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In the Unlikely Event of an FDA Recall ... No News Has Been Good News
East Asian herb product manufacturers have practiced impeccable diligence by complying with current Good Manufacturing Practices (cGMP) and providing the practitioner community certificates of analyses that detail laboratory testing results for things like heavy metals and toxic elements.
Safety First, Protecting the Patient: A Herbal Certification Program by the NCCAOM
The acceptance of acupuncture and Oriental (East Asian) medicine in the U.S. has made tremendous strides over the last 30-plus years. AOM/TCM is no longer "alternative or complementary" medicine. Yet, as acupuncture has become more mainstream, acceptance of herbal medicine has lagged behind.
The Opioid Crisis: "Let's Roll!"
Sept. 11, 2018 will mark the 17th anniversary of the horrific terroristic attack on the U.S. Whenever I think about that day, I am reminded of the heroes on Flight 93 who took action to keep the airliner away from Washington, D.C., by making it crash into the ground near Shanksville, Pa.
A Functional Approach to Type 2 Diabetes
Diabetes is recognized as one of the top chronic illnesses plaguing our society today. Here are some quick statistics on the prevalence of both diagnosed and undiagnosed diabetes:
News in Brief
Chiropractic Takes Leap Forward in France; New ACA President Named; Sherman College Responds To "Choosing Wisely" Recommendations; R.I. DCs Speak at Medical CE Event.
The Veteran's Choice Program & Your Claims
Q: I have recently begun treating veterans under the Veteran's Choice program. I am getting paid just fine for acupuncture codes and evaluation and management services but have been denied all physical medicine codes including infra-red heat 97026, massage 97124 and manual therapy 97140.
Preparing for the Opioid Patient: The Future of the Acupuncture Profession
In the future there will be many more clients with opioid addictions in acupuncture practices. Acupuncture is being promoted as an excellent resource to help with recovery from opioid addiction.
Fixing a Major Practice Hurdle in Wisconsin
Wisconsin Gov. Scott Walker has signed Assembly Bill 834, legislation repealing the requirement that DCs wishing to practice in Wisconsin score higher on Part III and Part IV of the NBCE examination than is required in most other states.
Lancet LBP Series: Relevance to the Chiropractic Profession
The Lancet Low Back Pain Working Group consists of a team of leading international experts on back pain from different professional backgrounds and from countries around the globe. The group published a series of three papers in The Lancet on March 21, 2018, and have subsequently received significant media attention. Here is a summary of the relevant data from these three important papers.
The Pain of Chemotherapy: A Case Study
The primary reason for presenting this case study and patient is to review the pain relief response she experienced from micro-current electro-acupuncture for taxane induced neuropathy.
Standard Process Unveils Nutrition Innovation Center
The North Carolina Research Campus, a 350-acre research center in Kannapolis, North Carolina, just north of Charlotte, is a research collaborative that includes university, corporate and community partners.
Renew Your Passion: The National
It's another August day in Florida with temperatures reaching almost 90 degrees. The sun is shining through the tall windows of the Hyatt Regency Orlando on all the attendees at The National by the Florida Chiropractic Association.
Corporate Chiropractic (Pt. 2): The Dark Side
In a previous DC article (May issue), I tried to make the case that the trend of corporations and franchises delivering chiropractic care might actually be positive.
Practicing Tai Chi Between the Seasons: Balancing the External and Internal Environments
Each morning for the past week, I have found myself to be a bit more tired than usual. There were nights when I went to bed a little late and nights I went to bed early, but it didn't make a difference.
The Spirit of the Points: The Pericardium Meridian (Part 2)
As indicated in part one of this series, the vast majority of our patients, regardless of the presence of physical symptoms, are also imbalanced at the levels of mind and spirit. The ancient Chinese knew that to treat the whole person, all levels must be taken into account so that complete balance and harmony can be achieved.
