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A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
November, 2007, Vol. 07, Issue 11
Companionship in Cancer Care
By Tracy Walton, LMT, MS
An oncology nurse once told me that in order to get up each morning and go to work at the bone marrow transplant unit at her hospital, a certain amount of inner preparation was needed. She needed to be able to look her patients in the eye and say, "I will walk with you" through the treatment process.
Her words have stayed with me and referred me back to that inner preparation time and time again.It's no wonder so many nurses are drawn to massage therapy, as there seem to be several parallels in massage therapy and nursing. Touch is one of them. Alleviating suffering is another. And companionship is a third.
In my own work with people with cancer, I've encountered a range of individual experiences and subpopulations: cancer survivors, people in treatment, people at end of life, patients in the middle of the diagnostic process and caregivers. Within each subpopulation of my practice, individual experiences also differ widely. I've worked with people in many emotional states - those who are fearful, driven, hopeful, outraged, accepting, cheerful, terrified, resigned, perplexed, grieving, despairing and at peace. No matter what the journey looks like, all can use companionship.
To be that companion, I too have to ask myself each morning whether I am prepared to truly walk with my clients. Walking with a client means listening deeply, opening my heart, accompanying them without judgment, accepting that wherever they are is wherever they need to be. It means breathing through my own fears and letting my care come through my hands without hesitation. It means touching my client with full-hand contact: palms, fingers and fingertips. It means looking for ways to my client's way, without trying to fix it, without needing either my client or my client's path to be different. To truly walk with my client, I need to prepare myself. I wrote recently for Massage Today about "Meeting the Emotional Challenges of Oncology Massage" in the June 2007 issue and offered some self-care measures to help prepare for each day. For the most part, I follow them regularly.
End of Life
Another step in my own preparation is to read. Recently, I came across an interesting small study from Yale University on massage therapy and meditation at end of life.1 The study sample was made up of people with HIV, not people with cancer. But the study was instructive for me, not just for end-of-life care, but for middle-of-life care, life-crisis care and beginning-of-life care - any kind of care. In fact, whenever I read an end-of-life study, I try to replace "end of life" with "life," "birth," "health," "illness" and so on, replacing one point in the life cycle with another to see if the principles still apply. They often do.
These researchers, led by a physician's assistant and physician, pointed out what many end-of-life caregivers have noted: Little attention is given to the quality of life, especially spiritual quality of life, at this important transition point. They set out to study it, using massage, meditation and both in tandem.
The result was powerful. I have read many massage studies but none have moved me to tears as this one did. The researchers wrote plainly and clearly about their study population and its unmet needs. Years of listening carefully to their patients were evident in their words and in their study plan. They described a sample of 58 patients with late-stage AIDS, all in residential hospice care. They examined overall quality-of-life (QOL) measurements and QOL subscores in well-being, physical function and others. They were particularly interested in their subjects' experience of spiritual, or transcendent, quality of life.
The researchers randomized patients to one of four groups. For comparison, a control group received only "usual care;" care usually provided to people in late-stage disease. The other three groups also received usual care, plus one or more interventions. One group received daily massage, another instruction in meditation. The fourth group received both massage and meditation.
Swedish massage was provided in 30-minute sessions, five days per week, for the four-week study period. The meditation instructor offered a cassette, a tape player, and instruction to do the exercise at least once daily, and she made herself available for questions and assistance throughout the study period. "Metta," loving-kindness meditations guided the listener to feelings of love for the self and others and feelings of well-being. Forgiveness meditation guided the listener to forgiveness of self and others. Looking over this study, I had my first experience of reading statements such as "Just as I wish to be free from danger, may you be free from danger. Just as I wish to be well, may you be well. Just as I wish to be peaceful, may you be peaceful," in a medical journal. It was a sweet moment, if initially disconcerting.
The investigators found interesting results. Alone, massage or meditation affected QOL slightly, but results were not significantly different than the control group. However, when massage and meditation were combined, the QOL outcomes were statistically significant. Moreover, the combined effect of massage and meditation was greater than the sum of its parts. That is, the two interventions combined were more powerful than the additive effects of the two single interventions. In other words, a synergy seemed to be at work. These patients' improved scores persisted even four weeks after the last intervention and may even have persisted at the 68-week mark.
Initially, the researchers had set up the study because of their concern about the experience of AIDS - that it was inherently isolating. Their concern with using meditation was that it can feel isolating as well. By adding in the massage component, they hoped to see whether the companionship of massage made people more receptive to the meditation. From their results, it seemed so. Moreover, they speculated that the meditation could have made people more receptive to the massage. It seemed to me that the "felt sense" of meditation and the "felt sense" massage were potent interactions in the study.
The study is small, and the investigators made no sweeping statements about their results. Instead, they presented it as justification for further study. They suggested future studies be rigorously designed to explore any links between massage and meditation in late-stage disease.
As many studies do, this one offered more questions and speculation than firm answers. However, in it was a hint of the companionship we all need during our most important transitions. Considering all of the hands we need to hold firmly throughout our lives as we start kindergarten, give birth, leave home, get married, say goodbye, hear a cancer diagnosis or make any major change in life, this would seem obvious. Sometimes we forget this, too, leaving one or more of us isolated for a time. This isolation is especially poignant during a health crisis such as cancer or AIDS.
The journeys people take through cancer and AIDS aren't limited to the end of life and the majority of experiences happen smack in the middle of it. While AIDS carries its own particular stigma and isolation, cancer also can be a lonely experience. During any health crisis, Metta meditations on loving kindness and nondenominational prayers of forgiveness may help, as may the skilled touch of massage. Loving kindness comes in many forms and massage might provide one clear, unmistakable, flesh-and-blood sense of it.
May we reach then with firm, certain and open hands.
Click here for more information about Tracy Walton, LMT, MS.
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