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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
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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