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A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
April, 2012, Vol. 12, Issue 04
Looking Beyond the Stereotypes of Old Age
By Ann Catlin, LMT, NCTMB, OTR
There's a little quip that I've heard in senior communities that goes something like this: "I'm looking for Mrs. B., can you tell me what she looks like? "Yes, she's the one with gray hair and glasses!" Not that original, really, but you get the picture.I've often been struck with profound awareness when I enter the dining room of a nursing home. At first glance it looks like a sea of gray heads and everyone sort of blends together. The quip suggests these old folks all look alike so they are alike and have morphed into some other kind of creature. At what point do we become one of "them"?
I have a psychologist friend who counsels young children. She once told me that she's effective because she doesn't talk down to the kids or treat them as "pre-people." Something about her comment rings true and, by comparison, I think we live in a society that views old people as "former people." But, when do we lose our individual identity and become a former person?
Since none of us are immune from cultural influence, perhaps it falls to each of us to question the collective attitude and see beyond the stereotypes of old age. Common language and images are a good place to start. We can pay attention to the words we use. Ever call someone a "cute little old lady?" We may as well pat her on the head! Media today is laced with messages that reinforce the idea of a monolithic group of older persons. I've used the phrase "Silver Tsunami." This term was coined in 2002 by Mary Maples to describe the aging baby boom generation that began turning 65 in 2011. But think about it. A tsunami is a force of nature that leaves destruction in its path. I went online to see how people defined the "Silver Tsunami" and on a blog I found this (sort-of humorous) explanation: "It means there are so many old people they're going to pile up in huge masses of wrinkled bodies, and they'll roll ashore, crashing into buildings and nuclear power plants." Perhaps "Silver Tsunami" isn't my best choice of words!
I can think of other times when my words really underscored the idea of an elder being a former person. I remember telling someone about a man in his nineties who "used to be a doctor!" Why are we surprised when an older adult continues to pursue activities of younger years? "Wow, she still rides a bike!" Self-reflection about our personal views of aging is important because we tend to internalize society's dialogue. Aging has become medicalized. Medicalization is when a normal human condition becomes seen as a problem in need of medical treatment. You don't have to look far to see evidence of this. Just turn on the TV or open a magazine. Aging is portrayed as something to fix, cover up, smooth out, and take (lots) of pills for. I've met many elders whose social lives revolve around going to the doctor and visits to the pharmacy. But something deeper happens in our psyche. As a society, we fiercely value autonomy, productivity and independence. But with aging sometimes comes the need to ask for help and physical decline, which we equate with a flawed existence. Feelings of failure and shame arise and we loathe the body that once served us so well. We begin to see ourselves as helpless and unworthy. We become former people even in our own minds.
Don't Touch-You Might Catch It!
Touch deprivation in old age is real. It occurs, in part, because of separation from loved ones, but mostly because of fear on the part of younger people. Fear of looking at old age up close and personal. I think that if old people are thought of as former people, the assumption is they no longer have the same needs as when they were younger. When it comes to touch, this idea really misses the mark! I'm always on the lookout for other experts who validate my convictions about the impact of massage for our elders. Jane A. Simington, RN, PhD, conducted a literature review and her findings were published in the Humane Medicine Journal. She reports that older persons report that touch conveys fondness, security, closeness, warmth, concern and encouragement, and makes them feel an increased sense of trust and well-being. They report that touch helps them to develop close, trusting relationships with staff and other residents. As tactile sensitivity decreases, the need to receive expressive touch may increase. Nature can be cruel however, and the elderly person often may have no one to provide this increased touch. The children are gone and the partner has died. One elderly woman put it this way, "Sometimes I hunger to be held. But he is the one who would have held me. He is the one who would have stroked my head. Now there is no one. No comfort."
Massage therapists can be agents of change and have the power to profoundly impact the quality of life for older adults by reversing the effects of touch deprivation. Of course, there are physical benefits of massage resulting in improved function in the activities of daily living. Massage alleviates aches and pains and improves circulation, resulting in greater ease of movement and the ability to perform physical tasks with greater comfort. We are all aware that massage induces a relaxation response, leading to improved sleep quality and feelings of calmness. Massage increases body awareness reducing the risk of falls. But focusing only on the physical benefits adds to the medicalization of aging. Rather than seeing massage as a treatment for ailments, let's look to it as a way to validate the human experience of aging. The gift of caring touch encourages feelings of self-acceptance and worthiness. But our influence goes even further. By literally reaching out to older adults, we demonstrate wholesome attitudes about aging. Maybe by our own actions we will encourage others to be more willing to touch our elders. Society as a whole stands to gain.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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