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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
March, 2005, Vol. 05, Issue 03
Stay in Touch With...Ayurveda, Part I
By Karyn Chabot
"Stay in Touch With..." is a periodic column designed to provide an overview of a particular technique or modality. If you would like to contribute to this column, please e-mail .
When I was a student of Dr.Vasant Lad at The Ayurvedic Institute in Albuquerque, New Mexico, each class left me in awe as I learned more about the ancient, profoundly simple, biological and spiritual science of Ayurveda.
In the past, Ayurveda has been misunderstood, but now with the yoga craze, people are starting to see that it is a beautiful medical science that encourages people to live in harmony with the earth, the elements and the seasons. Ayurveda does not involve mandatory worship of mysterious deities. Instead, it embraces all forms of spirituality and recognizes the divine intelligence within all living things. It is the ancient healing science of India.
Ayurveda addresses the root of disease, rather than just alleviate symptoms. It doesn't assign a medical name to disease because when you name something, you indirectly assign power to it. Instead, Ayurveda views disease as an imbalance of the five great elements within the body. Some of the modalities used to restore this fragile balance include nutritional and lifestyle changes, bodywork, herbs, yoga, meditation, mantra, mindfulness, breath work, sound, color, crystal, aromatherapy and intuitive living. This ancient science was designed to empower people with the knowledge of self-discovery and self-healing.
Disease starts in the mind with thought. By cultivating the garden of your mind and generating positive thoughts, you can prevent disease. A thought is absorbed and assimilated into the body, just like food, right down to the smallest structure of the human cell. An Ayurvedic practitioner named Ryan Kurczak, LMT, once told me: "Many of the people I know who succeed in utilizing Ayurveda as an effective method of health maintenance implement moderate changes over a long period of time. They are not fanatics and don't get bent out of shape if someone offers them a piece of chocolate cake when they are supposed to be on a 'pure' Ayurvedic diet. When I asked my spiritual teacher about how strict I need to be with Ayurveda he said, 'Meditate, and be happy. Then adjust your diet as you need to.' One of the most powerful disease causing factors according to Ayurveda is a diseased mind. When the mind is peaceful, the body will be, as well."
We are the subatomic structure of God; we are microcosms of the macrocosmic universe. There are five great elements that exist on our planet: ether, air, fire, earth and water. Ayurveda classifies these five elements into three aspects. These aspects are referred to as doshas, a Sanskrit word meaning "biological principle," which generally refers to an imbalance due to excess of one of the elements within the body.
Although there are five great elements, there are only three doshas or biological principles. All five elements must exist within our bodies and within the universe in order for us to function properly. As soon as the sperm meets the egg, a unique combination of the five great elements is determined and the physical constitution is born. This constitution is called Prakruti.
Stress, negative thoughts, feeling disconnected from the divine within ourselves or the ones we love, wrong food choices, and lack of exercise are just some of the things that throw us out of balance. When the doshas are out of balance, it usually means they are in excess and have reached the first of six stages in the disease process called "accumulation." Restoring balance usually means reducing the dosha by making conscious choices regarding our lifestyle, food, mindfulness, exercise, breath, prayer, meditation and bodywork.
The three doshas are vata, pitta and kapha. Vata is a Sanskrit word meaning "what blows." Vata lives in the colon/large intestines and becomes excessive on cold, windy days during the fall and winter. When vata within the body is in excess, people tend to experience anxiety, panic attacks, insomnia, paranoia and loneliness.
Pitta means "what cooks" and lives in the small intestines. Pitta becomes excessive on hot summer days. When pitta within the body is excessive, people tend to experience self-condemnation, jealousy, anger, competitive thoughts, and aggression.
Kapha means "what sticks" and lives in the stomach. Kapha becomes excessive on cool, muddy days of spring and on cold, snowy days in the winter. When kapha within the body becomes excessive, people experience greed, lethargy, apathy and heaviness. The weather, the seasons, our genetic constitution, lifestyle choices and our thoughts have a direct affect on our health.
After careful observation of the majority of my clients and friends, I have concluded that the most common complaints are stress and anxiety, which consequently disrupts vata within the body. Living in a world where we are eating lunch while we are driving our car, or reading our e-mail while listening to our voicemail at the same time will naturally disturb vata within the body and mind. Multitasking and feeling like there is not enough time in a day will continually challenge vata. When the vata dosha is out of balance within the body, it can blow the other doshas (pitta and kapha) out of balance causing an overflow of the other doshas. Preventing all the doshas from becoming excessive is important, but remember that vata is the dosha that is critical to health and longevity. The ancient Ayurvedic texts say the earth is now in the vata stage of its evolution, so vata is high for everyone simply because we are so connected to our earth.
There are specific bodywork techniques and lifestyle choices that pacify and calm the vata dosha. Massage therapists are at risk for having excessive vata because of the nature of the job. Most massage therapists will tell you they are in constant physical motion on some level during a session. Massage therapists are movement-centered, energetic, and on the go. Since vata is the dosha responsible for motion within the body and the universe, massage therapists need to take extra care not to accumulate too much vata. Massage therapy can become a vata-provoking job, so choose a lifestyle that will soothe and balance your vata. Here are some easy vata soothing activities:
Editor's Note: Read part II of Karyn Chabot's article in the April 2005 issue.
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