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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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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).
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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 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.
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.
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.
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).
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.
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.
March, 2014, Vol. 14, Issue 03
What's In Your Story?
By Ann Catlin, LMT, NCTMB, OTR
It's been said a picture is worth a thousand words. But, maybe words are worth our attention, too. Consider Philip Pullman's comment, "After nourishment, shelter and companionship, stories are the thing we need most in the world." Stories connect us.They help define who we are. Stories make us care. Turns out science is helping to explain why stories have the power to change our brains.
Stories make us Empathic
When you make a point, engage an audience or even promote your business, a story captures attention in a way that simple facts can't. To help explain this, I turned to Paul Zak whose research has uncovered the link between stories, oxytocin and empathy. He says stories engage more of the brain and stimulate oxytocin production. Oxytocin is a hormone and neurotransmitter produced in the brain and blood that has been called the love and connection hormone. When oxytocin levels increase, we feel safe and more compassionate toward others. Oxytocin is stimulated in lots of ways. It's long been known that it increases during sex, childbirth and breastfeeding. Petting a loved animal, giving a gift, loving-kindness meditation, dance, praying, hugs and massage all raise oxytocin levels. A story creates a social connection which also increases oxytocin. I've seen this first hand in my own work. When I tell a story about how a very old person responded in a session, people are moved. When I simply point out the benefits, they understand on an intellectual level but that's all. Stories reach our hearts and souls and that old person "comes alive" to the listener.
There she was, this wisp of a woman in her wheelchair, alone in this big empty dining room. Her eyes had a far-away look and every few seconds she sobbed. Was she in pain? She didn't seem to notice when I spoke to her. She rambled and I could only catch a word here and there. For several minutes, I simply sat quietly with her. Saying her name, holding her hand and stroking her arm, she looked at me for the first time. A connection! Mary accepted my touch, but the crying jags continued as she gripped my hand. It was time for me to go and as I walked away, she said in a weak, but clear voice something that shook me to the core. "I'm so lonely."
The next day, I saw her again. She lay in bed, so tiny she was barely visible under the covers. She stared at the ceiling, again crying. I took in the scene as I stood the doorway to her room. Not one picture, flower, card or anything else personal was to be found. Who was this woman? All I knew was the moment. "Hi Mary, its Ann. Can I sit next to you on your bed?" She actually nodded yes! I massaged her hands and softly stroked her hair and cheek, a touch I often use to comfort people with advanced conditions. Still, she cried every few minutes. But, she reached up and touched my cheek and even looked me in the eye. I stayed present in her little world. At one point, she took my hand to her lips, kissed it and said I love you. It was wonderful to see Mary go from profound loneliness to enjoying our relationship in her own way. As I was leaving, a nurse came in and said, "Hi Mary," quite casually like she's probably done a thousand times. And Mary, in a clear voice said, "Hi!" The nurse was clearly amazed. I walked away with a smile in my heart. Mary wasn't invisible anymore.
Reflect: How did you feel about Mary as you read my story? How might you have reacted? What therapeutic benefits can you identify? Do you think Mary's quality of life improved? In what way?
Capture Your Own Story
We create a story every time we touch someone. True, some are more memorable than others, but many are worth capturing — and sharing. But, if you're like me, the details of a story fade quickly unless we find a way to resurrect them. Here's a tip. Dedicate a notebook or journal as a place to jot down your own stories. It doesn't have to be formal. Quick notes will do. I have carried a journal in my bag that goes with me into homes and facilities. Some stories are just a line or two. The first entry is dated August, 2001. A glimpse through the pages just now has brought back such sweet memories of people who have help shaped my work and blessed my life. So share your own stories. They bring to life the power and validity of your service in the world. We'll all be listening!
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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