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Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
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.
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."
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
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.
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.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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.
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!
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.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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.
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.
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.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
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.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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.
January, 2003, Vol. 03, Issue 01
By Keith Eric Grant, PhD, NCTMB
In the last two years, as September moved into October, the weekend closest to the full moon brought a rush of activity for me.On each of those weekends, a dozen of us joined together, along with about 300 other teams of 12 participants, to run a 199-mile relay through the golden, rolling hills of California, from Calistoga to Santa Cruz. The progress of individual runs, runners, and supporting minivans moving from day into night, then into dawn, and finally finishing in late afternoon, was memorable. However, my strongest impressions come from the teamwork and small kindnesses we provided to each other, even when physically fatigued and desperately short of sleep. It is the thoughts and feelings provoked by this surrounding sense of team support that I want to share as we move into a new year.
The practice and profession of massage are interpersonal on many levels. In working with clients, we optimally become a team, facilitating improvements in their physical well-being. From a larger perspective, we become part of our clients' social context of emotional and life support that each of us optimally creates around us. In return, we have the wonders of connection with others, and a feeling that our life and work makes a discernable human difference. Within the profession, we share webs of connection as colleagues, teachers and co-creators of organizations.
In an article on "partnering with your customer," business writer Tracey Lowrance starts with a time-tested quote that underscores the importance of having a purpose, and a way of accomplishing it.
Lowrance distills this synergy of vision and task down to having a "mutually understood and collectively honored shared purpose and customer candor."3 It is the sense of working toward a common goal, and of being able to mutually share and listen, that reinforces the relationship. In the context of teaching teamwork to children, Bellingham public schools have captured this juxtaposition of goals and interactions in a teamwork skills list that includes listening, questioning, persuading, respecting, helping, sharing, and participating.1 It's interesting to note that "respecting" has both a geometrically central position in the Bellingham list and a central position in my own thoughts of places to start for building teamwork.
M. Scott Peck shares a story of a dying monastery revived by a change in attitude, one that caused the monks to display extraordinary respect to each other and to themselves.5
This attitude of respect, I believe, is one we should cultivate in our own interactions with fellow students, massage practitioners, and anyone who might learn from our knowledge and experience - especially those whose background and goals differ from our own.
As we enter massage school, our attitude and actions should convey respect for the school and our fellow students. In return, we should expect the school to respect our time, effort and money in its actions and attitudes. As we grow to practice and teach, we should renew our attitude of respect for our clients and students, including the expectation that they act to warrant our respect. One of the best teachers I know has both a gentle heart and a crystal-clear projection of her expectations for class behavior. Sometimes, her respect is shown in strongly reminding her students that they must learn and work together to succeed.
As we progress in our practices from novices to journeymen to masters, we necessarily interact with the staff and boards of various massage-related organizations. Again, whether as customers or constituency, we have the right to be insistent in our expectations for respect and service. Too often, the leaders of organizations need our prodding to remind them to foster a service-oriented culture from top to bottom. 4,6 As Tracey Lowrance suggests, teamwork sometimes requires hard candor to reach the mutual rewards beyond.
As I ran uphill on the moonlit road last October, it was ultimately my respect for the support and caring of my teammates that maintained my pace and breathing at a level that left my ribs sore the following day. There were no demands or disappointments in the way each of us ran; only the continuing expectation among us that we each would excel in our own way, and in the way that we supported each other. This is the essence of working together.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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