Notice of Privacy Practices

The following is a standard HIPAA-compliant summary.  Every patient is offered a copy at the initial appointment.  You may also request a printed copy at later appointments, or simply copy it from this site.  The main point is that I pledge never to use your private information in any inappropriate way!

This notice describes how health information about you may be used and disclosed and how you can get access to this information.  It is effective April 14, 2003, and applies to all protected health information contained in your health records maintained by us.  We have the following duties regarding the maintenance, use and disclosure of your health records:

(1) We are required by law to maintain the privacy of the protected health information in your records and to provide you with this Notice of our legal duties and privacy practices with respect to that information.
(2)  We are required to abide by the terms of this Notice currently in effect.
(3)  We reserve the right to change the terms of this Notice at any time, making the new provisions effective for all health information and records that we have and continue to maintain.  All changes in this Notice will be prominently displayed and available at our office.

There are a number of situations in which we may use or disclose to other persons or entities your confidential health information.  Certain uses and disclosures will require you to sign an acknowledgement that you received this Notice of Privacy Practices.  These include treatment, payment, and health care operations.  Any use or disclosure of your protected health information required for anything other than treatment, payment or health care operations requires you to sign an Authorization.  Certain disclosures that are required by law, or under emergency circumstances, may be made without your Acknowledgement or Authorization.  Under any circumstance, we will use or disclose only the minimum amount of information necessary from your medical records to accomplish the intended purpose of the disclosure.

We will attempt in good faith to obtain your signed Acknowledgement that you received this Notice to use and disclose your confidential medical information for the following purposes.  These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office once you have provided Consent.

Treatment:  We will use your health information to make decisions about the provision, coordination or management of your healthcare, including analyzing or diagnosing your condition and determining the appropriate treatment for that condition.  It may also be necessary to share your health information with another health care provider whom we need to consult with respect to your care.  These are only examples of uses and disclosures of medical information for treatment purposes that may or may not be necessary in your case.

Payment:  We may need to use or disclose information in your health record to obtain reimbursement from you, from your health-insurance carrier, or from another insurer for our services rendered to you.  This may include determinations of eligibility or coverage under the appropriate health plan, pre-certification and pre-authorization of services or review of services for the purpose of reimbursement.  This information may also be used for billing, claims management and collection purposes, and related healthcare data processing through our system.
Operations:  Your health records may be used in our business planning and development operations, including improvements in our methods of operation, and general administrative functions.  We may also use the information in our overall compliance planning, healthcare review activities, and arranging for legal and auditing functions.

There are certain circumstances under which we may use or disclose your health information without first obtaining your Acknowledgement or Authorization.  Those circumstances generally involve public health and oversight activities, law-enforcement activities, judicial and administrative proceedings, and in the event of death.  Specifically, we may be required to report to certain agencies information concerning certain communicable diseases, sexually transmitted diseases or HIV/AIDS status.  We may also be required to report instances of suspected or documented abuse, neglect or domestic violence.  We are required to report to appropriate agencies and law-enforcement officials information that you or another person is in immediate threat of danger to health or safety as a result of violent activity.  We must also provide health information when ordered by a court of law to do so.  We may contact you from time to time to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

Others Involved in Your Healthcare:  Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care.  If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment.  We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death.  Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your healthcare.

Communication Barriers and Emergencies:  We may use and disclose your protected health information if we attempt to obtain consent from you but are unable to do so because of substantial communication barriers and we determine, using professional judgment, that you intend to consent to use or disclosure under the circumstances.  We may use or disclose your protected health information in an emergency treatment situation.  If this happens, we will try to obtain your consent as soon as reasonably practicable after the delivery of treatment.  If we are required by law or as a matter of necessity to treat you, and we have attempted to obtain your consent but have been unable to obtain your consent, we may still use or disclose your protected health information to treat you.

