Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
December, 2011, Vol. 11, Issue 12
A Hands on Approach for Pediatric ADHD
By Tina Allen, LMT, CPMMT, CPMT, CIMT
As 16-year-old Samuel describes it, when you have Attention Deficit Hyperactivity Disorder (ADHD), you can't concentrate on the things you want to focus on. It is challenging to clearly focus enough to distinguish between important items and those which are not.Everything comes in all at once and it's impossible to filter. Sometimes, it's challenging to distinguish what is real and what is in his head. Often times, he says he feels like he has a cloud on top of his head that won't go away.
It can take an extreme amount of motivation and focus to do tasks that come naturally to others. When he does have the motivation and focus, Samuel can do amazing things and come up with amazing ideas. One of the worst parts about having a diagnosis of ADHD is the social imparities you have from not being able to concentrate. Each and every day, Samuel feels like he has to be someone else to satisfy everyone else and himself. He has stopped taking his medications because of the comedowns and the desire to not be different from others.
What is ADHD?
How do you describe ADHD to someone who doesn't have this condition? When ADHD is mentioned, often times we conjure up images of a child who is uncontrollable, can't sit still and appears to be bouncing off the walls. This is not always the case. Just as with any diagnosis, the symptoms may present differently for each individual. It is common for people to use the term ADD to describe Attention Deficit Disorder without hyperactivity and ADHD to describe Attention Deficit Disorder with Hyperactivity. Many people use these terms interchangeably, adopting the term that is most comfortable and easier for them. In doing so, they are not necessarily describing the symptoms, but providing a generic name for the disorder. The American Psychiatric Association lists three main types of Attention Deficit Disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which is used by physicians in the diagnostic process.
ADHD, Predominantly Inattentive Type: This type includes the following symptoms: not paying close attention to detail, makes careless mistakes, difficulty sustaining attention, failure to follow through on instructions, difficulty with organization, reluctance to engage in tasks that require sustained mental effort, often loses items, is easily distracted and forgetful.
ADHD, Predominantly Hyperactive-Impulsive Type: This type includes the following symptoms: fidgeting, gets up from seat at inappropriate times, talking excessively, restlessness, difficulty being still or sitting quietly, acting as if driven by a motor, interrupting others, difficulty waiting turns and blurting out answers.
ADHD, Combined Type: This type includes symptoms from both of the above groups.
What Causes ADHD?
It is believed that ADHD may stem from sensory deprivation. Having such an interference with the perceptive senses or movement may produce a central nervous system that behaves as if it is overcharged, causing energy to build up until there is some outlet to expend it. As a result, movement and extra stimulation are required to use this excessive energy. If a child with ADHD is not provided with a method of using this energy, he or she may become irritable, upset or even lash out in anger or rage. Children with ADHD often appear to have difficulty holding attention or focus, display impulsive behaviors and activity levels beyond what might be typically expected. Often, they show poor academic performance as compared with their peers and have difficulty with social and emotional skills.
How Many Kids are Affected?
The number is higher than you might think. Many kids go day-by-day just trying to fit in without knowing they have ADHD. Sometimes healthcare providers miss the signs or parents may not wish to have their child diagnosed officially. Then, there are those occasions where parents and caregivers try to have their child diagnosed, when there is really nothing going on, other than having a healthy, energetic child. Whatever the reason, the evidence points to a high incidence of the diagnosis Attention Deficit Hyperactivity Disorder, or ADHD, and is rising as the most common psychiatric diagnostic label for children. According to the Centers for Disease Control and Prevention (CDC), close to 10 percent of children aged four to 17 in the United States have ever been diagnosed with ADHD. This number has continued to rise in recent years. The National Institutes of Health, states that ADHD is the most common behavioral disorder among children. Historically boys have been diagnosed at a much higher rate then girls, nearly nine times as many boys appear to be affected. However, the rate for girls diagnosed with ADHD is on the rise.
Benefits of Pediatric Massage
The question for the massage therapy profession is what are the benefits for children with ADHD? Because under stimulation might be a cause, and excess energy is the result, pediatric massage may be a very effective intervention to provide comfort and relief of some the child's symptoms. Aside from only the symptom of hyperactivity, a child may present with a strong temper, defiance and lack the ability to "sit still" for long periods of time.
Two studies conducted by the Touch Research Institute at the University of Miami reported that regular massage therapy can be an effective treatment for kids with ADHD. One study found adolescent boys who received ten 15-minute daily massages were observed by their teachers to be more focused in their schoolwork and they fidgeted less. In addition, the children rated themselves as happier than those who participated in a relaxation therapy program.
Another study involved kids aged 7-18, 20 percent of whom were girls. Each subject received a 20-minute massage twice a week. They showed immediate improvement in their moods and longer-term behavioral improvement in the classroom. They also reported feeling happier and their teachers found them to be more attentive.
In adult studies, massage has been shown to reduce levels of the stress hormone cortisol, helping to mitigate the active fight-or-flight response. Massage also helps improve math computation performance and raises alertness levels, as measured on electroencephalograms (EEGs). Finally, massage decreases depression and increases mental focus. The same effects are seen in children and teenagers with ADHD. With this diagnosis on the rise, pediatric massage therapists need to arm themselves with tools, techniques and approaches to best serve children with ADHD. By doing our part now to support these children, we positively impact their future.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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