NewsFlashes
Cover Stories
TAC Staff
10-more-great-techniques-part-iiiHere is what you can find in this article:  Previous Techniques Featured Introduction by Donald Epstein, D.C. 10 More Great Techniques:   1) Advanced Muscle Palpaption 2) Blair Cervical Technique 3) Directional Non-Force Technique 4) The Graston Technique 5) Logan Basic Methods 6) Matrix Repatterning 7) Dr. Mally's Extremity Adjusting Technique 8) McTimoney Technique 9) Neuro Emotional...
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Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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Bob Hoffman, D.C., Dennis Perman, D.C. & Larry Markson, D.C.
your-practice-is-youOnly 5 years ago, three friends, from completely ­different ­backgrounds, decided to join ­forces in a new business ­venture to help chiropractors achieve the same kind of ­success they had. Today, their ­supporters keep growing in number at a staggering rate. This “Identity-Based” ­program has helped ­thousands discover the value in understanding that "Your Practice is You" The Masters Circle was founded...
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Frederick Carrick, D.C.
neurology-a-chiropractic Frederick Robert Carrick, D.C., Ph.D., is the Distinguished Post Graduate Professor of Clinical Neurology at Logan University and is Parker College of Chiropractic’s Professor Emeritus of Neurology. He serves as the President of the American Chiropractic Association’s Council on Neurology and is the President of the American Board of Chiropractic Specialties of the American Chiropractic Association. Professor Carrick is...
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Jay Kennedy, DC Michael Schneider, DC., PH.D David Seaman, D.C.
herniated-discs-and-conservative-treatments    Dr. Kennedy is a graduate of Palmer College and has been in both private and MD/DC practices in Berlin, PA, for over 23 years. He is a leading authority in North America on decompression and rehabilitation procedures and has successfully treated tens of thousands of patients. He has pioneered decompression therapy technique since 1993. Dr....
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Dr. Richard E. Busch, III, D.C.
success-enhanced-with-axial-decompression Dr. Richard E. Busch III, a second-generation chiropractor, has been in practice for almost eleven years. Busch Chiropractic is a cash-based, single practitioner, blended practice of standard quality chiropractic care, personal injury and pain center, focusing on chronic low-back and cervical disc cases that are facing invasive care, such as surgery, or have had previous failed surgeries. Many of Dr....
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Interviews
Kent Greenawalt
orthoticsTAC: Tell us a little bit about the history of Foot Levelers, Inc. Greenawalt:  Foot Levelers is the world’s largest custom-made Spinal Pelvic Stabilizer company.  We use the term Stabilizer instead of orthotic, because our products stabilize the pelvis and spine by correcting imbalances in the feet.  They are custom-made and scientifically designed to address the patient’s unique postural problems.  They...
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TAC Staff
chiropractic-for-pregnant-women-interview-with-karen-gardner-bagnell-dcFor more than eighteen years, Dr. Karen Gardner Bagnell has studied the mechanisms of breech and transverse presentations, pregnancy and delivery. Dr. Gardner Bagnell has guest lectured at The University of Pennsylvania School of Nursing and Chestnut Hill Hospital in Philadelphia on the importance of Chiropractic care during pregnancy, labor and the post partum period, as well as at the...
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Joe Mershon
chiropractors-on-tv-national-tv-campaign The fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start.   So how do you use this mega-tool to...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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TAC Staff
the-scoop-on-postural-adjusting-interview-with-burl-r-pettibon-dc-fabcs-frccm-phd-honAfter receiving an honorable discharge from the U.S. Air Force Burl Pettibon attended Cleveland Chiropractic College in Kansas City, MO.  He graduated in 1956 and practiced in Tacoma Washington while developing clinics in other locations.  Dr. Pettibon was a department head for two years in the college that is now Palmer West.  He has guided The Pettibon Institute’s direction, continuing...
