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Thinking About Cohen's Kappa
Let's think about some notions of reliability and validity, and about what it means for diagnostic examiners to agree in meaningful ways. Diagnostic tests must obviously be both reliable and valid.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Why More Patients Don't Come to Your Office
Every so often, something turns out to be much easier than anticipated. It's like ordering a piece of furniture or a child's toy that comes in 167 pieces.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
We Get Letters & Email
It was with great interest that I read "Trouble in the Wellness Waters?" in the May 1, 2015 issue of Dynamic Chiropractic. I heartily applaud Dr. Hayes for his insightful and informative article.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Managed Care Subverts Chiropractic
A study published in the American Journal of Managed Care underscores why so many chiropractic patients go out of network in order to get the care they need: Managed care may be effectively locking them out.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Do You Have a Post-ICD-10 Strategy?
Post-ICD-10 planning is critically important to the health of a practice, in part because ICD-10 is brand new to providers, payers and related affiliates alike.
Dietary Fat and Prostate Cancer: An Important Update and Review of Mechanisms
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Active Care for Ankle Sprains
An ankle sprain is a common injury, since this joint is required to perform complex movements under high forces during normal walking. In fact, 10 percent of all emergency-room visits are ankle-sprain related and an estimated 25,000 ankle sprains occur in the United States daily.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Troubleshooting: Billing Multiple Fees for the Same Service
I am afraid I may doing something illegal. I have heard I cannot bill different fees for the same service.
A Tribute to a True Chiropractic Leader
President of Texas Chiropractic College (alumnus, class of 1950) and the American Chiropractic Association (ACA) Board of Governors. President of the Texas Chiropractic Association and twice-appointed member of the Texas Board of Chiropractic Examiners.
When Patients Lie (Bribe or Flatter)
Recently, a new patient told me about what I thought was a novel twist on the doctor-patient relationship. She felt she had to lie to her DC to discontinue her treatment.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
April, 2007, Vol. 07, Issue 04
Feeling Is Believing
By David Kent, LMT, NCTMB
At the conclusion of my last article, I challenged readers to identify a specific muscle, based on several clues from one of my dissection cases. Were you able to figure it out?
The answer is the costocoracoideus.To see a picture of it, visit www.kenthealth.com under the "What's New" section, and click on "Mystery Muscle." If you got it, congratulations!
Feeling Is Believing
Now, let's consider another unique set of circumstances.
I recently took an online survey and was interested to discover that of the five senses, 76 percent of men and 72 percent of women feel that vision is the most important. But while "seeing is believing" to many, Edgar Moon, a blind certified massage therapist from Philadelphia, believes that "touching is seeing and understanding." Edgar, who primarily is a kinesthetic learner, "sees" with his hands.
Edgar became a massage therapist after he lost his sight serving our country in Vietnam. A couple of years ago, he joined me in the dissection lab for a week of training. Following the experience, Edgar expressed both appreciation and excitement for his newfound knowledge, "Now I understand exactly what I am treating on my clients. This experience has been so enlightening and a dream come true."
The level of enthusiasm in the dissection lab truly is amazing. I've seen faces light up with excitement in anticipation of embarking on this incredible exploration of the human body. Yet, at the same time, each person is extremely respectful of the process. All of the participants honor these "silent teachers," since it is through their foresight and planning that we have been given this ultimate gift and learning experience. Additionally, we in the anatomy lab recognize that performing an outstanding dissection and then using that knowledge to benefit our clients is the most respectful way we can honor these exquisite souls.
While Edgar did not use a scalpel to perform the dissection, he did use his hands to palpate every layer, separate the fascial planes, and feel the fascia, muscles, nerves and organs. Additionally, Edgar and his dissection team continually palpated the same structures on 11 different cadavers to compare the shapes and sizes of each. Edgar maneuvered around the dissection lab with confidence. As he approached each cadaver, a team member would place his hands on a bony landmark so that he could identify his starting point. Working with Edgar in the lab reminded each of us how fortunate we are to have the gift of sight. We were all proud that we had the opportunity to "loan our eyes" to a fellow massage therapist so he could follow his passion.
In my last column, I discussed how most of us learn and experience life through the five senses: visual (sight), auditory (speech), kinesthetic (touch), olfactory (smell) and gustatory (taste). While most of us are fortunate enough to have the full use of our senses, each person typically is more reliant on one or two of the senses; these are referred to as the dominant senses. Since the senses affect how we interpret and interact with the world on a daily basis, it is easy to understand how the dominant senses could guide us into a specific profession.
For example, someone whose dominant sense is taste probably would enjoy being a chef, a food taster or a wine connoisseur; a speech-dominant person might gravitate toward a profession in acting, music or politics; and a sight-dominant person might prefer a career as a graphic designer, architect or painter. So, it makes perfect sense that a touch-dominant person would lean toward a career in massage therapy. In fact, when massage therapists are in the process of learning a new technique or structure of the body, it often is necessary for them to see (visual) it, hear (auditory) about it, and, of course, use touch (kinesthetic) to feel or perform it.
It was beautiful to witness Edgar as he began making all of these connections in the lab. Occasionally, while palpating, he would say, "I see." I remember thinking how much more sensitive Edgar's hands are since they play such a dominant role in his life.
As you know, the largest organ in the body is the skin. It provides:
Additionally, it's common knowledge that one square-inch of skin contains about 65 hairs, 100 sebaceous glands, 650 sweat glands, 78 heat sensors, 13 cold sensors, 1,300 nerve endings that can record pain, 9,500 cells, 19 yards of nerves, 19,500 sensory cells and 165 pressure apparatuses for stimuli (touch). The fingertips are very sensitive, making them powerful tools for any massage therapist, particularly someone with an enhanced sense of touch, like Edgar.
But, how does the dissection experience help heighten one's sense of touch and subsequently make one a better massage therapist? Well, with or without the use of one's vision, palpating during dissection provides the therapist with a more thorough understanding of each individual structure, as well as how these structures interconnect to form the whole. A therapist who has received the gift of knowledge thanks to these special "silent" teachers can't help but function in the treatment room with a heightened appreciation and understanding of the human body. And developing these skills takes little more than a heartfelt desire to learn and a willingness to see with your hands what your eyes cannot. Just ask Edgar.
Click here for more information about David Kent, LMT, NCTMB.
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