Leave Acupuncture to Acupuncturists
Colorado acupuncturists are desperately fighting to reverse a recent decision — the passing of HB18-1155 — that adds dry needling to physical therapists' scope of practice. You can support Colorado acupuncturists by signing their Change.org petition here.
Mineral Nutrition for Athletic Performance and Recovery
Research on sports, exercise, and mineral nutrition has been ongoing for decades. It is widely held that strenuous exercise can increase the need for minerals.
VA and Medicare Billing: Case of the Missing Modifier
Indeed, the Veterans Administration is paying directly to chiropractors for care under the VA Choice or PC3 Program. There are currently two administrators for this program: Health Net for the northeast and TriWest for the southwest (approximate geographic regions).
Text Neck: Assess and Adjust
A common presentation in a chiropractic clinical practice is the patient with neck pain and stiffness. Patients usually report limited range of motion on rotation of the head and neck.
Legos Lead to New Patients
It's time to examine a different way of envisioning the marketing and promotional flows in your office. This 10,000-foot perspective I like to call your practice's "marketing Legos." Much like the Legos we all played with as kids – now you get to sort them out in practice!
A Report From the 3rd Annual ASA Council Congress
This past March the American Society of Acupuncturists (ASA) was proud to hold its third annual ASA Council Congress in Denver, Colorado.
The Gut/Brain Relationship: Exploring Brain Diseases
Several thousand years ago ancient Chinese doctors stressed the importance of a healthy diet, and leading a healthy lifestyle as the primary ingredient to maintaining health.
Art of the Associateship: Success Is in the Finances
Finances are an important part of any business relationship. Money serves as the fuel for all business operations and ultimately the long-term success of owners, employees and customers. This is especially true in the world of health care.
Give Obesity the Attention It Deserves: Practice Pointers
During my earlier years in practice, I first became aware of the obesity problem in New Mexico because of an offer to star in a movie.
Low Back Rehab: Hip Mobility
The strength of chiropractic physical rehabilitation is first and foremost CMT, closely followed by our appreciation of a whole-body approach to balancing the entire kinetic chain.
K2: The Supplement for Your Anti-Aging Treatments
While aging as a whole is inevitable, some aspects of aging may actually be caused by a simple vitamin deficiency. That's right – wrinkles, stiff muscles and decreased athletic performance can all be symptoms of just one micronutrient deficiency: vitamin K2.
NIH Agenda: How Will More Drugs Help?
National Institutes of Health (NIH) Director Francis Collins announced in April that his agency will be partnering with drug manufacturers to address the opioid and pain crisis. The project is known as the Helping to End Addiction Long-Term (HEAL) Initiative.
A Five-Step Plan for Marketing the Sale of Your Practice
We spend so much time and energy educating ourselves to be successful practitioners that many of us never stop to consider what comes next. What happens if you have a great practice but you need to move, are getting burned out, or are simply ready to retire and try something else?
A Model for Integrative Health in the U.S.
This past March I met Dr. Benjamin Kligler, national director for the Integrative Health Coordinating Center of the Veterans Administration (VA), at an Integrative Health and Wellness Congressional Caucus briefing, where he presented on the VA health care system.
Why You Should Clear the Common Bile Duct: A Necessary Protocol for Your Treatments
A Necessary Protocol for Your Treatments
Fresh blood is our body's most precious healing resource containing oxygen, nutrients, and hormones. In order for us to assist the upward return of venous blood and lymphatic fluids to the heart / lung complex we need to prioritize draining the downward flow of bile, pancreatic enzymes and juices into the duodenal portion of the small intestine.
This is accomplished by a simple myofascial stretching of the Common Bile Duct (CBD). Other techniques may be necessary to achieve a more complete therapeutic effect, but stretching the CBD is the cornerstone of helping to improve the digestive and absorption efficiency of what we eat and drink.
Stretching the CBD
When bile and pancreatic fluids don't reach the duodenum in a timely fashion, their congestion is proposed to ignite inflammatory cycles, which impede the upward flow of the raw materials from the abdomen, pelvis and lower extremities needed for the production of new blood.
