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A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
September, 2012, Vol. 12, Issue 09
Navigating Ethical Boundaries
By Suzanne Scurlock-Durana
In the next decade, as a profession we would be wise to cultivate the deeper level of ethical action that occurs when we are more embodied. Most of us currently have a good basic knowledge of ethics that clearly delineates both what we do and don't do, in and out of the treatment room.I want to explore the territory beyond that – what we find when we move into the integrity of the navigational system of the body as the ground of our knowing about what is ethical in any given situation. This means knowing when someone has crossed a line even if we cannot put it in words at that moment. It is also what tells us when something is "spot on" in terms of our confidence and creativity.
What I am referring to here is the process of embodiment as a primary tool for navigating ethical boundaries and establishing and maintaining ethical therapeutic relationships. This requires that we have the basic skills to be connected to our environment, our clients, etc. And that we connect in a healthy manner, that we know how to connect with, but not invade another person's personal space and that we know how to hold our own boundaries firm when needed so that others respect and honor our personal and professional space.
Building from this foundation is the deeper level of integrity and ethical behavior that emerges as we ourselves become more grounded in our own bodies and in our own inner wisdom as practitioners. In my three decades in bodywork and teaching, my experience is that we all have access to this innate wisdom, but many have never consciously recognized it. Let's explore how to bring this inner wisdom to conscious awareness, and to engage with it.
STEP 1: Dropping In
To engage this inner wisdom, first allow yourself to drop your awareness down into your body, doing so with an openness to discovery and a willingness to meet whatever you find inside with as little judgment at possible. Any meditative system that helps you explore your inner landscape will work here. Not a guided visualization, which tells you what to find inside, but a system that helps you ask questions of your internal landscape and then encourages you to notice what sensations, visual hits or inner knowing show up. So questions like, "What is the temperature of the air as it enters my nostrils; and is it effortless to breathe today, or is there a catch anywhere in my inhale or exhale? And, what sensation would feel most nourishing to my lungs right now?"
When you ask yourself these "sensation questions," you are engaging parts of the brain that Dr. Daniel Siegel names as the cutting edge of conscious awareness. Our neurons fire in a more integrated, full-brained manner when we open up to bodily sensations and drop in to explore what is there.
Step 2: Expand Your Internal Awareness
Next, allow yourself to expand to a more full body awareness. If the container of who I am – in my body and mind – is fully present, it means that I am actually conscious of my boundaries. I am "at home" at the border where who I am ends and the rest of the world begins. If someone tries to cross my boundary, I am a lot more likely to sense it immediately. If, on the other hand, I live primarily in my head or only by the dictates of external sources and rules, then I am not as available for the wisdom my boundaries may be signaling to me. I am not able to self-reference.
Another example of this is when we fail to do the basic self-care that keeps us full and energized as therapists. When we are "running on empty," it is easy to miss signals from our deep wisdom (or any other part of us for that matter). Most of us intuitively know this, but the stressors of life can cause us to forget these important facts.
Step 3: Own Your Inner Wisdom Places
So what does this deep wisdom of the body have to teach us about integrity and ethics and how can we tap into it more regularly? First of all, we now know that every cell in the body has its own intelligence that when healthy, operates in conjunction with all the other cells in our bodies. In this dynamic process, I have found that certain areas of who we are seem to have certain kinds of wisdom. Let me give you a few simple examples.
There has been lots of research recently on the "gut brain" or the intelligence of the lower torso area of our bodies. Think of how powerfully it signals you when something is really "off" in your world. "My gut sense is that this is a bad idea." Or alternately, "I don't know why, but this feels really right!" The pelvis/gut area of the body has it's own wisdom and when you listen to it, it can keep you safe and move you in more life enhancing directions.
How about our hearts? This area is the center of our cardiovascular system and also what makes us human. Deep inspiration often emerges from our hearts. We fall in love through our hearts. Our hearts register our inner world and how we are feeling in any given moment. When something in our life touches us deeply, you hear the expression, "Oh, my heart!" "Or, "My heart aches for you."
Our feet and legs seem to have wisdom about how to move through life's thorny issues if we engage them. When I am mulling over a problem or wondering how to resolve something, if I can take a walk (engaging my feet and legs), I often come back with the issue resolved even if I didn't think about it on my walk!
And so, we have three examples of different general areas of the body, each with their own flavor of wisdom. If you can learn to engage them, you are on your way to having the integrity of full body presence, and navigating in your world from the wisdom of your inner landscape. How can we do this?
First, by engaging the heart. Allow yourself to relax and breathe naturally into your heart area. Notice what whispers of wisdom are there, without judgment. The signals can be quiet initially. Do not let your linear mind over rule what you are hearing. Best used in conjunction with the wisdom of the gut.
Second, engage the gut. When you enter the treatment room, notice what your gut is signaling to you about this person's situation. Do they need you to approach them firmly or gently? Do they need you to engage verbally or remain silent? It is often as clear and simple as that. Again, do not let your linear mind automatically override what you are hearing. Once you have a clear hit from your gut, you can assess the facts of the situation as you know them and decide on the wisest actions to take in that session.
And third, engage your feet and legs. As you enter the treatment room, feel the sensation of your legs supporting your upper body. Feel your feet under you. Wiggle your toes if you need to feel more sensation. As you go through the session, return your awareness to your legs and feet and to the ground under you for support and steadiness.
The key here is to remember that optimally all our cells - and thus all parts of us - should be connecting with each other. My heart may tell me what is going on inside of me emotionally, but my gut will tell me the truth of the situation, and my feet and legs will help me "walk in the world" in a more powerful, clear manner. Think about falling in love with the wrong person - your heart may feel so full in the moment, but when you ask your gut it gives you a big internal "no – this person is a schmuck." Your feet and legs can help you take action with our inner wisdom fully manifesting. So if engaged, we can take an action and walk away from that circumstance that was bad for us.
When we are more fully embodied, it means that there is more communication between all the parts of who we are. In that, there is a synchronicity that is far greater than the sum of the parts. Navigating from within ourselves – mind, body and spirit – only makes sense with what we do for a living. Ethical actions follow naturally when we are fully present. Isn't it time you stepped into the integrity of your full body presence?
Suzanne Scurlock-Durana is a 20-year veteran in the field of conscious awareness and its relationship to the healing process. An expert at integrating right- and left-brain understanding, she teaches therapists around the world how to develop their therapeutic presence through her Healing From the Core training series offered by The Upledger Institute.
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