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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
August, 2009, Vol. 9, Issue 08
Massage Today Reader Discovers "Anything’s Possible"
By John Upledger, DO, OMM
Terri, a normally healthy 62-year-old woman, was recently scouring the Internet for help when she ran across a Massage Today article that she said "literally saved my life." She was suffering from severe anemia that doctors at two different hospitals couldn't explain.
Her health had started degrading a year earlier when she found herself dramatically short of breath. "I couldn't get dressed in the morning without having to sit down and rest," Terri said. "I couldn't even walk to the bathroom from my desk at the office."
Doctors suspected Terri had a rare form of asthma, but that didn't sit right with her. "I wasn't wheezing at all. I just had shortness of breath." Nonetheless, they put her on a steroid for six months to try to clear it up. "It didn't do anything except make me gain a lot of weight," she said.
Then last November, Terri's right foot and big toe went numb and turned blue. She immediately checked into the hospital, but this time she was told she probably had peripheral artery disease. The surgeons began preparing for an angioplasty. "In the process, they asked me to sign a release that gave them permission to amputate my foot!" she exclaimed. Fortunately for Terri, her intuition told her that something wasn't quite right with this picture. So against doctor's orders and pleas from her daughters, she signed herself out of the hospital and found her way to a different doctor, one she hoped would finally listen to her.
After a battery of tests ruled out plaque around the heart, doctors gave Terri a new diagnosis. "Your big toe is broken," they said. "What's wrong with that?" she asked. As it turned out, plenty. She was also suffering from something the other doctors hadn't mentioned: severe anemia.
Anemia occurs when you don't have enough healthy red blood cells, or when the red blood cells don't have enough hemoglobin to transport oxygen to the organs. For men, a count of less than 14g per deciliter is worrisome. In women, anything less than 12g is a problem.
By the time Terri went back to the hospital five days later, her hemoglobin was at an 8. But she still wasn't prepared for what her doctors recommended next: a blood transfusion. "I was shocked. I had no idea it was that bad," she said. "But it was all too much. I told them I had to go home and think about it."
Unfortunately, within a of couple days, her hemoglobin had dropped to the dangerous level of 6 and she collapsed.
Back at the hospital, Terri received four consecutive blood transfusions. "They say one every few months is the norm. But that's what it took to get my hemoglobin level back up to an 8," Terri said. Assuming she must have been bleeding internally, the doctors ordered another round of tests. Everything came up negative.
By January Terri's hemoglobin was back down to a 7, but the doctors still didn't know what was wrong. So they gave her another transfusion. Finally, they told her it was just too dangerous to continue doing that. They were going to wait until it got down to a 6 before giving her any more.
"I was playing with my life," Terri said. "I thought, at this rate, I might just not wake up one day." Her doctors agreed and actually advised her to get her affairs in order. "They still didn't know what was causing it. They even suggested chemotherapy just in case it was a cancer they couldn't find."
When Terri went home that day, she decided to take her health care into her own hands. She started by searching for clues on the Internet. The last time she had looked, she was reviewing the prosthetics she thought she'd need after her foot was amputated. But this time she was determined to "sit there for 24 hours if that was what it took to find some kind of treatment for anemia."
She began Googling. That's when she found a Massage Today article called "Unwinding Meridians to Reverse Anemia" by Dr. Kenneth Koles (April 2009 issue). In it, Koles talks about combining acupuncture with CranioSacral Therapy to treat a woman named Helen who was suffering from anemia like Terri was.
CranioSacral Therapy rang a bell with Terri. "I have a friend who's a massage therapist and she was trained in cranial work, too," she said. So she quickly called Laura Gomez, Ms.T. Coincidentally, Laura had just read the same article, and she immediately drove to Terri's for her first treatment.
"It didn't feel like any massage I'd ever had," Terri said. "It felt more like acupressure to me. It was strange, I remember hearing in my right ear the sound of blood flowing. It sounded like the ocean." Laura continued to work on her for two hours, coming back several times in seven days.
Terri went to her doctor to have her blood checked once again. "I was so depressed. If this didn't work, I didn't know what I was going to do." To her surprise, her hemoglobin count actually went up two-tenths of a point. "That doesn't sound like a lot, but normally I'd go down five-tenths every week. So to me, that was more like seven-tenths of an increase!"
Hopeful for the first time in months, Terri had two more CranioSacral sessions the following week. Her next blood test was even more promising. She was up to a 9.3. "It went up six-tenths of a point! And my iron levels went up one whole gram, and I wasn't eating spinach or anything. I had just started taking iron pills, but the doctor told me they wouldn't have started working for months."
"My doctor said it's a miracle," Terri said. And when she told him about CranioSacral Therapy, he commented, "I suppose anything's possible." Fortunately for Terri, with the help of hands-on therapy, he's right.
Click here for previous articles by John Upledger, DO, OMM.
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