Except as indicated above, your health information will not be used or disclosed to any other person or entity without your specific Authorization, which may be revoked at any time.  In particular, except to the extent disclosure has been made to governmental entities required by law to maintain the confidentiality of the information, information will not be further disclosed to any other person or entity with respect to information concerning mental-health treatment, drug and alcohol abuse, HIV/AIDS or sexually transmitted diseases that may be contained in your health records.  We likewise will not disclose your health-record information to an employer for purposes of making employment decisions, to a liability insurer or attorney as a result of injuries sustained in an automobile accident, or to educational authorities, without your written authorization.

You have certain rights regarding your health record information, as follows:
(1)  You may request that we restrict the uses and disclosures of your health record information for treatment, payment and operations, or restrictions involving your care or payment related to that care.  We are not required to agree to the restriction; however, if we agree, we will comply with it, except with regard to emergencies, disclosure of the information to you, or if we are otherwise required by law to make a full disclosure without restriction.
(2)  You have a right to request receipt of confidential communications of your medical information by an alternative means or at an alternative location.  If you require such an accommodation, you may be charged a fee for the accommodation and will be required to specify the alternative address or method of contact and how payment will be handled.
(3)  You have the right to inspect, copy and request amendments to you health records.  Access to your health records will not include psychotherapy notes contained in them, or information compiled in anticipation of or for use in a civil, criminal or administrative action or proceeding to which your access is restricted by law.  We will charge a reasonable fee for providing a copy of your health records, or a summary of those records, at your request, which includes the cost of copying, postage, and preparation or an explanation or summary of the information.
(4)  All requests for inspection, copying and/or amending information in your health records, and all requests related to your rights under this Notice, must be made in writing and addressed to the Privacy Officer at our address.  We will respond to your request in a timely fashion.
(5)  You have a limited right to receive an accounting of all disclosures we make to other persons or entities of your health information except for disclosures required for treatment, payment and healthcare operations, disclosures that require an Authorization, disclosure incidental to another permissible use or disclosure, and otherwise as allowed by law.  We will not charge you for the first accounting in any twelve-month period; however, we will charge you a reasonable fee for each subsequent request for an accounting within the same twelve-month period.
(6)  If this notice was initially provided to you electronically, you have the right to obtain a paper copy of this notice and to take one home with you if you wish.

You may file a written complaint to us or to the Secretary of Health and Human Services if you believe that your privacy rights with respect to confidential information in your health records have been violated.  All complaints must be in writing and must be addressed to the Privacy Officer (in the case of complaints to us) or to the person designated by the U.S. Department of Health and Human Services if we cannot resolve your concerns.  You will not be retaliated against for filing such a complaint.  More information is available about complaints at the government’s web site, http://www.hhs.gov/ocr/hipaa.

All questions concerning this Notice or requests made pursuant to it should be addressed to Elene Gusch, DOM at EleneDOM@aol.com or (505) 255-0373.

What if you’re afraid of needles?

First, please don’t worry!  Most people find acupuncture to be quite painless.  I’m extremely sensitive myself, and I’m used to working with patients who are sensitive or nervous.

If you still decide that you’d rather not have needles at all, again, don’t worry.  We can treat you by doing contact needling, touching a blunt silver needle (kind of like a small knitting needle) to the surface of your skin.  Or I can treat points by touching with my finger, or by taping on small metal pellets.  Magnets are another possibility.

We can also treat you with energy work in a more general way, without using the system of points, but acupuncture points are so helpful that I think you will prefer to have them involved.  I usually teach patients points they can press to treat themselves at home, too.

There are lots of possible ways to reach your goal of feeling good and having a body that works the way you want it to.  Let’s find out what will work best for you.

*

Have You Been Saddled with a Garbage Can Diagnosis? by James Rolwing

This stuff does happen often. Sometimes it’s just plain hard to pin down what’s really going on, but often there is a lack of attention and thought.

