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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.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
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.
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?
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.
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.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
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.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
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.
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.
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.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
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.
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.
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.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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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