resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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.
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.
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.
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.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
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?
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.
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 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.
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.
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.
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.
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.
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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