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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.
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.
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.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
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.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
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."
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!
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
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.
April, 2004, Vol. 04, Issue 04
Therapist Finds the Right "Tools" to Unite CAM Providers
By Rebecca J. Razo
"What is the right tool for the job?" In conflict resolution, this quasi-rhetorical question seems perfectly natural, but former community and court mediator, Sonia Turanski, a successful massage therapist for the last 10 years, found that this question - her mantra, of sorts - could be asked in other settings, including the health care profession."It is my disposition to respect all sides of an issue," Turanski said in an e-mail interview with Massage Today. "And so, from the beginning of my massage training and career, I have seen every approach of medical care as a valid, important tool, with [that] question always [at the center]."
Indeed, Turanski asked this question again when she relocated to Maine's Blue Hill Peninsula, a quaint seaside community south of Bangor, and found a wide range of complementary and alternative medicine (CAM) practitioners in need of organization. Turanski discovered that a local hospital was recruiting for a community CAM liaison; she inquired about the position, and although it did not pan out for her, the seeds for her greater vision were planted. "My interest in creating a bridge between the differing camps of providers in our community came into focus," she disclosed.
A short time later, Turanski created the Acadia Health Association (AHA), a network of local providers spanning many different realms of CAM, including massage therapists, chiropractors, herbalists, psychologists, medical doctors, and many others. For Turanski, creating AHA was an important step in developing a unified system in which health care providers of all disciplines could network for the purpose of promoting the benefits of integrative health care to the communities in and around the Blue Hill Peninsula.
"The byline of AHA is 'integrated health care begins with us,' meaning that a system is not going to come down from above that we all plug into and magically become integrated, but that we, the providers, need to embrace the idea of working together with mutual support at a grass roots level," she said. However, once AHA was up and running, Turanski realized that the providers were only half of the equation. "I realized the need still existed for the population at large to have a resource for access to information and education about the variety of options available in health care, as well as a way to find out who in the community provided those services," she said.
That's when Turanski created Whole Health Access (WHA), "a holistic resource and referral service," according to its motto. WHA seeks to empower patients so that they can make informed decisions related to their health care. Turanski was preparing to present her idea for WHA to the local hospital where she originally inquired about the community CAM liaison position, when she received a visit from a childhood friend, Dr. Allen Tien, president of Medical Decision Logic, Inc. (MDLogix), a medical-based information technology software company in Towson, Md.
Since a number of MDLogix's projects are funded through grants, Dr. Tien suggested creating a Web-based database program for WHA, and offered to partner with WHA and apply for a grant to get the project off the ground. MDLogix applied for a grant through the National Institutes of Health's (NIH) Small Business Innovation Research (SBIR) program, and was approved in August 2003 for Phase I: a grant for $100,000 used for project research, development and testing, but not market research or marketing. According to Dr. Tien, principal investigator and overseer of the grant, Phase I, which usually lasts about six months, ensures that the project's goals are feasible; upon completion of Phase I, applications for Phase II may be submitted. Phase II usually lasts for about two years and funds are in the amount of $750,000.
Currently, WHA Phase I testing is underway. Local providers (some of whom belong to the AHA network) and a group of clients volunteered to test the software system over a three-week period. Providers enter information about their services, including contact information, specialties, etc., into the database, while clients conduct searches on the site based on health-related concerns by clicking on a series of checklists grouped under three categories: physical, mental and spiritual.
Clients also have the option of indicating preferences, including whether a provider is male or female, licensed or unlicensed, and insurance type. The system then matches a client's choices to appropriate providers in the network; however, what Turanski appreciates most is the database's interactive nature. "If someone doesn't find a descriptive term that applies to them, they can add it to the list. In this way, the lists of concerns and attributes are self-educating, with the system reflecting the actual words and categories of the people who use it," she noted.
During the testing of Phase I, the volunteer clients will evaluate the results generated by the search. At the conclusion of the study, all volunteers will fill out a survey describing their experiences with the service and provide suggestions for improvement. MDLogix plans to submit the application for Phase II on April 1. If funding is approved, Turanski hopes to test the program in other areas, including Baltimore; Portland, Maine; and Seattle.
For now, Turanski would like to see AHA continue its growth to include providers from all aspects of health care, and she notes that one of her goals for WHA is to de-emphasize the importance of categories that divide practices into conventional, traditional, alternative, and complementary. "My favorite saying [from massage school] is, 'when you are a hammer, everything looks like a nail.' I love this saying, because it so accurately reflects the self-importance that seems rampant in every school of thought. We need to respect the variety of skills out there, and to understand the limits imposed by our own beliefs...across the spectrum of health care, all providers offer important and relevant services. The question should not center around whether certain professions are better or more legitimate, but around 'what is the right tool for the job?'"
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