Disassembly Required

This is the second part in a series that focuses on “garbage can diagnoses” (see Part I for a more detailed description of what constitutes a GCD.)

TMJ: (properly known as temporomandibular joint disorder) “My doctor/dentist says I have TMJ.” Gawd, I wish I had a dollar (nickel adjusted for inflation) for every time I’ve heard this one. Of course, they never follow up this statement with how it’s being treated, because most practitioners don’t know what to do with this condition besides give you a mouth guard. Great, now I can play hockey without losing my teeth, but my jaw still hurts. This GCD could include everything from jaw clicking, locking, joint pain, and nighttime clenching and grinding.

The importance of the jaw in overall health can’t be overstated. Because of the intense concentration of nerve receptors in the jaw that monitor proprioception–the body’s ability to sense…

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What Is This Qi Stuff, Anyway?

(Written for my colleagues on Acupuncture and Oriental Medicine Day, 10/24/18, and posted on the website of the New Mexico Society for Acupuncture and Asian Medicine.)

The field is the sole governing agency of the particle. — Einstein

There is a school of thought that seems to be gaining currency in our profession lately, which says that the concept of Qi is nothing more than a quaint misunderstanding of what the ancient sages were really writing about, and that our medicine is really all about the nervous system and other purely physical aspects of the body.

This is simply not true.  In an apparent effort to align their work with biomedical science, these authors are actually ignoring a great deal of that same science, not to mention the experiences of myriad practitioners and patients. 

Let me start with typical human perceptions of the energetic field surrounding the body, the manifestation of Qi we think of most often.  While Qi can be complicated to pin down in terms of exactly what types of energy and what frequency ranges are involved, close to the body it’s very simple to perceive and to demonstrate. 

When I am scanning for active points or disturbances in patients’ bodies, the person on the table often says, with surprise, “I can feel exactly where your hand is!”  Of course they can, as this is a normal human ability.  When patients ask me what Qi is, or what is meant by Qi Gong, I have them try a very simple exercise: Hold your palms near each other, about a half inch apart.  Notice what you feel. A kind of pressure, a bit like the feeling of trying to bring two magnets together with the same poles facing?  Warmth?  Tingling?

Nearly everyone can perceive this immediately.  I’ve tried this exercise with hundreds of people when I’ve given presentations to groups, and only a couple have ever said that they didn’t feel anything. 

When I used to teach Reiki, I introduced the concept of the human biofield with another simple exercise.  One person would stand facing a wall, eyes closed.  Another person would walk up to them from the back.  The first person would raise her hand when she felt the presence of the other one.  This would happen consistently when the two were about four feet apart.

But although those effects are consistent and reliable, science likes objective, numerical measurements with instruments.  There are plenty of those to be had as well, and many of them have been done by researchers right here in the US.  That’s been going on for decades.

Earlier this month I had the opportunity to meet the biophysicist Beverly Rubik, who has spent 40 years studying the human biofield, and was part of the group that coined that term.  Her current work is largely in the area of biophotons, the weak but important light emitted from the body in the ultraviolet range.  Among other things, she has studied the changes in biophoton emissions involved with healers and healees, showing that more light is emitted from the hands of healers when they are doing their work.  One instrument she uses to detect biophotons is the Bio-Well gas discharge visualization camera, which is available commercially and has clinical applications that could be useful in an acupuncture office.

She stated at the conference that as a child she could feel energy, but that “it was educated out of her.”  The biofield, she said, is proposed to be “a high-speed wireless communication system, a bridge between the mind and body.”

I had already encountered Dr. Rubik’s work in a 2016 online course, “The Science of Energy Medicine,” given by the Association for Comprehensive Energy Psychology.  Here are some quotes from her presentation there:

‘… I see the biofield as a complex dynamic standing wave within and around the body. Let me tell you more. You’re already familiar with the concept of standing waves from musical instruments, for example a wood instrument, a clarinet. There’s a standing wave when it’s being sounded, or the plucking of a string in a violin or a guitar. Once again, a standing wave is vibrating and rendering sound. Not only sound standing waves are possible. There are also electromagnetic standing waves, too.’

