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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
January, 2007, Vol. 07, Issue 01
Aromatherapy for Clients With Special Needs
By Shellie Enteen, RA, BA, LMBT
In previous articles, we've explored some myths about aromatherapy and focused more on the idea of using essential oils safely. This article will continue an exploration of using aromatherapy in massage treatments for clients with special needs.
When I went to massage school in 1984, cancer was a contraindication for massage.No questions, no exceptions. Today, we are aware of the great benefits massage can have for a client with a cancer diagnosis, and less convinced that massage will cause cancer cells to migrate to other areas of the body. With certain exceptions, such as cancer of the lymphatic system, massage therapists routinely see clients in all stages of cancer and even provide relief in the hospice setting.
How does the use of aromatic essential oils during massage affect clients with cancer? For the most part, they will have the same positive effects for the cancer patient as for other clients, with one notable exception: the client engaged in a course of chemotherapy.
Aromatherapists Jane Buckle, Ann Percival and Pam Conrad are RNs who have studied this issue and worked with many clients in active chemotherapy. As a result of their observations and research, it's suggested that because essential oils can compete with the receptor sites for chemotherapy, essential oils can be applied in massage up to two days before a chemo treatment, and then should not be used for nine to 10 days after chemotherapy is administered. At all times during the chemo regimen, keep the dose of essential oils low by using only two drops per ounce of carrier oil or lotion.
It's felt that inhalation to counteract accompanying nausea is acceptable. Peppermint can be inhaled unless the client has cardiac problems or is on the chemo drug 5FU, as peppermint enhances absorption fourfold. Ginger also relieves nausea, but it can reduce clotting time. Spearmint is another choice which is considered especially good for children. Essential oils of carrot seed, lavender, helichrysum and geranium are beneficial for the skin after radiation treatments. These same essences help reduce the formation of scar tissue.
There has been research on the use of essential oils to prevent and treat some forms of cancer. One such research paper can be found online at www.positivehealth.com/article-list.php?subjectid=49. Although this does not fall into our scope of practice, if we avoid diagnosing and prescribing, there is no problem in simply knowing the benefits of essential oils that contain monoterpenes and using them in your massage blends. The monoterpenes are found in the essential oils of many plants, including: lemons, oranges, grapefruit, caraway, dill, bergamot, peppermint and spearmint. People contact these monoterpenes in their diet on a daily basis; they are found in grasses and tomatoes and are associated with vegetables and some evergreen trees.
As we already have learned, citrus oils have many helpful properties, but expressed oils (squeezed from the rind) have phototoxic properties and should not be used before exposure to the sun. Steam-distilled oils are safer and bergaptene-free. Bergamot can be purchased without the phototoxic elements.
Caraway and dill-seed oils should be used in small amounts and highly diluted, as they are known skin sensitizers and are toxic at high levels. They are contraindicated for use with pregnancy, babies and children. Mint oils also should be highly diluted due to skin sensitivity, and avoided during pregnancy.
The psychological, emotional and spiritual effects of essential oils are of great value for the client with cancer or any life-threatening illness, as well as for those who are experiencing the illness of someone dear to them. The "evergreen" oils (pine, juniper and cypress) carry the message of everlasting life and relieve excess emotion. Frankincense and lavender bring a calm sense of protection and connection to spiritual strength. Mandarin soothes the inner child. Marjoram, bergamot and rose calm the heart and lift the burden of grief.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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