Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
June, 2003, Vol. 03, Issue 06
By Keith Eric Grant, PhD, NCTMB
Humans exchanged difficult childbirth and a longer maturation period for versatile bipedal mobility; dexterity and expression with our arms; an upright environment; and the far-reaching vision that stimulated the development of minds that strive for beauty in movement. We are literally a species designed to adapt physiologically and neurologically to the movements we perform regularly.
We go through three identifiable stages when we learn a motor skill, such as massage or dance. We start learning in a verbal-cognitive phase, in which we derive information on position and direction from demonstration and verbal direction. Our movements typically are created by joining together bits and pieces of our existing movement "vocabulary." In the associative phase, we develop focused movement patterns and continue to perfect and adjust them through practice. In the autonomous phase, there is little need for constant monitoring, because movements are performed consistently, with precision and accuracy. We can turn our attention from the present task back to the surrounding environment.
In powering our movements, we have three different systems for obtaining energy that operate in a continuum. Immediate energy, for high-intensity movement lasting up to 20 seconds, comes from the production of adenosine triphosphate (ATP) from creatine phosphate. Anaerobic glycolysis provides energy for high-intensity exercise lasting 20-180 seconds. Finally, aerobic oxidation provides energy, quite literally, for the long run. With correct training, muscle cross-section and muscle strength increase. Our abilities to use oxygen (VO2 max) and process the lactate produced by glycolysis, also increase. One of the most dramatic effects of including anaerobic intervals in aerobic conditioning is an increase in the intensity of exercise performance for extended periods - our lactate threshold.
Some years back, Russian sports scientist N. Yakovlev devised a conceptual model that captured the concept of optimal training, both in intensity and repetitive timing, for maximum improvement (Figure 1). If we train too hard for our current conditioning and recovery rate, we head ourselves into deepening fatigue and, ultimately, breakdown. If we don't train hard enough, we obtain too little benefit. The right intensity of training allows us to recover fully and enter a period of super-compensation. If we train again during the maximum super-compensation period, we gain the greatest effect. If we wait too long, we lose the benefit of what we did before.
The benefits of massage come partly, I believe, in shortening the recovery time in Yakovlev's model. When recovery capacity is increased, exercise capacity can increase, yet stay in balance (Figure 2). Thus, we facilitate the gains of super- compensation. I believe the mechanisms for this lie in the interactions between the psychological and neurological. Daniel Arnheim noted both aspects of staying focused and relaxed in discussing injuries in dancers: The psychological aspect of injury prevention is as important to the dancer as is proper conditioning and nutrition. Dancers, like all people, have varying personalities and react to stress in unique ways. What sets dancers off as unique from other individuals is that they are artists seeking perfection in movement. The extent to which the dancer can withstand the psychological stresses imposed by the dance environment is determined by the dancer's total psychoemotional development and lifestyle, both past and present.
When considering injuries associated with psychogenic factors, one must consider muscular tension as a major cause in the dance field. Tension is defined as increased muscular contraction as a result of some emotional state or muscular work. Nervous tension is a syndrome that is characteristic of the so-called fast way of life of our times. It is associated with anxiety that comes from an undefined worry or fear. An overanxious dancer can have an extremely high level of unneeded muscular tension. The person who is outwardly anxious may be less flexible and less able to smoothly coordinate muscles. Organically, he or she may have an increased heart rate and blood pressure. The tense dancer is extremely susceptible to injury, and because of the increased muscular excitability, may over-respond to painful conditions.
We become part of the lifestyle structures of support to which an athlete and kinesthetic artist can turn when viewing massage as an interaction and communication. Beyond this, we can address the tension to which they might unconsciously cling. Among the wonders of our human embodiment is the astounding plasticity we have, which enables us to learn new kinesthetic skills, and adapt our bodies to their impassioned pursuit. Among the wonders of the massage we pursue is our ability to affect the training of those who come to us.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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