Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Are You Making the Wrong Impression?
Taking a page from Stacy and Clinton of The Learning Channel's hit television program, "What Not to Wear," we recently published an article in the summer issue of Chiropractic History: The Archives and Journal of the Association for the History of Chiropractic, that explores the evolution of physician attire from prehistoric times to the present.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Reverse Digit Span: A Useful Assessment Tool for Patients With and Without Concussion
Reverse digit span is an easily administered test of attention span. It is a component of the SCAT3 test, which is frequently used to assess concussion. It has been part of the armamentarium of cognitive assessment for many years.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
7 Reasons You Want a Beacon in Your Office
Have you heard about how "beacons" are transforming the way businesses interact with their customers? Beacons are low-energy Bluetooth devices that have the ability to send information to a smartphone app.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Winter of Life: A Personal and Chiropractic Practice Perspective
Last November, my wife and I invited an elderly relative, Uncle Josh, to spend the winter with us. He was 82 years old at the time and turned 83 during his stay. As soon as he accepted our invitation, we began preparing.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Research: Know What You're Talking About
Have you ever seen a patient in your office with multiple serious health problems you weren't sure exactly how to address?
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Chiropractic Care and Risk of Stroke: The Shoe Moves to the Other Foot
For decades, numerous papers have linked upper cervical chiropractic care to the incidence of vertebral artery dissections and stroke.
Looking Back: Abstracts From Chiropractic History (Summer 2015 Issue)
The following abstracts are reprinted with permission from Chiropractic History, the official journal of the Association for the History of Chiropractic. Chiropractic History is the leading scholarly journal of the chiropractic profession dedicated to the preservation and dissemination of the profession's credible history.
October, 2004, Vol. 04, Issue 10
Menopause, Part I
By Elaine Stillerman, LMT
After spending most of my career treating pregnant and postpartum women, I decided to explore the next stage of a woman's reproductive life for this first article: a topic near and dear to many of us aging (gulp!) female baby-boomers - perimenopause and menopause.
We are not alone.Every day in the United States, about 4,000 women start menopause. Its symptoms read like a Stephen King horror novel: irregular periods (when menstruation ceases for over a year, menopause has been firmly established), hot flashes, flushes and night sweats (although some women experience cold flashes instead), heart palpitations, vaginal dryness and decreased libido, weight gain - especially in the midsection - mood swings and depression, memory lapses, bone-density loss, elevated cholesterol levels, gastrointestinal distress, insomnia and fatigue, the list goes on and on. As if menstrual cramps and labor weren't enough, we now have to suffer this final insult to our gender. (If it's any consolation, men undergo their own changes, called andropause. It is caused by a decrease in male hormones, particularly testosterone, growth hormone and DHEA. Men often experience decreased libido, lack of energy, fatigue and muscle weakness accompanied with loss of muscle tone.)
Why all the "Sturm und Drang" associated with menopause? Because it is a time of bewildering physical, hormonal, emotional and spiritual changes in a woman's mind and body.
Menopause is a normal part of the aging process, which usually occurs naturally in 25 percent of women by age 47; 50 percent by age 50; 75 percent by age 52; and 95 percent by age 55. It can also be brought on earlier as a result of chemotherapy or other medical interventions, such as hysterectomy, which accounts for 30 percent of menopausal women in the U.S. over the age of 50. As part of the aging process, it happens when the woman's eggs cells, the oocytes, are used up and menstruation ceases. As menopause nears, the ovaries stop making estrogens; these low hormone levels cause most of the discomforts associated with menopause.
Estrogen is also called the "female hormone" since it is essential to the development and maturation of the female reproductive system. It is the hormone that gives us our feminine shape and prepares our bodies for the unique expression of pregnancy. It also stimulates skeletal growth and helps maintain healthy bones. Estrogen plays an active role in protecting the heart and veins by increasing HDL (high-density lipoproteins, the "good" cholesterol) levels. Estrogen influences the brain and is thought to be important in memory and healthy functioning of nerve cells in the brain.
Estrogen is not one hormone, however. There are at least three major estrogens of which 90 percent are predominantly produced in the ovaries, although small amounts are manufactured in the adrenal glands, liver and kidneys. This explains why there are still low measurable levels of estrogen in menopausal and postmenopausal women. Fat cells can also produce small amounts of estrogen. Women who are overweight tend to have fewer hot flashes and osteoporosis.
Estradiol, produced in the ovaries, is the leading estrogen found in a woman's body during her reproductive years. It helps relieve menopausal symptoms, protects against osteoporosis, heart disease and possibly Alzheimer's disease. Estradiol has been shown to enhance mental alertness and memory. It also increases serotonin and endorphin levels, so it is easy to understand how a decrease in this estrogen results in insomnia and mood swings.
Estriol, manufactured in large quantities during pregnancy, promotes urogenital health and has been shown to provide protection against the production of some cancer cells. (A study by Dr. H.M. Lemmon, reported in a 1966 issue of the Journal of the American Medical Association, found that higher levels of estriol correlated with the remission of breast cancer; in addition, women without breast cancer excreted less estriol in their urine than women with breast cancer. Dr. Lemmon also noted that women without breast cancer have naturally higher levels of estriol, compared with estrone and estradiol. Vegetarians and Asian women also produce higher levels of estriol and have a lower risk of developing breast cancer. Estriol has the most benefit to the vagina, cervix and vulva.
Estrone, the weakest of the three estrogens, is more prevalent in postmenopausal women, thus providing a modicum of estrogen's benefits. The body manufactures it from hormones stored in fat cells and it is comparable to estriol's function in the body but is not nearly as effective.
Editor's note: Part II of this article will appear in the December 2004 issue.
Click here for previous articles by Elaine Stillerman, LMT.
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