When clients present with chronic somatic dysfunctions, stretching and clearing the CBD is an essential skill to employ. I have done so with each and every client over the past 32 years.
Few of us consider that our species' evolution, especially in Northern Europe, was severely challenged during the last ice age known as the Younger Dryas, which occurred about 13,000 years ago. Bitter cold was the daily reality that the anatomy and physiology of our progenitors were challenged to adapt to in order to survive.Digestive efficiency became a primary factor. Evolution's natural selection process selected for any trait that might improve the chance of survival in the face of this environmental adversity.1 Efficient digestion and absorption creates readily available energy and stored energy in the form of fat. Fat insulated us from the bitter cold. Its stored energy was essentially our pantry during times of famine.
Evolution & Diabetes
Sharon Moelem's book, "Survival of the Sickest," speaks to this premise of how our fat metabolism tailored itself to promote our species' survival there and then. And, though a highly controversial theory, evolution's selections then may indeed have left many of our population with a pre-disposition for developing diabetes.1
Two additional factors add weight to this premise. First, it has been observed that the liver, gall bladder, CBD, pancreas, and especially the extra-hepatic ducts, have more anomalies than any other organ system in the body.2 Second, I have had more clients speak to the reason for a parent's death being related to anomalies of the gall bladder or pancreas, or of the ducts related to these organs than any other reason, including heart disease and cancer. These were clients who presented with exceptionally stubborn chronic difficulties.
Let's walk through the basics of digestion related to the CBD. Bile and its many constituents are derivatives of cholesterol synthesized in the liver. Bile is stored in the gall bladder where it concentrates itself. Bile and pancreatic enzymes work together to break down fats and fat soluble vitamins.
The phospholipids in bile function as a detergent to break up larger fat globules allowing the pancreatic enzymes to more effectively break down the smaller droplets into their constituent parts thus, allowing for their absorption.3 As bile flows through the bile ducts it is modified by the addition of a watery, bicarbonate-rich secretion from ductal epithelial cells.3
Thus, bile functions to alkalize the chyme which was initially digested within the acidic environment of the stomach. Effective digestion and absorption of what we consume require that all of the constituent elements that make up bile and pancreatic enzymes and juices flow through the CBD and into the duodenum.
Cholesterol & Bile
A problem can result from cholesterol precipitating out of bile while being concentrated within the gall bladder. This precipitation can either result in the formation of a cholesterol sludge or in the accumulation of very small to larger gall stones which are a combination of cholesterol and calcium salts.3-4 The net result is that the flow of bile and of pancreatic enzymes and juices are slowed, reaching the small intestines with less volume, or sometimes not at all.
What happens to the bile and pancreatic fluids that are unable to flow into the small intestine? Opinions vary on this subject. What makes sense is that congestion of these digestive fluids eventually ignites inflammatory cycles. This may occur within the common bile duct itself, the gall bladder, the pancreas, or the liver.
My clinical experience suggests that inflammatory cycles of any of these organs contributes to systemic blood congestion that perpetuate chronic somatic dysfunctions. This occurs because these organs sit directly on top of the low pressure vessels that convey venous and lymphatic fluids back to the heart. Once inflamed, any or all may slow the flow by exerting pressure against these vessels.
Congested bile or pancreatic fluids can also potentially back up within the pancreas resulting in chronic inflammation, or I speculate advancing the destruction of the islets of Langerhans which secrete insulin.5 Pancreatic juices and enzymes will break down substances wherever they find themselves. This begs the question as to whether our nation's epidemic of type 2 diabetes has a plumbing component to its progression toward becoming a named disease. My clinical experiences suggest that one simple technique can make a therapeutic difference: clearing the common bile duct, thus allowing both bile and pancreatic fluids to flow into the duodenum as nature intended them.
The simple myofascial technique to stretch and clear the CBD will be described as well as further discussion of its contributions to systemic congestion in the next article of this column.