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  • in reply to: Royalty free anatomy pictures/graphics for blog posts #26173
    Joy EslerJoy Esler
    Participant

      Hi Katja,
      Some free resources include shutterstock, istock, wolters kluwer, etc. Some medical universities offer either free or for a charge anatomical images. And if the images are for free, most universities indicate how to cite the resource. Here are two university examples:

      http://uscm.med.sc.edu/medimages.asp

      http://www.neuro.utah.edu/related_links/image_links.html

      Hope this helps,
      Joy

      in reply to: Billing out to insurance #25717
      Joy EslerJoy Esler
      Participant

        Hi Rachel,
        It depends. There are new insurance codes with the ICD-10. The ICD is an internal classification system used by health care providers, insurance companies,etc.

        Here are the ICD-10 billable procedure codes:
        8E0ZXY5 – Meditation
        8E0ZXY4 – Yoga Therapy

        Yet in the end it depends on the individual’s insurance coverage. Therefore I usually have my clients contact their insurance company and ask a few questions.

        Does my insurance coverage pay for yoga?

        Does my insurance coverage pay for yoga when referred by a doctor?

        If my insurance coverage pays for yoga, what conditions does it cover?

        While some insurance policies may cover yoga, the insurance company may require a referral from a doctor, and may limit which conditions are covered. This is what we are trying to establish with these questions.

        Hope this helps,
        Joy

        in reply to: Burning pain #25674
        Joy EslerJoy Esler
        Participant

          Hi Alice,
          While we do not diagnosis as yoga medicine teachers, this sounds like this would be an opportunity to recommend or refer your client back to their doctor. As a gentle reminder, shooting / sharp pain and or burning pain may be a sign of nerve issues.

          In Chinese medicine, shooting / sharp pain may be a sign of blood stagnation, and burning pain may be a sign of heat.

          Hope this helps,
          Joy

          in reply to: Removal of Semimembranosus due to rare Sarcoma #22932
          Joy EslerJoy Esler
          Participant

            Hi Gab,
            When asking open ended questions, try questions like:
            * Tell me what happened
            * Describe the diagnosis, treatments, and your recovery

            Regarding range of motion for semimembranous, I will post these separately.

            Hope this helps,
            Joy

            in reply to: Yoga for Fertility #22931
            Joy EslerJoy Esler
            Participant

              Hi Emily,
              Would you mind sharing the SOAP / OPQRST for this client. Specifically, it would be helpful to understand the background of any and all infertility issues of your client as this would be helpful in providing information tailored to your client’s needs. For example, here are some questions that would be helpful:

              # of Pregnancies (dates):_______________________________________________________________
              # of Births (dates):_____________________________# of Stillbirths (dates):_____________________
              # of Miscarriages (dates):_______________________ # of Abortions (dates):_____________________
              Have you kept a Basal Body Temperature Chart?
              Have you ever been treated for infertility? If yes, when, with whom, what was tried?
              Have you taken medications to stimulate ovulation? If yes, what type, duration, & time frame:
              Have your fallopian tubes been medically evaluated? If yes, what were the results?
              Have you had any gynecological operations or procedures (i.e., laparoscopy, abdominal surgery, pelvic / abdominal imagery such as ultrasound, etc.?
              Have you had blood work done to assess fertility & hormone factors?
              If you have been trying to conceive, how long have you been actively trying?
              Have you been given a medical diagnosis related to infertility or woman’s reproductive health?
              Are you aware of any exposure to drugs or chemicals while your mother was pregnant with you?
              Any additional history or relevant information

              Hope this helps,
              Joy

              in reply to: Yoga Articles – Trauma, and OCD #21068
              Joy EslerJoy Esler
              Participant

                You’re welcome, Rachel.

                Joy EslerJoy Esler
                Participant

                  Hi Annette,
                  Here are a few questions to then better answer your questions.

                  * Which meniscus is torn? Medial, lateral, or both? What is the percentage of the tear? Was an MRI completed?
                  * What type of cysts are at the knee? Baker’s cyst, Ganglion cyst, Cystic lesions, etc.?
                  * What type of doctor has your mother seen? Osteopath, orthopedic surgeon, pain specialist, sports medicine, chiropractor, etc.?

