resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
July, 2006, Vol. 06, Issue 07
Truth: The Golden Thread, Part Two
By John Upledger, DO, OMM
Editor's Note: Part One of "Truth: The Golden Thread" appeared in the June 2006 issue of Massage Today. Visit www.massagetoday.com/archives/2006/07.html.
My primary goal in every therapeutic session is to be a clear facilitator for the patient's self-discovery.As I wrote in my column in the last issue of Massage Today, truthful self-discovery is the Golden Thread that runs through all therapies designed to help patients achieve permanent recovery as well as spiritual growth.
My own therapeutic style involves using physical touch to establish a connection with my patient's nonconscious mind. Other types of therapists might facilitate this connection by other means, but for me it's the act of physically contacting my patient that allows me to establish this connection.
As I blend with a patient through touch, I make every effort to remain open to any perceptions, sensations or insights that might penetrate my conscious awareness. I believe every organ, tissue and cell has its own consciousness, yet their "voices" are usually not within the scope of the patient's conscious awareness. When I remain open as the facilitator, I often receive information from these parts. Their messages might enter my conscious mind as pain in my own body, as visual images, as verbal messages, or sometimes just as a sense of knowing that seems to circumvent usual channels of communication.
For example, our patient with the liver problem from alcohol abuse in part one of this column might cause me to experience discomfort in my own liver. Or, I might see a visual image of a damaged liver, or hear his nonconscious voice telling me his liver is damaged. Then again, I just might inexplicably "know" this patient is a problem drinker due to parent-instilled guilt.
In whatever way I receive the information, my goal is to help the patient through the process of self-discovery. Because what's important here is that he knows what originated the symptoms, why they came about and why these symptoms continue to exist.
However, I don't feel it's in the best interest of the therapeutic process to simply disclose the information as I receive it. If I disclose it prematurely, the patient probably will become defensive, which can impair and even halt the therapeutic process. The possibility also exists that I'm coloring the information with my own biases, prejudices, experiences and projections. On the other hand, if I wait for the process to unfold from the patient, error usually can be avoided. After all, the goal is for the patient to paint his own truthful self-portrait.
So again, I stimulate this process of therapist-patient communication by the act of touching with the sole intent to assist in the healing process. This communication, initially on a nonconscious level, usually emerges into my conscious awareness. Then it's my job to help the patient develop his own awareness of the information received. When the patient is consciously informed, then he can do something about the source problem.
That's why in my own practice, I work hard to reflect a true picture and to be an honest, yet sensitive mirror. Instead of blurting out something like, "I'm getting a message from your liver," I would simply follow the bodily cues that lead me to that area with my hands. Then I might say something like, "Hmm, I feel drawn to this area. I wonder why." If the patient doesn't respond, I might even take it a step further and say, "What do you think this is about?" or "Do you have any thoughts about what might be going on in this part of your body?"
Wherever our dialogue takes us, I never want to lead the conversation or make the patient feel compelled to please me by giving the answers he thinks I want. And he doesn't have to see the truth all at once. But I also don't help perpetuate the illusion, unless it's a rare case in which it seems vital that the patient maintain the illusion. Even then, I only do it for the time necessary for adaptation and growth to occur.
Now, here is another critical point to keep in mind. Even when self-discovery has resulted in genuine self-healing, it may or may not produce a cure or complete elimination of symptoms. True healing goes deeper than symptoms; it involves getting clear about your real identity and your purpose in life.
For this reason, healing sometimes might mean spending the rest of your life in a wheelchair if that is how you can best perform your life task. The important thing is for the patient to recognize this is how it's supposed to be, so he can learn whatever he needs to learn about himself in the process. Similarly, healing might mean recognizing that it's okay to die. It might mean the conflicts and problems posed to the patient have been resolved so he is now free to leave this environment.
Thus, the successful therapeutic process does not necessarily produce comfort, ease, muscular strength, prolonged life, or any of the other things our Western medical tradition holds as evidence of healing. Effective therapy does, however, give the individual patient a clear vision of what it is he or she needs to do, as well as the strength of mind, body and spirit to do it.
Eliminating delusion and self-pity and helping patients prioritize and refocus their lives so they can grow are the ultimate goals of CranioSacral therapy. That's why your most important role in the therapeutic process is your ability to reflect the Golden Thread of truth to your patients. For it truly is the truth that sets us free.
Click here for previous articles by John Upledger, DO, OMM.
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