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MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
March, 2003, Vol. 03, Issue 03
The Practical Pitfalls of Research
By John Upledger, DO, OMM
Werner Heisenberg, best known as a founder of quantum mechanics, gave us the Uncertainty Principle, which took our comprehension of quantum physics a giant leap forward. We began to understand that we may often get what we're looking for.If an experiment is designed to measure particle mass and activities, that's what we get; if the experiment is designed to measure wave activity, that's what we get. If one scientist sees evidence that energy is particles, and a second scientist sees evidence that energy is waves, they might argue. Both would be correct, but the argument might continue ad nauseum.
Heisenberg also alluded to the idea that there is no such thing as a purely objective experiment. As soon as you begin to measure something, the energy of the observer may change the results. I'll share with you a few personal experiences that strongly support this concept.
In the late 1970s, I was conducting research at a center for autism in Michigan. At one point, I got the bright idea that autistic children have different energy fields than nonautistic children. I worked with my co-investigator, biophysicist Jon Vredevoogd, to bring in an arbor-type wooden structure in which a child could stand. We mounted 10 receiver electrodes in the arbor to serve as antennae. The signals they received were passed into a sensitive Keithley Electrometer that gave us a digital printout of the child's electrical field at any given moment.
As I suspected, the electrometer consistently measured higher electrical fields in autistic children than nonautistic children. After we had collected what appeared to be groundbreaking data, Jon took our apparatus to his basement laboratory. He wanted to measure the influence of natural versus synthetic fabrics on the electrical fields of those wearing them. His experiment worked according to his expectations: Synthetic clothing produced a higher electrometer reading than natural fabrics.
One night at about 10 p.m. Jon called me at home. He said he had news that invalidated our results. This upset me. I was sure we were on to something important. Jon went on to tell me that he could sit across the room from the electrometer and its electrodes, and change the printout of the electrical fields using only his mental intention. With practice, he was able to get the exact numerical printout he intended.
Skeptical, I immediately went to his house. I was unable to change the electrometer printout with my intention - but Jon could. I didn't want to be able to change the numbers, so I couldn't. I was convinced that autistic children had higher electrical energy fields than nonautistic children, so they did. Jon didn't have as clear a feeling about his fabrics; he got the results he sort of wanted, then was shown the truth. This was an educational experience for both of us.
Another series of lessons came from my experiments using Kirlian photography in the 1970s. At the time, there was an upsurge of interest in this type of photography, which captures energy emissions on a photographic film or plate. Kirlian enthusiasts would use these images to diagnose everything from cancer to schizophrenia. The assumption was that the corona - the energy emission recorded on the photograph - was relatively consistent for any given human subject, and coronal defects or abnormal patterns reflected disease states or conditions.
Skeptic that I am, I began to investigate, first by photographing the coronas of my patients' fingertips on the same film as my own. The process involved creating a time-controlled, electrical-potential field. I took the photos before and after each treatment session, or between each segment, if I used several modalities. The coronas depicted an apparent interchange of energies between myself and the patient. Frequently, on a first visit, the patient's corona was less dense and expansive than mine; posttreatment, my corona usually diminished, while the patient's corona was enhanced, suggesting some of my energy had transferred to the patient.
As the treatments progressed, the patient's corona sometimes appeared stronger than mine in the pretreatment photographs, while I showed a stronger corona posttreatment. This suggested that the patient energized me. Usually, about the time the treatment series was to be completed and the symptoms were resolved, both of our coronas strengthened. I began to accept these positive changes as indicators that the case was "solved." In this manner, I was using Kirlian photography as an indicator of progress.
I decided to photograph my students' fingertips before and after patient examinations, while I observed and graded the results. I found if I reflected a happy mood, the student's corona was strong. If I warned the student that this would be a tough exam, the corona weakened and reflected flaws similar to those interpreted as diseases by other investigators. If I told the student he or she did well and then re-photographed, the corona was strong again. Some investigators would have used this to indicate a "cure" for a previously diagnosed disease; to me, it suggested that anxiety or fear, no matter how transient, could be misinterpreted as a disease process on a Kirlian photograph.
I went on to test a wide range of variables for their ability to influence a Kirlian photograph. Among our observations: Strenuous exercise caused no significant change in coronas. One person's feelings of happiness toward another caused his or her coronas to blend, while feelings of anger left an empty space between coronas. Temperature differences caused variable corona changes. Acupuncture was used to relieve a toothache in one student, and menstrual cramps in another, and their coronas improved with pain relief. We even studied bloodflow, which caused no change in coronas.
We ended our research after more than a year, and presented our findings at an international Kirlian convention in New York. The results were not warmly received.
In any case, I learned that intention can change the reading on a Keithley Electrometer, while thoughts, moods, anxiety, temperature and pain relief can change a Kirlian photograph. Yes, Mr. Heisenberg, the observer does change the outcome. So, how do you put the observer in the equation, when he or she is an inconsistent factor?
Every session of CranioSacral Therapy, SomatoEmotional Release, Energy Cyst Release, and Therapeutic Imagery and Dialogue requires the therapist to blend with the patient. Moreover, each patient problem and method of treatment is unique. If you follow a standardized protocol, you will not get the same results as if you had blended with the patient and followed the steps provided by the patient's inner wisdom, which is integral to the practice of these therapies. Obviously, you cannot have a double-blind study if no two treatments are alike.
It seems to me that the only studies that can be done to validate the efficacy of such modalities are clinical outcome studies that do not dictate the protocol. The results obtained for given disease diagnoses could then be compared to the thousands of conventionally treated patients with similar diagnoses. To go beyond this in terms of control is to study something that is not CranioSacral Therapy.
I am biased, but I believe I have a right to be. I have worn the moccasins of the rigorous experimentalist. I spent three years as a teaching/research fellow in biochemistry. I spent eight and a half years as a clinician/researcher in biomechanics at Michigan State University. I served for five years on the American Osteopathic Association's Bureau of Research, and two years on the Alternative Medicine Program Advisory Council for the National Institutes of Health.
I have seen both sides, and have come to the conclusion that in health care, it's the outcome that counts, whether you understand the process or not. I have had people tell me I should not use a treatment protocol until I know how it works. My answer to them is to stop using gravity and electricity, until they understand how they work.
Click here for previous articles by John Upledger, DO, OMM.
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