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Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
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.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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.
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.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
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."
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.
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.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
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.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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.
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!
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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.
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.
September, 2011, Vol. 11, Issue 09
What is Your Play Personality?
By Sharon Puszko, PhD, LMT
When the last time you played? I'm sure there are some people who can quickly give an account of what they did yesterday that constituted play for them. There also will be many who will pause with a furrowed brow and remain silent as they try to remember when they last did something just for the fun of it.
Whether it's cooking a new recipe, going on a hike, watching a movie, fixing up an old car or reading a book, play is a primal and necessary part of our lives. Especially in a competition-based culture such as ours, play is essential to being a productive member of society. As helpers and caregivers, it is crucial that we as massage therapists give ourselves time to play. It is impossible to help others heal and relax when we aren't relaxed ourselves. Playing helps us re-boot our systems and bond with others, which, in turn, makes us better therapists.
Merriam-Webster defines play as, "a recreational activity; especially the spontaneous activity of children." However, the types of play that exist are as varied as the people who engage in them. As adults, we often do not think about, or spend a significant amount of time, playing. Notice that the definition itself refers specifically to children. While play is crucial for the intellectual and social development of our children, it is also important for us in adulthood.
We are learning that it would be beneficial to change the ending of that entry to "children and adults." Current research demonstrates that not only have Americans made work and competition a priority, but that we are sacrificing playfulness and creativity for them. For instance, over the past 30 years, time spent at work has jumped 10 hours a week. Therefore, learning how to play more at work has become a popular subject these days. However, the nature of our work as massage therapists puts a limit on how much play we can integrate into our work. While some clients enjoy playful banter and laughing throughout a massage, others would never return if we did not respect the quiet time they look forward to while in a session. This makes it all the more important that we try to incorporate play into our lives outside of work.
So, if we simply work less, will we spend more time playing? Not necessarily. Play and work are not mutually exclusive; rather, one cannot survive without the other. A life without play is not one filled with work: it is a life filled with depression. For example, the work we find most fulfilling usually reflects the type of play we engaged in as a child. Does this mean I spent a lot of my childhood volunteering massages to my friends? Not necessarily. But it does mean that I was an active, social child who enjoyed problem solving, which Stuart Brown, M.D., the founder of the National Institute for Play, would say meant I have three different types of "play personalities."
After years spent gathering "play histories" from people, Brown noticed several archetypes that play preferences usually fall into. While some people might fit into just one type, others might have several preferences for the type of play they enjoy. An easy way to start putting more play into your life is to identify what type of "personality/personalities" the play you enjoy fits into.
I've listed what I feel are the more common types below. You can find the complete list in his book. These "types" can be used as a guideline to determining the type of play you prefer, and help you remember how to put some fun back into your life.
Someone who enjoys comedy shows, making people laugh and finding the humor in any situation enjoys the Joker type of play. It is the most basic form of play, and is repeatedly found throughout recent history as a species. Think of the saying, "Laughter is the best medicine."
The Kinesthete is the person who taps their foot, twirls their hair or rocks back and forth during an exam. Kinesthetes are happiest when they are moving, whether that be playing basketball, walking, or cleaning the house. I am also inclined to believe that the majority of massage therapists — those that truly enjoy their work — are all or partly Kinisthetes, since our work is very physical.
The unique, the different, the unknown is what drives the Explorer personality. Visiting a new park, reading about a new scientific theory, or trying a new cuisine are all activities someone with a dominant Explorer personality would prefer.
People who have an Artist/Creator play personality find pleasure in creating things: planting a garden, cooking, writing music, or even fixing up an old car. Some might share their creations with others, some may not, but the point is simply to create.
Fun is found in the imagination for people with a dominant Storyteller personality. Some examples include people who like to write, perform, play Dungeons & Dragons, watch movies or read books.
No matter what type of play you enjoy, the point is simply to make sure you spend time having fun. It doesn't have to be all fun all the time, but one needs to find a balance between focused work and playfulness. Remember: the opposite of play is not work; it's depression. The more ways we find to incorporate play into our lives, the happier and healthier we will be. This in turn will make us better therapists, which is a good example of how work and play complement each other. So start singing, take a road trip, see a play, or get out your postcard collection and just start having fun!
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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