resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
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.
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.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
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.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
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.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
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.
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.
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.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
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.
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?
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.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
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.
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.
June, 2005, Vol. 05, Issue 06
Massage Therapist Overcomes Long Odds: "You Have to Play the Hand that is Dealt to You"
By Michael Tisdale
Editor's note: A few months ago, Michael A. Tisdale contacted Massage Today about the launch of The Universal Hands of Vision (UHOV), an online Yahoo! discussion group where blind and visually impaired massage therapists can exchange ideas and experiences, and share solutions to challenges (http://health.groups.yahoo.com/group/UHOV).We asked Michael to share his experiences and the challenges he faces as a visually impaired massage therapist with our readers.
When working on a client, do you ever close your eyes to focus on your palpation? If you don't, you might want to try it one day. In fact, you might want to try doing an entire session blindfolded, which is sort of like what I do all the time: I have been legally blind since birth and have lost most of my sight in the past few years.
Although we may not like it, sometimes there are things you can't do anything about. My blindness is one of those things. In my 52 years, I have developed "work arounds" for things that sighted people may take for granted. Have you ever thought about how you would squeeze toothpaste onto your toothbrush without being able to see when you had enough, or if it is even coming out of the tube? Try it. The results can be quite funny sometimes. Then there is that guy issue of aiming - you know what I mean. It is a different world but you have to adapt; you have to play the hand that is dealt to you. I decided that I would not fold that hand.
Just as I couldn't do anything about being born blind, I couldn't do anything about the fact that at 50 years old I found myself at a crossroads. Sometimes I wonder how I could have wasted almost 25 years of my life working in a corporate environment. I had made good money and was good at my job, yet I hadn't made a positive difference in any person's life. At 50, that was not a pleasant thought. I needed to do something, but being visually impaired really limited my choices.
One night, I thought of my friend, Charlotte. I'm not sure what made me think of her but I believe it was a sign of things to come. Charlotte has been a massage therapist for 10 years and every time she worked on me, I was amazed at what she did with her hands. I wanted to work the same kind of miracles as she; I wanted to make that kind of difference in people's lives. I wanted to become a massage therapist.
Finding a school was challenging. Most training programs are geared toward the sighted therapist. As luck would have it, I found a school that was willing to work with me. The teachers used me as the "demo" so that I could feel the techniques, and they used any means necessary to ensure I learned the subjects. I was able to get my books in Word and PDF formats so I could study at home using computer screen-reading software, and I was given oral exams. Still, I couldn't see diagrams or visual aids. I couldn't see where the instructor was pointing when she said, "right here." I couldn't see what the instructor was talking about when she showed the video of the dissected cadaver. (OK, maybe I was not too disappointed in not being able to see that particular visual aid!)
Was school harder for me than for sighted people? I don't know. I had to learn the same information at the same rate and had to pass the same tests. The courses were intense, the information amazingly complicated. Modern technology certainly helped, though, and I thank W. B. Saunders and Lippincott, Williams & Wilkins, for publishing textbooks accessible to visually impaired students. Through it all, I began to love what I was doing, and I ultimately finished with the second highest grades in my class - a testament to the teachers and my fellow students. I believe there are massage therapy schools that require students to do complete sessions blindfolded to help them use their other senses; this is a great practice.
But school was just the first challenge. As you might have guessed, the national certification test was a challenge, too. I had heard horror stories about the exam from online discussion groups for visually impaired bodyworkers. One Florida therapist requested someone to read the computer screen for her during the exam, which was provided. Unfortunately, on test day she was told that the person could only read the screen, not enter the answers into the computer for her. How stupid is that? Another therapist told me that her reader was allowed to enter the answers; however, the reader had a lot of difficulty reading the material.
My first experience with the testing company was not too different. I had to speak with an accommodations specialist, which was a joke. I had been approved for a reader but when I asked if the reader could also enter my answers, I was told that the reader was not a scribe, and that I had not been approved for a scribe. Again, how stupid is that? The situation was eventually resolved, but not before getting the runaround and having to write a letter to the national board requesting assistance.
I spent three weeks studying every day for at least eight hours to prepare for the exam. I used three study guides and every textbook from school. I studied until I thought my brain would pop. On the day of the test I knew I had a good reader/scribe. She was intelligent, warm and helpful at getting me registered and into the testing room. Then BAM! I didn't have a clue about the answer to the first question. I thought I knew it all. I immediately went into shell shock when BAM! I didn't know the second question. I had to sit back and take a few deep breaths. I thought I was in serious trouble. Why are they asking me who won the World Series in 1948? OK, maybe that wasn't the question, but it might as well have been. But I passed, much to my surprise.
After passing the state-licensing exam, I became a nationally certified, licensed massage therapist. I started a practice with a good friend and classmate, and we make a good team. She is good at helping me with visual assessments of clients. We have different specialties and complement each other's work, which is good for us and the business - not much different than sighted partners who work to make each other successful.
There are challenges trying to deal with blindness in any profession. We have those in massage therapy as well. There are surely things that I cannot do that would make me a better therapist. I can't, for example, observe a client walking down the hall to determine a structural issue that needs to be examined, but I can tell when one hip is higher than the other, if the femur is externally rotated, which direction the feet are pointing, where there might be hypermobility in a joint or hypercontraction in a muscle, or whether there is fourth-layer fibrosis in the lamina groove. These things I can do with my hands and my mind.
My clients do not find my blindness problematic. In fact, I think some are more comfortable with me since they know I can't see them.
I do have to be careful when I first approach the client to make sure I know where they are on the table so that my initial contact is in the right place. Yes, experience is the best teacher, and we should all learn from our mistakes. There are many great blind massage therapists in the country (all over the world, in fact) who have learned how to cope, and sometimes even consider their blindness an advantage. I know I do at times.
There are things people can do to help the visually impaired. First and foremost, treat them with respect. I can't tell you how many times people will ask my wife things like, "What does he want to order?" or "Is he going to need any shirts to go with those pants?" like I am not even there, or I can't comprehend the language. Just because we are blind doesn't mean we are stupid. (Don't get me wrong, there are some stupid blind people just like there are stupid sighted people!) If you see someone with a cane or a guide dog in a public place, ask if you can help them find where they are going. Canes and guide dogs are great mobility aids, but they don't know a doctor's office from a ladies restroom. Did I mention my visit to the ladies room when I was at a conference one time? Figured it out because I couldn't find any urinals, only stalls. Glad there was nobody in there - I think. That was before the universal symbols that can be felt to determine which restroom it is.
I also want to encourage massage therapists to volunteer to help visually impaired therapists they meet at seminars or conferences. It is great to have someone who can help with visual aids and demonstrations. And if you are teaching a seminar with a visually impaired therapist in attendance, see if that person would like to be the client for demonstrations. Sometimes we need help, sometimes we don't, but it never hurts to ask.
I love my profession and most people in the profession. I only wish I had figured out what I wanted to do when I grew up before I grew up. I would not have wasted so many years in the corporate environment where you are truly just a number and where the company doesn't appreciate anything you do no matter how much of your life you dedicate to it. In massage therapy, I have a positive impact on real people; I truly help others. This is what massage therapy is all about.
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