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Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
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 more information about Shellie Enteen, RA, BA, LMBT.
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