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Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
March, 2011, Vol. 11, Issue 03
What About My Brain? Part 2
Bulking Up Your Brain
By Sharon Puszko, PhD, LMT
There is so much we can do to keep our brains healthy, I had to create a part two to share the wealth of the information I came across when researching this topic, including such diverse activities as volunteerism, the study of foreign languages, working with essential oils and meditation.While each of these separately do not have a lot in common, research now shows us that they can help the brain to function at optimal levels.
I discussed some of the many ways we can attempt to delay Alzheimer's in my previous article (MT, December 2010). This information complements those ideas, and proves that the brain is not static. It can be shaped, and it can change for the better; even in senior years, the time when most people (let's face it) give up on change of any sort. Well, I'm here to tell you: DON'T! Doing fun, simple things can really help keep your brain stay young and active longer than anyone might have thought possible.
More Chatter = Brain Matter
We've all been told that being or becoming bilingual is beneficial for job hunting, but it also makes us smarter, literally. Not only are people who learn a second language before the age of five more fluent than those who learn later in life, but they also have denser gray matter in their brains. In 2004, researchers at University College London conducted a study on gray matter in three groups of people: those who learned a second language prior to turning five, those who became bilingual between the ages of 10 and 15, and those who only spoke one language.
The results showed those who spoke a second language had denser gray matter than those who did not. Specifically, the younger a person was when becoming bilingual, the more advanced their gray matter was. So it really does make a difference when children start learning a foreign language in school. It also means that it is never too late to learn a new language, as the study also shows that gray matter was denser even in those who were adults when they became bilingual.
Good Samaritan = Good Brain
Research recently published from Johns Hopkins University demonstrates that seniors who participate in volunteer activities can improve their brain function. This study, published in the Journal of Gerontology: Medical Sciences, followed two groups of senior women: one who signed up for Experience Corps - a national program in which older adults volunteer to tutor school children - and another group who was put on a wait-list for Experience Corps. After six months, fMRIs (functional magnetic resonance imaging) of the brain were performed on both groups. The fMRIs showed enhanced abilities in the regions of the brain dedicated to planning and organizing daily activities in the volunteer group. While preliminary, this research supports the idea that volunteering and being socially active is necessary in order for seniors to maintain their mental health.
Since retirees are the largest growing group of people in the United States, it is crucial that we take their well-being seriously. On a personal note, I was excited to learn about the results of the volunteers in Experience Corps, since most of my professional work revolves around the aging population. I know how common it is for them to suffer from depression and Alzheimer's, and I am always looking for ways to help address those issues. While none of this information will "cure" ADD or Alzheimer's, it does give hope that we will continue to find ways to help us make choices that will lead to healthier, more satisfying lives.
Good Smells = Good Smarts
Smell this! As practitioners, most of us are familiar with the benefits of using essential oils and aromatherapy during massage. What I found interesting was the fact that essential oils can also be used as a treatment for ADD (attention deficit disorder) and ADHD (attention deficit-hyperactivity disorder). This is a growing problem in the U.S., with an estimated 20 percent of children suffering from one of these two conditions. For those who seek an alternative treatment to prescribed medication, certain essential oils have proven to calm people down and increase concentration. In 2001, Dr. Terry Friedmann conducted a study, in which he treated three groups of children with ADD/ADHD with three different essential oils: lavender, cedarwood and vetiver.
According to the reported study, "Vetiver was found to be the most effective in observations and brain wave scans - showing improvements in 100 percent of subjects. Cedarwood essential oil was 83 percent effective, and lavender 60 percent." Even if one does not have ADD or ADHD, using some of these oils that can cross the blood-brain barrier can help brain function.
Focus: It Does a Brain Good
Richard Davidson, PhD, a professor at the University of Wisconsin, conducted a study in 2004 that confirms meditation alters the chemistry and physical makeup of the brain. Using students who were not trained in meditation as the control group, and Buddhist monks with years of practice meditating as the experimental group, Davidson used brain scans and electroencephalographs (EEGs) to examine the brain while meditating.
In particular, Davidson was interested in the activity of gamma waves, important electrical impulses that produce the highest frequency. The gamma wave activity of the monks was some of the highest ever recorded, showing a correlation between years of meditation practice and strength of gamma waves. Gamma wave activity increased slightly in the control group of students, but movement of the waves through the brain in the monks was far better organized and coordinated than in the students. The monks also had more gamma wave activity than the students prior to starting the meditation.
Davidson believes this illustrates that meditation can permanently change the way the brain functions, and hopes future research will confirm this belief. His research confirms that the brain is "elastic", and can be trained to function more efficiently. It also supports the saying, "It's never too late to learn"!
Of all the fascinating articles I read on recent research on brain function, I found Davidson's article on meditation the most promising. After all, meditation does not require you to buy anything or go anywhere; it can be done wherever you are, whenever, and without money or wearing any particular outfit.
As long as you can find a place to sit quietly - or at least somewhere you can focus - you can practice meditation.
To maintain acuity - keep your brain stimulated. Involve new approaches in as many of the senses as possible. "Mental muscle" improves with exercise, so put your brain through its paces as often as possible. Select brain exercises that are challenging and fun, and try 20 minutes of exercise three times daily. Brain exercises can be found at Web sites such as Braingle.com or Billsgames.com/brain-teasers.
With these suggestions in mind, this is just a gentle reminder to take care of your noggin as well as your body.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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