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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
July, 2004, Vol. 04, Issue 07
Expedition Costa Rica 2004
By Madeleine Evans, LMT
February's expedition to Costa Rica went too fast and ended too soon. Seven massage therapists made the trip: Sandi Minck, Elise Linden and expedition leader, Elvis Mairena (NJ); Kathy Carlson (Ore.); Katie Haley and myself (Fla.); and Brian Nutter (Md.).Accompanying us were Brian's lovely wife, Rebekah (our much-needed interpreter) and the couple's beautiful 10-month-old daughter, Helena (our public relations person - nobody could resist her charm).
Elvis, a native of Costa Rica who now resides in New Jersey and works as a sports massage therapist for Rutgers University, got the idea for the Costa Rica project after his mother volunteered in an orphanage for handicapped children. The first successful expedition was in July 2003; a subsequent article published in Massage Today (www.massagetoday.com/archives/2003/09/03.html) engendered much interest, prompting Elvis to gather a new team of volunteers for this year's trip.
We first went to Tamarindo, in northwest Costa Rica by the Pacific coast. Some of us stayed at a tourist hotel, while others opted for the more modest cabaneras, which cost about $10 a night. From there, we drove to the Clinic Hogar Maria Immaculada in Puntarenas, and administered massage therapy to the residents and staff for two days.
Most of the clinic residents were at least 70 years of age; some were receiving massage for the first time. They suffered from various illnesses, including diabetes, cancer, polio, stroke, Alzheimer's disease and dementia, yet they appeared happy. They had an irresistible mixture of shyness and friendliness toward us. During the massages, there were many contented smiles and lots of laughter by our attempts to communicate in Spanish. We touched these people with our hands; they touched us with their smiles and kind words, and we made friends.
During our late lunch on the second day, I noticed that Elvis was up to something secretive; I noticed a group of 15 children and a few adults sitting outside on benches. Curiosity got the best of me and, armed with my video camera, I inquired about what they were doing. "We don't know," the adults said, and indicated that they had been called by the clinic's administrator to meet there with the children.
As it turned out, Elvis organized a lecture for the children on "good touch," which was a lot of fun. Elvis taught the kids some easy techniques, including how to apply pressure to a friend's hand if that friend had a headache, how to massage each other's shoulders, and other good remedies. At the end, he tested their mental math skills and offered small coins as rewards. The children were full of joyful energy. Most of the kids were predestined to work the land, Elvis said, but he was hoping that they would remember the massage lecture.
Who knows? Perhaps one or more of those children would become massage therapists some day. I was amazed that those adults and their children had waited patiently without knowing what was in store for them. If Costa Ricans were so trustful with us, we could certainly trust them in return, I thought. We left Puntarenas a bit reluctantly.
A couple of days later, we worked at The Inn for Elders, near Quepos, where we gave a lot of seated massages and a few table massages. We received the same warm welcome from the residents, and were again impressed by the cleanliness and bright look of the place. The tiled floors were impeccable and the walls were freshly painted.
We noticed that the residents did not have many personal belongings in the bedrooms and that they were always outside socializing, which, perhaps says something about how "things" become unimportant at the end of one's life, while being around other people remains desirable.
Three of the residents were dying; Sandi worked on a resident dying of cancer: "Once I put my hands on him and started to do the massage, his whole face changed. He got a big grin from ear to ear. At some point we made eye contact and it was an exquisite moment; no words needed," she said.
The last place we visited was the Disabled Children Clinic. Children suffering from cerebral palsy, Down syndrome, and other disabilities, were brought to us by their parents. Mothers watched attentively while we worked with their children, and later, the parents received massage. The director of the clinic told us how much the mothers appreciated what we had done for them. "Those mothers are so poor and so tired," she said. "Getting a massage is a miracle for them." We were happy to make that miracle come true.
We also got a kick out of playing Santa Claus. In a big sailor bag, I had children's clothes and stuffed animals donated by coworkers back home. The joy the gifts brought to these families made it worth dragging that huge bag through the airport.
Plans are already in progress for next year's expedition. Here are some words of advice to future team members:
My advice is to invest in a small Spanish translator - and have fun speaking with the locals.
In every possible way, the trip was a success. What surprised us the most was how much fun we had with each other. We were a group of strangers brought together by a common interest. We were all ready to be "nice" and "polite" to each other; what we had not expected was to become old friends in a matter of days. According to Sandi, the influence of a special dessert made of watermelon and guaro had a lot to do with our wonderful and sudden friendship.
I believe that when caring people are grouped together to do good things in the world, the Gods are always in their favor. And also, massage therapists tend to be really neat people!
For more info about the next expedition, contact Elvis Mareina at or Brian Nutter at .
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