Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
September, 2012, Vol. 12, Issue 09
Touch Matters: Massage for Children With Cancer
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Receiving a thank you call is one of the biggest compliments you can receive from your client, post massage. Even better though, is when the call comes from a parent after you have massaged their child.However, the thank you changes and becomes even more meaningful when the parent calls to thank you for massaging their child so they could finally be free of pain, fall quietly to sleep and pass while they rested. This has been my experience, time and time again, as I work with children with a variety of medical diagnoses, in hospice and palliative care.
Initially reading this, many people will feel sad or have grief at the loss of a child. However, there is a very positive side. What would be better, a child passing comfortably or in agonizing pain?
Not Necessarily a Death Sentence
Not all children with cancer will die. The American Cancer Society states that approximately 12,060 children in the United States under the age of 15 will be diagnosed with cancer in 2012, with an estimate of one in 330 children to develop cancer by age 20.
Due to the major advances in treatment and care, 80% of diagnosed children will survive five years or more. This is a significant increase from the survival rates of the 1970's when the five year survival rate was less than 50%. Although the five year survival rate is steadily increasing, one quarter of children will die within five years from the time of diagnosis. Different types of cancers have different rates of survival, and cancer kills more children each year than cystic fibrosis, muscular dystrophy, asthma and AIDS combined.
Luckily, childhood cancers are rare, making up less than 1% of all cancers diagnosed each year. However, childhood cancer rates have been rising slightly for the past few decades. Despite its rarity and the major advances in treatment and supportive care, cancer is still the second leading cause of death, after accidents, in children younger than 15 years old. Approximately 1,340 children are expected to die from cancer in 2012.
Complementary therapies are increasingly integrated into mainstream cancer programs and centers. According to Harvard Medical School researchers, almost 12% of children and adolescents in the United States use complementary or alternative medicines, known as CAM. About 66% of children with cancer use some type of CAM. Although most studies have reported the effects of massage in adult patients, pediatric cancer patients also experience reduced pain after massage therapy. Massage is one of the most commonly used pain management strategies for pediatric patients newly diagnosed with leukemia.
Research has suggested that massage therapy can ease both physical symptoms, as well as emotional discomforts associated with pediatric medical conditions. Studies conducted by the Touch Research Institute at the University of Miami School of Medicine show that massage can alleviate pain, anxiety and depression in pediatric clients. No one likes to think of a child being in pain, let alone having anxiety or depression. However, it is a reality for these children and their families.
For cancer patients, especially pediatric cancer patients, even just a little relief can mean a lot. In general, about a third of all cancer patients experience significant pain. According to the National Cancer Institute, 15% to 25% of cancer patients become clinically depressed at some point during their illness. And of course, the very nature of possible hospitalization, isolation and the treatment for this very serious illness often makes things worse.
During massage, levels of feel-good neurotransmitters such as serotonin and dopamine spike, oxytocin (nurturing, cuddle hormone) is increased, while measures of the stress hormone cortisol drop. Massage can be just the supportive therapy a pediatric oncology client needs.
Massage therapy can be readily applied, most effectively by specially trained massage therapists or by parents who have learned massage techniques from a skilled, educated pediatric massage therapist.
When using massage therapy for children with cancer, your work does not need to be aggressive to achieve its maximum potential. Most types of massage (i.e. Swedish massage, light nurturing touch) result in various levels of symptom relief for patients; however, those patients receiving Swedish or light touch massages report significantly greater reduction in symptoms.
Not only is it imperative that you are trained in pediatric oncology massage prior to working with this population, but you must also consider all of the emotional and physical aspects associated with illness.
When working with children, you must always ask their permission to provide massage and nurturing touch. You are never to provide touch "to" a child, but rather with their absolute permission. As you are providing care to a minor, their parent's and physician must also be involved in this consenting and permission process.
Parents may be under an enormous amount of stress and anxiety, which causes the task of relating accurate information to be clouded. It is possible that they may not fully understand all of our questions, or may answer them incorrectly. They may give the wrong medication names, or even fail to mention something that we need to know to make the best care plan for the child. So, it is always a good idea to do a professional assessment and get further consent from the child's physician with express permission from the family to discuss private health information.
Working with the Healthcare Team
Communicating with physicians is not always easy. Many massage therapists feel their credentials are not comparative to that of a medical doctor. This can create tension during a conversation, as the massage therapist may doubt their ability to communicate in a manner familiar to medical personnel. This is why it is even more important to take the time needed to adequately asses the situation, diagnosis, possible indications and contraindications and write up a detailed care plan based on your assessment. When you present a physician with clear, concise information that has been well thought out, you can more effectively communicate the need for the noninvasive care pediatric massage therapy can provide.
Even just the act of holding a sick child's hand, communicates they matter. Finding your passion and believing that what you are doing is making a difference, makes getting up and going to work each day possible. When I started Liddle Kidz Foundation, I began with the thought that one person can truly make a difference and I have found this to be true. We all have the ability to make a difference everyday and should practice with this thought: "Children are our greatest gift, and should be treated with extraordinary care!"
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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