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Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
January, 2010, Vol. 10, Issue 01
Go Green for a Healthy Office
By Shellie Enteen, RA, BA, LMBT
Our clients come to us to achieve a state of wellbeing, part of which includes receiving massage in a safe, healthy environment. In massage school, we were taught the importance of keeping our office, table and linens clean and sanitary.We were introduced to the list of universal precautions and made aware of our responsibility to keep ourselves and our clients free of communicable disease. But what about the toxins that are found in commonly used commercial cleaning products? Are our best efforts to keep a clean environment also creating side effects that are a health hazard?
How Toxins Manifest
Researchers tell us that the air inside our tightly sealed home and office is often more polluted than the air outside due to trapped fumes from these products as well as from commonly used scented candles, chemical air fresheners or fragrances. What are these toxic substances and what effects do they have? In the article "Toxins in Household Cleaning Products," (http://green.wikia.com/wiki/Toxins_in_Household_Cleaning_Products) we are told that despite being highly diluted, these substances are "bioaccumulative, meaning the chemicals do not purge easily from the body and, over time, even mild exposures can add up to toxic levels." These toxins manifest in three ways:
Common cleaners and other products found in any home or office such as deoderizers, plastic food wrap, and moisturizers can be sources of these lurking toxins. The following are considered the main culprits:
Formaldehyde. Formaldehyde is commonly known as a preservative. Many people do not know that it is also a germicide, bactericide and fungicide, among other functions. Formaldehyde is found in household cleaners and disinfectants. It is also present in nail polish and other personal care products. Formaldehyde is a carcinogen.
Organochlorines. Organochlorines (OCs) result from the combination of hydrogen and carbon. Some types are highly deadly, such as DDT. They are bioaccumulative and also highly persistent in the environment. OCs are present in pesticides, detergents, de-greasers, bleaches and drycleaning fluids. OCs are carcinogens and endocrine disruptors.
Styrene. Styrene is a naturally occurring substance derived from the styrax tree. Styrene is most commonly used in the manufacture of numerous plastics, including food wrap, insulated cups, carpet backing and PVC piping. Styrene is also found in floor waxes and polishes, and metal cleaners. Styrene is a known carcinogen and an endocrine disruptor. Exposure may affect the central nervous system, liver and reproductive system.
Phthalates. Phthalates are most commonly used in the manufacturing of plastics. Phthalates are also used as carriers for perfumes and air fresheners and as skin penetration enhancers for products such as moisturizers. These chemicals are classified as inert. As such, no product-labeling requirements exist. They are endocrine disruptors and suspected carcinogens. Phthalates are known to cause hormonal abnormalities, thyroid disorders, birth defects and reproductive problems.
Volatile organic compounds (VOCs). These are emitted as gases. VOCs present in perfumes, air fresheners, disinfectants and deodorizers. They commonly include propane, butane, ethanol, phthalates and/or formaldehyde. These compounds pose a variety of human health hazards. Symptoms include headache, backache, stiff joints, nausea, diarrhea, asthma or allergy attacks, dizziness, memory loss, stuttering, premature puberty, low sperm count, reduced motor skills, sudden mood swings, dyslexia, ADHD, antisocial behavior/autism and birth defects, among others.
Clear the Air
So how can we maintain our responsibility to our clients of keeping a clean environment without using toxic chemicals? There are some healthy ways to clean that are simple, inexpensive and effective. Far from causing health hazards, they will boost the immune system and have a positive effect on the mind and emotions. They do require putting the product together, but the experience and effects from cleaning this way is well worth the small effort to do so. All you need is white vinegar, baking soda, water and some antiseptic, antiviral essential oils.
Cleaning spray. For countertops, surfaces, mirrors, windows, face cradle and table, use the powerhouse antibacterial, antiviral, antifungal, antimicrobial essential oils of lavender (or lavindin, which is less expensive) and tea tree. Create a pleasant aroma by adding a citrus, spice, herb or tree essence. All of these essences also have antibacterial properties. You should use 10 mls (250 drops) of a blend of the chosen essences, with tea tree and lavender predominating. Put this into 2 cups of vinegar and pour into a 32-oz. spray bottle, then top with water. Shake well before using. For a scrub cleanser that will remove oil buildup, sprinkle baking soda on the area and spray with the cleaning blend, then clean with a soft scrub sponge.
Floors. Use the same blend, or create a pine or citrus-based blend. Add 15 to 20 drops to 1 cup of white vinegar and add that to water and damp mop. To freshen carpets, put 15 to 20 drops into 2 cups of baking soda, mix well and let stand for a few minutes. Sprinkle onto carpets (can be used on cloth-covered furniture, too) and allow that to stand for 10 minutes (keeping pets and children out of the room), then vacuum.
Get rid of commercial air fresheners and exchange your petroleum-based scented candles for unscented soy candles. Add an essence or blend to melting candle wax, create an air spray with essential oils and water, or use a diffuser with true essential oils. Try using different scents for different seasons.
Make a safe antibacterial soap that won't create chlorine gas when it hits water. You can also buy unscented castile soap (Dr. Bronner's is a good source) and add lavender and tea tree. Hydrogen peroxide can be used on its own to disinfect and remove stains.
Those who clean with natural products and essential oils have noticed the difference and get many positive comments. It can even be a pleasure to clean with natural ingredients.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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