‘There was one main prediction from the biofield hypothesis, and that is that if we can shift the biofield, we can change the physiology and chemistry and move the body, the body mind, to a new steady state….’

Experiments have consistently shown that intention is of great importance in causing measurable energetic effects: ‘I come back to that old principle of Oriental medicine. Where mind goes, chi, or energy, flows, and the blood and flesh follow.  This is the bottom line when it comes to how we can heal ourselves. We must change our minds. Then there are shifts in the biofield, and then the flesh and blood is the slowest to change overall.’

You might wonder why, after four decades of work like this, the science of the biofield is not more familiar, even to those of us who deal with it every day. Dr. Rubik gave some reasons why it is not: ‘We have certain challenges in biofield science. We are dealing with complex dynamical fields that are actually very low-level that become difficult to measure and we have to use a variety of tools. There is no one singular tool that you can grab off the shelf that’s ready-made to look at the biofield, but rather a collection of different tools to understand and probe the biofield through different windows.

‘There’s also very little funding and no concerted effort. Unfortunately, the NIH has dropped the ball and it is not a lead agency. We have no leading organization that’s making a concerted effort to forward biofield science or its understanding in the frontiers of medicine, and I’ve long been an advocate of something I call a Human Energy Project [along the lines of the Human Genome Project].’

Here is an article in which Dr. Rubik gives a lucid overview of methods of measuring the biofield:
https://www.faim.org/measurement-of-the-human-biofield-and-other-energetic-instruments

Another researcher who started measuring the biofield, even earlier, was Valerie Hunt, who began as a scientist with no knowledge of or interest in esoteric or energetic matters.  She eventually developed new instrumentation that could detect immensely higher frequencies than had been measured around the body previously, in the range of hundreds of thousands of cycles per second.

‘My academic background is as a neurophysiologist, and I was also a registered physical therapist. I was working in electromyography and electrocardiography, and I was interested in the patterns of electromyographic energy in the body that were related to emotions. Eventually, I established a pattern of emotions connected with neurological energy. In the process, I was the first researcher to have a telemetry, electromyography instrument. This was when the first astronauts went into space. They had to have monitors of their basic health — the heart rate, the blood pressure, and the galvanic skin response — sent from space. They did this using telemetry, which is a radio frequency instrument system. It would send a signal on an FM frequency down to the earth, where NASA would record the FM frequencies and know what was happening to the astronauts.

‘When I heard about this, I got in touch with NASA and the young scientist who had first made that telemetry instrumentation, and I had him build for me the first telemetry electromyography instrument. This meant I could test a person using an FM frequency, a radio frequency, process the data through my instrumentation and record it. And when I did this I found the electromagnetic energy field.

‘This was in early 60’s, and I thought, “Oh my God, what have I got here?” So I brought in researchers from the university’s chemistry, physics, and engineering departments. I said, “What have I got, an artifact?” And they kept saying I didn’t, that my equipment was working fine. They tested everything, and finally I realized I was dealing with a new kind of energy in the body.’

https://healthontheedge.wordpress.com/2012/01/28/the-human-energy-field-an-interview-with-valerie-v-hunt-ph-d/

Dr. Hunt famously worked with the healer Rosalyn Bruyere, and was able to correlate her perceptions of the human aura with the readings made by her instruments.  In addition to making measurements of the biofield, she was able to create practical applications for healing.  She was still going strong on a number of projects when she died in 2014.

