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News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
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.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
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.
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.
Pain Is Only a Piece of the Puzzle
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, etc.
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.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
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.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
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.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
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."
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.
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.
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.
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.
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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