resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
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 more information about Ann Catlin, LMT, NCTMB, OTR.
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