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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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