                  Other things to consider:
                  * What was the onset to the tear, and cysts?
                  * How long has your mother been dealing with the tear, cysts, and osteoarthritis?
                  * How did your mother’s knee respond to the shots?
                  * Does your mother notice what makes the knee better or worse?
                  * Beside starting physical therapy, what therapies has she tried? Naturopath, osteopath, chiropractic, acupuncture, rolfing, etc.?
                  * What are the SOAP, OPQRST for your mother?

                  In general, the knees may take a while to heal as they have a limited blood supply. Therefore, it may be helpful to consider a second opinion, and other therapies if they have not been tried. Additionally, something to consider are there any limitations in activity with the knee replacement since your mother is active. Something to ultimately consider is what does your mother want. This does not mean does your mother want surgery or not. It means what are the activities or things that she enjoys that she wants to continue that may be currently limited if they are limited. It may be helpful to determine your mother’s wants to determine what is the choice that supports that desire.

                  Hope this helps,
                  Joy

                  in reply to: Young Heart Surgery Patient #19834
                  Joy EslerJoy Esler
                  Participant

                    Hi Rachel,
                    From a TCM perspective, this may be a complex pattern of imbalance. Some of the patterns that this may include are heart qi, yin, yang and blood deficiencies. Additionally, there are some excess conditions that this may include such as heart qi, and blood stagnation, dampness, and heat.

                    Yet, follows may be helpful to understand about the heart in Chinese medicine from a high level. Specifically, the heart in Chinese medicine is the emperor / sovereign of the body. While the emperor rules the kingdom of the body, the heart is meant to be an empty vessel for the divine / spirit. The heart also governs the blood, blood vessels, mind, sweat, tongue, complexion, and aspects of memory.

                    From a Chinese medicine and Western medicine perspective, there are numerous relationships with heart health, lifestyle, and other organs. For example, there may be relationships with working long hours, how well one sleeps, stress / panic attacks / anxiety, etc. and heart health. There are also relationships between the heart and lungs, liver, kidneys, spleen, etc.

                    Hope this helps,
                    Joy

                    in reply to: Young Heart Surgery Patient #19729
                    Joy EslerJoy Esler
                    Participant

                      Hi Rachel,
                      Based on my experience, the information you are sharing about your client is common. Any issues to other heart values may slowly generate weakening of other values as this is like a dyke or dam system as one value opens when another closes. Some of the Western medicine concerns with a widening of the aorta is whether the value may leak, blood may backflow, additional pressure on and weakening of the heart including the left ventricle, the rest of the body may not be receiving the oxygenated blood which may lead to fatigue, shortness of breath, etc.

                      Some of the Western medicine strategies include: monitoring blood pressure and heart rate; eating heart-health foods and fluids; maintaining healthy weight; maintaining mouth and dental health; mindfulness regarding stress; appropriate movement / exercise as determined by their doctor; observation and monitoring by doctor; prescriptions related to blood pressure, cholesterol, blood clots, arrhythmia, etc. as deemed necessary; and surgery.

                      Something for your client to consider is speaking with their doctor and trying to get more information about their condition, limitations, preventative measures, signs and symptoms to look for in the event surgery may be needed, etc. If this is not possible with their current doctor, they may want to consider a second opinion. Without this information from a doctor, it would be challenging to recommend anything else at this point.

                      Hope this helps,
                      Joy

                      in reply to: Working with Fibromyalgia #19704
                      Joy EslerJoy Esler
                      Participant

                        Hi Rachel,
                        Something to consider would be guided meditations that bring awareness to areas of the body not in pain. For examples: awareness of the breath at the nose / chest / ribs / abdomen; rhythm of the heart beat; circulation to the fingertips / toes; behind the eyes / closed eyelids. This may help to open up when ready areas of the body that have been guarded to the sensations.

                        Another option would be a guided meditation that moves through the body. That way if there are areas that are guarded, it may be for only a few moments of awareness and then move onto the next areas. For example, guided meditation from toes to top of the head. And even when observing areas that may have pain or discomfort, using non-judgmental language, and bringing the focus to the observation of the area without need for change may be helpful. This is similar to watching the breath without changing the breath; just being the observer.

                        Bringing awareness to the spine sounds like a lovely idea. In general, heat is built when we become hot and then sweat. For other individuals, their face may become red, and or they may become thirsty. Therefore, observing this on one’s client, may give an indication.

                        Hope this helps,
                        Joy

                      Viewing 10 posts - 1 through 10 (of 46 total)