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Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
June, 2007, Vol. 07, Issue 06
Glimpses of the Big Picture: Leptins
By Leon Chaitow, ND, DO
The topic covered in this article is relevant to practitioners of all disciplines, particularly those who are providing health care services to people who suffer from conditions as diverse as chronic inflammatory conditions, autoimmune diseases, neuropathic pain, obesity, diabetes, thyroid hormone resistance (e.g., unexplained hypothyroidism), many cardiovascular diseases, syndrome-X, food cravings ...and more. Before getting to the unlikely link that can connect these apparently unrelated diseases and conditions, a background setting is called for.
An image I like to use when explaining contextual issues in relation to health is that of an iceberg floating in the ocean. The visible portion of the iceberg - perhaps 20 percent of its total mass - simplistically can be seen to represent those aspects of the patient that we observe, palpate, assess, discuss and evaluate. These divinations result in a greater understanding of the unseen inner workings of the patient - equivalent to aspects of the unseen, underwater portion of the iceberg.
And then there is the ocean itself, in which the ice mountain floats. In relation to the iceberg, this would include elements such as the relative salinity, temperature and pH of the water, as well as the weather, currents and more. In relation to the patient, the context includes multiple influences - environmental; psychosocial, biochemical and biomechanical; past and present; intermittent and constant; acute and chronic - that affect the individual from cradle to grave.
The complexity of such interacting influences, overlaid on the person's genetic and acquired characteristics, as well as the symptoms being manifested, often seem too daunting to make sense of. Hence, the reductionist approaches of so much of health care, whereby modifications of single aspects of this confusing edifice are attempted in order to nudge it toward more normal function. This may be done via diet, medication, nutritional supplements or herbs, needles, manual treatment, exercise, hydrotherapy, better breathing or posture, homeopathy, and many other options. Any of these interventions might modify etiological features sufficiently to encourage the self-regulating functions and systems of the body toward better health.
Lifestyle changes might be suggested that appear to offer more fundamental health-enhancing possibilities. Here, treatment is not a feature, but rather the initiation of changes that aim to align the individual more closely with evolutionary imperatives - offering a chance for homeostatic functions to operate more efficiently. Such changes might involve reforming nutritional, exercise, sleep and other basic behavior patterns.
Many such changes are common sense. Practical lifestyle modifications have been demonstrated to lead to profound influences on well-being and health enhancement. These suggestions range from more exercise, adequate sleep, balanced/reformed dietary habits (avoiding or modulating intake of high-sugar, high-fat junk food and stimulants such as caffeine and alcohol), as well as better breathing and relaxation methods. Other simple choices also are now available, backed by solid scientific evidence; much of it relating to hormones produced by white adipose tissue (fat), such as leptin.
The Leptin Story
I am grateful to Judith DeLany, LMT, with whom I have happily co-authored three books, for drawing my attention to the rapidly-evolving area of leptin research and putting together a summary for use in one of our revisions. Credit for collating a great deal of the information outlined below belongs to her. Recent research points toward basic lifestyle changes that can have profound influences on the evolution of diseases. Due to space constraints, I will outline only some of the most pertinent information, with appropriate references that can be used to expand on the summary below:
A simple plan has been devised8 to help regain normal leptin levels and thereby, balance the hormonal cascade discussed above. Although this plan may not be ideal for every one, it is presented here for the majority who it is suggested should benefit from its use. The foundation of the plan contains five basic rules. Breaking any of the rules or guidelines (below) can lead to setbacks.
Rule 1: Never eat after dinner, not even a snack or glass of wine or juice. Allow 11-12 hours between dinner and breakfast. Generally, finish eating dinner at least three hours before bed. This rule is designed to allow leptin, melatonin, cortisol and other chemicals to balance during the night. Individuals with night-eating syndrome have abnormal hormonal patterns apparently associated with nocturnal eating.9
Rule 2: Eat three meals a day. Allow 5-6 hours between meals. Timing is crucial, so that insulin levels can drop, glucagon (produced by the liver) can rise, and fat metabolism can kick in. If this occurs a couple of hours before more food is eaten, fat stores can be utilized until the next food is eaten. Snacking between meals sends the insulin back up and fat stores remain untapped. Therefore, snacks are to be avoided. Protein and carbohydrate portions are the size of the palm of the hand and most vegetables can be eaten as desired. Peas, carrots and corn are taken in moderation.
Rule 3: Do not eat large meals. Eat slowly and, if overweight, always try to finish a meal when slightly less than full. Eating slowly allows time for hormonal signals to reach the brain before overeating occurs. Smaller meals allow for better digestion. Do not overstretch the stomach and reduction in overall caloric consumption can be achieved.
Rule 4: Eat a breakfast containing protein. This helps set the hormonal cycles for day and night. Compromising this can have hormonal effects during the day and into the night, disturbing sleep. Weigle, et al.,10 showed that an increase in dietary protein from 15 percent to 30 percent of energy produced significant weight loss, presumably "mediated by increased central nervous system leptin sensitivity."
Rule 5: Reduce the overall amount of carbohydrates eaten. Unless one already is on a low-carb plan, chances are that too many carbohydrates are routinely consumed. Regarding carbohydrate influences, Garg, et al.,11 note, "Compared with the low-carbohydrate diet, the high-carbohydrate diet caused a 27.5 percent increase in plasma triglycerides and a similar increase in [very low-density lipoprotein]-cholesterol levels; it also reduced levels of HDL cholesterol by 11 percent."
This brief summary suggests that eating regular, balanced (low-sugar, for example) meals, including a protein breakfast; avoiding snacking between meals and reducing overall carbohydrate intake; and getting enough sleep can beneficially impact a huge range of diseases, including those that involve excessive inflammation.
If you or your clients are overweight, suffering from inflammatory conditions and/or any of the long list of conditions mentioned by researchers investigating leptin, these simple changes could offer a way of beneficially influencing health. When they do, this represents an example of contextual health care, as discussed at the start of this article.
Click here for more information about Leon Chaitow, ND, DO.
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