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An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
October, 2002, Vol. 02, Issue 10
Leaping Into Space
By Keith Eric Grant, PhD, NCTMB
In the volcanic Shasta-Cascade region of northern California, the ice-cold waters of the upper McCloud River cascade over three spectacular waterfalls.4 Just above the lower falls is a relatively flat zone where layers of smooth rock, exposed to the late summer sun, define both shallow pools for wading and splashing and warm dry areas for simple reclining. Lying beneath the falls is a deep, emerald pool encircled by rocks 20-30 feet high. At one edge of the pool, a steel ladder, rising to the cliffs above, has been fastened to the rock. One by one, we accept the challenge of dropping from an overly hot summer's day off the cliff into the icy waters below. After watching how others take the leap (and miraculously survive), I stand with my bare feet on the warm smooth rock as I look down. A last moment of uneasy hesitation, a small impulse of my leg muscles, and then I feel myself dropping. The rush of the water enveloping my legs comes simultaneously with the sound of my splash. Then, it is cold and quiet, with a deep blackness below and a greenish glow of light above. An instant later, my head breaks the surface, breath returns, and I swim to the ladder for the climb back up; leaving the chill of the water behind, but keeping the exhilaration.
There are moments we face in life, much like my jump from the cliffs, when we must summon our resolve to move into the unknown. Sometimes those moments are the result of our seeing an opportunity for personal growth or more business and initiating a change. Sometimes those moments are the result of a door closing behind us, leaving us unexpectedly looking for a new door to open. Transition consultant William Bridges characterizes change as the shift that occurs in the external world, and transition as the internal "process of letting go of the way things used to be and then taking hold of the way they subsequently become". In between the letting go and the taking hold, there is a neutral zone that is both chaotic and creative.1 Bridges advocates examining change based on asking three questions. "What is changing? What will actually be different because of the change? Who's going to lose what?" 2 The questions clarify understanding of both the substance of the change and the inescapable process of having to let go of something familiar to create room for something new.
Since change is inevitable in our lives, we can help the process along by taking an occasional glance at the horizon. By anticipating changes before they arrive, we gain time to either change our own responses and skills or to seek a new situation. Some years ago, I took a row-it-yourself raft trip down the Green and upper Colorado Rivers through the rapids of Cataract Canyon.3 Each of us had a chance to be in command through at least one of the rapids. Before running each rapid, we walked ahead to look for the rocks and holes to avoid and the tongue of moving water to center on. Between rapids, we also looked for a place to "eddy out" and catch our breaths.
Doing what we can to figure out the directions in which to move, the places to avoid, and how to rest and recenter ourselves are as good strategies for career and life as they are for rafting. There are times, however, in both rafting and life in which our course doesn't play out as we have planned. When we are struck by a crisis, having an affirmation on hand for reaching down to our deeper strengths can help us to avoid being too paralyzed to find and take needed steps.
Sometimes the unknown isn't as much about external change as it is about feeling vulnerable while expanding the limits we've placed on our own behavior. On first entering massage training, for example, students may experience this feeling of vulnerability from greatly increased body awareness and touch interacting with previously unconscious scripts of body image and use. Bringing limiting body-connected scripts to conscious awareness and decision-making is a process of integration I refer to as "learning the names of our dragons"; an important step in sorting out the ways we will later nonverbally project and be role models for our clients.
Feelings of vulnerability also manifest simply from expanding our technical repertoire. I was recently reminded of this lesson in moving from my relatively "Mack truck" venue of sports and deep-tissue massage to take classes in lymphatic drainage. The subtlety of mapping the timing and direction of the waves of lymph flow stepped outside my previous skills to return me to feelings of novice ineptitude. I was immediately grateful for the shared warmth and support of my fellow students. Learning new kinesthetic skills is not instantaneous. During kinesthetic learning and integration we can often feel clumsy. Even previously mastered techniques can temporarily feel awkward before our kinesthetic vocabulary all comes together again.
Consciously creating the habit of taking small leaps into space makes us more adept at the process of our own transitions and better able to lend a hand to others. We let ourselves take more risks once we learn we are in an environment that is safe and nurturing. This type of environment is something we can work to create for others and ourselves.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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