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The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
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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