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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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
January, 2010, Vol. 10, Issue 01
The Art of Authentic Listening
By Ann Catlin, LMT, NCTMB, OTR
For most of my adult life I have interacted with people in later life stages living with debilitating conditions. Things like: brain injury, hip fracture, stroke, hearing loss, Parkinson's disease, Alzheimer's disease and frailty.Interacting with a person with any of these conditions can be challenging. For example, their speech may be slurred, or they may be confused or talk about their grief and sadness. It has been my experience that one-to-one focused massage sessions tend to invite people to open up about their circumstances. It's not always easy to know how to respond properly. I've learned that communication doesn't start with special techniques or the "right" way to respond. It begins with authentically listening.
Authentic listening is a sacred art. It is listening with presence that goes beyond what your ears hear and what you say in response. It is listening with your heart; it is responding from your authentic self. It is listening for the essence of the interaction and connecting heart to heart.
If we were to take an honest look at how we normally listen, we would appear attentive and listening to the words the other person is saying but, may be distracted by our own thoughts about what we are hearing, and already forming our response. Or we may be having judgments about what is said. Most of the time, we are more involved with our own experience than that of the other person.
Becoming an Authentic Listener
Listening from the heart requires self awareness and a willingness to expand your comfort zone. Intend to listen more authentically. What follows are considerations for becoming an authentic listener.
Quiet your mind. Our minds are in constant motion. There are plenty of internal and external distractions that draw our attention. Getting centered and quieting the mental chatter opens a space for deep attentiveness.
Be willing to listen without judgment. Judgment is a form of reacting based on our own past experience. We often react because our personal triggers get pushed. It is important to become aware of what your triggers are in order to not shut down open communication. As you listen, simply receive without judging what is said. This opens a space for deep trust.
Commit to patience. We live in a rushed world and tend to move on to the next thing rather than attending to what is in front of us. True communication can't be rushed. Be patient with yourself and the other person.
Remain in the moment. Let each moment of the interaction unfold naturally without trying to steer it a certain way or without preconceived ideas about where the conversation needs to go.
Avoid the temptation to formulate a response. Listen first, then respond. Our tendency is to be mentally forming our response while the person is still talking. Focus first on what the person is conveying, then form a response.
Be honest. If you are unable to be fully attentive, it's better to let the person know than to pretend you are listening. Perhaps you are preoccupied or tired. Letting the person know you care but that you can't give your full attention is acting with integrity.
Listen with your eyes. Observe the nonverbal messages, both the speaker's and your own. What is the body posture telling you? Is the voice tone consistent with the spoken words? What is the facial expression?
Listen to the silence as well as the words. Learning to be comfortable sitting in silence with another person is one of the most powerful forms of communication. Silence allows the hearts to connect, and a sacred dialogue is spoken.
Gladly receive the gifts of authentic listening. When you listen from the heart, you enter into a mutual experience of giving and receiving. Let yourself be uplifted by the experience as you uplift the life of the other.
Authentic listening is not about doing anything. No formulated response. No need to fix anything or to make the person feel better. It is not counseling or analyzing. It is about being, not doing. Being with the other person and caring about their experience.
Think on This
To close, I want to share a couple of quotes and ask you to reflect on them to further capture the essence of authentic listening.
"Hearing is something that happens to us. Listening is something in which we choose to participate" - James E. Miller
"Listening is the oldest and perhaps the most powerful tool of healing. It is often through the quality of our listening and not the wisdom of our words that we are able to effect the most profound changes on the people around us." - Rachel Naomi Remen
If our paths should cross, I'll do my best to listen to you.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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