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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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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."
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.
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.
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.
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.
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.
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.
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.
June, 2006, Vol. 06, Issue 06
Research: The Key That Opens the Door
By John Slavin, PhD, LMT
The amount of research opportunities and data available to massage therapists is growing steadily each year, ever since Dr. Tiffany Field's original groundbreaking research on pre-term infants was published more than two decades ago.However, although all new ventures have a glitch or two to work out, evidence suggests massage research needs more development; due in part to the fact that a great majority of therapists tend to be unwilling to form alliances with allopathic practitioners or even other massage therapists. Many therapists seem to be content only when they distance themselves from others, seeing them as a threat and building walls in an effort to protect their environment from competition, rather than trying to aid the progress of touch therapy.
It's sad, that in an environment where we value touch and closeness it seems therapists can, at times, be anything but amiable! Recently, I had a student ask me rather rudely why I was so involved in touch research. When I explained that research leads to conclusive findings, and conclusive findings lead to respectability, the student shrugged her shoulders and went on to tell me how she does not need respect from anyone but herself. This is true and very noble, but the fact remains, medical evaluators such as insurance companies will not reimburse massage therapists based on self-respect; they require concrete medical data and this is where research sometimes falls short.
Although, in this era of much research regarding touch therapy, it seems not nearly enough is being done. And that is not due to any lack of interest from the medical community. When presenting potential research studies to some of the major research hospitals and medical schools in my area, I was welcomed by the allopathic community with open arms. Granted, I had some help getting my foot in the door, but then I found myself meeting with prominent members of the medical community. Many times, the chief of staff of a given department would even set up a lunch. Discussions developed, in allopathic terms, why a certain massage technique was valuable and where they could see it placed in the medical model. When I mentioned the idea of research being done, the doctors challenged each other as to who would have the opportunity to work with the therapists. Within one day, I had calls from the head of oncology, the head of hematology, and the physical therapy department all wanting to do research. The physicians even discussed the potential of research being funded through the hospitals' own research department! Now, to what do I owe this amazing outcome? It's all about simple professional courtesy! If therapists would only work at speaking the allopathic language and gain their respect, then nine times out of ten they will not only be willing, but eager to work with them. Is it any doubt that Tiffany Fields, PhD, Janet Kahn, PhD, or Janet Travell, MD, were so successful in their research attempts? They did not go against the grain. They understood the need for good clinical research, studied their field and were well versed in the language of allopathic medicine.
Massage therapists seem to be the most highly underrated health care providers and this is a real shame. Sadly, they seem to be fighting an uphill battle when it comes to respectability in the medical field, but this has been changing in recent years. This is primarily because their scope of practice is so broad and their knowledge of anatomy and kinesiology so vast, that when medical practitioners see this they often are dazzled at how knowledgeable therapists are and how useful they can be!
Unfortunately, it's not the therapist, but how they come across that makes or breaks them in the medical field. With all the recent bickering about defining medical massage and extra certification and training, it appears what it really boils down to is communication. The better therapists can speak with other health care providers, the better they can promote themselves. Many times, massage therapists complain of not getting compensated properly for their work in medical offices, but more often than not those same therapists are the ones griping that there is too much interest in touch research and therapists should focus their efforts somewhere more useful. To me, it's all tied up with research! Modern society is full of "doubting Thomases" and unless therapists can show them the proof, they most likely will never believe how powerful touch therapy can really be.
With research, one can definitely prove the physiological effects of a certain technique and reproduce the results. And this is what the insurance companies want to see.
In closing, I will tell of one more student comment. Recently, while instructing a student how to be successful when networking with doctors and fellow massage therapists, another student commented, "Why tell him your secrets? If everyone knows how you do what you do, then you won't be unique, and everyone will be successful!" I answered quite simply, "Good! Then I would have succeeded at my task!"
John Slavin, PhD, LMT, received his massage education from Florida Academy of Massage in Ft. Myers and his PhD in biology from Canterbury University. He was recently appointed Vice President of research and development for the American University of Healing Arts in Little Rock, Ark. He is extensively involved in medical research pertaining to massage therapy and is very proactive in bridging the gap between LMTs and the allopathic community. He can be reached at "> .
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