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TAC Staff
changing-times-interview-with-gary-tarola-dc-dabcoDr. Tarola earned a BA degree from Marshall University, 1973 and was a Suma Cum Laude graduate of Palmer College of Chiropractic, 1976. He began private practice in Fogelsville, Lehigh Valley, Pa. in 1976. He obtained Diplomate status in Chiropractic Orthopedics in 1983. He was a post graduate faculty member of several chiropractic colleges. From the late 1980’s through 2005,...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
un-complicating-nutrition-part-2Part 1 of this article series (Volume 28, Issue 2) discussed how to eat an anti-inflammatory diet. Specific diseases and diets for specific diseases were not discussed. The goal with the anti-inflammatory diet is straightforward…the goal is to create an anti-inflammatory state, that is, to reduce the inflammatory potential of our tissues. This is a very important dietary goal, as...
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Lynn Toohey, D.C.
our-toxic-water-and-nutritional-helpWater is essential for life and we need to replenish our supply of it everyday. But what happens when that basic life force becomes a toxic assault? Pesticides, herbicides, fungicides, and other chemicals pollute our water supplies, and now even "second-hand drugs" have hit the news and become a concern. In actuality, antibiotics, birth control pills, beta blockers, contrast agents...
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Christopher Fuzy, M.S.,R.D.,L.D.
weight-loss-without-dieting-drugs-packaged-meals-a-new-years-resolution-incorporating-nutrition-counseling-into-your-practice-during-a-recessionAs a practicing clinical and sports nutritionist for 20 years, I am experiencing a substantial increase of patients from varied backgrounds seeking nutritional counseling. Individuals with a very basic nutritional understanding are coming in as a result of side effects from prescribed medications or abnormal lab results from a recent blood test and are being told by their doctor to...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
what-about-the-recent-glucosamine-studyThe February 23rd, 2006, issue of the New England Journal of Medicine published an article on the treatment of osteoarthritis (OA) of the knee with glucosamine hydrochloride and chondroitin sulfate. Some of the news reports suggested this study demonstrated that glucosamine was ineffective in the treatment of arthritis. A closer look at the article suggests the opposite conclusion may be...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
an-apple-a-day-can-be-a-key-to-the-nutritional-adjustmentPatients are always looking for something that is easy to do when it comes to their health. So, eating more fruits and vegetables can be challenging for many; however, transitioning to a healthy diet can begin with something as simple as eating an apple every day. The old adage, “An apple a day keeps the doctor away,” is still quite...
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David R. Seaman, D.C., M.S., D.A.B.C.N., D.A.C.B.N.
sports-nutrition-a-perspective-on-prevention-Mental state or supplements for an improved performance? There is little evidence to support the notion that we can take nutritional supplements and improve performance or increase strength in a significant fashion. In all likelihood, the mental state of the athlete is the deciding factor. An example of this was a placebo study that involved the perceived use of anabolic steroids....
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
morning-heel-painHistory and Presenting Symptoms The patient is a 56-year-old male who reports severe pain on the bottom of his right foot when he begins to walk in the morning.  He also notices pain under his right heel when he has been standing for a long time (greater than one-half hour).  Over-the-counter pain medications help somewhat; but his condition does not seem...
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johndanchik
joint-pains-bother-fitness-seekerHistory and Presenting Symptoms This female patient is a 51-year-old small business owner and exercise enthusiast.  She reports pain in the front of her left knee over the past several months, especially when exercising at the gym.  She has no obvious swelling or discoloration and denies any specific injury.  She reports that she takes over-the-counter medication for relief, but is worried...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthotic-support-for-knee-painThe knee has an impressive level of stability, despite the incongruent joint surfaces of the tibia and femur.  These two contrasting joint surfaces articulate only with the help of the crescent-shaped menisci.  Through their weight-distribution and shock-protection properties, the menisci help guide movements between the convex surfaces of the distal femur and the almost flat superior surfaces of the tibial...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
pelvic-and-hip-pain History and Presenting Symptoms A 27-year-old female describes a history of aching pain and tightness extending from her lower back into the pelvic region and both hips. She describes a recurrent pain that has bothered her since she was in a motor vehicle collision at the age of sixteen. As a passenger, she injured her right leg and hip during...
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johndanchik
back-surgery-averted-for-a-teenaged-boyHistory and Presenting SymptomsThe patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the...
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Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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Practice Management
Marc Swerdlick, D.C.
powerful-positioningYour practice is just that—YOUR PRACTICE. as straightforward and simplistic as that statement may be, many chiropractors promote their practice in a rather generic, almost "vanillalike" manner. Their outdoor sign just above their clinic reads CHIROPRACTOR, their walls are covered with posters that include photographs of a family holding hands while walking down the beach,...