All of these electromagnetic emanations from the body are relatively weak.  How do we explain the much more extreme effects that can be produced by well-trained Qi Gong masters and some others?  That’s not at all clear, but the effects are incontrovertibly there.  For example, a fascinating series of trials by Mikio Yamamoto in Japan was reported by Lynn McTaggart in her seminal book The Intention Experiment, involving a master doing tohate, in which the master could push another person back several yards through sheer force of will and Qi, while the other was trying to resist.  The master was isolated in an electromagnetically shielded room on the fourth floor of a building, while his student was placed in a similar room on the first floor.  Neither the distance nor the shielding prevented the effect; in nearly a third of 49 trials, the master was able to knock the student back.  (p. 53)

A nonexistent energy could not visibly, objectively move a body. 

Probably quite a few of us have felt a more mundane version of this kind of effect, being pushed back from the treatment table when a blockage in a patient suddenly released, maybe even feeling that we were “knocked across the room” by a considerable force.  How can the biofield, which seems so feeble when measured, create a force like that?  I don’t know of anyone who has answered that question in terms of biophysics, and it is urgently begging for an answer.  There has to be something more to Qi than the types of electromagnetism we have detected in and around the body so far.

At the conference where I met Dr. Rubik, I had an unusually dramatic experience of being strongly tapped between the eyes by someone who was not physically present.  It didn’t hurt, but it knocked me back a little, and everyone in the room saw that.  Some years ago, such a person pushed my whole body a few inches sideways on my chair.  You can’t help but be impressed when an invisible force moves you against (or at least without) your will.

The other issue with explaining Qi solely as a matter of electromagnetic fields is that electromagnetic effects rapidly diminish with distance, but Qi has no trouble at all being transmitted across any given amount of space.  The tohate experiments are a particularly vivid example of that, but many of us do remote treatments that are effective in a quieter way.  What, precisely, is being transmitted?  Or is that the wrong question?

Here, from the ACEP course, is Gary Schwartz attempting to deal with this issue:
‘Now, how do we explain effects that are taking place across 3000 miles or in London, which is what, 6000 miles from Tucson [where he is based]? Or Sydney, Australia, which is even further. Electromagnetic field effects are insufficient to explain that kind of data because the intensity of electromagnetic fields decreases with the square of the distance, and they are modified by all kinds of objects in the environment. That’s one reason why you need to consider higher level or more sophisticated theories of physics to be able to explain this.’

‘To say that a quantum field is involved in distance, which it may very well be, for example, does not mean that the electromagnetics are not involved in proximal things. You can have multiple layers of mechanism being operative at the same time. That’s why I use a staircase for the explanations so people can see this. The problem with skeptics and probably most of us is that we don’t look at the whole picture.’

So at this point, we are very clear about many aspects of the human biofield— which we can call a manifestation of Qi— but there are large and crucial holes in our understanding.

To be continued….

Love, Fear, and Viruses: Some Ways We Make Ourselves Ill or Well, Part I

Elene Explores

“The wound is the place where the Light enters you.” ― Rumi

I am so grateful to be past the series of respiratory infections that first hit me way back on January 28. Lots of people in Albuquerque have gone through something similar, but it seems like I set a record for duration of cough. Not only was it obnoxious in itself, it made work and anything I did in public difficult. It was also bad for my reputation as a healer! My newest patients, who had never seen me healthy, were becoming convinced that something was terribly wrong with me, and my established patients were making noises about my not taking proper care of myself (whereas I was doing everything I could think of to get better). I wasn’t looking like a good example for them, that’s for sure.

I don’t like blaming patients for getting sick, but I…

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“Dry Needling” vs. Acupuncture

KH Warren DN infographic

Image

A Patient’s Experience, Expressed in Poetry

Posted with the kind permission of the author.

