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Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
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.
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.
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.
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?
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
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.
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.
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.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
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.
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.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
June, 2002, Vol. 02, Issue 06
The Fifth Element: Integration
By Robin Zill, LMT
Author's note: The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the fifth article in a 12-part series and focuses on the fifth of the 10 elements: Integration.
It is no secret that the underlying saga of the modern American is often one of time-impoverished disconnection.The search for greater understanding of optimal health has taken our culture by storm. We know we have sacrificed our need for an integrated world view for one that emphasizes measurements, quantities, efficiency and money. We are finding out that such a view doesn't always work for us, or for future generations. The fifth element of the spa experience, integration, speaks directly to these issues. We define integration as the personal and social relationship between mind, body, spirit and environment. Located in the center of the circle, the search for personal integration is at the heart of the spa experience.
So, how does the global spa movement address the need for integration? After all, it encourages the need for evolution in industries such as medicine, beauty, resort & hospitality, massage, nutrition, and fitness, to name a few. But even the word integration has lost some of its original intent for the industry. "Mind, body, spirit" often means nothing more to the consumer today than a wellness clinic that has a doctor, massage therapist, nutritionist, and acupuncturist (or a host of other services) renting space under the same roof and sharing a receptionist. The client pays for each of the services separately, and there is no cost-effective way to use the knowledge of this eclectic team in a comprehensive and holistic manner that really meets the needs of the individual in a profitable business forum. We are evolving however, and the desire for the "spa experience" is increasing exponentially in almost every market segment. In order to create the next-century profession, we need to create a synergy between all the various market strands. We need a common language.
The Ousia* (oo SEE ahh) concept, built upon the 10 elements, has begun to define for me the importance of sharing our individual journeys with the goal of creating a new common language. We need to rediscover our roots and update our thoughts, theories, and values. The ousia philosophy consists of four steps designed to facilitate an integrated spa experience: insight, cleanse, nourish, and transform. The steps are based on the Asclepian healing journey of the ancient Greeks.
Asclepius was the god of healing. Those who sought healing began with a simple step: the decision to seek a healthier life. An individual had to walk to the temple on his or her own. During the journey, the seeker saw others returning from the temple. Already the healing journey had begun, because the seeker realized she was not alone. At the temple, she experienced the Greek comedies and tragedies. The arts reflected back the joys and pains of the human experience. (Every healthy culture throughout history embraced the necessity of the arts and beauty in the healing process.) This part of the healing process corresponds to step one: insight.
The next step in the journey is cleanse: the process of purification through water. The ancient baths and bathing rituals of this time attest to the importance of this. Asclepian guests enjoyed a wide range of bathing experiences that prepared them for the therapeutic and transforming experiences to come.
The third step in the ousia journey is nourish: to feed the body, mind, and soul what it uniquely needs. Whether it be food, exercise, massage, medicine, or counseling, experienced staff members find appropriate ways to customize the treatment for the individual.
In the Asclepian journey, the next part of the path was the most important to achieving personal integration. This was the experience of rest and dreaming, letting the unconscious speak. In ancient Greece, the seeker traveled down an elaborate maze-like corridor, eventually ending up in a dream chamber. Again it was up to the individual to ask for greater guidance through dreaming. If lucky, the seeker received a meaningful dream and in a sense were transformed. In order to complete the journey, the seeker needed to leave something of him or herself behind; a sacrifice for the next traveler on the healing path.
In The Web of Life, Fritjof Capra says it this way: "When we see a network of relationships among leaves, twigs, branches, and a trunk, we call it a tree. When we draw a picture of a tree most of us will not draw the roots. Yet the roots of a tree are often as expansive as the parts we see."
Integration demands that we not ignore the "roots" or the "leaves." When all the elements of a spa experience are achieved, they add up to an elusive wholeness. That wholeness brings balance to the cultural pendulum and leads to more integrated lives, rich in connectedness.
Remember, spa is a people's movement. Your voice is important. You can e-mail me at .
* Ousia (oo SEE ahh) : essence, nature; that which makes a thing what it is; a person or object seen from within, yet not a material substance. Applied to our search for fulfillment, ousia denotes divine essence.
Click here for previous articles by Robin Zill, LMT.
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