Lost A Sale, But Initial Phone Consultations â€” A Big Part Of Brilliant Customer Service
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Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
January, 2007, Vol. 07, Issue 01
Non-Contagious Skin Rashes, Part 1: Contact Dermatitis
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
I frequently am surprised by what people request or respond to after they read my Massage Today columns. The things I often think will generate a lot of interest or discussion land with a thud (for instance, avian flu and whooping cough), and the topics I think must be old-hat and overdone for massage therapists generate an enormous amount of interest.Such has been the case for my articles on herpes simplex, warts, psoriasis and superficial cysts. So, to keep to the skin diseases trend, I offer the first of a two-part article on dermatitis and eczema: common, confusing, and frequently overlapping conditions that many massage therapists see and deal with on a daily basis.
The terminology around dermatitis and eczema is extremely confusing, largely because there is no universal consensus on what each term really means. If interested readers pursue this topic to get more information, they might be frustrated to find that some resources seem to use the word eczema to be synonymous with atopic dermatitis, while others (including this one) differentiate atopic dermatitis as a subset of eczema. Welcome to the world of pathology research!
In all the reading I have done on these topics, this is how I have ultimately organized the dermatitis/eczema hierarchy. (This is not the only way to organize these concepts, but can be a useful tool to see how these conditions relate to each other.)
For this discussion, we'll pick the simplest of these skin conditions: contact dermatitis. This is, as the name implies, inflammation of the skin where it has been touched by an allergen or irritating substance. This is different from skin rashes related to reactions that are not from direct skin contact: hives related to stress, or psoriasis, which involves skin cells that reproduce too rapidly.
Contact dermatitis comes in two forms: as a result of irritating or damaging exposures, or from a localized allergic reaction.
Once in a while, we can afford to damage our skin in this way. It heals fast, after all, and all is well again within a few days. However, if a person submerges their hands in caustic, irritating chemicals, or even just water, over and over again, the skin may sustain longer-term damage: contact irritant dermatitis. It's distinct from contact allergic dermatitis because everyone who scrubs their tub without gloves damages their skin, while not everyone has an allergic reaction to latex or nickel.
One group of allergic contact dermatitis outbreaks is probably familiar to most people: reactions to poison oak, poison sumac and poison ivy. The allergen in these plants is an invisible oil called urushiol, and about 75 percent of the population has a reaction to it. Urushiol is significant because not only can it remain potent even after months on tools or other surfaces, but it also can disperse in the air when plants are burned, leading to allergic reactions on the skin and possibly even in the respiratory passages of people nearby.
Massage for Contact Dermatitis?
If a client has contact dermatitis, it's important to identify what the triggers are and to avoid them in a massage setting. In other words, if this client is allergic to almond oil, it's important to have alternate lubricants available. (Many lotions contain almond oil, so read labels carefully.) But if a client has a red scaly mark where the button on their jeans hits, or around their wrist where their watch lies, this is not a significant issue for massage - we certainly won't catch the condition and we won't spread it (unless we use the watch as a massage tool!).
If a client has contact irritant dermatitis because of exposure to harsh chemicals or other substances, massage with lubricant might speed the healing process. Be aware, however, that massage brings blood to the area, and we want to avoid making itchy spots itchier. Also, we want to be careful about any scratching or blisters that might compromise the shield of the skin to invite infection: these make any kind of contact dermatitis a local contraindication.
For Next Time
In my next column, we will continue this discussion of non-contagious skin rashes with an exploration of eczema. In the meantime, if any pathology issues come up for you and your clients, feel free to let me know: What's on your table?
Many thanks and blessings!
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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