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Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
August, 2002, Vol. 02, Issue 08
Twelve-Step Program to the Post-ABT Exam Party
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
In my last column (in the June issue), I suggested how to organize a study group to learn the Asian medicine portion of the NCE. This seems to be the major concern of massage therapists taking the exam, even though it is well-known that the NCE can be passed without knowing the answers to any of these questions.Regardless, many people wrote saying that they appreciated the guidance. I also received letters requesting something similar to study for the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) Asian Bodywork Therapy (ABT) exam. I recommend that you use the outline that comes with the exam booklet! This article is based more on my shiatsu program. All of my graduates last year passed the exam, so you may be able to study and review this information and also do well!
If you plan on taking the ABT exam, hopefully you are already registered, as the deadline is August 9. This leaves you 12 weeks to bone-up on your traditional Asian medicine foundation concepts. Get together with as many as you can and commit to supporting each other in knowing this material cold. (Cold being yin, means you learn it to the deep dark depths of your being!)
A good way to organize your time is to divide these 12 "steps" by the number of people studying together, and assign who will teach each week. So if you have 12 people in your group, each person will teach one segment of this material one time. It's best to teach the information that you know the best, so you aren't just reading from a book. Make it fun and interesting, and include as many audio-visual aids as possible. Give out handouts. If you don't know what you are teaching at all, don't worry, you will know it by the time you finish preparing your lesson!
Also, have all the people who are not teaching that week write down five questions on the material presented the previous week. Start each class with a review from the previous week - it could consist of nothing more than answering those questions. Cut the questions apart (so that each question is on a separate piece of paper), put them in a bag and pass it around, randomly picking and answering questions. (This strategy gives everyone the opportunity to think about and consider each question, rather than people just calling out the answers.) You didn't have time to make up questions? Well then, you'll have to make up 10 for next week! A study group takes more of a commitment than just meeting once a week; you have to work at learning this information!
By the way, this system works for any number of people. If there are just two of you, alternate between teaching and writing questions based on the information you've learned the prior week. If it is just you, study the material in a methodical way, and compile a bank of questions to test yourself later.
12 Steps/ 12-Week Program
[Unless otherwise specified, the page numbers referenced in brackets appear in Foundations of Chinese Medicine by Giovanni Maciocia, Churchill Livingston Press.]
Yes, I omitted a lot of detail from this outline -- for example, just about all of the yang organ pathologies. That's because you need to pull back and focus on the big picture. You probably are not going to run across Heat in the Small Intestine in your practice and most people wouldn't consider it "entry-level" knowledge.
Yes, I also left out Western medicine. You need to have taken at least 100 hours of it to sit for the exam but it's such a small percentage of your knowledge base that I wouldn't spend too much of your time reviewing every muscle origin and insertion. (Just as I don't recommend massage therapists learn Asian medicine for the NCE, unless it was a significant part of training.)
I also didn't include questions on the different forms of ABT. Don't worry about the different techniques for styles you don't know. You couldn't possibly, nor would you want, to learn them all. It's more important to know the basic theory. Pulse and tongue is included in all 12 weeks. It's part of learning the signs and symptoms; for example, a reddish tongue for yin deficiency and a swollen, pale tongue for yang deficiency.
One last thing: several textbooks have test questions in the multiple-choice style used on the NCCAOM exams. Check them out to see if they might be useful. TCM Study Guide Series Acupuncture, Kang Tai Press, Chicago; and Tests: Chinese Acupuncture and Moxibustion, Foreign Language Press, Beijing.
Again, I am not telling you what is on the exam, but I am giving you an approach that I know works. I am committed to you succeeding; write me and let me know how you did!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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