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Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
July, 2014, Vol. 14, Issue 07
The Existential Question and Talking the Walk
By Gerry Pyves
You don't need to be a psychotherapist to talk to your clients or find out why they are coming for a treatment. This is perfectly within your legal "scope of practice." By training to become a psychotherapist, I learned to say much, much less to my massage clients.I learned to let the touch really do the work. I also learned to let the client define their own reality.
You can get plenty of "psycho babble" at every coffee shop in the land. However, I do need to know just why my client is here.
Eric Berne, the founder of Transactional Analysis called this, "asking the existential question." He asked himself: "Why is my client here and not having fun doing sex, drugs and rock and roll?" He also asked himself: "Why am I here and not somewhere else, having fun doing sex, drugs and rock and roll?" It was the sixties, after all. But you probably get the point.
If the client has a tight shoulder, what difference will it make to their life if it is alleviated? How important is it to them? What caused that structural problem? They are made of soft tissue that is more affected by energy, emotion and thoughts than any other substance on the planet. Do we just ignore this fact? If they have a knee problem, what was happening when they injured it? Were they under stress? Was life hard?
Is any of this psychotherapy? Of course not - it is simple human interest. It only becomes invasive if it is done invasively. If you cannot tell the difference between a client keen to share their story and one who is uncomfortable talking about themselves, then it is time to take up another profession. The art of all healing therapy is to know when the time is right to invite the client to share more about themselves.
Symptomatic Or Causative?
Asking questions is how we care for another human being. It is also discovering the essential causative factors of their symptomatic pains. To simply accept a tight shoulder as a structural problem is no better than calling poverty "a shame." These things all have causes and history. Like Sherlock Holmes, we must trace each symptom back to its historical cause, if we wish to be more than some kind of "Mr Fixit dullard." That is not healing touch. It is squashing human beings into a tiny "physical only" box.
Every human deserves to be seen and heard and to be touched. Do you really know why they have invested this money and this time in coming to see you? Do you dare to ask the existential question? Likewise, at the end of the session, do you dare ask, "Did you get what you came for?" In my previous article, I talked about asking the client to walk around at the end of the session. To do this well, requires three basic protocols.
Getting Out The Way
The first protocol is to get myself out of the way both physically and psychologically. Some clients are uncomfortable at first with the idea that they should know anything at all about their own bodies. The harder they find it to put words to their experience of walking, the more important it is to both therapist and client that they do this. If they want you to be the expert on their body, you better plan on moving into their house and living with them, and help them get dressed in the morning.
Listen To The Body
The second protocol is to encourage the client to feel how their body wants to walk. Most illness and tissue compression simply arises out of "the head" dominating "the body." If people rested when they were tired and ate when they were hungry and stopped eating when they were full, we would have a much healthier nation. The key here, is to follow the body.
We encourage the client to feel from the inside just how their body wants to walk. Some clients have had such massive structural shifts from the massage, that they actually walk like babies learning for the first time. The cerebellum has not yet caught up with the changes in muscle, tendon and ligament configuration. Some wobble as they walk. Some notice that they are more than mere structure. Some will connect with their energy or their emotions. Others will feel their spirit or discover a new clarity of thought.
The Rest Of The Day
The third protocol is to ask, "How will this walk affect the rest of your day, compared to when you came in?" If our touch does not make a difference to people's lives then we should probably do something else. Touch done well always make a massive difference - if only we let the clients really feel the power of beautiful healing touch.
Soft Magical Tissue
Once clients start to "talk their body's walk," they start to describe how their body is actually feeling. It is very different from some kind of intellectual chiropractic structural analysis. It is a feeling thing. Nothing connects us with the truth of our deepest inner feelings better than massage.
Find out why your clients have really come. Challenge them if they think they are just a mechanical problem waiting to be fixed by experts. We are not cars. We are human beings made of the most incredible and magical soft tissue that will find its own balance if touched with gentleness and respect. So please stop prodding and poking me. I do not need fixing. I need respectful, gentle touch. Then I will release my compressions - if I am ready.
Whose life is it, anyway?
Gerry Pyves lives in West Yorkshire, in the United Kingdom. He holds an MA from Oxford University and qualified as a massage therapist in 1984. He became a UKCP registered Transactional Analysis psychotherapist in 1999. He is the founder and creator of NO HANDS® Massage. He is currently looking for instructors to teach NO HANDS® in the U.S. For more information, visit www.nohandsmassage.com.
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