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News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
April, 2012, Vol. 12, Issue 04
The Business Side of Adding Aromatherapy to Your Practice
By Shellie Enteen, RA, BA, LMBT
While I usually focus on the therapeutic benefits of adding aromatherapy to the massage session, I receive many queries asking practical questions about resourcing quality oils and the retailing potential.Here are some helpful pointers and advice on the business aspect of adding aromatherapy to a massage practice.
Important Facts About Quality
Other archived articles I have written discuss how quality and price of essential oils is based on where and how a plant is grown, how difficult it is to harvest or extract the essential oil and, of course, the ever-changing issue of supply and demand. The manufacture of essential oils is a very large and well established industry. Most of the oils produced are purchased in large quantities by the cosmetic and food industries. That leaves a much smaller portion for other buyers, like aromatherapists. Naturally, the bigger buyers get the lower prices. No essential oil retailer has exclusive access to a certain product, unless they grow their own plants, and this requires huge amounts of land in prime locations. It is highly unlikely that any company could own enough land to manufacture some 350 known extracted botanicals, or even the fifty most commonly used in aromatherapy. In fact, no such retailer exists. For the most part, there are long established, well known suppliers who service a growing number of retail essential oil companies.
How Much Will it Cost?
True essential oils will have different prices for the same quantity. In other words, 10 mls of Lavender (Lavandula angustifolia) might cost $16 or more, while 10 mls of Orange (Citrus sinensis var dulcis) costs $6 or less. The price of certain essences, such as Rose (Rosa damascena) at $45 or more for 5 ml, or Chamomile (Anthemis nobilis or Matricaria recutita) at $22 to $33 or more for 5 mls, might discourage therapists from purchasing and using these very helpful substances. But we must realize that we work with drops, not whole bottles. And we may add only one or two drops of these more expensive oils to the massage blend. Once the cost per drop is discovered, the costlier oils might be within reach.
It is very easy to calculate how much it costs to use each essential oil by dividing the price, by the number of mls to get the one ml price, and then dividing this by 25 as the number of drops in a ml (an approximate measure that is standard). Example: Lavender 16.00 divided by 10 mls = 1.60 per ml, 1.60 divided by 25 drops = 0.064, a little over six cents a drop. If you used 5 drops of Lavender in a 1 oz carrier oil blend, it would cost 0.064 x 5 or 32 cents. A drop of Rose would be 36 cents (45 divided by 5 = 9.00 per ml, divided by 26 equals 36 cents per drop). You might use one drop in the blend, possibly two. Generally speaking, the cost of any blend that includes some essences that are less expensive per drop and some that are more costly will come to or under $5 (including factoring in the cost of the carrier oil). In order to cover the cost or make a profit, it is necessary to charge at least $5 to $10 to add aromatherapy to the massage session. $10 is really best, as the client is also paying for your education and expertise in creating the blend.
How can you resource quality you can trust?
Apart from high profile multilevel companies whose prices can be much higher due to payments for the upline, there are many very reputable companies who retail essential oils. If you research resources online and find a company that belongs to a major aromatherapy organization like the National Association for Holistic Aromatherapy (NAHA), (which gives you information including Latin binomial, country of origin, method of extraction and says their oils are periodically tested by GCMS analysis), there is a good reason to trust their quality. Further investigation of other such companies will show that prices for specific essences will be very similar. Pay close attention to the Latin binomial to be sure you are looking at the same plant. A wide difference in price for the same amount might indicate a different plant, method of extraction or country of origin, or a specific chemotype. If you see a company with very low prices on essences that are usually costly, it is unwise to make the purchase, even though the price is tempting. Very low prices (unless wholesale or wholesale direct from distiller) frequently indicate a diluted or adulterated product.
Can I retail essential oils in my office?
Many massage therapists will not have the time to deal with all the issues of creating their own essential oil company. Apart from legal matters to register the business name and get the retail license, there is the time consuming process of resourcing and storing wholesale bulk essences, bottles and other apparatus. Then there is pouring them into smaller bottles, and labeling with the right information to provide protection from lawsuits. If you don’t wish to dedicate that kind of time, there is the potential to represent an essential oil company. Naturally, your profits are smaller, but so is your workload and your potential liability. If interested, contact me for the names of reputable companies that have representation opportunities.
Other than retailing the essential oils themselves, you can charge a higher amount for the aromatherapy massage if you utilize a custom blend and give what is left over to your client to take home. Inclusion in the session cost circumvents the whole issue of retail. If you are going to do this, make sure you clean off the plastic massage bottle, or pour into a glass bottle with a dropper insert. An individual blend can be added to bath salts or used on the body. Also be sure to provide instructions for use which include adding to the bath and the fact that once the essences are in the carrier, they need to be used within a month. Be sure to keep a record of the blend recipe. Your client might ask you to use it again.
It is important to remember that most massage insurance coverage does not extend to any essential oils or blends that you sell. It will usually cover any reaction to an essence used during treatment, unless the treatment includes a method that is recognized as unsafe use. Be sure to check with your insurance to find out if it covers techniques that are done with undiluted essential oils.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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