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Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
September, 2013, Vol. 13, Issue 09
The Rewards of Working with Dementia Patients, Part 2
By Ann Catlin, LMT, NCTMB, OTR
In my last article, I compared four types of dementias: Alzheimer's disease, vascular dementia, Lewy body dementia and frontotemporal dementia. Now, I'll explore how touch can improve the quality of life for the person living with the disease.
Touch deprivation in old age is real. Simington (1995) relates that older persons report that touch conveys fondness, security, closeness, warmth, concern and encouragement, and makes them feel an increased sense of trust and well-being. They report that touch helps them to develop close, trusting relationships with staff and other residents. As tactile sensitivity decreases, the need to receive expressive touch may increase. Nature can be cruel however, and the elderly person often may have no one to provide this increased touch. The children are gone and the partner has died. One elderly woman put it this way, "Sometimes I hunger to be held. But he is the one who would have held me. He is the one who would have stroked my head. Now there is no one. No comfort."
Touch is one of our most basic human needs throughout our life. Clearly our situation, age and condition changes, but the need for human contact does not. As Simington pointed out, as the body or mind declines, the need for human touch may increase as we search for reassurance and comfort.
Touch in the form of gentle and sensitive massage or attentive holding has the power to enhance physical, emotional and spiritual well-being. A hand massage, back massage or simply holding a person's hand has the power to elicit positive, life-affirming feelings and responses. Touch becomes a language of the human heart and a remembrance of one's place in the world.
An underlying principle is that we each have within us a compassionate presence. Sensitive massage and focused touch are mediums used to offer the gift of this natural presence.
Unique benefits of sensitive massage and focused touch:
Hands reflect the landscape of a person's life. When you touch someone's hands with compassion and sensitivity, you acknowledge their whole life experience. In our society, we touch hands as an accepted means of interaction to greet one another, offer support and to show affection. Since touching the hands is so familiar, hand massage may be gladly accepted by your care partner. Evidence suggests even a simple ten-minute hand massage can go a long way in helping people with dementia feel calmer and more connected with others and their immediate environment.
Suzuki (2010) explored the effects of hand massage on physical and mental function and behavioral and psychological symptoms among elderly patients with dementia. The group received a consistent hand massage protocol a total of 30 times each for 20 to 30 minutes between 4p.m. and 5p.m. Both aggressive behaviors and stress levels decreased significantly after six weeks.
The story of Mrs. A is paraphrased from the Suzuki Study. Mrs. A was an 84-year-old woman with AD. She had delusions that people were stealing things and was easily angered. She needed partial care for activities of daily living and used a wheelchair. Short-term memory impairment was evident, but she was relatively competent in communicating. She enjoyed hand massage and would come over in her wheelchair to ask, "are you doing massage today?" From about the fourth week of intervention, she said, "the circulation in my hands is better and it's nice having warm hands. I always used to wake up in the night, but these days I've been sleeping right through till the morning, and it's because of this massage."
After 6 weeks of hand massages, Mrs. A. showed slight improvement in motor function and she was much calmer and better at communicating. Paranoid delusional symptoms disappeared and she showed a decrease in wandering and aimless activity compared with before the intervention. She went from being quick to anger to smiling more frequently after the massage. She started being able to sleep through the night after receiving the massage and nurses noted a decrease in anxiety.
Dr. Allen Powers, author of Dementia Beyond Drugs and an advocate of touch in dementia care, adds to the conversation: "Modalities like massage ... can provide a balm for anyone who is in need of more human connection. I will confess that I have occasionally ordered moisturizing creams twice as often as needed for people with dementia who are disengaged merely to increase the frequency of hands-on contact."
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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