Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
November, 2002, Vol. 02, Issue 11
Exploring with Science
By Keith Eric Grant, PhD, NCTMB
As a scientist, I am often bemused by the apparently prevalent assumption in massage therapy that the role of science is as a sort of gatekeeper of proven methods.It's an outlook that I believe is derived more from a limited view of science as a promoter of mechanical technology than from the spirit of inquiry that beckons most research scientists. I have long recalled an article I read years ago on why people enter the pursuit of science. The title was "Whoa, look at that!" That simple title captures the spirit of curiosity and delight at nosing into the unexpected and unknown, better than anything else that I have since encountered. It's in that spirit that I'm writing today.
We do well to remember the gap that can exist between observation and understanding. Herbs containing salicylic acid had been used for centuries to relieve pain and fever before aspirin was purified in 1897. It wasn't until 1971 that Sir John Vane demonstrated that inhibition of cyclooxygenase (COX) by aspirin was responsible for its effects, sharing the 1982 Nobel Prize in medicine for that discovery. Only recently, a research group led by biochemist Daniel Simmons of Brigham Young University discovered a new variant of the COX enzyme that might explain the previously unknown action of acetaminophen.13 For massage and simple touch, I believe that many of the effects will be even slower and more difficult to elucidate, simply because they extend beyond the mechanical into simultaneous emotional, neurological, and neurochemical interactions. As with the complex connections involved with climate, better understanding of the whole picture may wait on our ability to use computers to simulate the entire system at work. Increasingly, such simulations are becoming a third branch of science - bridging experiment and analytical theory - because they make it possible to investigate regimes that are beyond current experimental capabilities, and to study phenomena that cannot be replicated in laboratories.
Within the last several decades, there have been several medical research developments that create a basis for some intriguing speculations on the effects of touch. In 1975, Dr. Robert Ader coined the term psychoneuroimmunology (PNI), beginning a new discipline of research linking the mind to the immune system.2,12 A recent small sample study with cellular analysis is consistent with massage having a positive effect on immune function.8 I tend to couple the research on PNI with the research and clinical experience of ideokinesis pursued by Eric Franklin and his predecessors.6 This material connects our mental imagery with creation and activation of our low-level neuromuscular patterns. In juxtaposition, PNI and ideokinesis substantially motivate respecting simple touch and relaxation massage as profound and deep reaching interventions toward managing stress and promoting health.
In a comparison of the co-location of acupuncture points and trigger points, Ronald Melzack and his colleagues found a remarkably high degree (71%) of correspondence.9 They concluded that "this close correlation suggests that trigger points and acupuncture points for pain, though discovered independently and labeled differently, represent the same phenomenon and can be explained in terms of the same underlying neural mechanisms." Based on further research into phantom limb pain, Melzack's group later proposed that we have an inherent neuromatrix, essentially forming an analog body within us.7,10 This neuromatrix acts to integrate our myriad sensory input into a coherent perception of a body. It also has a memory of its current state, helping to explain hypersensitivity towards experiencing benign sensations as painful. As a bit of blue-sky thought, I speculate that this research provides a basis for a western understanding of the meridians of traditional Chinese medicine. In this picture, the meridians don't lie within our physical bodies, but are a kind of circuit diagram of sensory relationships in how we form a cohesive sense of body from an overwhelming input of sensory information. There is no inherent conflict with an acupuncture point having non-local effects, because the important proximity is in neurological processing rather than physical space. There are some remarkable analogies to patterns of communication between individual processors in modern massively parallel computers. I find the possibilities intriguing.
When it comes to statements made about "energy work", I am rather an agnostic. Yet, nevertheless, I have experienced profound effects from such work and cannot discount the genre off hand. At this point, I see no basis for proposing fields of energy beyond the electrical and magnetic, so I return to consideration of these fields as recently reviewed by James Oschman.11
While what Oschman covers indicates that we all project fields around us, it doesn't support a conclusion that we are designed to emit beams of energy. Simply speculating on the maximum gain for the least energy required, suggests to me that something must occur in energy work akin to the improvements of tuning a piano.
Those talented in such work may simply possess perceptive skills akin to perfect pitch.1 Some recent studies with savants indicate that we all have neurological and mental capabilities beyond those to which we normally have conscious access.5 Some simply gain access by having the cloaking superficial layers of consciousness peeled back. These extra perceptional abilities include, for example, the ability to find the "sweet spot" in a room at which the sound from multiple speakers arrives simultaneously.5 There is every indication from such studies and from experience with biofeedback, that we are well-designed to detect and correct differences in "tuning" and coherence if we can perceive them. There is an additional observation that those with perfect pitch have a higher incidence of synesthesia, a mixing of senses. When hearing a sound, some, also perceive it as a color.1 This is suggestive that subtle sensations from bioenergetic fields could map for some into the visual, auditory, or tactile senses, giving person to person field interactions a rational basis. I think it likely that much that is taught about the techniques of energy work is simply a metaphorical roadmap to help train perception and focus the mind appropriately to enable subtle manipulations of bioenergetic fields.
While we must be careful not to interpret the perceptions stemming from cross-sensory mapping too literally, we should be equally careful in not dismissing them. Our neurological capabilities are turning out to be a lot more interesting than once thought, as science explores into the windows facing towards our inner selves. Whether we see two faces or a chalice can simply depend on our perceptions of foreground and background.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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