asian bodywork therapist.
In Japan, 2,200 hours of training are required to practice shiatsu. I don't think Americans are ready for that benchmark yet, but maybe you see my point! I am happy to say that ABTs have a friend in their quest for practitioners to accurately and ethically represent themselves. AMTA has received a lot of bad press due to "the lawsuit," and I really think it's a shame.
I know Cliff said that he didn't want to appear biased in his last editor's column, but I am fine with coming out as very partial to AMTA and its current board of directors. I personally prefer to be represented by an organization that is membership-driven, nonprofit and that supports high educational standards in the field. I know many of you find that other organizations better fulfill your needs, and I respect everyone's choice!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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