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A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
June, 2014, Vol. 14, Issue 06
In Life, as in Work, Never Forget the Power of Laughter
By Ann Catlin, LMT, NCTMB, OTR
A few weeks ago, I was teaching a workshop at a retirement community. A therapist in our group asked a woman who was hard of hearing and a little confused if she would like to receive compassionate touch. The woman replied, "I could use some passionate touch, honey, but not from you!"
When people find out I work with people in long-term eldercare and hospice, they comment about how depressing it must be. Of course, there are sad and serious times but being a care-partner isn't always heavy and burdensome. It carries with it the whole range of human emotions from sadness to anger to joy to fear to humor. All emotions have their place, even in end-of-life care. But sometimes things happen that are just plain funny. A lot of comic relief can come from remarks and situations that happen when serving as a caregiver.
The Best Medicine
One day I walked by a woman sitting in the hallway at a nursing home and she grabbed my arm and said, "Have you peed? If you need to go, go on in. You can go first." It's okay to laugh. More than okay, it's therapeutic.
Think about the last time you had a good belly laugh. You know the one, when you had tears running down your face. Hopefully it wasn't that long ago! Why does laughing feel so good?
Laughter has been shown to have psychological and physiological effects. During and immediately after laughing, heart rate, respiration rate and oxygen consumption increases. After a few moments, heart rate, respiration rate and blood pressure decrease and muscles relax. The stress hormones cortisol and epinephrine decrease, too. Sounds a lot like an overall relaxation response we seek out to ease stress, doesn't it?
I remember a frail woman that lived in a skilled nursing facility who I saw for several sessions. She had many serious medical issues including diabetes that had claimed both of her legs and affected her mental abilities. Her mood seemed very sad to me. Somehow, our conversation led to talking about, as young women, we both had a habit of biting our fingernails. I noticed that her nails now were long and recently manicured. I asked her how she managed to quit biting them. For the first time, she smiled widely and said, "I lost my teeth!" Then we both burst out laughing. After that, her smile came more easily during our visits.
When I share a sense of humor with a client, our connection is stronger. Even just a moment of joy opens the way for a positive relationship. My client is more open to receive the benefit of any hands-on techniques and is more likely to understand self-care instruction. I find humor to be especially helpful in connecting with people living with Alzheimer's disease. The ability to recognize and experience human emotions is a strength that remains intact far into the disease. This includes the ability to smile and laugh, offsetting feelings of fear and loneliness that come from memory loss and sensory deterioration.
One day, I used lavender oil in the massage lotion and a client exclaimed brightly, "You make me smell like a princess!" Caregivers who develop a healthy sense of humor suffer less from exhaustion and frustration. Sharing stories of funny things that happen provided a healthy outlet during a time laden with lots of not-so-funny circumstances. I've attended caregiver support groups where people were doubled over with laughter. I wish I had written those stories down! Here's such a story I found on the caregiver support website www.AgingCare.com:
"I came home yesterday from work and Mom came out to the kitchen to greet me. I said, 'Mom, you have on my sweat pants!' We each have a pair of soft, comfy pea green sweats. Hers are a size 14 and mine are a few sizes bigger. She says, 'I thought I had lost a lot of weight!' Then she pulls up her shirt to show me she had them pinned to her bra to keep them up! We had a good laugh!" - Patti4Mom
Sometimes, unexpected humor arises from poignant situations. Tim is a Pastoral Thanatologist who attended a recent workshop. He shared this story:
"Out of concern for the sorrow of a recently widowed resident, a nursing staff called me to the unit for a bereavement visit. I was informed that the resident had dementia due to a CVA (stroke) and spoke very little. When she did speak, it was usually after a three or four minute delay. Outwardly, I just smiled at the staff, but inwardly I was screaming, 'What are they thinking? What do they expect me to do with her?'I looked her right in the eyes as I explained to her why I was visiting. I told her who I was, what my role was and reviewed the death of her husband. I let her know that I was aware that it may take her several minutes to respond. I informed her I would wait in silence for her to respond. Then the waiting started. Minutes passed with nary a movement by the woman. Then, she took off the sunglasses she wore to protect her from the brightness of lights and handed them to me. An eternity later she said: 'How did he die?' I repeated the story of his death in the hospital. I became silent once again and stared deeply into her eyes anticipating what marvelous statement she might make next. An eternity elapsed as I looked at her. And then she said, 'Are you going to stare at me the whole time?' I quickly recovered, apologized and moved my chair to a position that allowed for personal space. For forty minutes we danced this dance, talking, waiting and being graced with her response. She made seven statements in total. As our visit came to a close, I slowly stroked her arm and finished with an attentive touch of her hand. As I prepared to take her back to the dining room, she looked up at me and asked, 'Do you have a business card?'"
Stillness overcomes agitation.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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