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Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
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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