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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
January, 2013, Vol. 13, Issue 01
Dissection: A Unique Way to Learn
By David Kent, LMT, NCTMB
Our massage clients include a wide variety of body types, sizes, ages and genders. Many have undergone surgeries, some structures have been removed, repaired or replaced. They have been diagnosed with problems in the circulatory, respiratory, reproductive, lymphatic, digestive and/or nervous systems.Have you ever thought it would be beneficial to see and touch the muscles, nerves, organs and bones? Compare diseased to normal organ tissue? Examine the same structure on multiple specimens? Did know this type of learning opportunity has existed for massage therapists, acupuncturists, physical therapists, personal trainers and others since 1993? The 2013 class will represent twenty years of these professions performing full body dissections at the University of South Florida College of Medicine in Tampa.
Each class begins with a dedication to our "Silent Teachers" for the privilege of being their students. They donated (bequeathed) their bodies to this program and we acknowledge, respect, thank and honor their souls. We commit to embrace the valuable knowledge they are about to teach us and to apply that knowledge to the benefit of our patients.
Very limited information is received about each cadaver and only includes: gender, sex, age, cause of death and occupation. We start by palpating boney landmarks and inspecting the cadavers for scars and surgical incisions.
Students are grouped in teams of seven. Together, they will dissect an entire body, superficial to deep, layer-by-layer, skin to bone. Their dissection exploration will also include the spinal cord, heart, lungs, organs, joints and the cranium.
As students dissect, their understanding, confidence and clinical application of knowledge grows. Can you think of a better way to learn about the skin, fascia, muscles, nerves, ligaments, vessels and other structures that compose the body? This type of study will clarify your understanding of the anatomy and eliminate any misperceptions that might exist.
Irregularities or deviations from the norm are discovered throughout each class. Examples include a unilateral sternocleidomastoid with four divisions, two sternal and two clavicular. Other examples include an upper trapezius muscle that did not exist on one side or adhesions throughout the body, arthritic joints, swollen lymph nodes and cancerous growths.
During class we remove a portion of the carotid artery and cut and peel away the arterial wall to expose a tubular structure that looks like a drinking straw formed by atherosclerotic plaque. Palpating this structure in a living person when treating in the anterolateral neck could cause a piece of plaque to break loose, producing a stroke. In the anatomy lab, students can palpate these structure without harm whiling clarifying its position to the sternocleidomastoid muscle. This level of education helps the students better understand the effects their treatments can have on the body.
It is common for students to uncover pacemakers, artificial hips, knees, shoulders and intervertebral discs. They examine the rods, screws and connectors used for a spinal fusion.
We also enter the cranium and vertebral column exposing the dura mater, arachnoid mater, the brain, spinal cord and cauda equine. Students open each joint throughout the body. In the knee, they examine articular cartilage, each meniscus, the cruciate and other ligaments. In the wrist, we investigate the carpel bones and the tunnel they form. The tendons and medium nerve that past through the carpel tunnel and the clinical significance created from swelling, infections, surgeries and/or trauma to the wrist. At least one cadaver in each class has undergone coronary bypass surgery. We palpate the metal wires that were used during the surgery to reconnect the sternum that was cut in half. We open the chest to see the lungs cradling the heart. We remove the lungs and inspect coronary bypass repair from every angle.
During an acupuncture treatment, the depth of needle insertion into the body is determined by multiple factors including the nature of the patient's condition, their age, size, etc. Acupuncturists check the accuracy of their needle placement by inserting them into the cadaver prior to starting the dissection.
Books, videos, computer programs, anatomical charts and models are all helpful aids in learning about the human body. Performing a dissection is a unique opportunity and you leave the lab with a new level of confidence and knowledge in your skills. Graduates have a clear understanding of the interconnection of the structures that form the body and how they function. Dissection allows students to feel the elasticity, density, size and position of structures throughout the body. While performing a full body dissection is not part of our standard curriculum, the opportunity is definitely available.
Click here for more information about David Kent, LMT, NCTMB.
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