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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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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%.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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).
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.
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.
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.
March, 2011, Vol. 11, Issue 03
Understanding Alzheimer's Part 2
By Ann Catlin, LMT, NCTMB, OTR
Part one of this article dealt with facts about Alzheimer's disease. As an educator, I believe that facts are a good place to start to understand a topic.Facts give us the big picture about the disease, demographics and guidelines. I've been around people with dementia my entire professional career. I've seen how this disease takes the brain a little at a time and the heartbreaking loss that families endure. My formal education focused on impaired intellectual and functional abilities as the phrase "death by a thousand subtractions"1 reflects.
But facts are only part of the story when it comes to understanding Alzheimer's disease. A new body of knowledge is emerging that shines a light on the inner life of the person living with Alzheimer's and what remains intact. I'm excited to find others speaking out about what I've witnessed for years - that, in spite of the disease, the individual within remains and is capable of a worthwhile life.
Personhood is defined as "the state of being an individual or having human characteristics and feelings". A person living with Alzheimer's is often thought of as a former person - one who has lived but is no longer "there". New perspectives beg to differ. We now see that Alzheimer's is about much more than memory loss, but rather complex layers of both cognitive deterioration and largely intact abilities. The key, it seems, is to find ways to focus on the abilities. John Zeisel in his book, I'm Still Here2, tells us:
I couldn't agree more. Through my work as a Compassionate Touch practitioner, I've witnessed the profound impact of touch in bringing forth the intact person within the fog of the Alzheimer's. A gentleman, I'll call James, resided in a skilled nursing facility. When I met him he was able to share much of his life and was very engaged with his family. James had been an entertainer and a businessman.
As a young adult he was a radio broadcaster and loved to sing. He shared with me a recording of him singing a beautiful Italian song. His young tenor voice was lovely. We played that recording many times during our visits and, while I gave him a back massage, he would tell me stories that music brought to mind. As his condition worsened and he no longer knew who I was when I arrived, the touch and music helped him access the memory of our relationship. One day he surprised me by asking about my son, clearly remembering things I had told him months before. Even near the end of James' life he enjoyed the connection we had through the medium of touch.
Touch As Connection
What is it about touch that is so powerful? That is a complicated question but two reasons are near the top of the list in my opinion: oxytocin and hardwiring. Oxytocin is a neurotransmitter in the brain related to childbirth, sexuality and social behavior. Touch stimulates production of oxytocin leading to feelings of safety, caring, trust and decreased anxiety. It's been called the "care and connection" hormone.
Zeisel talks about hardwired human abilities. These are universal abilities all humans share. He explains that touch is one, along with emotions, singing and facial expressions. People with Alzheimer's don't lose the capacity for human emotion or recognition of a caring touch. What I've seen is that even a person in the very late, severe stage of Alzheimer's retains all these capacities.
A case in point is a woman who was largely non-verbal, her muscles were contracted and she barely could move. She could no longer feed herself or tell someone if her nose itched or if she was in pain. Her days were spent either in bed or in a reclining chair with very little interaction with others except during her physical care.
I saw her weekly for 30-minute sessions. Sometimes I would see very little obvious response to the hand, shoulder or foot massage I provided. But I had a sense that there was more than met the eye happening. She seemed to relax into her bed a little and her face relaxed. And sometimes she would look me in the eye with a little smile. One day as I massaged her hand she held my hand, turned to me and said in a weak voice, "You are very kind. I love you." Not only was she capable of receiving love, she was capable of giving it - also a hardwired human trait.
Benefits of Sensitive Massage and Focused Touch
I believe that touch - in the form of sensitive, gentle massage and holding - taps into reserves of hardwired abilities resulting in the following special benefits for those living with Alzheimer's disease:
A hand massage, back massage or simply holding a person has the power to elicit positive, life-affirming feelings and responses. For the person with Alzheimer's, touch becomes a language of the human heart and a remembrance of his place in the world.
Along with the references listed, the following books are great resources for more information on this topic: Alzheimer's Disease: The Dignity Within by Patricia R. Callone et al (Caring Concepts, 2006); and Inside Alzheimer's: How to Hear and Honor Connections With a Person Who Has Dementia by Nancy Pearce (Forrason Press, 2007).
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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