Poem for Elene

“That’s a nice image,” you said
As I lay on your table
Tiny needles emerging
From points
you carefully chose.
“Bumblebees aren’t supposed
To be able to fly
According to the science
Of aerodynamics,
But they don’t know that:
So, they keep flying anyway.”
In my mind
I see
A fat black bumblebee
Stumble his way
Into a pale, veined, delicate
Flower
Disappearing into its folds.
The flower bends
With the bumblebee’s weight
Until the bee emerges
Seconds later, looking for another bloom.
You are busy near my feet.
“How’s the headache?” you ask
As you put your hands on my temples.
You move to the other end
Of my body
Where I feel you
Pulling energy [worry, stress, fatigue]
Out of my toes. Then
You gently work on my neck.
You pull on my neck— ah, heaven.
I relax,
Wanting to sleep for a long time
Right there on your table.
I leave……..I go home
Feeling peaceful………..
As peaceful
As I felt last summer
As I watched
The
Unhurried,
Purposeful,
Impossible
Flight of the bumblebee.

— Diane Plummer
5/21/06

Bonding with Complex Creatures

Posted at “Elene Explores” on 5/18/15  http://elenedom.wordpress.com

Colorful_Parrots_Couple

Macaw photo credit: Riza Nugraha on Flickr

Our local PBS channel reran a 2013 Nature program, “Parrot Confidential.” http://www.pbs.org/wnet/nature/parrot-confidential-parrot-confidential/8496/ It’s about the fascinating complexity of parrot brains and behavior, and makes the point that birds in the parrot family are wild animals that in many ways are unsuitable as pets. They have been extremely popular, though, and huge numbers of them are homeless refugees in the US, because people buy them and then find themselves unwilling or unable to keep them. A great many have been poached from the wild, and in an attempt to prevent that from happening, bird lovers have bred them domestically. Eventually this turned out to be compounding the problem, so breeders shut down their operations, and now everyone who wants a parrot is strongly encouraged to adopt one from a shelter. Habitat loss as well as poaching has threatened parrots in the wild, with the ironic result that their numbers in their native countries are decreasing even as shelters here are bursting at the seams.

But pet parrot overpopulation, while I want to spread the word about it, is not my main subject for today. I guess my subject is “bonding with complex creatures.” It seemed to me, when I watched the program, that the parrot experiences could teach us a great deal of what we humans need to understand about relationships.

One of the difficulties, and at the same time one of the joys, of living with a parrot is its deep attachment to its human companion. [Disclaimer: I do not live with a parrot and never have— I only know about this from observation.] The program explained why this is so. Parrots spend virtually all their time with their mate, and the human becomes a mate substitute and is also expected to give 100% attention. This is likely not what the human expected.

Among the parrots featured by the Nature team was a yellow-naped Amazon named Basil. He had done well with his human family for his first four years, bonding especially strongly with the husband, until he hit puberty. Then suddenly it was no longer okay that the husband was away a lot on business. The wife and kids became Basil’s targets, with the wife getting the brunt of his wrath. He would actually fly at her and attack her, and had to be locked in his cage to protect her and the children.

Parrot-Confidential-Basil1At one point during this period, the family wanted to take a vacation. They had friends who also had a male yellow-naped Amazon, and they asked to leave Basil at their house. Neither bird had ever had the opportunity to interact with another of his kind, and as soon as they met, they were best friends.

Two weeks went by, and Basil’s family returned. They put him in his cage and started out the door, and as they were leaving, the other bird, Coco, began to scream, with total clarity, “NO! NO! NO! NO! NO!” (And some people say that birds can’t use human language appropriately.) Well, no one could hear that heartrending sound and not be moved. They immediately brought Basil back, and it was decided that he would stay and be adopted by Coco’s family.

I was much moved by Coco’s pleas myself, and it seemed to me that what he was saying was something fundamental to all of us. More and more I think that relationships boil down to something very simple. Most creatures with some degree of awareness want to bond with others of their kind, or failing that, others of some kind.

If you put someone in a cage, they will not be at their best. One of the experts said that sometimes he is asked what the right size of cage for a macaw is, and he replies that it’s 35 square miles, their range in the wild. There is no right-sized cage, he said. For anyone, probably.