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Maurice A. Pisciottano, D.C.
understanding-is-key-to-retentionPatient Retention in a chiropractic practice is defined as the number of times a patient visits your office for chiropractic care.  In order to increase your Patient Retention, you need to increase your patient’s level of understanding.  Patients will follow your recommendations for care if they have a high level of understanding about how your care is helping them.  Retention...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
95-of-the-population-cared-for-by-chiropractic-the-first-step-is-up-to-you I have written before that it took chiropractic 115 years to care for 5-7% of the population. Frankly, that is powerful, considering the obstacles we had to overcome. However, it is not nearly enough and we, as a profession, have to do better. The status quo is not enough. I have had the honor of meeting many who handcuffed themselves to...
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Mitchell E. Rubin
practice-smarter-not-harderThat Was Then The old-school way of running a private practice was for doctors to refer patients requiring advanced medical testing or physical therapy services to their colleagues and golfing buddies.  And why not?  Money wasn’t an issue.  Twenty years ago, most doctors were earning six-digit salaries and building up their retirement nest eggs. Today, business-savvy chiropractors focusing on their future and...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
billing-correctly-for-21st-century How do you know you’re coding properly? First and foremost, if you had to ask this question, you may have a problem. The world of billing and coding changes each week. Doctors go to seminars to learn how to increase reimbursement, while insurance employees are taught how to deny payment. What a paradox. The best way to win at the...
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TAC Staff
the-practice-youve-always-wantedWe’ve headed into a new year and, with that, we’re offering some great advice from the experts! We’ve asked ten of them to answer what they feel are the most important questions to help you advance your practice. From focusing in on who you are as a doctor to over-all advice to the entire profession, these experts have the answers...
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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteoarthritis-of-the-handDegenerative Joint Disease (DJD) General considerations: • Non-inflammatory degeneration of joint cartilage with secondary effects on adjacent bone. • The most common form of arthritis. • Synonyms include osteoarthritis. Clinical Features: • Pain, stiffness, crepitus, deformity and swelling, with normal laboratory studies. • Three types identified:  Primary, secondary and erosive. Primary: Unknown cause, 5th-6th decade, females 10-1, weight-bearing joints. Secondary: Known cause, 2nd-6th decade, equal sex distribution, any joint. Erosive osteoarthritis (EOA):...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.       CASE HISTORY  This adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" of...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
c2-to-c3-congenital-block-vertebraDescription. When two adjacent vertebrae are osseously fused from birth, this joined unit is called a congenital block vertebra. Embryologically, this is the result of failure of the normal segmentation process of the somites during the period of differentiation at 3-to-8 fetal weeks.1 The block vertebra, by itself, is clinically insignificant. As there is no motion allowed at the fused...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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Mark Sanna, D.C.
a-new-look-at-adolescent-idiopathic-scoliosisA New Look at Adolescent Idiopathic Scoliosis by Mark Sanna, D.C.   Scoliosis comes from the Greek word skoliosis which means crookedness. Adolescent Idiopathic Scoliosis (AIS) is a deformity of the spinal column with an onset between the ages of ten and eighteen. Most types of scoliosis are classified as idiopathic, meaning that the reasons for this type of...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
an-occult-lesion-of-the-calcaneusHISTORY This active adolescent athlete sprained his foot while playing tennis.  Radiographs revealed a large radiolucent lesion in the calcaneus.  What is this? DIAGNOSIS:  SIMPLE BONE CYST The geographic lytic expansile lesion in the floor of the calcaneus is well circumscribed and has all the characteristic appearances of a benign lesion.  Benign lytic lesions of the calcaneus are most commonly simple bone cysts...
