resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
September, 2015, Vol. 15, Issue 09
Have We Created a Touch Deprived Society?
By Ann Catlin, LMT, NCTMB, OTR
I recently attended a memorial service for a long-time friend of my husband's. There were lots of people there; some I knew well, others were strangers. Mingling at the reception I noticed how much people were touching.I bet I gave and received 25 hugs, not to mention handshakes and greetings that included touching an arm or shoulder. Since I was in the midst of writing this article, I wondered why we are so much more open to touch in this personal situation when, as a society, we're disconnected from it. Come to find out, I'm not the only one asking. Scientists and researchers in neuroscience and human behavior are, too. Touch is getting its due attention. Bit I wonder, have we created a touch deprived society?
Hard wired for touch
It's long been acknowledged that touch is the first sense babies develop in the womb and that holding the baby at birth cements a bond between mother and child and that babies need physical contact to develop and thrive. My training in occupational therapy included how to assess and treat tactile and sensory dysfunction, a common symptom of disease or trauma of the nervous system. I could tell you all about a patient's ability to feel a pin prick in precise tactile tracks in the body (dermatomes) or distinguish a comb from a fork just by feel (sterognosis). But I don't recall ever discussing the emotional impact of human touch. Denworth (2015) tells us, [Scientist's] growing body of research has uncovered another dimension of touch that is separate from its discriminative function. This newly recognized system, known as affective or emotional touch, consists of nerve fibers triggered by exactly the kind of loving caress a mother gives her child. It is possible that these neurobiological foundations of attachment might play a far more significant role in human behavior that has been recognized, forging connections and increasing our chance of survival. "Hertenstein et. al., (2009) investigated our ability to distinguish or decode distinct emotions from touch alone, without the context of facial expression and body language. They found that people reliably decoded emotions of anger, fear, disgust, love, gratitude and sympathy when touch was the only means of communication. I wonder if our current social habits detach us from this potent means of communication and human connection.
I've thought some about the use of various technologies and how they enhance the lives of our elders. Many grandparents have discovered the "Skype visit." These long-distance visits can help families stay connected or help family members monitor how grandma is doing. While I believe that these "Skype-visits" are a good thing, I do question if some families will skip the trip to grandma's and substitute a Skype-visit instead. There's no substitute for a real visit where people share an experience; where grandparents feel and touch their grandchildren who then can remember what grandma's wrinkly skin felt like or the smell of her Jergen's lotion; where grown children take time to simply show up and be present. Technology will play a huge role in aging baby boomer's lives, but maybe we should keep some good old fashioned visits along with it. As a new grandmother, I can tell you there's no substitute for holding that little baby boy who will someday call me Nana.
The Daycare Dilemma
I was a working mom and was really lucky that my workplace had an excellent daycare center and preschool on-site. For the babies, they had volunteer "grandmas" whose only job was to sit in rocking chairs and hold the kids. One grandma took a liking to my baby son and held him a lot. I loved that! Even the older kids swarmed around these women. I would like to think those ladies would still be there. But I wonder when the notion of touching kids in daycare and schools is laden with fear and anxiety in today's risk-avoidance culture. Piper, H. and Stronach (2008) examined this issue in depth and found that daycare workers and teachers "hands are tied" by policies aimed at protecting children but their sensible instincts suggest the rules are an unnatural way of caring for kids.
The Doctor/Patient Relationship
A favorite story of mine is told by Dr. Abraham Verghese in a 2013 TED talk. Dr. Verghese appeals to physicians the importance of a hands-on physical examination of their patients at a time when MRI's, CAT scans, blood tests, and tele-medicine have replaced the ritual of palpating and listening. I share an excerpt from his presentation as he tells it because I think his words are so powerful.
"I recall one patient who was at that point no more than a skeleton encased in shrinking skin, unable to speak, his mouth crusted with candida that was resistant to the usual medications. When he saw me on what turned out to be his last hours on this earth, his hands moved as if in slow motion. And as I wondered what he was up to, his stick fingers made their way up to his pajama shirt, fumbling with his buttons. I realized that he was wanting to expose his wicker-basket chest to me. It was an offering, an invitation. I did not decline. I percussed. I palpated. I listened to the chest. I think he surely must have known by then that it was vital for me just as it was necessary for him. Neither of us could skip this ritual, which had nothing to do with detecting rales in the lung, or finding the gallop rhythm of heart failure. No, this ritual was about the one message that physicians have needed to convey to their patients. Although, God knows, of late, in our hubris, we seem to have drifted away. We seem to have forgotten as though, with the explosion of knowledge, the whole human genome mapped out at our feet, we are lulled into inattention, forgetting that the ritual is cathartic to the physician, necessary for the patient, forgetting that the ritual has meaning and a singular message to convey to the patient. And the message, which I didn't fully understand then, even as I delivered it, and which I understand better now is this: I will always, always, always be there. I will see you through this. I will never abandon you. I will be with you through the end." I relate to this story very much. I have a hospice client now that I've seen for three years. We have a ritual to our session. She likes having her back massaged with lotion or powder and, although it's an effort for her, she lowers her robe so she can feel my hands on her skin covering her emaciated back. After the massage, her face, and my heart, is filled with gratitude.
I believe that perhaps our real work as massage therapists, regardless of your clientele, is to help usher in a new age where human touch returns to its rightful place in our world. There are lots of signs of hope such as these telling lyrics in Greek electropop band the Berlin Brides' song, Ballad for the Touch Deprived:
I'm living my life in perfect bliss
Click here for previous articles by Ann Catlin, LMT, NCTMB, OTR.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.