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Thinking About Cohen's Kappa
Let's think about some notions of reliability and validity, and about what it means for diagnostic examiners to agree in meaningful ways. Diagnostic tests must obviously be both reliable and valid.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Why More Patients Don't Come to Your Office
Every so often, something turns out to be much easier than anticipated. It's like ordering a piece of furniture or a child's toy that comes in 167 pieces.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
We Get Letters & Email
It was with great interest that I read "Trouble in the Wellness Waters?" in the May 1, 2015 issue of Dynamic Chiropractic. I heartily applaud Dr. Hayes for his insightful and informative article.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Managed Care Subverts Chiropractic
A study published in the American Journal of Managed Care underscores why so many chiropractic patients go out of network in order to get the care they need: Managed care may be effectively locking them out.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Do You Have a Post-ICD-10 Strategy?
Post-ICD-10 planning is critically important to the health of a practice, in part because ICD-10 is brand new to providers, payers and related affiliates alike.
Dietary Fat and Prostate Cancer: An Important Update and Review of Mechanisms
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Active Care for Ankle Sprains
An ankle sprain is a common injury, since this joint is required to perform complex movements under high forces during normal walking. In fact, 10 percent of all emergency-room visits are ankle-sprain related and an estimated 25,000 ankle sprains occur in the United States daily.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Troubleshooting: Billing Multiple Fees for the Same Service
I am afraid I may doing something illegal. I have heard I cannot bill different fees for the same service.
A Tribute to a True Chiropractic Leader
President of Texas Chiropractic College (alumnus, class of 1950) and the American Chiropractic Association (ACA) Board of Governors. President of the Texas Chiropractic Association and twice-appointed member of the Texas Board of Chiropractic Examiners.
When Patients Lie (Bribe or Flatter)
Recently, a new patient told me about what I thought was a novel twist on the doctor-patient relationship. She felt she had to lie to her DC to discontinue her treatment.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
March, 2012, Vol. 12, Issue 03
Laughter: It Just Might Be the Best Medicine for You
By Sharon Puszko, PhD, LMT
We have all heard this saying before, and I am sure we have all experienced the "pick-me-up" a good chuckle provides when we are feeling down. However, did this adage become common simply due to parents trying to calm their children when sick or angry? Or, is there a more primal, subconscious reason that we associate laughter with feeling better? It was not until recently, when I ran into an acquaintance of mine who has always had a rather serious disposition, that I started thinking more deeply about laughter.
I am sure we all know someone like him, the kind of person of whom we say to ourselves, "He/she needs to laugh more." Therefore, I started to wonder what research, if any, has been done on laughter, and what can we learn from it. After all, when was the last time you read or saw a press release about the latest findings from a NSF or NIH sponsored grant on the benefits of laughing? Probably never, since most people are more interested in research pertaining to cancer, tobacco or AIDS, then on laughter.
As it turns out, the science of laughter is still in its infancy, however what we have recently learned about it is fascinating. In fact, just ten years ago, I would not have had much to say other than the following: We know laughter is an evolutionary vocalization passed down from our primate relatives in order to aid in social communication, and it also seems to be contagious. While we have proven the former to be true by studying the behavior and vocalizations of our primate relatives, thanks to modern science we have also proven the latter to be true. In 2006, researchers at University College London conducted a study to determine why observing laughter usually causes someone to laugh in return.
Using MRI images of the brain, they were able to prove the existence of auditory "mirror" neurons; neurons that cause our body to produce a reaction to something we hear. Just as we have visual "mirror" neurons that activate when we see certain things (when we watch traumatic events, our brain responds as if we are experiencing that event ourselves), our auditory mirror neurons trigger our facial muscles to smile in response to hearing laughter. In fact, the more laughter we hear the more signals our neurons fire, causing us to smile and laugh in return. So whomever first coined the phrase, "Laugh, and the world laughs with you," turned out to be absolutely correct!
What about the theory that laughter is the best medicine? While I cannot assure you that laughter can cure all ills, I can say that it does indeed make you feel better. This past fall, a new study was published addressing this very issue. A group of European scientists studied the pain threshold of people before, during and after watching funny programs, such as a stand-up comedian show and episodes of "The Simpsons" and "Friends." The results revealed that people who laughed during these programs (not just listened to them, but actually laughed) had a much higher tolerance for pain after laughing than before, because laughter triggered the release of endorphins. Endorphins are chemicals which protect us from stress and make us feel good; as you well know, the biological reason massage feels so good is because it, too, releases endorphins. Therefore, while laughter may not be the best medicine, it really does make you feel better. Since it is also contagious and innate in primates, I can understand why laughter is considered one of the most primal methods of social bonding.
Now that we have proven that those serious people would indeed feel better if they laughed more, how can we, as massage therapists, incorporate more laughter into our days? I think the answer to that question will vary according to our own personal preferences. Some of us would rather reserve humor, jokes and irony for our personal lives only, and others will feel more comfortable incorporating laughter into both our professional and personal lives. Robert Provine authored a book on the science of laughter and in it suggests creating a "library" of humor. Start a collection of your favorite funny materials (books, comics, magazine, movies, TV shows, toys, etc), and make them easily accessible in your home or workplace. If you train yourself to reach for them when you start to feel angry or sad, you will notice those negative feelings diminish faster. This "library" is also a great conversation starter for parties and social gatherings, since everyone likes to laugh! Making some of these materials available to clients might help some of them relax more quickly before a session and feel more comfortable. If you choose to share this library with others, just make sure you have materials that represent a variety of humor, since we all find different things funny.
Fortunately, there is a plethora of information available on the internet and in magazines on how to incorporate laughter into your life; I have started listening to funny books and programs on CD while driving, and I can tell you that getting stuck in traffic no longer bothers me the way it used to! In closing, I’d like to remind the reader that just like massage, laughter does not require anything other than your own body in order to make yourself and someone else feel good, so try to do it as often as you can!
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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