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The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
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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