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Rehabilition
Dr. Kirk A. Lee, D.C., C.C.S.P.
shin-splints-and-rehab-careShin splints is one of the more common problems that can occur in active patients, especially during the spring and summer months. It is important to maintain an awareness of this frequent complaint and know the signs to look for during diagnosis. Help keep your active patients in step with their lifestyles!   Symptoms   The pain associated with shin splints...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
one-simple-approach-to-exerciseIn our last article, we discussed a couple of different methods of cervical extension traction for the rehabilitation of cervical lordosis.  In this article, we will discuss extension exercise in the context of rehabilitation of cervical lordosis. Loss of cervical lordosis and loss of cervical motion have both been associated with cervicogenic headaches.1,2   Cervical extension traction and cervical extension exercises...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
osteoporosis-and-spinal-excerciseAs the population ages and becomes more sedentary, we will be seeing more of our patients affected by osteoporosis and its complications.  Initially, there is a reduction in bone mass (osteopenia), which is considered a universal phenomenon of aging.  However, when the condition progresses to osteoporosis, bone strength is compromised, and fractures develop with trivial (or no) trauma.  These fractures...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-strains-and-orthotic-supportHamstring injuries and athletic running seem to go together.  The injuries also tend to reoccur and become chronic.  Often, the recovery rate becomes frustrating for the athlete as well as the practitioner.  While the etiology remains controversial, the primary causes may be considered, in order to enhance recovery and prevent reinjury. Main Causes Some of the most common causes of hamstring muscle...
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Mark R. Payne D.C.
building-your-practice-on-a-strong-foundationBuilding Your Practice on a Strong Foundation by Dr. Mark R. Payne D.C.   In keeping with this month’s focus on practice management and coaching, I wanted to take a slightly different twist with this article. While I make no pretense at being a practice manager or coach, I have started and operated two successful practices in my career plus...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-of-cad-injuryPeople who present with whiplash injuries (Cervical Acceleration-Deacceleration) often do not respond completely to care.  In fact, persisting symptoms are common in this group.1  One review found that “between 14% and 42% of patients with whiplash injuries have chronic neck pain and that approximately 10% of this group experience constant, severe pain.”2  In fact, there is over 50 years of...
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Techniques
Sheila Laws, D.C.
nimmo-receptor-tonus-techniqueRaymond Nimmo, D.C., graduated from Palmer School in 1931, and set up his practice in Fort Worth, Texas. He soon became thirsty for more knowledge, so he studied and taught Logan Basic Technique and other techniques. His quest brought him to the realization that what chiropractors had been taught in chiropractic colleges was not scientifically sound. He rationalized that the...
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Tedd Koren, D.C.
but-i-feel-fineHow did you know that? Picture the scene. I’m checking people during a recent Masters Circle seminar using Koren Specific Technique (KST). I had just given a talk. The line of doctors and CA’s waiting to be adjusted was long. As I expect, people are having incredible responses. But what’s often most fascinating is the ability to tell them what...
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Dr. Mitch Mally
chiropractic-a-carpal-tunnel-syndromeWhen attempting to gain entry into the industrial health care delivery system for the treatment, rehabilitation and prevention of repetitive stress injuries (RSI’s), the chiropractor must first know how to diagnose differentially, follow a standard protocol, be prepared to disclose how many cases he/she has successfully treated and provide references, as well as identify additional specialized training and expertise in...
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Ellen Cutler, D.C.
bioset-the-ultimate-allergy-elimination-systemBioSET™ (Bioenergetic Sensitivity and Enzyme Therapy) is a modern healing system that combines the ancient science of acupuncture and the body’s meridian system and 21st century electromagnetic technology and computer software for the diagnosis of food and environmental allergies, chemical sensitivities, toxicity, and weakness of organ systems. Developed over the last 25 years, this desensitization protocol has had great success...
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William H. Koch, D.C.
interview-with-dr-george-gonzalez The story of how Dr. George Gonzalez developed the technique he calls Quantum Neurology® Rehabilitation will serve as inspiration and example of what a man can do when motivated by passion and the need to help a loved one. In his quest to help his wife who had sustained an extremely painful and crippling spinal cord injury, Dr. George...
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Tedd Koren, D.C.
medical-manipulation-or-chiropractic-adjustingChiropractic can be practiced either empirically or mechanistically. How could that be? Why is it important? Chiropractic’s approach to healthcare is similar to the empirical approach of classical homeopathy, classical osteopathy and other “holistic” healthcare systems. That approach, to balance or harmonize the individual within him/herself and to balance or harmonize the individual to his/her Source (soul, spirit, Tao, God), is...
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