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Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
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 more information about Shellie Enteen, RA, BA, LMBT.
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