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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
August, 2005, Vol. 05, Issue 08
Stimulant Essences, Part II
By Shellie Enteen, RA, BA, LMBT
Editor's note: Read "Stimulant Essences, Part I" in the May issue at www.massagetoday.com/archives/2005/05/06.html.
This article will continue an exploration of the properties and uses for the stimulating essential oils.Used alone or in combination with sedative oils, the qualities of stimulant oils make them powerful allies in the treatment of muscle and joint pain, and whenever there is a need for a warming, invigorating effect and increased circulation. Many of the stimulant oils are powerful antibacterial and antiviral agents that help in the prevention and treatment of common infections. And many stimulant oils have a detoxifying effect, as well.
With one notable exception (eucalyptus), the stimulant oils have had a long history as cooking spices, used not just for their taste and aroma, but also for their healing properties and to help preserve foods before the advent of refrigeration. Their familiar aromas will bring up memories - one of the effects of aromatherapy. Hopefully, they are good memories that include a sense of feeling nurtured and satisfied. (In case you are wondering, birch has been an ingredient in chewing gum, and birch beer and juniper berries are used in the distilling of gin.) Because these oils are potent, it is best to use a small amount in treatment blends. In most cases, one to two drops in an ounce of carrier oil is sufficient. High dilution will also prevent potential skin irritation (See my previous columns for more information on the uses of basil, bay, sweet birch, black pepper, clove and eucalyptus).
Ginger (Zingiber officinale) is familiar as a kitchen spice and used by herbalists as a warming stomach tonic. In massage, ginger has analgesic properties, which help relieve muscle cramps, spasms and sprains, and combat the pain of arthritis and rheumatism. Ginger gives energy and a positive attitude.
Grapefruit (Citrus paradisi) is classified as a "euphoric" - a quality that makes it useful for all types of stress. It relieves headache, migraine, jet lag and exhaustion. Grapefruit has a stimulating effect on the lymphatic system, a tonic effect on the liver and digestive system, and a cleansing effect on the kidney and vascular system, making it a good oil to use for detoxification and weight loss.
Juniper (Juniperus communis) is a major essence for detoxification, having a tonic effect on liver, diuretic properties that relieve common fluid retention, and a decongestant effect on intestinal mucous. Because it helps the body eliminate uric acid, juniper is used for arthritis and sciatica. It is also a common ingredient in after-sports massage blends to keep muscles free from painful stiffening. Juniper also clears excess emotion.
Lemongrass (Cymbopogon citratus) Stimulating and revitalizing, lemongrass is helpful in the prevention and recovery from colds, sore throat and laryngitis. It stimulates circulation, has a toning effect on muscles and helps elimination of lactic acid, which makes it a good choice for pre- and post- sports massage or pain from overexertion. Lemongrass is also helpful for symptoms of jet lag, headache, tired legs and general fatigue.
Peppermint (Mentha piperita) helps regulate perspiration. It will cool you down if you're hot, but also provide warmth if necessary. A versatile oil, peppermint is famous for protection and regulation of the digestive tract; it is also a cold and flu preventative, and clears congested sinus. Peppermint is an analgesic and relives muscle pain as well as headache and migraine. It revitalizes and clears the mind and is helpful in cases of shock and vertigo, driving long distances, or studying for long hours. Caution: like the famous jalapeno pepper, peppermint will cause intense burning if it contacts the eyes and mucous membranes, so keep it well away from these areas and wash your hands after use.
Pine (Pinus sylvestris) was inhaled in Egypt, Greece and the Middle East to combat pulmonary infections. It is used in soaps as a deodorant and disinfectant ("Pine Sol," for one). Like peppermint, it can warm or cool as needed. Pine stimulates circulation and is indicated for rheumatism and arthritis. It has a decongestant and antibacterial action on the skin but can also be very irritating, more so as the oil ages. Pine, like juniper and cypress, is in the evergreen category and is helpful for people dealing with grief and transition issues as it imparts the image of everlasting life. This is also why the pine tree was the focus of the winter solstice celebrations that predated its use at the Christmas holiday.
Rosemary (Rosmarinus officinalis) is the most commonly used stimulant essence in aromatherapy. Rosemary increases circulation, including the brain and scalp so it is said to enhance memory and encourage hair growth (not from male pattern balding but from congested for muscles, headache, dysmennhorea and has many of the cleansing properties of juniper. Rosemary helps tonify the skin, and relieves congestion and bruising. It is said that rosemary should be used with caution where there is high blood pressure and epilepsy.
Some blending tips: The combination of rosemary and juniper with lavender is a favorite for massage. To this, one might add eucalyptus and lemon or sandalwood. Rosemary, marjoram and birch are an effective combination for arthritis flare-ups (Don't use this birch blend on a continual basis.) Peppermint and helichrysum help soothe the pain of sciatica. Rosemary, juniper and lemon are a good detox blend, especially after overindulgence in food or drink.
As stated previously, more drops of stimulating essences will create an overall stimulating effect, while more drops of the sedative oils will create a pain relieving, relaxing blend. Seven drops total in 1 ounce of cold pressed nut, seed or vegetable oil is the usual ratio for regular massage. Remind your client that the essences will keep working for up to 24 hours, and a rosemary/juniper blend will increase the experience of detoxification. It's always best to avoid consuming more than one glass of alcohol after an aromatherapy massage.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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