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Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
September, 2012, Vol. 12, Issue 09
Compassion Really Is Good Medicine
By Ann Catlin, LMT, NCTMB, OTR
Some think compassion is an attribute reserved for spiritual leaders. But compassionate presence isn't just reserved for people who travel a moral high ground. It's something we all can cultivate and draw upon when life calls us to the bedside to care for someone in need.For massage therapists, compassionate presence is both a personal quality and a professional skill that has an increasing relevance in today's health care.
There are various definitions of compassion. Benevolence and loving-kindness are other words that describe this heart-centered human experience. All the definitions have, at their core, this commonality: compassion is heartfelt concern for the suffering of another, or one's self, coupled with feeling moved to do something to bring about increased wellbeing for the one who is distressed. I'm sure we can all think of times when we experienced compassion: with a client, with a loved one, with a pet, with the homeless old man on the sidewalk. We would likely all agree that it's good to feel compassion. Scientists are interested in the impact of compassion and they're finding that it's, well, good medicine!
Interestingly, the study of compassion is thriving. The Center for Compassion and Altruism Research and Education within Stanford University's School of Medicine conducts scientific studies of compassion and altruistic behavior. Researchers here are finding that compassion lends itself to being measured. Scientists are looking beyond Western "hard science" — traditional, biological science — to see what they might learn about human behavior and emotions from other paradigms, especially heart-centered ones such as Eastern philosophies. Neuroscientists are using brain studies to look at how compassion affects us biologically.
Antonio Damasio, Professor of Neuroscience at the University of Southern California, reports that emotional states are created by brain activity in the hypothalamus, basal forebrain and brain stem primarily, plus they rely on the release of neural chemicals. For example oxytocin, a peptide, known as the "care and connection" hormone, which is stimulated by touch and physical contact. Evidence also suggests that brain measurements don't show much difference between a person suffering extreme pain and the person who witnesses such an experience in another.
Research conducted by Richie Davidson, founder of the Center for Investigating Healthy Minds at the University of Wisconsin reveals that when people experienced in mediation witness people suffering, MRI scans show increased brain activity in areas related to nurturing and social connection. When people who do not meditate observed the same suffering, their brain activity increased in areas related to more negative emotion such as sadness or aversion, resulting in their wanting to leave the situation. When this second group was taught and practiced loving kindness meditation, their brain scans revealed changes similar to the first group.
A study published in the Journal of Clinical Oncology showed that 40 seconds of compassionate communication from a physician could reduce anxiety among breast cancer patients, as well as increase the patient's confidence in the doctor and positively impacted the doctor-patient relationship. If you've been to a doctor's appointment recently, you've likely noticed the ever-present computer screen in the room and the doctor's attention is focused on the screen for, at least, part of the visit. While I understand the efficiency of electronic documentation in health care, I fear that this procedure is one more insult on an already fragile doctor-patient relationship in modern health care. I appreciate the work of Paul Tournier, a Swiss physician and proponent of "medicine of the person," an attitude emphasizing that attention be given to the holistic nature of health problems. This approach places the person on the same level as technique or theory. It embraces dignity, suffering, intact abilities, acceptance, validation, intuition and purpose. Dr. Tournier encouraged authentic communication with patients and recognized how it could improve the experience for healthcare professionals helping them to find greater satisfaction in their work.
Cultivating Compassionate Presence
For years, I've made the point that compassion is a natural human quality that is omnipresent and that we can bring it forth with intention. Because I'm in the process of cultivating my own awareness, I enjoy finding guidance from the masters. In a conversation between The Dalai Lama and Paul Ekman, a prominent American psychologist and researcher, they agree that compassion is cultivated through training rather than it being a spontaneous emotion. Ekman believes that compassion is different from emotion. He explains that emotions arise spontaneously and that we are born with the capacity to experience a range of emotions. But compassion, he claims, needs to be cultivated if we are to extend it in the world. Once we have integrated compassion into our world view, we are more likely to automatically respond compassionately, even to strangers. With practice, as in meditation, compassion becomes a part of our permanent nature and then arises more spontaneously. There is a myriad of heart-centered mediations. I've modified this one that's taught by Jack Kornfield, a leader in bringing Eastern meditation practices to Western culture. The intention is to bring the mind and heart together.
Practicing Compassion Meditation
Sit comfortably. Be in your body and focus your attention upon your breath. If you wish, place one or both hands upon your heart center. First, you will direct loving kindness to yourself.
Picture two or three people who care about you. Imagine them looking lovingly at you. These might be people in your life now or in the past or even spiritual figures. What would they wish for you? Repeat these simple phrases imagining they were saying them to you.
How does that feel? Notice what arises and remain centered. Try not to judge any thoughts, but simply let them pass through your mind. Most loving kindness meditations use the word "I" where I've used "you." The reason I've suggested it this way is that I've found in my own practice that it's powerful to accept loving attention from others. You can substitute the words so that they resonate for you.
Now picture someone you would like to send compassion to. It might be someone you are close to, a client or a stranger. It might even be someone you are having a challenge with. Repeat the same phrases, directing them to this person. You might even hold a photo of the person in your hands.
Again, sit for a few minutes simply noticing anything that arises. To end, take in a deep, cleansing breath and bring your awareness back into your body. Offer thanks for the experience in whatever way you wish.
Touch is Person-Centered Care
I believe massage therapists have the power to offset the impersonal nature of healthcare today. We carry the torch of Tournier's vision of person centered medical care! Our service is sorely needed in hospitals, eldercare, homecare and hospice where so many people feel lonely, helpless and broken. We can do a lot to offset these feelings and offer a sense of well-being in their place. There are times we can draw upon simple techniques combining compassionate presence with touch. The following focused touch technique can be used anytime you are called to the bedside. Let's say a 72-year-old woman has been coming to you for three years for massage. You get a call from her daughter telling you that your client has had a serious stroke and now she's in the hospital. Could you please visit her there? As you walk through the hospital, you feel nervous and many thoughts are running through your mind. What will she be like? I know I can't massage her like before, so what can I do? Will she be in pain? Will I be sad to see her this way? I feel so bad for her. What should I say?
First, it's important to center yourself before you enter the room. This helps to focus your attention and calm you. You are touching her with your presence and energy just entering the room. So take a deep breath and ground yourself.
As you walk into the room your client (friend) appears to be sleeping. There are monitors attached to her and an oxygen tube at her nose. You might feel a little stunned to take in the scene. It's a normal reaction to be a little shocked. You decide not to wake her but rather sit quietly in the chair across the room and while sitting there you feel sad and a little afraid. This is exactly the kind of situation where the compassion meditation can serve you well. Compassionate presence informs you and leads to the next right action. Now you are ready to offer the gift of your touch.
This simple technique is especially useful when you are with someone who is seriously ill. Focused touch is a powerful expression of compassion when words are lost, creating a sense of well-being and decreasing feelings of loneliness.
Stand at the bedside. Gently place one hand either under her hand or upon the forearm. Then cradle the shoulder with your other hand. Simply hold her while silently saying the compassion meditation, directing the words to your friend. Presence will inform the quality of your touch. To close, slowly release the touch, keeping your attention on your friend. Offer thanks for the experience.
In closing I send these thought to you: May you be well and live your life with ease. Thank you for the opportunity to assist you on your path of service. Pass it forward!
Click here for previous articles by Ann Catlin, LMT, NCTMB, OTR.
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