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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.
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.
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:
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.
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.
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."
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.
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.
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?
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?"
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.
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.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
April, 2012, Vol. 12, Issue 04
Dissection: The Ultimate Educational Experience
By David Kent, LMT, NCTMB
Have you ever wondered what the tissues look like under your patient's scars? Or how these tissues were affected by a knee or hip joint replacement? Have you ever wondered what an artery filled with plaque looks like or how easy or difficult it is to break a piece of plaque off the arterial wall during a massage? What does the inside of the chest cavity look like after the sternum has been cut in half and the chest has been spread apart for bypass surgery? Or the wrist that has experienced a carpel tunnel release procedure?
Would it be helpful for you to see and touch cancerous tissues? How valuable would it be to see, touch and compare the same muscle, such as a bicep or trapezius, on multiple specimens of different body types and genders at the same time? Are you curious about how the gastrocnemius and soleus muscle tendons merge to form the Achilles tendon? Or the relationship between the sciatic nerve and the piriformis muscle? Would you like to see how close a surgeon gets to the spinal cord during a laminectomy? Graduates of a full body dissection seminar have seen and touched the body, and dissected each layer, to know the answers to these and many more questions. The knowledge graduates gain and the refinements they make to their palpation skills is immediately applicable. Graduates say the experience transformed their treatment style and approach on many levels. A full body dissection is a rare educational opportunity that allows you to see and touch the structures that form (anatomy) the human body and understand how they function (physiology). The experience fundamentally changes your understanding of the human body.
If you find human anatomy dissection exhibits such as Body Worlds or BODIES fascinating, then you will feel comfortable in the dissection lab. I have been teaching dissection at the University of South Florida, College of Medicine, in Tampa since 1993. One third of the students in each dissection seminar are prior graduates of the program; many have attended five to eight times. The seminars were initially designed for massage therapists, however, over the years students have included a variety of health care professions from Acupuncture Physicians that want to refine their needle placement and depth, to physical therapists, nutritionists and others that want to learn more about the human body.
Each seminar begins with a tribute to honor the exquisite souls who bequeathed (donated) their bodies to science. We hold a dedication to our "Silent Teachers" for the privilege of being their students. We commit to embrace the valuable knowledge they are about to teach us and to apply that knowledge to the benefit of our patients.
Next we palpate the boney landmarks and inspect the cadavers for scars and surgical incisions. Even when we identify a surgical site, we don't know the nature of the surgery until we look inside the body (Photo 2). Signs of coronary bypass surgery might be easy to identify, but until we start the dissection, we don't really know what the scar indicates. One thing you will realize quickly is that you don't have to be a doctor to spot pathology. As we dissect through the layers of the body we uncover: joint fusions, pleural adhesions, aneurysms, hernias, cirrhosis of the liver, heart bypass, pacemakers and much more. These insights bring a whole new awareness about the effects of disease on the body. This new level of understanding causes students to judge contraindications and treat patients with even more care and sensitivity. Another interesting part of the dissection process is identifying anomalies (Photo 3). Over the years, students have identified a cadaver missing an upper trapezius on one side, another had a levator scapula with accessory rib attachments, a third had muscles missing areas of fiber in the leg that were filled with fat, just to name a few.
Dissection allows students to better understand the effects of various surgical procedures. For example, during bypass surgery, the great saphenous vein is removed from the lower extremity. This is what causes the long scar on the medial side of a patient's thigh and leg. During a dissection seminar, you learn exactly what structure was removed and how deep it was embedded in the thigh and leg. You see how it was reattached and used for the coronary bypass surgery. You know exactly what tissues and systems of the body were affected during the operation and how the tissues healed. The dissection process allows you to see through both the doctor's eyes and the patient's body at the same time, giving you greater clarity and insight into treating your patients.
The percentage of health care providers who perform a human dissection during the course of their education is relatively low. Taking part in a dissection creates a special bond, or level of respect, among its participants in the medical community. Graduates report a new level of confidence personally and professionally after dissecting every structure of the body, layer by layer, from skin to bone (Photo 4). The ability to go into a dissection lab to see and touch the structures that form the human body is a rare experience. Initially students enter the dissection lab simply to gain a better understanding of the human body. However, they are all amazed at the positive impact their new knowledge had on every area of their life.
Click here for more information about David Kent, LMT, NCTMB.
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