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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
July, 2003, Vol. 03, Issue 07
Mind and Body
By Keith Eric Grant, PhD, NCTMB
Science fiction writer Arthur C. Clarke stated, "Any sufficiently advanced technology is indistinguishable from magic." Increasingly, our technological abilities to create multi sensory virtual realities approac h such magic. On a recent family trip to Disney's California Adventure, I was provided the visual, auditory, kinesthetic and olfactory illusion of soaring over multiple areas of California. Other virtual reality research has created the three-dimensional image of a cat that could be palpated with a special pen to feel bones and muscles.7
As fantastic as these accomplishments are, they still pale before the moment-by-moment magic of our own mind and body in creating our sensory experience of embodiment and presence. If ever you have doubted, even for a moment, how important the touch and human connection you provide can be to others, consider the lessons recently learned from neurological research.
Using functional magnetic resonance imaging (MRI), researchers have been able to track changes in blood oxygen flow to areas of the brain while different cognitive tasks are performed or emotional stimuli is processed. This has provided a window deep into the functional structures of our brain. Other studies of cognitive or emotional losses with brain injuries have yielded clues to the multiple paths by which emotional reactions result from stimuli passed to the amygdala structure of our brain.2,3 Research has shown that we learn to respond to situations, particularly those that are stressful or fearful, in both conscious and unconscious ways. According to Joseph LeDoux, our unconscious memories affect our actions and the way we experience our body:2
Our emotions and senses of having emotional support are shown to have profound effects on our health. Bruce McEwen and his associates have coined the term allostasis for our ability to adapt to the total stress in our lives.4,5 They note the extreme importance of the psychosocial context of our lives on our biological responses:5
David Spiegel has reported a significant relationship between mental attitudes, social support and the progression of cancer.8,9 Similarly, the crucial importance of the mind and emotions on physical health has been extensively discussed by Esther Sternberg and Philip Gold:10
For instance, studies have shown that persons exposed to chronic social stresses for more than two months have increased susceptibility to the common cold. On the other hand, a positive supportive environment of extensive social networks or group psychotherapy can enhance immune response and resistance to disease-even cancer. Women with breast cancer, for instance, who receive strong, positive social support during their illness, have significantly longer life spans than women without such support.
Beyond the process of learning to react to stress, and beyond the effects of our reactions on our health, the mind can integrate all of our sensory input and responses into our sense of self. We are able to build within us a consistency over time and a synthesis of all of our felt input that we identify with - a sense of self that may have been negatively impacted by abuse or trauma, and that can be positively affected by support and caring sensory input. Antonio Damasio hypothesizes how we build this magical sense of self.1
Dr. Vilayanur Ramachandran notes both the construction of our sense of body and that, even as adults, the image that the mind has built remains malleable.6
Given the above, the simple act of reaching out with your touch and presence may reach far deeper than we could have previously imagined. Few come to us unwounded in soul or unstressed by life. In reaching out to give of ourselves, we may well reach the core of each other's being to help reunite mind and body. What we are learning on the forefronts of science says that we have a unique opportunity to make a difference.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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