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The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
April, 2002, Vol. 02, Issue 04
Landing on the Edge
By Keith Eric Grant, PhD, NCTMB
We all have pivotal times in life when we strive toward achievement and then, whatever the result, must regroup and move ahead to the next step. We often can't control the results or even our own exact input. What we can choose is our preparation, focus, and attitude. In the recent Olympics, there were stories in which such choices were compressed into the span of seconds.
Despite competing at the limits of their physical skill, there are times for elite athletes when their mental focus and physical coordination come together in striking fashion. Figure skater Sarah Hughes had started out her long performance in fourth place, seemingly out of the medal competition. Not having to hold onto a medal position, she was able to focus entirely on her performance. "I didn't want to skate for a gold medal," she said. "I went out and had a great time. I said, 'This is the Olympics. I want to do the best.' " What she created was a technically flawless performance that radiated a poise and joy of life that brought her the gold medal.
Norwegian skier Kjetil Andre Aamodt finessed the difficult course set for the men's Super-G, a course on which many of his competitors missed a gate and didn't finish. Whether it was the combination of experience and strength or just the right timing of practice and training, on that crisp bright morning in the Wasatch Mountains, it all came together for him.
These two stories are about entering flow, a term Mihaly Csikszentmihalyi uses to describe a state of focus and ease obtained "when a person's skills are fully involved in overcoming a challenge that is just about manageable":
Accepting the Risk of Failure
Using duct tape to bind together a broken boot buckle for his final race, snowboarder Chris Klug persevered and won the bronze medal in parallel giant slalom. Glad simply to be alive, liver transplant survivor Klug didn't have time to replace the snapped buckle in the interval between his two runs. At the starting gate, he felt the looseness in the boot, and briefly wondered if he could make it down the hill. "I just said, 'To heck with it,'" Klug said. "If this thing's going to work out, it's going to work out. If not, so be it. I just made the best of it."
Eric Bergoust, the defending Olympic gold medalist in freestyle aerials, engaged the risks to spectacularly win or lose, getting the latter when he was unable to hold the landing of a stunningly aerobatic high-speed jump. "I'm glad I didn't go out there and go conservative and finish fourth," he said. "I wanted to get the gold or last, and I got last." Within any "at the edge" accomplishment, there is both the opportunity for success and the risk of failure. Being unwilling to accept the risk of failure can be the greatest obstacle to success.3
Persevering with Tenacity
Brian Shimer, a five-time Olympian, finally won a bronze medal as the driver of one of tw o U.S. four-man bobsled teams, ending a 46-year medal drought in the event for the U.S. Bothered by creaky knees and calf injuries, Shimer almost didn't get to compete. "I did it on my last run in my last Olympics", said Shimer. This is a fairy-tale ending. Who doesn't like that?"
Croatian Janica Kostelic became a World Cup phenomenon in 1999 when she won two consecutive events. Later that season, she injured her right knee so severely that it was uncertain whether she would ever ski competitively again. In Salt Lake City, she set a record for the most alpine medals (four) ever won during a single Olympics.
Both Shimer and Kostelic succeeded through their tenacity against disappointment and physical obstacles.
Accepting Transitions with Grace
Whether we gain our goals or fall short of them, there is an art to letting go and moving on. All competitors eventually face the challenge of becoming ex-competitors. It can be harder to escape our spectacular successes than to leave behind our disappointments; harder to conceive of something new that seems as satisfying. Yet, deep within us, there is always the ability to find new challenges and to extend our connections and capabilities.
There comes a time, whether in starting a new practice, teaching a class, or just in beginning the next massage, that we must bring together our experience, accept the risks of performance, and tenaciously seek the zone of flow. Every massage has a beginning and an ending. For me, each new massage has that element of standing in the sunlight at the top of a hill, watching the snow sparkle before me. One last centering breath, and it's time to commit to my unconsciously stored practice and experience, landing on my edges as they carve the unknown slope.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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