If you expect someone to act in a way that is contrary to their nature, your expectations will not be met. We were told that people ask for a bird that sings, that is quiet, and that doesn’t bite, and that there is no such species.

The main character in this presentation was Lou, a cockatoo who had been left alone to starve in his cage when his family’s house was foreclosed upon. The humans had just up and left him in the empty house. Fortunately, the neighbors noticed that something was amiss, and they had animal control come and look into the situation. The very traumatized and timid Lou was taken to a shelter filled with dozens of other cockatoos. He had to be quarantined for a month, and then he was placed into the aviary, still in his cage in order to protect him from possible aggression. When the staff finally decided it was safe to open his cage, he climbed to its roof, and a beautiful scene ensued. One of the females, Princess, sidled over to Lou in the most non-threatening and gentle way, with her back to him, as if to say, “Don’t mind me, not trying to bother you, just cleaning my wings over here.” Lou seemed to light up, and a moment later the two were preening each other’s neck feathers and clicking beaks as if they’d been together forever.

Humans make everything about relationships incredibly more complicated, with all sorts of arbitrary rules. I wonder if we could try just settling down with each other sometimes and sharing a nice piece of fruit or something.

 

We think of the natural world as a place of ruthless competition, but as Lynne McTaggart made clear in her book The Bond, cooperation is more prevalent and more beneficial. It can be shown rigorously, through game theory, that cooperation generally leads to the best outcomes for all. Many times, though, altruism seems to gain an animal nothing in particular except perhaps a pleasant feeling. McTaggart began the book* with an example of not a dog-eat-dog but a dog-help-dog story. It seems that her own dog was crazy about the dog next door, and although there was no advantage to be had for mating (both dogs being fixed), or anything at all other than friendship, he shared food and toys with her whenever he got the chance.

I know not every kind of animal enjoys company like this, but through the magical power of Facebook videos, I’ve marveled at the variety of animals who do. Even creatures as “unintelligent” as tortoises interact with other animals in fascinating and complex ways. Every species from bats to wombats seems to appreciate care and snuggling under the right circumstances. Humans are no different.

*http://thebond.net/ I went to find a link to the book for you, and found that there are other related materials available. Haven’t checked these out as yet.

______________________________________________________

After working on this post during the afternoon, I attended a web meeting of a new organization that’s trying to form, based on Alex Loyd’s book Beyond Willpower. The central idea of the book is extremely simple: You can have love, or you can have fear. If you act out of love, things will generally go well, and if you act out of fear, they will tend to go badly. At the time that the book was published, earlier this year, I was encountering this idea over and over in various places. I don’t think there is a more important concept anywhere. It transforms everything. The group intends to help spread the transformation.

Aggression and other negative behaviors have fear at their core. There is fear of abandonment, for example, at the bottom of the violence Basil the parrot visited on his family when his preferred human was not at home. Humans have the choice to think more clearly about the reasons for their behavior and to change it for the better.

http://beyondwillpowertogether.com/

How to Treat Plantar Fasciitis at Home

I often see patients complaining of heel and sole of foot pain. They may identify it as plantar fasciitis, or they may simply point to the spot that hurts. Most of them have shown the classic pattern, in which they have the most pain on first stepping out of bed in the morning, then feel better for a while, then have more pain again after being on their feet for a long time through the day. So many people have this pain going on that I want to get the word out more generally about how to relieve it, instead of just telling my own patients one at a time.

This common condition usually responds well to self-care, which is crucial whether one is working with a health-care professional or not. Let’s look at what’s going on in the leg and foot and what you can do about it.

The term plantar fasciitis refers to inflammation of the fascia, the connective tissue, in the sole of the foot. (Plantar means anything having to do with the sole of the foot, as in plantar warts, often mismentioned as “planter’s warts.”) Very often, the pain is felt mainly or entirely in the center of the heel. There is a simple reason for this. The Achilles tendon connects with the foot right there, and when the tendon is tight, it pulls on its attachment to the bone, which hurts, sometimes quite a lot. This can affect one or both feet.

