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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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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."
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
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.
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."
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.
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.
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.
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.
April, 2002, Vol. 02, Issue 04
The Phantom Massage
By Robert Stump, LMT, NCTMB
What follows is a personal account of an unusual massage... of a missing right leg.
A man and his wife sponsored a wedding party at our spa, with a day of massage provided for the entire party.The man and his wife were the last to arrive, because the man had to finish an IV at his doctor's office. Three weeks prior, his right leg had been amputated due to a bad infection. He did not have a medical release for massage, so we could not massage him.
That's where the story begins.
We catered food for the party, and offered the man and his wife a seat by the food table. Food was provided downstairs and the massages were provided upstairs. I gave the wife a short, quick head and shoulder massage, then left the two downstairs, as they both seemed relaxed and at ease.
I continued massaging other clients upstairs, but was called about an hour later, between massages, by the wife of the one-legged man. Apparently the man had fallen down two times before he arrived at our spa, and now was quite uncomfortable. The epicenter of his distraction/discomfort was an unbearable pain in the bottom of his missing right foot.
He said, "Bob, this pain is so bad that I can't stand it. It has been hurting for 12 hours now. Can you help me?" From his description of the pain, it sounded like his flexor digitorium brevis was paining him.
I said that we would help him. The man said that he would be grateful for any relief I could provide.
All the treatment rooms were full, so I sat him in the waiting room. I got a stool and towel and sat in front of him. I placed the man's left leg on my right knee and began following the form of his left leg from mid-thigh to foot, with my hands cupping his leg (like a light effleurage). I did this about five times. He was wearing shorts, so my hands were right on his skin.
Next, I turned my attention to the missing leg. It was a high amputation, at about mid-thigh. I cupped the air about an inch below the stump of his right leg and followed the outline of where I guessed his leg would have been. I followed down the phantom leg twice. No real effect. I went to the left leg and followed it down three to four times, and immediately went to the missing right leg and followed it down two times.
After doing this three times, something curious happened.
As I began to follow down where I estimated the right leg would have been with cupped hands, I began to feel a strong sensation -- what I guessed to be the aura of the missing leg. I went down it twice and then back to the left leg. After stroking down the left leg another three times, I turned my attention back to the phantom right leg again.
This time, I felt a clear outline of the missing right leg in my cupped hands. The energy was so strong that I felt I was stroking an actual leg. The man said, "Hey, I feel a twinge in the calf of my missing leg!"
At that point, the stump of his right leg began to gyrate as if it was moving his leg around. I went down the leg again, starting from about an inch below the stump, and felt the aura of the leg as strongly as before. He said that he could feel his calf and his foot as well as if they were there.
I moved back to the left leg again; this time, at the end of my downward stroke, I massaged the bottom of the left foot with the fist of my right hand. I massaged his left foot for about 1-2 minutes. I moved to the phantom right leg again and stroked down the leg to where the foot should have been. The stump of the man's right leg began gyrating again, and he said he could feel his leg again. As I held his phantom right foot, I cupped my left hand in back of the imaginary right foot and rubbed the bottom with the fist of my right hand. I left about the thickness of his foot between my left hand and right fist and massaged for about one minute.
The man's leg stump continued to gyrate as if I was tickling his foot and he was moving his foot around. Then he calmed down and said the pain in his phantom foot was gone. I stroked the air where his right leg should have been, as if I was doing finishing strokes, and did the same to his left leg. He was now calm and relaxed. He said he was grateful and that the pain in his missing right foot was gone.
We shook hands; I wished him a good day and good luck, and went about my other duties.
I still remember the wonderful feeling of helping someone in need with the special skills taught me by my expert teachers at the Cayce/Reilly School of Massotherapy in Virginia Beach, VA and by Mary Hannigan-Nelson (originator of La Stone Massage), who taught me to feel the client's needs with my heart and spirit.
Robert Stump is a licensed and nationally certified massage therapist who graduated from Cayce/Reilly School of Massotherapy in Virginia Beach, VA. He is also a graduate of Basic La Stone Therapy, and plans to become a hypnotherapist by year's end. Robert works part-time at local spa and full-time as an analyst with a technologies corporation.
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