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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
March, 2008, Vol. 08, Issue 03
Creating Sacred Moments Through Compassionate Touch
By Ann Catlin, LMT, NCTMB, OTR
"When we touch another with a compassionate heart, it creates a sacred moment." These are the words that filled my awareness several years ago as I was leaving the care facility after having had a particularly poignant Compassionate Touch session with an elder gentleman suffering from advanced Parkinson's disease. I noticed that in that moment, my heart was wide open and I felt deeply moved and changed in some profound way. The truth embedded in those words has been with me ever since. They guide my way, teaching me about what it really means to touch those we serve. Here is what I've learned so far.
The Nature of Compassion
Compassion is not something we learn how to do, nor is it something we call forth when we think we should. It flows naturally from our humanness and is something we all share. We each may define compassion using different words or phrases: love, empathy, being open to the suffering of others. Although the definitions vary, I believe the experience of compassion is universal. For me, it's when my own healing presence emerges and my heart cracks wide open. I especially like the words of Judith Lief: "Cultivating compassion does not mean injecting some new, improved element into ourselves so we can work more effectively. Instead, we simply uncover the compassion that is already there."1
Helping Is Different Than Serving
I've asked many people, "Why did you become a massage therapist?" Many answer with, "Because I want to help people." Perhaps what is really calling us to this profession is a desire to serve. There is a core difference between helping and serving the elders we touch. Helping implies inequality. When we help, we are doing something to or for the person which places us in a position of power over them. We subtly convey that they are needier than we are, helping perpetuate "separateness" in our relationships. Helping is about doing, and we may cling to or hide behind our techniques or our roles, which actually distances us from the one we think we are helping. I've noticed that when I approach someone with an attitude of helping, the intention and energy flows only one way - from me to the one I am helping. Helping can leave me feeling depleted and burned out.
To serve is to become a part of the experience of the person we are serving. It is a relationship of equality and a dynamic interaction that flows both ways. When we serve, we give and receive. The benefits are mutual and our hearts and souls are expanded in the process. Serving is not about doing; it's about being. It's about being authentic and allowing our innate healing presence to shine forth. In service, we offer our support in whatever way is called for in the moment, allowing our client to receive whatever is needed at the time for healing and well-being. To serve is an opportunity to explore the meaning of the self and what it means to be human. Rachel Naomi Remen reminds us that: "We can only serve that to which we are profoundly connected to that which we are willing to touch."2
Relating to the Individual
For more than 25 years, I have worked with elders who require care because of the debilitating effects of aging or illness. Caregiving is certainly complex and there are many things that must be done. Personal care needs, mobility assistance, medical treatment, social activities and safety are all important. However, I've seen that so much emphasis is placed on what must be done that the caregivers often relate more to the condition rather than the individual inside that aging body.
The individual is the core essence of each person. It never changes, regardless of age or the condition of the body or mind. When my attention is focused on the individual, my hands naturally follow to touch with compassion. I've witnessed hundreds of times what happens when I, the caregiver, stop doing to simply be present and touch the individual. In these moments, I truly serve and a space for healing opens. Not healing in terms of a cure, but a sense of wholeness, acceptance and well-being. These are the sacred moments when pain and suffering are eased and we are both uplifted.
A Sacred Moment
For two years, I provided Compassionate Touchsessions for a gentleman I'll call Mr. Edwards. He resided in a skilled nursing facility and his condition included dementia and the residual effects of a stroke, which left him unable to walk. The facility's staff struggled with him because he would become combative when he felt overwhelmed or confused. He only left his room for meals, refusing to attend other activities. He asked to have massage because of back pain, but it became clear during our first visit that he yearned to be touched and to be accepted. He told me about how his mother would soothe him as a child by rubbing his back.
During our sessions, he loved to tell me about his career as the president of a large loan company, while I massaged his back or feet. He often would fall into a peaceful sleep. Although, his physical and mental condition gradually diminished, he consistently seemed to find comfort from massage. One day the facility was having a party. After giving Mr. Edwards his massage, I was preparing to leave when he sat up as straight as he could in his wheelchair, held out his hand and said to me, "May I have the honor of your company at the party?" That was a sacred moment I will never forget. And, by the way, yes, I went to the party and we had a lovely time!
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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