Generally speaking, although the pain can feel like you’ve got a rock in your shoe or like there’s a sharp object inside your heel itself, this is not necessarily being caused by a heel spur, which is a growth of extra bone on the calcaneus (heel bone). Heel spurs often cause no symptoms at all, and may or may not exist at the same time as plantar fasciitis. If you do have a heel spur, don’t panic. The usual treatment is the same as what I am describing here, and it is very unlikely that you will need surgery or any kind of drastic intervention.

Why is the pain worse first thing in the morning? During the night, your ankle extends, since you are not putting weight on your foot, and the back of your calf is allowed to shorten (as is the sole of your foot). As soon as you do put weight on the foot, your ankle must flex so that your foot is flat on the floor, which pulls on the back of your calf. The tight muscles and tendon suddenly yank on that attachment at the heel and on the sole of your foot in general. After you walk around a bit and get things loosened up, the discomfort eases. Then, after some hours of weight bearing, your inflamed, upset fascia starts to get more irritated and lets you know. Sitting for long periods may cause a similar effect to lying down overnight.

You can see that a big part of the solution is to open up the tight tissue so that it’s not pulling this way and can let the plantar fascia calm down and heal. If you have this problem, you will probably find distinctly tight, tender knots in your calf muscles and/or above your heel. Podiatrists typically prescribe stretching of the calf, which is good and necessary, but the trouble is that if you stretch aggressively without doing anything to loosen those tight knots first, you will probably just irritate and aggravate the situation more.

So here’s what you need to do: Feel around throughout your calves and ankles for tight areas, which may be exquisitely sore to the touch. When you find them, gently press and massage them. Experiment with the amount of pressure; you need to be firm enough to make a positive change, but you don’t need to torture yourself. Keep at it until the knots release and the spots aren’t so tender. I recommend doing this before you go to sleep and before you get out of bed in the morning, but anytime is OK. For some reason, massage of the calf is virtually never mentioned by podiatrists or in articles on plantar fasciitis, but I find it to be the most important aspect of treatment. You should start feeling improvement pretty quickly, maybe even immediately. You can also massage the soles of your feet themselves.

Heat may be helpful to help the muscles relax. Ice or cold packs may feel good on your feet to reduce inflammation. You may need to rest from your usual activities, especially if sports or excessive standing or walking are causing pain— but you don’t want to be so immobile that you end up with more stiffness and tension. Whatever makes you feel better is fine with me. I treat patients with acupuncture for the knotted muscles and inflammation, and I use microcurrent stimulation on the feet, since needling directly into the sole can be unpleasant. Professional massage, osteopathic manipulation or other manual therapy, or chiropractic could also be useful. Whatever you choose, self-treatment is going to be extremely important.

What caused the calf muscles and Achilles tendon to get so tight to begin with? There could be a number of factors, such as lack of exercise, too much muscle-building exercise without enough attention to flexibility, a previous injury that has led to muscle imbalances, or wearing inappropriate shoes.

Often adding arch support will go a long way toward solving the problem— although an overly intense or rigid arch support, or one that doesn’t fit well, can contribute to causing it, as once happened to me. Try different shoes and different arch supports to see what seems to work best for you. You don’t have to spend a fortune on orthotics to start with; begin with inexpensive store-bought types and see how you do. It’s possible that you will in fact need custom orthotics in the long run, but you don’t need to start there, and if someone tries to sell you on very pricey ones, I suggest that you put them off for now. Also, some people are comfortable with very firm arch support, while others need as much softness as possible to comfort their sensitive soles.

I have seen a couple of cases that didn’t respond to these basic strategies, but they are rare. It may take a number of weeks or even months for the pain to resolve completely, but you should be seeing definite improvement soon. If that doesn’t happen, something else is going on and you will want to look further.

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