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Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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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