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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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."
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.
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.
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.
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.
April, 2008, Vol. 08, Issue 04
Office Scents Make Sense
By Shellie Enteen, RA, BA, LMBT
This month's Aromatic Message is appropriate for those who don't use essential oils to enhance bodywork treatments, as well as those who do. Simply introducing essential oils into the air of your office, waiting room and restrooms can clear, uplift, protect, relax and/or invigorate, depending on which oils you choose. Major spas certainly know and practice this subtle method of influencing clients and creating the desire to return. The method is called diffusion. Inhalation is the most immediate way to deliver an aromatherapy experience on all levels, so air diffusion has as powerful an effect as applying essential oils to the body. Although you won't run into issues of skin sensitivity with diffusion, there still are some important things to know and certain safety practices to follow.
Methods of diffusion range from simple to sophisticated and inexpensive to costly. Simple methods include placing drops of a pure essential oil or blend onto a material such as a cotton ball, piece of felt or unscented potpourri ingredients and letting the aroma fill the room. An air-spray can is made using essential oils and distilled water (put essences into a small amount of food-grade alcohol, like vodka, before adding water for greater dilution of essences.) Simply spray an area briefly two or three times a day. Direct the spray onto an air intake vent and it will fragrance the whole space if heat or air-conditioning is being used.
Heat accelerates the mobility of the aromatic molecules. To take advantage of this, a potpourri pot that keeps water hot but not boiling delivers an immediate effect. Simply add drops to the hot water from time to time. Unless you are extremely vigilant, it is best to avoid the "cup over candle" method in an office or waiting room due to the hazards of fire. However, a ceramic light bulb ring to which a small amount of water is added before your essential oils is appropriate. (Turn the light on, of course!) While they seem to be an easy alternative, I have found that the type of diffusers which use a cotton pad enclosed in a device that plugs into an outlet have the tendency to burn the oil and make the aroma less pleasant. Burning also will change the properties. (To avoid the "burn," water is added first to the light bulb ring or cup over a candle.)
More sophisticated and costly methods involve the use of electronic diffusers or "nebulizers." Some of these also come with a time-release setting, which I would suggest using. The aroma of a true essential oil will not be detected once the message of the essence is sent to the brain. However, the molecules remain in the air and will be detected by anyone entering (or re-entering) the area. Constant diffusion overloads the space and leads to negative responses such as headaches, lethargy or agitation. And the amount of essential oils required for continuous diffusion is an unnecessary expense.
Some important ideas to consider when choosing an essence or blend are: Don't choose essential oils known to sedate, such as lavender, marjoram, chamomile or clary sage, which is an "intoxicant" for the waiting room or reception area. Do choose them for the treatment room, unless you are doing aromatherapy blends in your treatment. Ylang ylang causes negative responses more rapidly if diffused on a continuous basis. Be cautious when using major stimulants such as rosemary. Add eucalyptus, thyme or bergamot to blends during cold and flu season. Stay away from those that have a history of allergic response, such as flowers, grasses and pine. Instead, opt for essences that are commonly encountered in life, such as citrus, spice, woods and geranium, which is a balancing, uplifting essence and common ingredient in cosmetics. Create a signature blend or vary your essences with the seasons or your own personal needs.
If you choose quality soap with essential oils, this alone can fragrance a restroom. Drying the peels of organic oranges, limes or grapefruit, and then placing small pieces in a pretty bowl with dried rose petals, lavender buds and pieces of cinnamon, clove or anise, is another attractive, natural way to fragrance an area.
Why should you choose true essential oils instead of fragrance products like plug-ins and scented candles? Recent studies have shown that certain chemicals in plug-ins and synthetic products can cause health problems. Many people are sensitive to the synthetic fragrances in scented candles and will react with sneezing or headache, even if the candle isn't burning. A soy candle with true essences will not have this effect unless the essences are specific allergens for that individual. Your clients may not be aware of these issues or even the reason for a negative response, but they will notice and appreciate an office fragranced with pleasing, natural aromas.
Hidden Hazards of Air Fresheners (NRDC Online Newsletter)
Could the floral scent of your air freshener contain toxic chemicals known to cause birth defects? NRDC recently tested 14 different air fresheners and found that 12 contained chemicals called phthalates (pronounced tha-lāt), which can cause hormonal abnormalities, birth defects and reproductive problems. Even air fresheners marketed as "all-natural" or "unscented" contained the hazardous chemicals.In addition to phthalates, air fresheners might contain allergens, volatile organic compounds (VOCs), as well as cancer-causing chemicals such as benzene and formaldehyde.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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