Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
July, 2009, Vol. 09, Issue 07
Dialoging With the Nonconscious Mind
By Ken Piercy, MTI, CST-D; guest author for John Upledger, DO, OMM
Recently, I conducted a CranioSacral session that took an unusual turn. "Serena" (name changed to protect privacy), a woman about 50 years old, was in for the second time. As she got on my table and began to relax, she became quiet and still.I was instantly drawn to the left side of her abdomen, where I placed my hands. I sank in a little deeper, focusing on the energy cyst I was feeling. An energy cyst is a highly compressed ball of disorganized energy that originally entered the body in the course of an injury or trauma. Essentially, it's the "energetic imprint" of trauma, and it can contain emotional as well as physical energy.
Within minutes, Serena spontaneously began telling me that she could see a little girl, but she could only see her head. She said the girl was in a yellow light, and that her hair was matted and unkempt. The little girl also had no eyes.
My training taught me that it's essential to get permission from the client's Inner Physician before proceeding. This ensures that it's always the client who sets the agenda. It's not up to the therapist to decide to go into a client issue. It's up to the client, and that includes her conscious and nonconscious mind.
After getting the green light from Serena's Inner Physician, I moved gently into using therapeutic imagery and dialogue. I asked Serena what the little girl was doing. She told me the girl didn't have any spark, that her brother had taken it away. Suddenly, Serena said, "He shouldn't do that to me, a 6-year-old girl."
After 10 years of practicing CranioSacral Therapy and SomatoEmotional Release, I've come to learn that a shift like this - from third person to first - is usually significant. So I asked Serena, "Do what?" She said, "He was behind me. He snuck up and squashed me." She went on to describe the scene in the woods, the pain, the violation of trust. Then she said her brother told her, "If you tell mom, I'll kill you."
The Ego Takes a Back Seat
This was obviously a traumatic experience for a little girl. I could feel the tension build in Serena's body. With my saying nothing more than "Tell me about it," she was able to discuss the scene in enough detail to gain some clarity around it. As she did, I could feel her tension begin to dissipate.
That's when I asked Serena what she wanted to do with this experience. It was her experience, after all; it wasn't my place to tell her what to do. Surprisingly she said, "Don't go to the forest. You'll leave me there!" Of course I hadn't mentioned the forest, and my own ego immediately began thinking that I would never leave her there anyway. But this session belonged to Serena, not to me. It was no place to defend what I thought I would do.
Indeed, the therapist's ego has no place in the treatment room. Whether I understood what was going on for Serena or not is irrelevant; I was just looking for signs in the tissue that my client was in some way releasing the energy of emotion that's embedded there. The therapist must adapt to the client's pace, never the other way around.
So instead I simply asked, "Is there a place that's safe for you to take this?" Serena thought for a moment, then said, "There's a place for the pain in the ocean. Look! There are ocean people." I'm not sure who the ocean people were or what they looked like, but it wasn't important at the time. She brought them up and they could take the pain. That was good enough for me.
Feeling the shift in her body, I asked Serena what she was experiencing. She said, "One of them took the pain and put it inside of him. Then they all went back into the ocean with the pain and now they're fine."
After sensing the relaxation come into Serena's body, I inquired, "So, where are we now?" She talked about a young girl who went to a gorgeous garden and was happy to stay there. She didn't want to leave, so I suggested that we could come visit whenever we want.
The Conscious Mind Returns
Throughout all this, I had spent the entire session on the left side of Serena's abdomen, never moving. It felt like the right thing to do. After a few minutes of allowing the peaceful feeling to permeate, I felt Serena move her arm. She said, "Wow, I must have drifted off." I was surprised by her comment, but it indicated to me that her nonconscious mind had not connected fully with her conscious mind.
A few weeks later, Serena came in for another session. She told me that after the previous session, she had woken up in the middle of the night and suddenly remembered it all quite clearly. She shared her surprise that she had spent years in "talk therapy" about that very issue, and yet it still came up through her body. Note: Even when something may seem unresolved from a session, it's important to remember that the therapeutic process continues long after the client leaves your table.
I was grateful to Serena's Inner Physician for allowing the imagery and dialogue to play out at her speed and her understanding. And I was happy to have learned from Dr. John Upledger and Stan Gerome, LMT, who both facilitated my understanding of using therapeutic imagery and dialogue in a CranioSacral session. To learn more about SomatoEmotional Release (SER), read Dr. John Upledger's article "Releasing Emotions Trapped in the Tissues" (June 2008 issue).
Click here for previous articles by John Upledger, DO, OMM.
Ken Piercy, MTI, CST-D is a diplomate-certified CranioSacral therapist with a thriving private practice in Dallas. To learn more visit www.kenpiercy.com.
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