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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.
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.
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.
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.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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?
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.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
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.
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.
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.
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.
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.
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.
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.
November, 2010, Vol. 10, Issue 11
Essential Oil Quality and Education
By Shellie Enteen, RA, BA, LMBT
It is important to understand that since there is no regulation on essential oil production and sale in the U.S. and in many other countries, the buyer must find ways to assure to the best of their ability that the essences purchased are of good quality.And because this is important, there are also many claims made by certain companies that suggest exclusivity on quality which include misleading information about regulation. We'll examine some of those claims and discuss the best way to resource quality essential oils.
Claims and Misleading Information
The first "red flag" claim currently in use is the phrase "Therapeutic Grade". This idea is going to appeal very strongly to those in healing professions like massage. And, of course, it is best to work with essences that are of a high quality to get the effects desired. However, there is no grade system in the aromatherapy industry. An essential oil is either a pure product extracted from a plant in a traditional way ... or not. As leading aromatherapy experts point out, why would anyone want to purchase something that wasn't of high quality? Would there be a market for essential oils labeled grade B, C or D if that product actually existed?
It is true that essences grown in certain countries are considered more desirable. For example, lavender (Lavandula angustifolia) can be grown in many places but the oils from France, Bulgaria and England are preferred and lavender grown in high altitudes gives its enhanced chemistry created by growing conditions and lower temperatures used in distillation a "preferred" nod. Also, unlike most essential oils, ylang-ylang (Cananga odorata) can be purchased in four different qualities due to the distillation process itself, which pulls the oil at different stages. The first pull is called "extra" and has the most potent and pleasurable fragrance. Next is ylang-ylang I, which is slightly less expensive than the first pull but is still desirable for fragrance and properties. The two other distillation pulls, II and III, have had more heat exposure, are much less expensive, have a less impressive aroma and are used mainly to fragrance laundry powder and other cosmetic and cleaning products.
However, these two examples do not suggest there is a Therapeutic Grade in the aromatherapy industry. All of the lavenders and ylang-ylangs are either pure essential oil or they are not. The term "Therapeutic Grade" is a marketing term and nothing more. One company has advertising that includes the phrase "Certified Therapeutic Grade" but investigation reveals that is a trademarked logo. The Federal Trademark agency is not interested in the truth of the statement. One possibility that exists if the price of an essential oil is a lot higher than the average for the same product and there are exclusive and "Therapeutic Grade" claims for the essences, is that the claims are an attempt to justify the higher cost.
Another group of claims to watch out for is that the oils meet standards set by ISO (International Organization for Standardization) or AFNOR (Association francaise de normalisation) or the idea that the essence contains the sanction of being designated GRAS ("Generally Recognized As Safe") by the FDA. The details to clarify this would require more space than the Aromatic Message column can contain, but I will be happy to send that information to anyone who wishes to contact me.
The use of the gas chromatography mass spectrographic analysis (GC/MS) and the component profile it provides is employed by many companies to test for purity. It is reassuring to know that a supplier is taking the time and spending the money to have this testing done. However, it is helpful when the provider has the test done by an outside company and is willing to provide the result sheets for each essential oil. Still, because this is a test that depends on the skill, experience and knowledge of the individual who does the analysis, we should not rely on this to exclusion of the personal olfactory experience and knowledge of the intent and reputation of the company.
Guidelines for Good Quality
So then, how can one pick a company to resource essential oils? The following are some suggested guidelines to find a company providing good quality:
Despite the issues around finding good quality essential oils, I am happy to say that the industry contains many good companies sourcing their product from reputable growers and distillers. Some are even concerned with sustainability, some with sourcing organic oils. It may take some time, certainly helped along by having a quality education with a registered aromatherapist who is not motivated by selling their own oils, to find the company that will work best for personal and practice needs. It is time well spent.
Along with taking a course with a qualified and objective professional aromatherapist, becoming a member of an organization such as NAHA (www.naha.org) gives access to e-journals, e-newsletters, tele-seminars with a large number of reputable authorities in the field. Advertisers, authors and speakers are in alignment with quality standards. This access broadens both perspectives and resources and helps create the confidence needed to use this wonderful art and science in a safe and effective way.
Editor's note: Shellie is currently creating a Professional Aromatherapy online training that will qualify the student for Professional Membership in NAHA and to meet the requirements of the Aromatherapy Registration Council and their exam leading to the title, Registered Aromatherapist. Please contact Shellie for details.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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