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Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
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.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Dietary Fat and Prostate Cancer: An Important Update
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.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
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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