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What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
December, 2010, Vol. 10, Issue 12
A CranioSacral Therapist's Story
By Sharon Desjarlais, CC
It was nothing more than a clerical error. But it was enough to allow Don Ash to die, an experience that transformed his CranioSacral Therapy practice for life.As a hospice volunteer in the mid-'90s, Don was required to get a physical, which included a test for AIDS. In those days, it was standard protocol for the results to come from the Centers for Disease Control (CDC). Don quickly got the lab work back from his doctor. Everything checked out fine. There was only one report missing. The one from the CDC.
A week went by, but he didn't think much about it. Two weeks went by and he began to wonder, but he brushed off his concerns. After five weeks with no word, it hit him: "I have AIDS."
Usually an easygoing, open-hearted man, Don quickly became an introvert. "I had heart palpitations," he says. "I lost weight. My cranial work suffered and I pulled away from my wife and kids. I couldn't burden them." After eight weeks he found himself erupting in tears at odd moments. "This overwhelming feeling would come over me. Deep, dark depression, loneliness, isolation, and so much sadness."
Finally, he couldn't bear it. He went into his office, closed his door and placed a phone call to his doctor. Holding his breath, Don informed him he never got the results. "Oh no," his doctor replied. "I thought that went out months ago. The test was clear. I hope you weren't concerned."
Don thanked him, hung up the phone and realized, "This is what it feels like to die."
Completing the Biological Process
That painful experience opened Don up to a new understanding about his therapeutic work. "Dr. John Upledger talked a lot about using CranioSacral Therapy to complete the biological process," he says. "But he was usually talking about a birth that's interrupted. I saw how that same principle could apply to healing a body into death."
Don soon had the opportunity to test that theory with his grandmother at the end of her life. "I was monitoring her cranial rhythm, inducing little still points here and there, when she got quieter and quieter. In the moment of her death, her breathing stopped, then her heartbeat stopped, and then I felt nothing but the cranial rhythm until that slowly, gently trailed away."
In the end, Don says, there's nothing left but a great quiet, a great peace. "It really is an amazing grace. If you can help a person witness their own grace with softness and relaxation and acceptance, it's a beautiful thing."
Healing the Family Dynamic
Don has since worked hands-on with hundreds of dying patients. "It's very different than working with anyone else," he says. "You often don't have many body parts to hold onto. You can't uncover them to hold their feet. You can't get to the head of the bed to hold their head. And you can't turn them on their side to do a diaphragm release. So you may have only three fingers on a forearm. You learn to monitor the cranial rhythm and feel what's happening from there."
Using the cranial rhythm as a "significance detector" also becomes an important tool. In the Upledger model of CranioSacral Therapy, when the cranial rhythm comes to a sudden stop, it indicates that something physiologically significant is happening for the client.
"When I'm monitoring a patient and someone comes into the room and the cranial rhythm stops, that's significant," Don says. "I might ask the patient how they feel about that person. It may be that the patient needs them close or needs them to stay away. This understanding can help the family provide the best environment for the patient."
Don insists that as a therapist, you still don't project or direct in any way. "But you can support the family, if they choose, to do some tremendous healing together. That can help everyone discharge a great deal of apprehension and anxiety, so the patient can take a deep breath and relax into the experience."
Facing Big and Little Deaths Hands-On
Don has been teaching his techniques on facilitating the process of suffering, loss and death in a class he calls "CranioSacral Therapy Around Death and Dying." (You can learn more about it at www.donashpt.com.) "We go deep into the skills it takes to help a person relax into their body and mind so they can get to a place where they can set their soul free, if that's what they need at the time."
Yet these skills are every bit as effective with what Don calls the many "little deaths" we each experience throughout life. "We all have moments of successes and failures, of giving and receiving, of gathering in and letting go. It could be from a divorce, a relocation, a job change, the death of a pet. You can use cranial work to help a patient ease through those little deaths, too. When they do, that's when they can really cherish living."
Ultimately, Don's best advice to CranioSacral Therapists who want to support the death and dying process is to "become a very good listener. And follow Plato's advice. Just before his death his disciples asked him, 'Do you have any last words?' 'Yes,' he replied. 'Practice dying.'"
Click here for more information about Sharon Desjarlais, CC.
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