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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.
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.
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."
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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 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.
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.
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.
July, 2007, Vol. 07, Issue 07
Combating Some Aromatic Myths
By Shellie Enteen, RA, BA, LMBT
It appears like a good time for another "Aromatic Myth" column after some of the information about the safety of essential oils has been circulating in the media and on the Internet recently.Strange things are happening. There is misinformation circulating about the use of two very popular essential oils: lavender and tea tree.
A short while ago, the Board of the National Association for Holistic Aromatherapy received a copy of an article appearing in The New England Journal of Medicine citing the case of three prepubertal boys from Denver who had developed some breast tissue. The condition is called gynecomastia. The researchers concluded that this abnormality was caused by the estrogenic effect of the miniscule amount of lavender and tea tree oil in some over the counter soap, shampoo and lotions. Their article, in a prestigious medical journal that is widely accepted as an authoritative resource, warns the medical community to caution parents about using products containing lavender and tea tree. So, is it true? Should we judge the use of essential oils based on this article? What do we tell our clients who talk about this report and ask for our opinion?
A press release by Robert Tisserand, a highly respected researcher and English aromatherapist, issued shortly after the article appeared, stated:
Derek Henley, who authored the research on which these reports are based, has said there is "not enough evidence to suggest people should stop using products containing these essential oils, even young boys," and that no firm conclusions can be drawn.
The details given about the cases are sketchy, but there is good reason to believe that tea tree oil could not have had any effect at all and that, in another case, lavender oil could not have caused gynecomastia. Further, the researchers failed to check for chemical hormone disruptors, such as parabens, pesticides and phthalates that may have been in the products concerned.
Laboratory testing did show evidence that both essential oils had an estrogen-like action, and this had not been previously reported. However, it cannot be assumed that the same (affect) will happen in humans. Any correlation between the laboratory testing and the three cases in question is, at best, circumstantial.
Prepubertal gynecomastia is an extremely rare condition. Both lavender and tea tree oil are present in aromatherapy cosmetics used by millions of people, who should be assured that they can continue to use them safely."
In a four-page letter to The New England Journal of Medicine, citing previous research on tea tree oil and asking for a retraction, the Australian Tea Tree Industry Association (www.attia.org/au) states:
When such science is amplified by publication in a respected journal, and the media beats up the story, it has damaging consequences all out of proportion to the facts. This article was uncritically reported around the world causing alarm and commercial impacts and fear. Is this responsible?
The journal refused to retract or to print the ATTIA letter and accompanying research article.
The lavender and tea tree information was closely followed by a report from Tony Burfield of www.cropwatch.org that the European Union cosmetic regulators were going to effectively eliminate the use of citrus oils in perfumes. "In our view, this once more confirms the Brussels 'anti-naturals' fragrance ingredients machinery is operating in overdrive, becoming a vendetta of scandalous proportions." Yes, citrus oils are known to contain a chemical that increases sensitivity to sunlight; however, citrus oils have been used for centuries in perfumes and personal products. A list of the fragrances alone that will be affected carries many famous names, old and new. And what this decision might do is put citrus oil producers out of business, so it won't just be the perfume industry that is affected.
Our concern here is practicing massage with essential oils in a safe way. In previous articles, I have said that I prefer to use essential oils in diffusion only for children under 7 years of age and in highly diluted amounts (i.e., up to three drops per oz of carrier oil) for those between 7 and 12 years of age. The ratio of essential oils to other components in over-the-counter personal products is much lower than this. As an active member of the aromatherapy community for 20 years, I have heard of a problem using lavender and tea tree on children. Nor have I been told of medical research that supports such a warning - and there is extensive medical research on essential oils. Nor have I heard evidence linking citrus oils to major health issues.
I don't plan to stop using these oils now and I encourage you to continue to use them with the proper dilution and consideration for allergy/sensitivity, age and other safety issues such as pregnancy. For more information, please read my previous articles in the archives or go to www.naha.org and search the safety section and frequently asked questions.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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