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F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
May, 2003, Vol. 03, Issue 05
Ancient Trade Routes
By Keith Eric Grant, PhD, NCTMB
By the end of the first century B.C., there was a great expansion of international trade involving five contiguous powers: the Roman empire, the Parthian empire, the Kushan empire, the nomadic confederation of the Xiongnu, and the Han empire.Although travel was arduous and knowledge of geography imperfect, numerous contacts were forged as these empires expanded-spreading ideas, beliefs, and customs among heterogeneous peoples - and as valuable goods were moved over long distances through trade, exchange, gift-giving, and the payment of tribute. Transport over land was accomplished using river craft and pack animals, notably the sturdy Bactrian camel. Travel by sea depended on the prevailing winds of the Indian Ocean and the monsoons, which blow from the southwest during the summer months and from the northeast in the fall.2
Cities along the silk, spice and incense trade routes are prime material for adventure and romance novels. Even the names of the routes conjure up visions and suggestions of exotic sounds, scents and textures. So great were the influences of ancient trade cities that even today, we can almost imagine the cries within their marketplaces. Cities such as Petra and Palmyra once grew rich providing services to merchants and acting as international centers of trade. They also became cultural and artistic centers, where peoples of different ethnic and cultural backgrounds could meet and intermingle. They were the commercial and intellectual hubs with links extending to touch every corner of the known world.
Interestingly, we are only now gaining full understanding of how pervasive such links and hubs are in our lives. In his recent book on networks, physicist Albert-László Barabási provides an overview of ongoing research into the laws governing the way connections form within networks as they evolve and grow.1 Common structuring seems to exist: from the number of chemical reactions linking key molecules together within a cell; to structures within our bodies for communication, transport and support; to associations between actors who have made films together; to ancient trade routes; to the links between the ever-increasing information nodes on the Internet. It has become apparent that, on all spatial scales of organization, the linking between nodes or sections is not random. There are patterns with small local clusters of linking, with few links per individual, and certain individuals or places that act as major hubs, with many connections leaping to distant parts and places.
One of the studies Barabási discusses found that job seekers more often succeeded through their acquaintances than through their closer friends. A person's friends were in the same "small world" cluster in which everyone basically shared the same information. One's acquaintances provided links to other clusters of people in which new opportunities were available. In marketing our practices, this concept of long-range links yields the insight that we should seek to find and develop connections with those who will be our gateways to other groups. As we become known for offering services that add to individual support networks, ameliorate stress, and resolve problems of body usage and history, our personal links will multiply, and our practices will prosper.
Several conceptual keys open doors to understanding and modeling what we observe in diverse worlds of interconnectivity. First, making the interconnections needs to be a dynamic process of growth and change. Second, when a new person or item in the network is added, key hubs already possessing many links will be favored to get the new link (literally a type of "the rich get richer" favoritism). Finally, a solution or place providing a better fit to the current need will preferentially attract links, even to the detriment of well-established key hubs.
This last point, in particular, explains how new trade cities might grow, and old ones decline, with the introduction of a newly discovered route or technology. It equally explains how, as an instance of adapting to strain in accordance with Davis's law, the fascia within our bodies will adapt to a change in posture and body usage following the start of a new activity, or following an injury.3,6 Our unifying webs of fascia grow from an embryological viewpoint and modify continually from a life usage viewpoint.3,5Tom Myers, particularly with his work on "anatomy trains," seems to have captured the aspects of our fascial webs as networks of communication.4
While it is true that 'everything is connected to everything else,' some bits are more connected than others. An extension of the pioneering work of Dr. Ida Rolf and her system of Structural Integration, these 'myofascial meridians' provide a map for postural compensation, which, when grasped, provide a model for 'tensegrity' balance of the myofasciae around the skeleton. Using this scheme, unexpected linkages lead to new 'whole body' strategies for manual and movement therapists.
The interconnectivity that Myers implies adds the perspective to our work that we are never, in truth, just engaging a local area but initiating a chain of communication and compensations that will spread over a client's entire body. As our fingers ply the ancient trade routes of our physical embodiment, we bring goods of comfort and relief that reach back to our beginnings as human beings and beyond. We are linked by many webs of connection.
Everything touches everything. - Argentinean author Jorge Luis Borges
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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