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The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Apple Takes a Bite Out of Research
The more than 700 million iPhone users have just been given the opportunity to "do their part to advance medical research."
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Make Every Day Mother's Day
May is a special month for many reasons. After a long, harsh winter, spring is at last in full swing. Memorial Day helps us honor those who have fought and fallen in the name of freedom.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Functional Impingement of the Hip (Part 2): Rehab Exercises
I find functionally impinged hips that don't move properly on so many of my patients. (See part 1 of this article for a description of the condition.)
If Your Pro-Chiropractic Governor Resigned, Would You Be Prepared?
John Kitzhaber, MD, recently re-elected to a historic fourth term as Oregon governor, has resigned among alleged ethics violations by his fiancée' and first lady, Cylvia Hayes. I developed a personal friendship with John and consider him a good friend.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Teach Your Patients About External Healing Applications
Since the skin is the body's largest organ, and is able to respond to both internal and external stimulations, communicate sensations to the brain, protect the body, breathe and even excrete toxins, it can be an excellent source of healing.
Talking to Patients About Medial Branch Neurotomy (Part 2)
Even when lumbar facet denervation (medial branch neurotomy) is successful, relief is rarely complete or permanent. Smuck, et al., reviewed 16 articles and found the average duration of >50 percent pain relief for an initial procedure was nine months.
News in Brief
Dr. Frank Nicchi Receives Award at ACC-RAC; Sherman College Expands International Influence.
Applauding a Legacy of Leadership
Founding Palmer West President, John Miller, DC, HCD (Hon.), FICA (Hon.), a 1954 graduate of Palmer College of Chiropractic, passed away March 8, 2015 at age 83.
Trouble in the Wellness Waters?
Call me old-fashioned, paranoid or just old, but I do remember graduating from chiropractic college in the late '70s in the midst of the Wilk v AMA lawsuit.
January, 2014, Vol. 14, Issue 01
Help Wanted: A Call for More Oncology Massage Specialists
By Mia Miller, LMT
I am eager to see a dramatic rise in the number of massage therapists specializing in oncology massage. Consider this a call to action. Reviewing Gayle MacDonald's opening to her book Medicine Hands, "As patients travel the road of the cancer experience, they will have pain that the best medications cannot totally alleviate, their self image will be shattered, they will suffer from lost relationships, anxiety about the future and possibly a sore back from lying too long on a gurney." Here, she describes the deep and penetrating unease that is familiar to many with cancer.She doesn't say it exactly but, as a therapist, I see this as an invitation to utilize the power of presence when with a patient to affirm the fact this person we hold is dealing with more than a physical battle, but a threat that is often enigmatic and silent, difficult to share but with skilled touch, capable of being acknowledged and soothed for a time. It's teachers like Gayle MacDonald (through her texts) and Tracy Walton (her class) who have set the tone for much of my practice of oncology massage and encouraged me to use the movement of my hands over a sore back to both ease pain while affirming and celebrating the life of another.
An Early Career Choice
I discovered my desire to work with clients going through cancer when I was still in training at the Swedish Institute in New York, so the seed was planted early on in my career. I was in a clinical strategies class and writing a research paper on Hodgkins Lymphoma when I was introduced to a young lady in her mid-20's, who two years prior received this same diagnosis. She agreed to share her experience with me. During our afternoon together, I came to know better the various forms of psychological and physical distress she'd suffered as she went through treatment; the neuropathy that lingered in her hands and forearms, the weight and hair loss, ongoing GI distress, chronic fatigue and anxiety, poor sleep, hardened shoulders and increasing neck tension. She knew I was finishing up my training in massage therapy and lamented as she said, "I wish I had known I could have been getting massage when I was going through treatment." I heard her aching for the kind of care we can provide.
Within a year, I was in Seattle training with Tracy Walton in order to be clinically prepared to serve this growing population. I was so clear on the efficacy of the work we therapists could do and the need for our inclusion in comprehensive cancer care. After my oncology massage training, I came back to Los Angeles charged and ready to apply all I had been exposed to and to implement the protocols and think through the various options for treatment. I instantly felt I could establish a meaningful rapport with the various intake questions I had learned to ask and the critical pause of giving space for clients to share their difficult experiences. Many clients felt they could open up when asked to share the side effects of chemotherapy they'd been trying to manage or hopeful when wondering, could our work together help them feel less anxious or sleep better later that night?
