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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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