resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
May, 2002, Vol. 02, Issue 05
Intention and Touch
By John Upledger, DO, OMM
One of my first windows into the impact of intention opened in the late '60s, when I was beginning to use acupuncture extensively. At the time, we had free clinics in Clearwater and St. Petersburg, Florida.Acupuncture was particularly attractive because it was cheap and did not involve drugs. Many of our patients had been active drug abusers, so the fewer pills we used, the better.
Oddly, we found that some of us could do acupuncture with great success, while others didn't get the same effects, even on the same patients. At first I thought this was due to suggestion, so we tried to control any positive or negative comments about our expectations. We even went so far as to say nothing at all to patients before, during or after the treatment.
The strong correlation between the results seemed attributable to the unspoken attitude of the therapist. Those of us who had seen acupuncture work and believed in it got much better results than those who didn't or weren't sure. Two doctors who were performing it thought it was absolute "poppycock," and didn't get good results at all. Yet I often treated the same patient the next day and got positive results immediately.
It was easy to test acupuncture in this fashion, because the results occurred before our eyes. Pain went away. Breathing in asthmatic and emphysema patients improved. Cravings for certain addictive drugs, such as heroine, subsided. The red-hot rash of shingles faded - as long as the acupuncture was performed correctly by a practitioner who had confidence in it. Our saying became, "It isn't where or how you put the needles in, it's who puts them there that counts."
That's when I realized just how directly the therapist's attitude and intention affects the outcome of the therapeutic approach. And this seems to go well beyond technique or the power of suggestion. Surgeons who are in a good mood or are generally happy seem to get better results than chronically angry, cynical or depressed surgeons. In the same way, hands-on therapists who are happy, trusting and confident get better results than those who are not.
Sister Anne Brooks was one person in my life who demonstrated the power of intention to me on many different levels. I first met her about 30 years ago, after she had canceled three appointments and finally showed up for the fourth.
Sister Anne had applied to work as a volunteer at our St. Petersburg free clinic. She wanted to work with needy people, and she had heard that our clinic serviced the kind of people she wanted to help.
Our program director, a young man named Butch, interviewed Sister Anne and suggested she see me. Dependent upon a wheelchair, she had been struggling with what was diagnosed as rheumatoid arthritis for the previous 20 years or so. At the time she met Butch, several of her doctors were recommending she have both of her hip joints surgically replaced with artificial ones.
Butch told her that if she wanted to work in our free clinic, she would have to see me about her hips. He explained that I did some rather offbeat things, including acupuncture, hypnosis, osteopathic manipulation, and a fairly good brand of general medicine. Apparently fear was a contributing factor in the cancellation of her first three appointments.
When we finally met, I was touched by her story. She had been the principal in a ghetto school for some years and loved it. As her disability and pain worsened, she was transferred to a school that serviced mostly upper-middle-class children. Yet she wanted, she needed to put her efforts into helping the poor and needy. This is what brought her to our clinic: to nearly beg Butch to allow her to volunteer her services. Had she not wanted to work for us so much, I'm sure Butch would not have been able to convince her to see me.
During that first visit, I began using acupuncture and CranioSacral Therapy, and I gave her advice on nutrition and vitamins. I couldn't do any traditional osteopathic manipulation - to touch her body between the waist and knees to manipulate bone or even deep tissue was to make her scream in pain. I couldn't see how this poor lady was living like this. Her blood tests for rheumatoid arthritis were positive.
I set up weekly appointments with her. We soon discovered that acupuncture, when appropriately applied, completely relieved her pain. In a few weeks we found that one acupuncture needle inserted in the end of her right middle finger for 15 minutes a day controlled her pain enough so that she could get out of her wheelchair and tolerate more traditional osteopathic work. In my opinion, motion is necessary for health, so we worked very hard to reestablish movement of the bones, joints and other tissues from her head down to her toes. I also believe that as the pain diminished, the nutritional changes began to take effect.
Sister Anne was almost completely rehabilitated within a year. She went on to work ceaselessly at our clinics (there were three by now), and eventually became our full-time director after obtaining permission from her church authority. Her blood tests for rheumatoid arthritis returned to normal after 20 years.
Sister Anne and the Upledger family became very good friends. When I moved to Michigan in 1975 to join the faculty at Michigan State University, we stayed in close touch. Her condition continued to improve. She didn't need my "doctor" work anymore.
She came to visit us within a year. She asked my advice about embarking on a program at the University of Florida that would lead to a degree as a licensed physician's assistant. She wanted to work at the migrant farm labor camps in Florida.
I suggested that, should she pursue this course, she would always be dependent upon the supervision of a licensed physician to do her work. Why not get her own doctor's license and be independent to do things as she felt they should be done?
After some discussion about her age, her lack of premedical requirements, and the difficulty in getting through medical school or osteopathic medical school and internship, she went out into the woods behind our house for a few hours. She did what deeply spiritual people do. Then she came back and said, "Okay, let's try it. What do I do next?"
I arranged an interview with the admissions officer of the College of Osteopathic Medicine at Michigan State University. He was so impressed that he asked me what we could do to get Sister Anne to apply there.
After obtaining permission from her mother house to venture into this new direction, Sister Anne completed one year of premedical work in St. Petersburg. Then she moved in with us in Michigan to complete her second year of requirements. Next came acceptance into the Osteopathic College and four years of very hard work.
After graduating with her Doctor of Osteopathic Medicine degree, Sister Anne moved to Detroit for a year-long internship, at which time she made an in-depth study of poverty-stricken and needy areas of the southeastern United States. She eventually settled in Tutweiler, Mississippi, where today she operates a busy clinic along with a tremendous emergency and family medicine practice. All of this from a woman who, in the mid years of life, was in a wheelchair, in constant pain, and contemplating surgically replacing both her hip joints.
I once asked Sister/Doctor Anne what she thought was the key to her healing. Without hesitation, she replied that it was 80 percent attitude and intention, and 20 percent the mixture of acupuncture, nutrition, CranioSacral Therapy and the rest.
We therapists should always keep in mind the tremendous power our intention, attitude and expectations have on our clients and their responses to therapy. A gloom-and-doom forecast by the health care practitioner may well cause the client to live down to that expectation. Fortunately, the reverse is also true. In Sister Anne's case, we just wouldn't take no for an answer.
Click here for previous articles by John Upledger, DO, OMM.
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