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Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
March, 2005, Vol. 05, Issue 03
Massage Therapists Take Center Stage at Beyond the Dura 2005
By John Upledger, DO, OMM
Anyone who has followed my career knows how I feel about massage therapists practicing CranioSacral Therapy (CST). The ability to evaluate and address dysfunctions of the craniosacral system require proprioceptive sensitivity, a willingness to work hands-on with a client for up to 90 minutes, and a strong sense of the artistic qualities of body function.All this combined makes massage therapists better trained and more prepared than some physicians to apply such sensitive skills, which is why I'm always happy to put massage therapists center stage at our biennial Beyond the Dura (BTD) research conference, sponsored by the Upledger Foundation.
Every two years, we gather a list of leaders in complementary and alternative medicine (CAM) to explore new therapeutic trends, applications and insights. Following are some of the massage therapy experts and the topics they'll present at BTD 2005 on April 27-May 1 in Jupiter Beach, Fla.
"Cellular Joy" with Melanie Hayden, LMT
Many massage therapists deal with clients who have unconsciously stored traumatic memories in their bodies that later manifest as serious physical conditions. "Understanding the body's inherent ability to store memories allows us to explore the possibility of bringing consciousness to the process," says Melanie. "Then we can work at a cellular level to store positive, loving, blissful memories of the joyful moments in our lives."
Melanie's interactive presentation will encourage therapists to recognize moments in which they can fill their cells with joy. Then they can discover creative ways to tap into this joy to manifest physical, mental and spiritual well-being.
Leaving the high-tech corporate world behind, Melanie became a licensed and certified massage therapist more than eight years ago. She currently practices in an integrative health care clinic in Calgary, Alberta, and serves as president of the Association of Massage Therapists and Wholistic Practitioners, a national Canadian association CAM practitioners.
"Welcome to This World: An Overview of the Benefits of CranioSacral Therapy Applied to Childbirth" with Carol McLellan, CMT, CST-D
Carol will join Dr. Jonathan Cayle for the keynote presentation on the value of incorporating CST into the childbirth process. "It allows newborns to do what they came to do and become who they came to be without being restricted by events in utero or during the peripartum period," Carol says. She and Jonathan will relate stories of patients whose labors and deliveries they have facilitated with CST. They'll also include data demonstrating the effects of their program and their vision for the future of childbirth.
Carol has a 20-year background in health education and bodywork. She is a certified Upledger Institute (UI) CST instructor, a professional doula (labor coach), and instructor for prenatal classes. She owns and directs a wellness center in Visalia, Calif., and co-developed a UI CranioSacral Applications to Obstetrics workshop.
"Developing a Strong Therapeutic Presence in All Areas of Your Life" with Suzanne Scurlock-Durana, CMT, CST-D
How do we as therapists practice contacting and trusting our "deeper knowing" in our daily lives? That's the topic Suzanne will explore at BTD. "We may have felt that resonance after a particularly powerful therapeutic session or course. But we really need to understand the underlying principles in order to maintain this connected state of grace as life continues with its joys and stresses."
Suzanne's presentation will focus on the skills of being grounded and connecting deeply with the resources that surround us and support us every day. "Therapists are often stuck in 'giving' mode but locked out of 'receiving' mode. That's why these skills are so vital to facilitating the healing process in others. The truth is, the facilitation process itself can become a source of deep nurturing when we're fully connected and grounded." Suzanne will explore the practical and foundational "how to" of holding a healing space for another.
Suzanne has instructed and mentored on the subject of conscious awareness and the healing process for more than 20 years. She developed the UI Healing From the Core curriculum after years of helping fellow practitioners hold healing spaces for themselves and others.
"Why Is It We Don't Think Anymore?" with Tim Hutton, PhD, LMP, CST-D
To many, science is the only appropriate yardstick by which to judge the validity and effectiveness of medical approaches. Unfortunately, relying on scientific evidence has almost come to replace reason as a way of understanding the world. "But what if you don't have much background in science?" asks Tim. "You're forced to rely on the pronouncements of 'experts' when making decisions about your own health." What really constitutes scientific evidence for the validity of medical treatments? Is science the best foundation to use as a basis for medicine? What role should reasoning take in science, medicine and society? These are a few questions Tim will explore at BTD.
Now in private practice in Bellingham, Wash., Tim holds a PhD in physics from Rice University and briefly spent time in a research role at the Massachusetts Institute of Technology. A CST practitioner since 1994, he is certified at the Diplomate level and serves as an examiner for the UI certification program. He is also a UI-certified CranioSacral Therapy and SomatoEmotional Release instructor.
"CranioSacral Dissection: New Discoveries and Validations" with Roy Desjarlais, LMT, CST-D
After taking my first CranioSacral Dissection workshop in 1999, Roy became fascinated with the potential for making firsthand craniosacral system discoveries and receiving immediate validation when working with un-embalmed human tissue. Now after teaching nearly a dozen dissection classes himself, his fascination continues to grow.
"The discoveries we make [in the dissection class] are as unique as the way in which the cadavers lived their lives," Roy says. "The students experience hand positions and feel releases from both external and internal body tissues." This three-dimensional process leads to immediate validations - those "aha" moments that only come with hands-on understanding. At the BTD presentation he'll make along with Don Ash, PT, CST-D, Roy will share some of the more significant images and experiences he's encountered in his ongoing exploration of the human condition and how our bodies can hold onto restrictions and compensations even into death.
Roy is a certified UI instructor and staff clinician at UI HealthPlex Clinical Services in Palm Beach Gardens, Fla. He serves as UI's CST-I Program Director, conducts teacher-training tutorials in the US and Europe, and is a certified examiner for the CST certification program.
The massage therapists introduced here will join 14 other presenters and panelists from professions ranging from cardiology to chiropractic at Beyond the Dura 2005. For more information call 1-800-233-5880 (ask for priority code R64) or visit www.upledger.com.
Click here for previous articles by John Upledger, DO, OMM.
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