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What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
June, 2002, Vol. 02, Issue 06
Symbol and Form
By Keith Eric Grant, PhD, NCTMB
Along the road to discovering how people learn to draw well, Betty Edwards began to realize that the problem was not primarily one of kinesthetic skill, but of seeing and perception. Students who learned to draw did so suddenly, not incrementally. One week, their drawings were stereotypic symbolic images, and the next week they were drawing proficiently. Then she found a new clue.
What Edwards concluded was that the brain hemisphere responsible for verbal-linguistic ability couldn't draw except in stereotypic symbols and that the hemisphere responsible for seeing in the way necessary for drawing was nonverbal. I am reminded of Edward's observation whenever I am demonstrating massage and attempting to describe my methods or am Scandinavian dancing and trying to converse. Kinesthetic/perceptual skills and verbal/linguistic skills simply come from different places. Doing both requires a lot of switching back and forth.
What has intrigued me further, however, are the differences Edwards noted between the detailed perceptions of shape and form needed for drawing and the simple symbolic caricatures offered up by the verbal-linguistic mind. There are other ways in which fixating on the symbol rather than switching our minds into the depths of the form can deceive us.
We often think of posture as if it had some independent existence. Yet, if we delve below the symbol, our posture is merely the relative positioning of parts of our body in the downward pulling field of gravity. If we simply lean forward slightly while standing, we can feel the posterior line of the muscles of our calves, hamstrings, and glutei tighten to keep us from falling forward. At the same time, our knees might lock in hyperextension while the intrinsic muscles of our toes contract to grip the ground.1 If we were to hold this posture habitually, the muscles of our posterior line and plantar foot would be working continually. At the same time, the mobility of our knees and ankles and their ability to absorb shock would be reduced. Over time, anterior line tissues would become shortened and weak, locking our bodies in this effort-filled position. From just this small example, we see how many clues to lengthening and releasing specific tissues we receive in going from the symbolic idea of posture to the specific dislocations that have occurred. Sometimes we talk about injuries to soft tissues as if they came in standard packages at the store. Yet again, in working with minor injuries we need to examine the specifics. What type of tissue was injured: muscle, tendon or ligament? What has been the effect of this injury in limiting tissue strength and restricting motion? Do we best create a change by applying compression, a lengthening stretch, or a broadening stroke across the tissue? All are useful but quite different techniques.5 How do we best position our client to facilitate access while keeping our own body mechanics effortless and efficient? Do we want our client to move a joint to enhance either tissue lengthening or broadening? Again, moving our focus from symbol to detail provides the clues.
It's easy to get stuck in the terminology we learn and miss the nuances of its application. In working with the shoulder and hip we learn words for position like flexion, extension, abduction, adduction, medial rotation, and lateral rotation. As we get into the specifics of assessing dysfunctions, however, we begin to realize that position isn't everything; that motion also is present.3 What can be confusing is that the words for position and motion are the same. We can have a motion of flexion in a position of flexion and a motion of flexion in a position of extension. We can also have a motion of extension in a position of extension or a motion of extension in a position of flexion. Similar combinations exist for abduction-adduction and medial rotation-lateral rotation. Again, it's in going beyond the terminology into the specific tracking of both position and motion that we begin to understand working with the shoulders and hips.
Beyond just shaping the work we do with our hands and hearts, the differences between symbol and form can shape our very perceptions of ourselves and of each other. People speak of having "high standards" for entry into practicing massage when what they mean is simply high requirements. In contrast, the Boston Marathon has clear entry standards based on a prior performance in another marathon. For the 18-34 age group, the required finishing times are: men - 3 hours 10 minutes; women - 3 hours 40 minutes. The conditions are measurable and unambiguous. They don't specify how many hours you have spent training, but they do specify what the result of that training must be. It is meaningless to talk about "high standards" apart from a specific context and a well-defined measure of attainment. Betty Edwards was right. The differences between symbol and form lie deep within the perceptions of our minds, and make all the difference in the world in how we draw our conclusions.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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