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Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
September, 2004, Vol. 04, Issue 09
Safety While Working Alone
By Colleen (Steigerwald) Holloway, LMT
During massage school, never once did it occur to me that I was preparing for a career that would leave me isolated for the majority of my workday. After all, my technique classes were full of other students chatting and learning.Even the student clinic was brightly lit and somewhat noisy.
It wasn't until about a month into my career, when I was waiting for an unknown male client to arrive for a six o'clock appointment, that it dawned on me that I was going to be alone in the office - and in a room for an hour - with someone I did not know. Not only was this client a stranger, he was a stranger who was about to be completely "in the buff," covered only with a sheet. "If I'm going to be vulnerable, I should at least have a plan for my safety," I thought, while awaiting his arrival.
We've all been in this situation. Even male therapists experience the occasional female client who makes a suggestive or inappropriate comment that leaves the therapist wondering what kind of services the client is seeking in addition to professional massage. As massage therapists, it is essential to create a safe environment and plan your exit in advance so you will know what to do if your safety is ever at risk.
Screening Clients on the Telephone. Safety begins when the client calls for an appointment. A caller should not hesitate to give you a last name and telephone number. If the caller refuses, I would question the reason why and, in turn, refuse to grant the caller an appointment. Likewise, if a client refuses this information on the health intake form, I would refuse the appointment.
If the caller asks if you accept "tips," nine times out of 10, you are being asked if you will include sex in your treatment for extra money. My response would be, "Gratuities are accepted for exceptional professional services; however, sex is never a part of our service."
When the Client Arrives. Just prior to the arrival of your client, close any doors to other rooms so the client will not know if other people are present in your office or home. Keep several lights on outside the treatment room, as well.
During the Appointment. Make sure someone knows where you are, with whom, and when your appointment will be finished. If you have a cell phone, bring it into the treatment room with you and keep it within reach, or place it in your pocket. Of course, you will turn the ringer off, but keep the telephone turned on. If the client makes an inappropriate comment or gesture during the appointment, it is best to end the appointment and leave the room.
Whether you collect the fees for the appointment is not important; what is more important is your safety. I have known many therapists who tolerated an inappropriate client because they needed the money. It is never worth the money to risk your safety. If you let a client act inappropriately, the client will think the behavior is acceptable and continue.
On-Site Appointments. Your safety is most at risk if you are going to a client's home or hotel room because you will be unfamiliar with the location. Make it a point to survey the location inside and out, taking note of all exits when you arrive. This will prepare you for a quick exit should it become necessary.
After you arrive and greet the client, use your cell phone to call someone (or your answering machine) while in the client's presence. State where you are, including the address and/or room number, who you are with, and that you will call back when the appointment is finished. This will deter anyone with preconceived ideas from taking action. Keep your cell phone in your pocket or apron as a backup.
In my career of 10 years, I am thankful to say I have had only two mishaps with clients who acted inappropriately, although I've warded off many potential problem clients on the telephone. The first client was a nudist and thought I should adhere to his belief system. The second squirmed for 10 minutes on the table before flipping over without my prompting. Instead of accusing the clients of acting inappropriately, I simply told them that I was uncomfortable and left the room.
If you have a safety plan in place, you will be less vulnerable. Unfortunately, sometimes we come across those in our profession that abuse or misunderstand what massage is all about. Plan for your safety and enjoy your career.
Click here for previous articles by Colleen (Steigerwald) Holloway, LMT.
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