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How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
April, 2012, Vol. 12, Issue 04
Defining Change and Learning to Understand Why People Fear It
By Angie Patrick
My cousin used to say, "change is change" and I thought it was one of the strangest things a person could say. Well, of course change means change. I mean, what else could it mean? But what exactly is change? How do you define it? How do you quantify it? How do you even begin to endeavor upon making a change if it is such an esoteric term? Why do people fear it so much? Why is it so hard to do? Why are we so resistant to change?
According to Merriam-Webster, change can be defined as the following:
A. To make different in some particular.
So, none of the definitions listed above say to maim, mutilate, slay or dismember. They do not suggest the end of life as we know it or the approach of the apocalypse. It simply means something is about to become something other than that in which we have become accustomed. This can be for the worse or for the better, but at the center of any change is either action or inaction. The outcome of change often depends on the person, business or entity's intentions and motivations, so clarity of the reasons for change can remove many of the inherent fears we all feel when we hear the word change.
In business, I can say with a very high level of acuity that I have been the catalyst for, as well as the recipient of, change. Change can mean positive outcomes when you are trying to do all the right things for all the right reasons. When you know you need to make a change for the better for your massage practice, you set about making those changes by educating yourself on what your next steps should be. That may mean hiring a consultant to provide direction, or even accomplishing tasks yourself to get the ball moving. It might mean taking a class or two to gain specific knowledge in a new massage technique or protocol so you can impact change in your own practice. It might even mean taking a hard and honest look at your business, where you are in your personal growth, and look at the most difficult thing to change: YOU. Sometimes, our fear of the unknown can cause paralysis in our business because we become so comfortable in our cocoons we resist the driving urge to spread our wings. To do this means a transformation must take place, and sometimes this transformation can be scary. But also, the transformation can be cathartic.
Sometimes, you simply need to break out of old thought patterns that can contain your creativity and entrepreneurial spirit. The excuse, "this is always how we have done it," does not mean, "this is a new way to do it," is a bad thing. Opening your mind to possibilities is a huge harbinger of positive outcomes. Thinking outside your comfort zone can make you stretch to meet your desired goals. Get out of your own way; step out of the fear box and into a world of potential. It really has to begin with your own thoughts and perceptions, because no change will ever be positive in your mind if you will not open up long enough to examine the possibilities.
This is true of changes that are business related, but also personal in nature. I have personally embarked on a mission to change myself and my health. This is not an easy thing to do, because old habits die hard. Eating balanced meals and exercising has never been my forte, and now it is becoming my norm. It is a change I made with will coming from deep inside and with great determination. My goal is simple, be healthy, reduce my stress levels and lose this weight that has plagued me my whole life. It is slow going, but it IS going. And I am thankful I recognized this need for change before it was too late.
In your world, you may have concerns about where you work, what you do, who you do it with and where you are headed. Change means many things to many people. And it happens all around us every day. The world is in a constant state of flux, and changes with each moment that passes. It happens because someone is brave enough to do that which has never been done before. Someone has found a need and strives to fill it. Technology finds a faster more user friendly interface and rolls it out to the masses. It is a constant, and it requires a first step.
As we hear the "economic experts" say we are emerging from the past few years of downturn in our economy, I have to stop and think what would make these changes? In the housing market, it is because people need a place to live, and are beginning to simply step out and invest again. In sales, people are beginning to feel more confident, albeit ever so slightly, and are willing to turn loose a dollar while watching the bottom line. So in essence, people are making these changes, one by one, stepping out and testing the waters. This is seen as positive growth and momentum by the experts. It took a shift in mindset, and a bit of bravery, but it is happening all around us.
Ultimately, change is up to you. If you do not like where you are, move. If you do not like what you are doing, do something different. If you do not like what you see, speak out. If you want to grow your business or even within yourself, you have to take the first steps. Toughen up, cupcake and be brave! No one said change was easy, but anything worth having is worth working for. If you desire it, it is worth the effort. Don't settle for "what is" at the expense and forfeiture of what "might be." Be open, be honest, and most of all, be true to your own self worth. You are the only one who can better yourself and your circumstances. I promise, you are worth it.
Click here for more information about Angie Patrick.
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