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Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
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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