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When Patients Lie (Bribe or Flatter)
Recently, a new patient told me about what I thought was a novel twist on the doctor-patient relationship. She felt she had to lie to her DC to discontinue her treatment.
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.
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.
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."
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?
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.
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.
We Get Letters & Email
It was with great interest that I read "Trouble in the Wellness Waters?" in the May 1, 2015 issue of Dynamic Chiropractic. I heartily applaud Dr. Hayes for his insightful and informative article.
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.
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.
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.
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.
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.
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.
Why More Patients Don't Come to Your Office
Every so often, something turns out to be much easier than anticipated. It's like ordering a piece of furniture or a child's toy that comes in 167 pieces.
Dietary Fat and Prostate Cancer: An Important Update and Review of Mechanisms
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
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.
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.
Active Care for Ankle Sprains
An ankle sprain is a common injury, since this joint is required to perform complex movements under high forces during normal walking. In fact, 10 percent of all emergency-room visits are ankle-sprain related and an estimated 25,000 ankle sprains occur in the United States daily.
A Tribute to a True Chiropractic Leader
President of Texas Chiropractic College (alumnus, class of 1950) and the American Chiropractic Association (ACA) Board of Governors. President of the Texas Chiropractic Association and twice-appointed member of the Texas Board of Chiropractic Examiners.
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.
Troubleshooting: Billing Multiple Fees for the Same Service
I am afraid I may doing something illegal. I have heard I cannot bill different fees for the same service.
Do You Have a Post-ICD-10 Strategy?
Post-ICD-10 planning is critically important to the health of a practice, in part because ICD-10 is brand new to providers, payers and related affiliates alike.
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.
Thinking About Cohen's Kappa
Let's think about some notions of reliability and validity, and about what it means for diagnostic examiners to agree in meaningful ways. Diagnostic tests must obviously be both reliable and valid.
April, 2003, Vol. 03, Issue 04
Healthy Dissent and Alignment
By Ralph Stephens, BS, LMT, NCTMB
Currently, the United States spends about 1.5 trillion dollars a year for health care, and that figure is projected to double in less than 10 years.To quote Dr. James Mercola, "The sad tragedy is that we are spending all of this money on disease management focused on drugs and surgery, and our return on this investment is profoundly poor. More and more people do not have the energy they need to get through the day, while millions of others are suffering with painful crippling diseases because they have violated basic health principles."
The sad truth is that the basic principles of health are carefully not taught. Of course, this benefits the allopathic-pharmaceutical cartel, which only makes money if people are sick. Last year, health reporter Nick Regush explained it this way:
Unfortunately for the health of Americans, the medical monopoly is not going down gracefully, but kicking and screaming. It is mostly screaming, "Quackery, anything and everyone but us is quackery." Their only hope is to gain control of and co-opt the alternative health care movement, which is more than a movement, but a trend; a wave of change sweeping across the country. Why are the alternative disciplines desperately seeking the approval and acceptance of the dying, allopathic medical cartel? Why they do this instead of establishing themselves as the clear, health-care alternative is beyond me. The need to be accepted, to be "normal" is so strongly programmed into people, isn't it?
The public is running toward us with open arms and wallets, and we are dragging them back into the allopathic system so insurance will pay for it. History proves that insurance will not pay for enough of it for true alternative health care to be effective. Allowing only 10 visits a year for fibromyalgia, 20 visits for chiropractic, etc., is probably worse than nothing, as it drives people back into the allopathic system for care. The allopathic gatekeepers will put massage and other alternative treatments on the shelf once they gain control of them through insurance. Look back and you will see that "manual medicine" was deliberately phased out of the medical system once already. Once the allopaths gain control over it again, history will repeat itself. When that happens, with no alternative available to the public, the sickness system will blunder on, continuing to be the leading cause of death. Think about this as you lust after the fabled pot of gold at the end of the insurance rainbow, and the acceptance of the medical community.
Dissent is everywhere these days. Consider the following quote:
Dissent is good. From dissent comes change, progress and improvement in the human condition. May we always view honest dissent as healthy and welcome it.
I promised more on smallpox this month, but more information is rolling in as we speak, so stay tuned. In the meantime, if you are concerned about this issue, start looking into homeopathy.
Last month, I asked the question, " In relation to posture, what are the three most important bones in the human body to have properly (correctly) aligned on the horizontal planes?" According to Jerry Hesch, a physical therapist from Albuquerque, N.M., and one of the foremost experts on sacroiliac joint dysfunction (and a really great guy), the three bones are the talas, the sacrum and C-1.
For a chiropractic perspective, I asked Dr. Jason Cupp, DC, from Iowa City, Iowa (another great guy). He suggested, that from a straight chiropractic perspective, the three most important bones are L-5/sacrum, T-5 and C-2. He finds that C-1 tends to shift laterally, but remains on the horizontal plane, while C-2 is more likely to rock or tilt.
According to I.A. Kapanji, L-5 is tightly bound to the sacrum by ligaments and has minimal ability to move on its own. Therefore, one could argue that where goes the sacrum so goes L-5. C-1 and C-2 are really a working unit. Think about this for a minute.
What to do about it? Start with a careful assessment of each of these bones, its joint system and the patient's overall posture. This is done visually and by palpation.
Specific massage techniques, precise stretching, manipulation and strengthen exercises have been the methods found most effective to align these bones. Drugs have not been found to be affective or to bring about changes in alignment of these bones unless the drugged patient falls, in which case the resultant movement seldom brings about a desirable correction. Of course, any thrusting manipulation must be done by a provider with an appropriate license.
No Therapist Is an Island
Often it is best for the patient if a multidisciplinary approach is utilized. Through some combination of massage therapy, chiropractic, osteopathy, physical therapy and exercise, change may be accomplished faster and last longer. Of course, not every one of these disciplines needs to be involved; however, any two or more can work together, based on the needs of the patient, to accomplish the desired goal.
There needs to be more networking and interdisciplinary cooperation, with each provider respecting the value of the other's techniques, recognizing the limitations of their own, with the focus always on the good of the patient, never on the good of a practice or a profession. Think the pharmaceutical cartel and its puppet politicians will allow that to happen? If this is an unpleasant question for you to ponder, continue reflecting on the three bones, and how to best bring about skeletal (and maybe even planetary) alignment.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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