Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
June, 2002, Vol. 02, Issue 06
Nutrition Research News
By James P. Meschino, DC, MS
Black Cohosh May Help Reduce Breast Cancer Risk
Epidemiological studies and some experimental evidence suggest that soy isoflavones, which act as phytoestrogens (plant-based estrogens) in the body, help reduce risk of breast cancer.The herb black cohosh, which contains phytoestrogen compounds, has been used in Europe with great success for 40 years as a treatment for menopausal symptoms, PMS and other female reproductive disorders (i.e., dysmenorrhea). Black cohosh has been shown to be nontoxic, with few reported adverse side effects, primarily mild nausea. As such, many European physicians prescribe it instead of hormone replacement therapy for postmenopausal women, and as a treatment for a variety of female complaints. It has a safety profile superior to hormone replacement. Hormone replacement therapy is known to increase the risk of breast cancer (by 2.3 percent per year) and other conditions.
Intrigued by the physiological effects of black cohosh and its phytoestrogen agents, a number of researchers have recently set out to examine its impact on various human breast cancer cell lines. The assumption by many investigators was that black cohosh would encourage the growth of breast cancer cells, because its weak estrogenic effect was likely to promote proliferation of these cells. However, studies have demonstrated the opposite: Black cohosh has been shown to have an anti-proliferative effect on a number of human breast cancer cell lines. Essentially, black cohosh extract has prevented breast cancer cells from dividing in all of the in vitro studies reported to date. In one study, black cohosh was shown to increase the effectiveness of the breast cancer drug Tamoxifen, when both were used concurrently.
In the study by Foster, the authors concluded that extracts of black cohosh can be taken safely by patients who are susceptible to breast cancer (and possibly should be used as a means of chemoprevention). In reference to these studies, D. Dixon-Shanes and N. Shaikh remark in the journal Oncology Report (Nov.-Dec., 1999) that herbs such as black cohosh and soy isoflavones show potential as natural agents that may reduce the risk of breast cancer (if taken). As one in nine women in the U.S. develops this disease, it may be prudent for North American women to take a supplement containing black cohosh and soy isoflavones throughout adult life (unless contraindications are present) to discourage the promotion of breast cancer. If black cohosh and soy isoflavones can inhibit the proliferation of breast cancer cells, then in theory, this would give the immune system a better chance to destroy cancer cells before they have an opportunity to thrive.
The standardized grade of black cohosh extract that demonstrated clinical efficacy provided 2.5 percent triterpene content. A usual daily dosage for menopause is 40 or 80 mg, twice per day. Half this dosage may be prudent simply to support reproductive health throughout the premenopausal years, and as a primary intervention to potentially aid in risk reduction of breast cancer. Further studies are underway to enhance our understanding of this important and timely subject.
Vitamin C Supplementation Linked to Prevention and Treatment of Cataracts
Researchers from Tufts University extracted pertinent dietary, lifestyle and supplementation practices and performed cataract screening assessment on 492 nondiabetic participants from 1980 to 1995. The results, published in the American Journal of Clinical Nutrition, found that 34 percent of the group had cataracts (cortical opacities). A review of the data indicated a significant link between age and vitamin C intake for a very common form of cataracts, known as cortical cataracts.
For women younger than 60, a vitamin C intake greater than 362 mg/day reduced risk of cataracts by 57 percent, compared with those who had an intake of less than 140 mg/day. Those who took vitamin C supplements for more that 10 years had a 60-percent reduction in risk compared to nonsupplement users. Researchers also found that women who never smoked and had high intakes of folate and carotenoids showed a reduction in cataracts.
Dr. Ronald Plotnik, an associate professor of ophthalmology at the University of Rochester, N.Y., was quoted as stating, "I think it makes sense that vitamin C and other antioxidants might have a protective effect in terms of cataracts." He said that previous research suggests that free radicals (from UV light exposure and smoking cigarettes) could contribute to the development of cataracts.
The February 2002 Ophthalmic Epidemiology published the findings of the Roche European American Cataract Trial (REACT). This randomized clinical trial investigated the efficacy of an oral antioxidant, micronutrient mixture to slow progression of age-related cataracts. After three years, the subjects taking the vitamin mixture (18 mg beta-carotene, 750 mg vitamin C, and 600 IU of vitamin E) demonstrated a small but significant deceleration in the progression of age-related cataracts. There were no reported adverse side effects in the treatment group.
Together, these results imply that antioxidant vitamin supplementation, at moderate doses, is a safe and effective means to potentially prevent cataract development, and should be considered therapeutically to help slow the progression of existing age-related cortical opacities.
Soy Isoflavone Supplementation Demonstrates Ability to Reduce Bone Loss in Perimenopausal Women
There has been much debate if soy isoflavones, which act as weak estrogens in the body, have sufficient estrogenic activity to help prevent demineralization of bone when a woman's own estrogen production declines during menopause. Estrogen helps to keep calcium in bone until the menopausal years, when the drop-off in estrogen production is known to contribute to postmenopausal osteoporosis. In the U.S., one in four women demonstrates osteoporosis early in the postmenopausal years.
In a randomized study involving 69 perimenopausal women, the group that received 24 weeks of continual isoflavone-rich soy supplementation demonstrated a favorable effect on preventing bone loss versus the control groups, which were given either whey protein supplementation or isoflavone-poor soy supplementation (containing only 4.4 mg of isoflavones per day). This study convincingly demonstrated that a daily soy intake yielding 80.4 mg of isoflavones provides an estrogenic effect on bone, sufficient to slow or prevent its demineralization.
Larger studies of this type are necessary to confirm these findings. However, results from this preliminary trial agree with epidemiological evidence and animal studies: All indicate that soy isoflavones support bone mineral density in postmenopausal women and oopherectomized animals. Soy isoflavones studied most intensively for their phytoestrogen properties include genistein and diadzein.
Click here for previous articles by James P. Meschino, DC, MS.
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