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Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
January, 2006, Vol. 06, Issue 01
Whooping Cough: A Re-Emerging Disease
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Happy New Year! I, and I'm sure everyone else at Massage Today, hope that 2006 is full of joy, accomplishment and satisfaction for all of us. One way to achieve those goals is to keep healthy.On that note, let us turn to today's topic of discussion: whooping cough.
For most people born after 1950, whooping cough might sound like the stuff of 19th-century fiction - the kind of disease you'd find in Little Women or Huckleberry Finn. Indeed, whooping cough was at one time a common childhood infection with the potential to be deadly. The development of an effective vaccine in the late 1940s has largely eradicated the sense of threat this condition once carried.
Several decades later, however, whooping cough is viewed as an emerging disease that carries some significant threats. The reasons for this are twofold. First, the childhood vaccines many of us had do not (as was once thought) impart lifelong immunity; in fact, they probably begin to wear off after about five years. Second, as the threat of childhood death from infections like mumps, rubella and scarlet fever has declined, the sense of importance of childhood vaccinations also has declined. Consequently, many children are not fully immunized.
Note: This is not the place to debate the efficacy, appropriateness or legitimacy of vaccines in general. Vaccinations are not a black-and-white issue. Some vaccines have higher efficacy and lower rates of complications than others (and vice-versa). Anyone who would like to debate this point will have to find another platform. That discussion is not my intention.
Whooping Cough: What Is it?
Whooping cough, also called pertussis, is a bacterial infection of the respiratory tract caused by a pathogen called bordetella pertussis. (Dog owners might recognize this name because a related bacterium causes "kennel cough," or bordetella.) About 10,000 people are diagnosed with whooping cough each year in this country (although some studies indicated it might largely be under-reported), and it causes about 10 deaths per year. The people most vulnerable to dangerously extreme infections are young children.
How Does it Work?
Whooping cough is highly communicable through airborne respiratory secretions, so a person with a bad cough easily can spread it to others. This bacterium invades the respiratory tract, killing ciliated cells and releasing toxins that stimulate a systemic immune reaction. The coughing that ensues has a characteristic presentation: the infected person expels so much breath that air rushes into the lungs with a "whoop" sound.
After a 7-10 day incubation period, whooping cough develops in three stages. The first stage is called the "catarrhal phase." At this point, it is indistinguishable from a common cold, and it lasts for several days. Instead of resolving, however, it proceeds to stage two: characteristic paroxysmal coughing, which occurs for up to 50 episodes a day and lasts 2-4 weeks. Coughing episodes are exhausting, and can be so taxing that they induce vomiting. The third stage is convalescence, which typically involves 3-4 weeks of recovery. A full course of whooping cough can cause even a fundamentally healthy person to lose 6-8 weeks of productivity and good health. Its effects on young children can be much worse.
The coughing pertussis causes is so severe that it can lead to bruised or broken ribs, abdominal or inguinal hernias, and vomiting. In young children, additional complications include under-nutrition (it's hard to eat when you're coughing so much it makes you throw up), pneumonia, anoxia, convulsions and even brain damage or death from lack of oxygen. Young children have the highest risk for the worst complications of pertussis; the rest of the population might experience severe infection, but are unlikely to have life-threatening complications.
Treatment options for whooping cough present an interesting quandary. In its early stages, pertussis is indistinguishable from the common cold, and it's slow and expensive to culture. Any pediatrician might make a reasonable assumption that coughing, sneezing and mild fever are due to viral infection, and therefore not responsive to antibiotics. By the time a child has entered the severe coughing phase, antibiotics might no longer serve to shorten the duration or reduce the communicability of the infection. In short, the most efficient way to reduce the risks of pertussis in young children is to prevent the infection from developing, i.e., to be vaccinated.
Whooping Cough and Massage
Unless massage therapists work with young children, they are unlikely to see a client with the worst possible case of whooping cough. However, adolescents and young adults whose vaccinations have worn off are at risk for the infection, as are other people who come in contact with them. A client who has been diagnosed with this infection (or who has a family member with it) should wait until it has run its course before coming in close contact with other people. If a client has recovered from a pertussis infection, massage is, of course, safe and appropriate.
For Next Time
The floor is open. It will be early spring; crocuses will be poking up from a crust of snow. What disorders or diseases would you like to read about? One condition that's been generating a lot of attention lately is celiac disease, also called celiac sprue. While once considered rare, this gluten-sensitivity disorder is now considered by some researchers to be present in a low-grade form in about one out of every 33 people. Unless I hear otherwise, that's what I will pursue for March. If you have something else you'd like to discuss, let me know: what's on your table?
Until then, many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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