resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
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 previous articles by David Kent, LMT, NCTMB.
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