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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.
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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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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