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Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
March, 2014, Vol. 14, Issue 03
Sampling Self-Care Southern California Style
By Mia Miller, LMT
I am often in awe of how both built and natural environments stretch our sense of what's enjoyable, desirable and possible. Whether you're suiting up for a winter run in below freezing temperatures, packing up swim gear to hit the gym after a long day of work or perhaps you're disciplined enough to do some restorative yoga at home alone in the wee hours of morning before the day kicks off, we are incredibly adaptable creatures when we allow the places around us to suggest and shape our routines of self-care.I have found two different distinct, new ways to be take care of myself since my move West: long hikes and regular trips to the Korean day spa.
I am a relatively recent transplant to the West Coast, having spent 11 years in Brooklyn prior to my move to Los Angeles in the spring of 2009. The predictable 70 degree temps were a direct invitation to get outside and stay there. My new home was in the foothills against a wall of mountains known as the San Gabriel range, unique to the area as it runs East to West and enjoys various climatic influences. Los Angeles County hosts high dessert, coastal, moutainous and inland valley topography providing great odds for outdoor wandering, as nine times out of ten you'll be in dry conditions with pleasing, moderate temperatures. Southern California really is a unique place to explore hills, valleys, beaches and desserts on foot most days of the year.
Past my initial anxiety, I eventually got my bags packed and headed out to find a trail about 15 mins from my house and began my first hike. Right at the start, I saw a sign that announced "rattlesnakes are a vital part of the ecosystem, don't disturb" and I knew for sure I was on freshh ground and off for a different kind of walk than I was used to. My hike in the San Gabriels was distinct from former walks on busy city streets, where everyone and everything can mingle. In this setting, I was able to sense and commune with non-human existence and open space, possibly discover new life in the dirt and brush.
In case the effects of a slightly challenging hike are easy to overlook, let's review a few physical benefits here. When walking, we nourish our tissues with fresh oxygen and improve the flow of synovial fluids for joint health and lymphatic fluid for smoother, more effecient "plumbing." While hiking here, you hit inclines, some steady, some extreme, thus building stamina, increasing pulmonary and circulatory functions and building bone mass with each step. Back and forth along switchbacks at a nice clip, we have the opportunity to witness a literal widening perspective which always seems fresh when we look. We relax the nervous system promoting a nice calm, even while we are exerting ourselves, a very stabilizing combination of effects, I think.
Its been a few years since this intial sojourn and I have since ventured deeper into the Angeles National Forest for longer hikes, as well as places that required a little more planning and gas in the tank. While driving can be aumtomated and disembodied, once you hit that trail, the contrast is quite acute and the body gains in appreciation with each dusty push off. It's the promise of adventure, new terrain and intimacy with it, that really eases the mind and settles the misfires and chatter inside.
A second ritual of self-care I have discovered for mind/body restoration takes me indoors in Los Angeles. A contrast from trails at 5,000 feet, day spa's are environments in which to unwind and commune with the elements in a more passive fashion, often in a basement of a big office building. Searching Yelp, you'll find more than 6,000 hits for day spa's in Los Angeles. I am eager to share my impressions of Korean Day Spa's in Koreatown, a neighborhood adjacent to downtown. Some are small and for women only, while others are very spacious and filled with families. Others have co-ed saunas with heated jade floors and a communal nap zone with separate gender specific spaces in which to enjoy contrast bathing and unrobing to steam. The locations I've visited are all peaceful, clean, centered on client comfort and incredibly affordable, many with a fee of only $15 for use of the facilities.
Many folks expereince a spa environment for the first time when they are on vacation and decide to splurge on a body wrap or a high priced package deal. Logistically, what I appreciate most about these bi-monthly Korean day spa excursions is you are able to design the day for yourself, but not from that organized sort of place. It's much more casual and free form. You can pack your own supplies, such as a dry brush, home made body scrub and your own clay mask, possibly a bag of goodies you rarely make time to use at home and settle in for a few hours to experience the elements in a less controlled manner. At the spa, you peruse more, feeling how long to stay in each place. While there is no exact protocol you have to follow, there are suggestions for how to use the facilities and your safety in extreme temperatures is obviously important to pay attention to, so know limitations and listen to your body, the point of the day anyway! Drink lots of water throughout as well.
Choice activites and effects:
Heading out, again often paying $15 for my time, I hit the warm air and smile. My drive home is so relaxed and peaceful and whatever comes next is laced with pure joy and contentment.
There are no lack of spas in many towns and the big, bad U.S.A. has tons of trails and places to wander around outside. I am thrilled to incorporate these activities into my life as I call the West Coast home. I often encourage clients and friends to explore these options and they are always happy they did. As we care for others in a very tactile, physical way through bodywork, we too can learn to dial it back and take in the built and natural atmosphere and it's affordable little gems. I invite you to check out what's around you and be well. The world is waiting for you to check it out!
Mia Miller is a specialist in oncology massage and runs her private practice, Somatic Space, in Los Angeles, Calif. She is a passionate proponent of integrative medicine and a therapist at City of Hope and Children's Hospital Los Angeles. Visit her website: www.somaticspace.com.
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