resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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.
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.
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.
July, 2002, Vol. 02, Issue 07
The Big Picture on Milk Intolerance
By John Upledger, DO, OMM
There is a great deal of talk these days about intolerance and/or allergy to milk and other dairy products.
While it is true that many people experience gastrointestinal (stomach and bowel) problems when ingesting dairy products, totally eliminating them from the diet can potentially adversely affect health.
Dairy products seem to be the only presently known source of a carbohydrate (sugar) known as galactose.This substance is an essential building block for a rather complex family of chemical compounds named gangliosides, which are essential for the development and maintenance of the brain's gray matter. Without them, the nerve cells are unable to intercommunicate with peak efficiency.
Total absence of gangliosides can result in loss of brain function. However, if the deficiency is small, you may just have a little trouble concentrating or focusing on a task. At its most extreme, newborns and children on completely milk-free diets may not be able to develop to their fullest mental capacities.
Between 40 and 60 percent of the population have enzymes in their bodies called epimerases, which have the ability to convert glucose (the most commonly available sugar) to galactose. These people do not have a ganglioside deficiency problem, even if there are no dairy foods in their diet.
Those who are truly milk intolerant and/or allergic may be unfavorably reactive to either of two major components of milk - casein and lactose (milk sugar). Fat, another component of milk that can cause problems for some, is easily avoided with the availability of fat-free milk.
There is a way to determine which dairy component is the cause of an unwanted physical reaction. First, try some casein. If that is the offending agent, one teaspoon of casein in water, juice or food will produce a reaction within 30 minutes. If this occurs, you can most likely get along with lactose.
However, if casein does not produce a reaction, try lactose. One teaspoon of lactose, if it is the cause, will produce unwanted effects within 30 minutes. If the reaction does not occur, you can use lactose as a supplement. I recommend one teaspoon of lactose twice daily in water or juice, on food, or as a sweetener in tea. If lactose causes a reaction, take some galactose. If you can tolerate galactose, you have the option of taking it as a supplement on a daily basis. I recommend about half a teaspoon twice daily in liquids or on food. It is important to keep your brain in shape. I certainly suggest that if you are on a dairy-free diet, you take either lactose or galactose supplements. This is particularly significant for children, whose learning and function could be hampered.
While solutions to dairy-product allergy or intolerance exist, lactose, galactose and casein are a little hard to find. Your local health food store may carry them, as do several national companies. A quick search on the Internet will probably be worth the trip.
Click here for previous articles by John Upledger, DO, OMM.
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