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Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
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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