Page 6 - Hani Times August 2019
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6        Clinic Management                                                                            August 1, 2019  Vol. 5  Hani Times
                 광고



                 Questions Which Acupuncturists Should Ask







                                                                                          injury directly or indirectly.  If  is a, "complicated disorder
                                                                                          they work in an office fixed to  characterized by extreme fatigue
                                                                                          a computer, needing to hold a  that can't be explained by any
                                                                                          certain posture all day, I would  underlying medical condition.
                                                                                          assume they would have neck,  The fatigue may worsen with
                                                                                          shoulder issues, and even  physical or mental activity, but
                                                                                          headaches.  Lower back pain  doesn't improve with rest."  And
                                                                                          is also very common to the  this condition is also known as
                                                                                          sedentary lifestyle.  Personally, I  systemic exertion intolerance
                                                                                          categorize housewife as another  disease (SEID) or Myalgic
                                                                                          labor-intensive job like a chef,  Encephalomyelitis (ME).
                                                                                          janitor, or house movers.  Lifting
                                                                                          and washing a baby, cooking,  I also ask a patient's hobby
                                                                                          moving objects, and cleaning  such as what kind of sports
                                                                                          all require a great amount of  or weekend activity he or she
                                                                                          physical activity.  These labor-  enjoys.  If there is no problem
                                                                                          intensive jobs commonly cause  in the job or eating habits,
                                                                                          muscular or skeletal injury  my next usual suspect is the
                                                                                          i.e., rotator cuff injury, neck  sport or activity.  A female
        △ An acupuncturist is consulting a patient. photoⓒenvato-Prostock-studio
                                                                                          muscle spasm, meniscus(knee)  patient told me that she has
                                                                                          injury, golfer's elbow, carpal  no special hobbies.  But I was

                                   to the clinic.             Why?                        tunnel syndrome, and even dis  shocked after finding out that
        By Winston Lee
                                                                                          herniation at the lumbar spine.  she was a semi-professional
        L. Ac., Ph.D., KMD
                                   However, we experience many  We should take a close look                          triathlon runner with plenty
                                   unexpected variables when  at the underlying causes by   The next question to ask is,  of finisher medals.  A late 80
        We usually tend to focus  treating patients.  One may  asking a few but essential   eating habits.  Too busy to  year old patient had a chronic
        more  on  the  patient's  recover from a symptom with  questions                  eat breakfast?  People that  serious elbow pain for a couple
        symptoms than it's root  fewer treatments, where another                          skip breakfast have a higher  of years and had gotten several
        cause.  Practically speaking,  may require multiple sessions  The first question I ask is   chance of getting gastritis than  steroid shots for it.  Then I find
        we need to produce instant  to relieve the same symptoms.   the patient's job.  In all work,   others according to statistics.   out that he has been playing
        and positive improvement.   Certain patients may even feel  there is a physical routine we   Snacking regularly between  golf three times a week and
        This effort pays financially  worse afterwards        perform and this leads to an   meals or stressed while eating?   is walking those 18 holes.  I
                                                                                          This group is the most common  always remind myself, "There
                                                                                          group to have acid reflux or  is no pain without reason".
                                                                                          heartburn.  In my experience,
                                                                                          patients with acid reflux usually  Unless pain is due to something
                                                                                          skip breakfast, barely eat lunch,  contagious or an infectious reason,
                                                                                          but will have a big dinner late  I think any medical disorder
                                                                                          at night.  And after having  has a specific cause that had
                                                                                          eaten such a large meal late  originated from the patient's
                                                                                          in the evening, they would  lifestyle.  All acupuncturists
                                                                                          fall asleep on a full stomach.   should try to look for that reason
                                                                                          Our organs should be resting  like a detective, based on your
                                                                                          during our sleep, but with a full  experience and knowledge and
                                                                                          stomach, our stomach, intestines,  be creative with the investigation.
                                                                                          pancreas and liver are working  I believe that figuring out the
                                                                                          overtime.  So in the morning  patient's wrong habits is the key
                                                                                          the body is exhausted from  to prevention.  Not to mention
                                                                                          having no rest.  This eating  that it is important for a patient
                                                                                          habit usually causes chronic  to maintain a healthy positive
                                                                                          fatigue syndrome(CFS).     state even after the symptoms
                                                                                          According to Mayo Clinic, CFS  have gone.


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