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.
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.
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.
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.
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:
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.
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.
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.
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.
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.
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.
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?
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).
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.
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?
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."
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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."
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.
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.
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.
April, 2012, Vol. 12, Issue 04
The Importance of Remembering Gentleness
By Tracy Walton, LMT, MS
I focus my hands-on work with people with cancer or cancer histories. My massage therapy practice is small but earnest, edged out a bit by other professional activities, but nevertheless a vital part of my professional and personal life.I spend part of Tuesdays in my massage therapy office. Tuesdays are sacred. Some have suggested I give up my practice. But no, I say, these clients need the work. Couldn't they go to someone I've trained? Of course, yes. They do, sometimes. But I recognize, too, that I need to do the work. I need to offer up my hands to them. It is a calling as much as it is a vocation.
My clients come battle-scarred. They have endured countless needle sticks, scalpels and markings. Beams of radiation have crossed their tissues, from front to back. They have swallowed strong medication, counted days until the end of treatment and endured unimaginable side effects. They have survived endless tests, re-tests and long waits. They teach me about grace during uncertainty, and trust amidst the mystery. These clients lead me by example. In offering them skilled touch, I am reminded of the body's vulnerability and strength, all at once.
Twenty-two years ago, I completed my massage training with Ben Benjamin and his staff at the Muscular Therapy Institute. I remember one particularly important moment, close to graduation, when I was learning one-on-one from Ben. He brought me back to the first strokes I'd ever learned. I practiced them, over and over. He said to me, "It's more important to learn to work gently, than deeply." His words still ring true, today. They ring true because working gently is working deeply. Our kind hands touch people on the surface, in the muscles, but they also touch deeply.
This truth overtakes me each time I supervise an oncology massage clinic. Watching a roomful of massage therapists work, I see deep engagement in every exchange. Therapists train for four days, earnestly preparing for this clinic of client volunteers with cancer and cancer histories. It's a massive amount of work, plenty of paperwork and information, and not a little bit stressful. But once everyone is interviewed and settled in and the hands-on work begins, a great peace settles over the clinic classroom. I look around and take it in. I can tell that, for each therapist, for that hour, the person on the table is their whole world. Nothing matters more than this person.
That kind of focus is a rare thing, and our clients notice it. One client left me a voicemail message from the parking lot, right after bidding us goodbye. As is sometimes the case, she had been interviewed and massaged by two therapists working in tandem. She spoke of a heart filled with gratitude. Of her two therapists, she said, "they touched a chord in me that nobody was able to touch." That kind of experience of massage cannot be forced, it can only be welcomed when it occurs. It can be invited in by a therapist's gentle work, which, according to the client whose chord was touched, is deep work. It is called forth by our full attention, and our hands of kindness.
At times, such kindness elicits a flood of feeling. I recall one client who would weep every time a member of her health care team was kind to her. It was not that she wasn't used to it — she had many moments with compassionate health care professionals. But each caring gesture or kind word reminded her of how badly she needed it, and how alone she felt. Another client had a hard time scheduling massage because it involved stopping long enough to feel something, when it was easier to just keep going, getting through the months of cancer treatment. She told me she couldn't stand the kindness of skilled massage, she just wanted to press on and get through. We honor and respect these needs, as well as all others.
It's a bit circular, but I suppose even our resistance to kindness deserves kindness. People with cancer are not the only ones to appreciate gentle depth of work. I've worked with robust clients and strong muscles, I've followed muscle tension around after athletic injuries, and I've noticed how all of us seem to appreciate hands of kindness. Many times, I have circled back to Ben's words, and always, they have sent me forward again, into territory that is achingly real, ripe with connection, and deeply satisfying.
Click here for more information about Tracy Walton, LMT, MS.
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