The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
July, 2006, Vol. 06, Issue 07
Truth: The Golden Thread, Part Two
By John Upledger, DO, OMM
Editor's Note: Part One of "Truth: The Golden Thread" appeared in the June 2006 issue of Massage Today. Visit www.massagetoday.com/archives/2006/07.html.
My primary goal in every therapeutic session is to be a clear facilitator for the patient's self-discovery.As I wrote in my column in the last issue of Massage Today, truthful self-discovery is the Golden Thread that runs through all therapies designed to help patients achieve permanent recovery as well as spiritual growth.
My own therapeutic style involves using physical touch to establish a connection with my patient's nonconscious mind. Other types of therapists might facilitate this connection by other means, but for me it's the act of physically contacting my patient that allows me to establish this connection.
As I blend with a patient through touch, I make every effort to remain open to any perceptions, sensations or insights that might penetrate my conscious awareness. I believe every organ, tissue and cell has its own consciousness, yet their "voices" are usually not within the scope of the patient's conscious awareness. When I remain open as the facilitator, I often receive information from these parts. Their messages might enter my conscious mind as pain in my own body, as visual images, as verbal messages, or sometimes just as a sense of knowing that seems to circumvent usual channels of communication.
For example, our patient with the liver problem from alcohol abuse in part one of this column might cause me to experience discomfort in my own liver. Or, I might see a visual image of a damaged liver, or hear his nonconscious voice telling me his liver is damaged. Then again, I just might inexplicably "know" this patient is a problem drinker due to parent-instilled guilt.
In whatever way I receive the information, my goal is to help the patient through the process of self-discovery. Because what's important here is that he knows what originated the symptoms, why they came about and why these symptoms continue to exist.
However, I don't feel it's in the best interest of the therapeutic process to simply disclose the information as I receive it. If I disclose it prematurely, the patient probably will become defensive, which can impair and even halt the therapeutic process. The possibility also exists that I'm coloring the information with my own biases, prejudices, experiences and projections. On the other hand, if I wait for the process to unfold from the patient, error usually can be avoided. After all, the goal is for the patient to paint his own truthful self-portrait.
So again, I stimulate this process of therapist-patient communication by the act of touching with the sole intent to assist in the healing process. This communication, initially on a nonconscious level, usually emerges into my conscious awareness. Then it's my job to help the patient develop his own awareness of the information received. When the patient is consciously informed, then he can do something about the source problem.
That's why in my own practice, I work hard to reflect a true picture and to be an honest, yet sensitive mirror. Instead of blurting out something like, "I'm getting a message from your liver," I would simply follow the bodily cues that lead me to that area with my hands. Then I might say something like, "Hmm, I feel drawn to this area. I wonder why." If the patient doesn't respond, I might even take it a step further and say, "What do you think this is about?" or "Do you have any thoughts about what might be going on in this part of your body?"
Wherever our dialogue takes us, I never want to lead the conversation or make the patient feel compelled to please me by giving the answers he thinks I want. And he doesn't have to see the truth all at once. But I also don't help perpetuate the illusion, unless it's a rare case in which it seems vital that the patient maintain the illusion. Even then, I only do it for the time necessary for adaptation and growth to occur.
Now, here is another critical point to keep in mind. Even when self-discovery has resulted in genuine self-healing, it may or may not produce a cure or complete elimination of symptoms. True healing goes deeper than symptoms; it involves getting clear about your real identity and your purpose in life.
For this reason, healing sometimes might mean spending the rest of your life in a wheelchair if that is how you can best perform your life task. The important thing is for the patient to recognize this is how it's supposed to be, so he can learn whatever he needs to learn about himself in the process. Similarly, healing might mean recognizing that it's okay to die. It might mean the conflicts and problems posed to the patient have been resolved so he is now free to leave this environment.
Thus, the successful therapeutic process does not necessarily produce comfort, ease, muscular strength, prolonged life, or any of the other things our Western medical tradition holds as evidence of healing. Effective therapy does, however, give the individual patient a clear vision of what it is he or she needs to do, as well as the strength of mind, body and spirit to do it.
Eliminating delusion and self-pity and helping patients prioritize and refocus their lives so they can grow are the ultimate goals of CranioSacral therapy. That's why your most important role in the therapeutic process is your ability to reflect the Golden Thread of truth to your patients. For it truly is the truth that sets us free.
Click here for previous articles by John Upledger, DO, OMM.
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