Taking the Journey
Around this same time, I volunteered at Roze Room Hospice where many of my referrals were at the end stage of cancer, a wonderful plane in which to be introduced to the deeper emotional connection of our work. It seemed serendipitous that most of the children I saw at Children's Hospital of Los Angeles were in the rehab unit with a cancer diagnosis and finding their way to a new normal. The families were often right there during the massage and were sometimes soothed by the work in a vicarious way or able to learn a technique or two from me to try later on. I see how introducing comforting, skilled touch brings families together in a unique way and allows for a way to communicate without traditional dialogue.
Oncology massage allows me to think critically and problem solve, while engaging real nuances of our hands-on work in a way that is very energizing and provocative. I enjoy the need to monitor my pace and pressure particularly when I am establishing a baseline with a first time client. I honor the compromised lymphatic system and work mindfully in quadrants of the body that have even one lymph node removed so as to protect against lymphedema. I approach my work with more attention in several special ways and this benefits both of us. It's wonderful to see clients gain freedom of movement after scar tissue has been realigned or light up as they describe that after reconstruction their tissue begins to feel less and less like a separate part of them. There are countless examples of the many ways we help our clients as they journey through cancer and treatment, these are only a few.
The professional experiences I describe allowed me to get comfortable and gain some initial confidence, but in a strange way I felt I was on a little island. I know this is not unique to providing oncology massage, as many therapists in private practice feel the effects of working alone from time-to-time, but this growing concern of mine was bigger than that. I had this sense there weren't a lot, if any, therapists around me that were laser focused on providing massage for those going through cancer or if there were, they weren't particularly visible or easy to find. I knew that Memorial Sloan Kettering in New York City had doctors, patients, therapists, support staff, a whole community dedicated to integrating our manual therapy into the care they provided. This kind of environment seemed ideal and I wanted an equivalent here in Los Angeles. I longed for a community of colleagues as there is power in association.
I was aware of the Society for Oncology Massage (www.S4om.org) and how it serves to link therapists to each other and the wider public. I am very comforted by this organization's mission. I have yet to attend their annual Healing Summit which would certainly allow for networking with others who share this passion. I did decide to look up therapists on S4OM's locator service and called the one lady listed in my area. I met her and we talked over coffee. My resolve continues to solidify with each individual I meet that shares their experience and expertise with me.
While I found my passion to provide clinically sound bodywork in the context of cancer, it became more apparent on a purely practical level, that there just might not be enough of us trained and ready to meet the need. I can't even count the number of hospitals, clinics and oncologists treating cancer in Los Angeles alone and if we consider they need us to support their patients, then my initial conclusion seems obvious; there need to be more of us. As integrative medicine gains ground in our changing healthcare system, we will be in high demand. Clients who have already experienced the healing work we do, offer very specific anecdotal evidence to anyone in earshot. As massage therapists, we know how our work brings equilibrium and relaxation to our clients' body's and minds. I think the power of our skilled touch can have a profound impact, perhaps an even greater concentrated effect when mitigating the symptoms, challenges and side effects of cancer and cancer treatment.
Do you want to be challenged in a new way and increase both your curiosity and compassion as you work? Do you want to transform and improve the delivery of health care with your very own hands? Find an oncology massage certification course today and get started! You will be humbled by your increased ability to serve those in their critical time of need. The very act of showing up for another with a equal portion of skilled touch, clinical reasoning and an open heart will amaze and transform you both. I hope you'll join us as we expand and transform the parameters of caring for others through cancer today and tomorrow.
Mia Miller is a specialist in oncology massage and runs her private practice, Somatic Space, in Los Angeles, Calif. She is a passionate proponent of integrative medicine and a therapist at City of Hope and Children's Hospital Los Angeles. Visit her website: www.somaticspace.com.
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