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Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
September, 2003, Vol. 03, Issue 09
Malignant Melanoma: Learn to Recognize a Killer
By Stephen M. Schleicher, MD, Lawrence A. Schiffman, DO and Brian J. Stairs, DO
Skin cancer has become an epidemic in the United States, with approximately 1 million new cases diagnosed each year. The most common form of skin cancer, basal cell carcinoma, rarely spreads to other organs; left untreated, however, this tumor will erode deep into the skin and cause local destruction of tissue. Another common type of skin cancer, squamous cell carcinoma, is related to two well-known risk factors: chronic sun exposure and smoking. If left untreated, squamous cell carcinoma has the potential to spread inward and result in death.
The most serious form of skin cancer is malignant melanoma, which accounts for the greatest number of skin cancer-related deaths worldwide. It is alarming to note that the incidence of this malignancy is rising at a faster rate than any other cancer.
Indeed, today it is estimated that 1 in 70 Americans will develop melanoma during his or her lifetime, with the risk increasing to 1 in 50 by the year 2010. Over 100,000 new cases of melanoma will be diagnosed this year worldwide. Unlike other types of skin cancer, melanoma can strike younger individuals, with one in four new cases occurring in persons below the age of 40.
Certain risk factors are associated with an increased chance of developing malignant melanoma, including having fair skin; blond or red hair; a history of blistering sunburns during childhood or adolescence; and a family history of this cancer. Certainly, anyone with a large number of moles is at risk, even more so if the moles appear to be changing.
Malignant melanoma is curable if diagnosed and treated in a timely manner. The key to survival is prompt recognition. The majority of melanomas remain symptom-free but are visible on the skin surface to the naked eye. Thus, every individual should examine his or her skin on a regular basis. Good light and a mirror are the only tools necessary for this self-screening; however, enlisting the help of a friend or relative for hard-to-view areas is recommended. Thoroughly examine the back; backside; posterior legs; scalp; and digits, including the toenails and fingernails. If a new skin lesion is noted, or if an existing lesion appears to have changed, consultation with a dermatologist is highly recommended.
Both the American Cancer Society and the American Academy of Dermatology recommend regular skin examinations by a trained professional, and individuals who fall into high-risk categories should be examined more frequently. Luckily, newer technologies using digital cameras and Internet-based image transmission will allow for more widespread screening, which will save more lives.
The ABCDs of Malignant Melanoma Recognition
What does malignant melanoma look like? When examining a skin growth, certain warning signs may signal the presence of this serious malignancy. These are easily remembered as the ABCDs of melanoma recognition.
Malignant melanoma is the most deadly form of skin cancer, but early recognition saves lives. Any mole that enlarges, changes in color or begins to itch should be viewed with suspicion and evaluated by a physician experienced in skin cancer recognition.
Caught early, malignant melanoma is a curable disease.
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