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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
August 13, 2004
Two Give Meaning to Life
By Judith Kohn, MS, LMT, NCTMB
I was a little apprehensive driving to the hospital because I didn't know where in the Bronx it was, and I was sure it wasn't in a great neighborhood. I had read about its wonderful mission on its Web site and knew it would be a very special place.I found it with ease, right off the highway and drove into it's parking lot.
What a luxury in the Bronx! A hospital with a parking lot! I had packed a little shopping bag in hopes of giving Sandy a massage. It had some lotion, hand sanitizer, and baby wipes -- just in case she was up to it.
I wasn't sure what to expect. I had seen her a few weeks back when Deb and I had taken her out for a soda. A life and lady once so vibrant and full was suddenly frail and weak. I had called in advance and knew there were no other visitors expected. I was secretly happy that I would have Sandy to myself to talk and "bond," and to let her know that she was special to me.
In my mind, I had rehearsed what I wanted to tell her; it was very important for me to convey my feelings. I had no intention of staying more than an hour or so, but three hours later, I found myself leaving, emotional and fuzzy in my head. I didn't understand the impact of what had transpired between us until days later, for what I experienced was by far one of the most meaningful days of my life.
We started the visit by talking and catching up. From my studies, to work, to my oh-so-horrible dates. She kept telling me it'll happen; I kept telling her I was losing hope. But somehow, looking at her on the bed so pale and sick gave me a little hope -- like she was willing it to me.
We quickly moved to more serious topics of spirits, of dad, of life after death, of the spirit world and its beauty, and, of course, of dying. We both got choked up as I shared my intimate thoughts and told her how happy I was that she had never tried to be my mother but had just been my friend.
We talked about how she had tried with dad because I didn't like him very much; she said she had tried to soften him and she hated how he treated me. She cried, took my hand and told me she loved me. She had never told me that before. I told her I loved her back, and at that moment, I really understood what she had come to mean to me.
We reminisced about my 30th birthday party, talked about my 40th approaching, and how she had just started dating dad. Then we listed all of the boyfriends she had met since that day and laughed. Of course, I can laugh about it now.
Sandy had been my advocate all along when I decided to go to massage therapy school. I had hoped that dad would approve (even though it wasn't medical school), but somehow I know that Sandy would have made him see it if he didn't on his own.
After about an hour she asked for a massage; she was glad that I brought my "tools." I had learned about massage for specific conditions and knew that cancer was contraindicated in some cases; however, Sandy was terminal. There was nothing I or anyone could do except try to make her feel better.
I worked mostly on her hands and arms, but then we both got more comfortable and I was able to do work on each side of her neck and shoulders with her laying on her side. She wanted her feet worked on, so I asked the doctor for permission to work on her soles. When I got the green light, I worked gently on her feet; she was so relaxed and calm. She was very grateful both for the human contact and for the few minutes of escaping the hell of knowing the end was near. To experience a few minutes of joy, sensation and relaxation from the anxious thoughts was my gift to her. What I didn't expect was the gift I received in return: A feeling of tremendous healing and meaning to know that what I was doing, as little as that was, was being transformed to someone so ill and so happy in that moment. The feeling was indescrible.
This feeling inside me was one of fullness, though bittersweet, in its intensity and sadness, yet combined with awe at what doctors who help cure must feel many times throughout their careers. It brought me out of my head with my own problems. Sandy was even concerned about how long I had worked on her feet; she asked if my hands had grown tired. But I didn't even feel the slightest fatigue. The muscles I had built up in massage school made me feel guilty looking at her thin bones through her skin. I made up my mind in those few hours to visit at least once a week to give her a massage while she is able to receive it.
Sandy passed away on October 27, 2003, two months after entering the hospice. My massages were the highlight of her days, and she looked forward to my evening visits after work one or two times a week. We grew closer during those two months as friends and shared a special connection during the massage experience. I am comforted to know that I helped give her some enjoyment in her remaining days on earth. What she taught me I will always carry in my heart.
My heart is full now. I have both assisted and been taught by the dying; it has given meaning to me, and for that lesson I am grateful. Thank you Sandy. I love you and miss you.
Judith Kohn lives in Westchester County, outside of New York City. She is a full-time human resources director and part-time licensed massage therapist. Judith also holds a master's degree in counseling and bachelor's in psychology. She went to massage therapy school after to embrace wellness and do something holistic and different from office work. She believes massage helps to bring meaning and purpose to her life as she brings healing to others; it also helps keep her grounded and centered.
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