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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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
April, 2005, Vol. 05, Issue 04
Centering the Session With Intention
By John Upledger, DO, OMM
The longer I practice as a therapeutic facilitator, the more I realize the power of intention. To this day, the kind of intention I use most often in my work is the simple intention to support whatever the client's "inner wisdom" wants to do at any given moment.
My first intention in a session, therefore, is to let the client know that whatever he or she wants to do is OK with me.I transmit this message non-verbally through my initial touch. On the outside we may be talking about many different things. Small talk is a wonderful distraction; it helps the body get past the mind's defenses. Yet while our voices may be saying one thing, our touch may be communicating something entirely different.
As the integration between conscious and subconscious awareness within the client progresses, I may very gently and with great sensitivity begin to verbalize what our touch has been communicating since the session began. Here's what that means in practical terms:
It's wonderful to see how the client's body begins to respond to this offering of help. I don't have to say a word until his or her body tells me to start talking.
According to my best memory, the mystery of what I now call "intentioned touch" and "blending" came into my conscious awareness as early as 1954. It was shortly after I finished my training as a hospital corpsman in the U.S. Coast Guard. I was placed on independent duty on a patrol ship in the Gulf of Mexico. There were no other medically trained personnel aboard the ship. I had finished 16 weeks of training and two months of internship in an outpatient clinic in New Orleans before being assigned to sea duty.
I was on the ship just a couple of days when the captain's steward sent word for me to see him. He was unable to walk due to a sudden pain in his left calf. He was lying on the deck grimacing, holding his leg and writhing about. I was trained in life-saving procedures and had no idea what to do here. There were about six or seven crew members present; I felt them watching and judging my ability. Let's just say the pressure was on.
I tried to look knowledgeable as I took his left leg between my two hands. I could feel a lot of heat and muscle contraction in his calf. Still, I had no idea what the problem was or what I could do about it. At a loss for anything else, I made my hands as gentle as I could and envisioned everything relaxing, the pain leaving, and the blood vessels and nerves normalizing. Within two or three minutes the steward smiled, said it felt fine and thanked me. Then he stood up, tested his leg, continued to smile and walked away. The onlookers also smiled their approval. From then on they called me "Doc."
At that moment I learned that if you intend to help the healing process and blend with the body tissues you're touching, things will usually get better. By "blending" I mean consciously envisioning the boundaries between your hands and the other person's body dissolving, and your hands entering the body.
To imagine how this might work, consider what happens when you have two bars of soap, one blue and one pink, and you place one on top of the other, wet them and wait. The two bars merge at their areas of contact and the colors blend with each other. You may even see a lavender color as the blue and pink mix. Similarly, the energies of our bodies mix and integrate when we consciously intend it to happen. When the relatively normal energy of the therapist blends with the problem, it dilutes the problem energy and moves it toward normal.
At the same time, if the therapist allows the problem energy to enter his or her body, an awareness of the problem can be perceived by the therapist. Since the entry of the problem into the therapist's body is consciously allowed, it can also be consciously removed - with intention, of course.
Click here for previous articles by John Upledger, DO, OMM.
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