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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
March, 2010, Vol. 10, Issue 03
The Corruptibility of Facts
By Ralph Stephens, BS, LMT, NCTMB
The German philosopher Friedrich Nietzsche had an interesting prediction where secondary knowledge, which is what we learn from books, the media, what we are told and taught, would replace experience as our basis for judgment.It appears his prediction has come true. Today, most people's opinions and beliefs come from what they are told (in some form), not what they have experienced first hand. Most people act on theoretical knowledge instead of their first-hand experience.
For example, we constantly experience that politicians cannot be trusted to do what they say they are going to do during the campaign. Yet election after election, we vote for candidates whose speeches and writings make us feel good or support the beliefs we have about some aspect of society, regardless of the politicians past actions and record. We vote for the candidate who promises the most from the government trough, find ourselves feeling let down post-election, but repeat the pattern.
When the secondary information we have accumulated contradicts our personal experience, we have been trained to ignore our experience. We decide we must not have complete knowledge of the subject so we should believe what we have been told or we think that our experience must not be typical. For example, the vast majority of people surveyed in the U.S. were very happy with their health care, yet they believed the system was failing most people. A total disconnect.
Sadly, we do not use our experience to judge the validity of facts and figures, which can be rigged to "prove" pretty much anything. Instead, we judge the validity of our own experience by them. It is easy to manufacture information. Research is a classic example of this. Anything can be proven with a research study or a poll. It just takes manipulation of the variables, asking the "right" questions the "right way," or omitting a few things. We all know that some people will do virtually anything to have their way. Yet most of us never make the connection between the corruptibility of man and the corruptibility of facts. It is frightening how well we have been conditioned to accept secondary knowledge unquestioningly. It is how we are controlled and manipulated to do things that are against our own best interests.
Remember, the art of politics is to get people to do what is against their own best interests. Good propaganda is 80 percent truth and only 20 percent lie, thus it is plausible, yet misleading and deceiving. Propaganda (partial truth) is bombarding each of us everyday. We all need to apply more discernment and have more confidence in our "gut" feelings. The massage profession is not isolated from the corruptibility of facts. Our associations tell us how good it is for us to accept and support laws that take away our scope of practice and saddle us with ridiculous, insulting taxes like establishment permits and background checks.
This is not to say we should not learn or trust secondary knowledge at all. Research can be valuable and accurate. We have to learn from books and teachers, as there is not time to learn everything by experiencing it. Unfortunately we live in a very corrupt society that justifies human suffering in the name of profit or power. Whenever either is involved in something, be very wary and skeptical. (Adapted from an article by Michael Masterson.)
A Moment of Opportunity
In 2000, MDs in Israel went on strike. The death rate dropped so dramatically that funeral directors protested the strike. Emergency care and other vital services were maintained during the strike. There were just less visits to outpatient facilities, no elective surgeries and fewer prescriptions written. A similar trend happened quite some time ago in California when doctors went on strike. There has never been another doctor strike in the U.S.
Joseph Mercola, DO, puts it very well in an article he wrote, stating, "There is no question that traditional approaches for acute traumas (heart attack, stroke, accidents, etc.) are valuable and should not be abandoned. However, overall, when drugs and surgery are used to address chronic illness, it is generally a prescription for disaster."
Hospitals and doctors are invaluable for traumatic injuries. But when it comes to maintaining robust health and preventing illness, healthy living and personal responsibility is the key. Both secondary and experiential knowledge demonstrate this to most people. Yet we continue to allow allopathic medicine to dominate our health care system.
The massage profession could be a bright light for the public. We are the perfect profession to demonstrate and teach healthy living and personal responsibility for one's health. This would, of course, include providing the number one wellness modality - massage.
Sadly, we are groveling at the feet of the medical profession and politicians, hoping to be integrated into their sickness paradigm. This is like trying to mix water and oil. Massage is missing its greatest opportunity for success by having a minimal entry-level education requirement, reducing itself to barely a trade, where we are is the ideal profit point for schools and associations, not for therapists and the public good. Massage and health are not equated. Generally, we provide only massage, not health care. That is not to say we should be treating disease or trauma. However, we should be trained in health, not just massage, and our practices should include a broader range of services, education and products that support people in achieving high-level wellness. Of course, we have to live it to promote it, and that is difficult to do as a profession when most therapists are unaware of the concepts of health, wellness and nature cure. There is so much potential for our profession to grow into this field and the new government-run, rationed-care system will create a huge demand for alternatives, assuming it does not outlaw them. Will we rise to this challenge or succumb to the allopathic monopoly?
May the awakening energy of spring and March Madness enliven your days. See you here in May with an interesting personal experience.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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