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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.
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.
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.
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.
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.
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.
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."
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
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.
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.
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.
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.
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.
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.
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.
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.
November, 2013, Vol. 13, Issue 11
Healing with Simple, Healthy Food
By Aimée Gould Shunney, ND
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As massage therapists, you know the power that regular self-care has for your clients.When they make time for stress reduction, keep to their exercise regimen and eat well, they report less pain, better energy and deeper satisfaction with their lives. Yet these simple dietary and lifestyle measures are often overlooked in conventional medicine.
Nutrition, for example, has somehow become "alternative medicine" to many. What could possibly be more fundamental to health than the food we put into our bodies? As a naturopathic physician, diet is an integral part of every treatment plan I create. Whether a patient comes in for aches and pains, hormone imbalance, depression or elevated cholesterol, proper nutrition is essential to helping them reach their unique health goals. While there are many "super foods" available to us, I find that there are five food groups I repeatedly recommend for their stellar nutritional performance. Be sure your clients (not to mention you and your family) eat plenty of these foods to feel great today and reduce the risk for chronic disease tomorrow.
Eat a Rainbow
You can actually follow the rainbow on your plate to the pot of gold at the end. As luck would have it, eating a diet rich in fruits and vegetables is your best bet for reducing your risk for virtually every chronic disease. In addition to the vitamins and minerals in these foods that provide nutritional support for optimal function, research has shown they also contain phytochemicals that include pigments such as carotenes, chlorophyll and flavonoids, which have potent health effects including protection against cancer.
By filling your plate with a variety of colors including red, orange, yellow, green, blue and purple, you'll be giving your body the full spectrum of pigments, each with their own powerful antioxidant effects and health benefits. Some highlights worth mentioning are sweet potatoes, berries and dark-green leafy vegetables.
Sweet potatoes are very high in vitamin C and beta-carotene, a safe-to-consume version of vitamin A. Higher dietary intake of carotenes have been shown to reduce the risk for certain cancers, heart disease and eye issues. Unlike many other starchy vegetables, sweet potatoes have actually been shown to help stabilize blood sugar and are, therefore, a delicious treat for those trying to control diabetes or lose weight.
The reds, blues and purples of berries indicate their high flavonoid content. In addition to their potent antioxidant effects, flavonoids have impressive anti-inflammatory, anti-allergic, antiviral and anticancer properties. Berries are a great way to make your morning smoothie delicious (try adding organic frozen berries) and, like sweet potatoes, are a healthy sweet for those watching their blood sugar.
Dark-green leafy vegetables are a great source of calcium, in addition to containing both carotenes and flavonoids. Many of these – kale, collards, broccoli, Brussels sprouts, mustard greens – are also part of the cruciferous vegetable family. These foods are worth special mention because they have more phytochemicals with demonstrated anticancer effect than any other food family.
Preliminary studies suggest the average person would need to eat about 2 pounds of broccoli (or other cruciferous veggies) per week to see significant cancer risk reduction. Since the cancer-fighting compounds are more concentrated in the less-mature plants, the same reduction in risk theoretically might be seen with just a little over an ounce of broccoli sprouts each week.
Look for them at the farmer's market or next to the alfalfa sprouts at your local health food store. Cruciferous vegetables are also formidable antioxidants that improve the body's ability to detoxify, support estrogen metabolism and help eliminate toxins.
The Power of Fish
Fish contain long-chain omega-3 fats called EPA and DHA. These essential fats must be taken in from our food, as we don't make them ourselves. As it turns out, these omega-3s are incredibly important for every aspect of our health, especially when it comes to decreasing chronic inflammation in the body and therefore, reducing our risk for chronic diseases like heart disease, diabetes and cancer – the top three killers in the U.S. Omega-3s have also been shown to support mood and memory, reduce allergies and decrease pain.
When I was in medical school, I was taught that omega-3s could be supplemented as fish or flax (walnuts, hemp, chia, etc.). Research in the past 15 years, however, has shown that we don't reliably convert the short-chain omega-3 fats found in plant sources to the long-chain EPA and DHA that have been so well-studied for their health benefits. To get a reliable source of EPA and DHA, you need to eat fish or take a pharmaceutical-grade fish or algae oil supplement.
In addition to the omega-3s in fish, it is an excellent source of protein and dense nutrition including the minerals iodine and selenium. Wild Alaskan salmon, sardines, anchovies, herring, mackerel and Arctic cod are among the fish that pack the best omega-3 punch.
Most people need at least one serving of fish daily to balance their omega-6 fat intake (another essential fat with equally important, but pro-inflammatory effects that is found in meat, dairy and vegetable oils); and frankly, many people require more. In this case, supplementation is often necessary. I generally recommend 1,200 mg to 1,500 mg combined EPA+DHA daily, although I often dose higher amounts based on the person's diet and general health issues.
These foods provide live CFUs (colony- forming units) for the gut. These beneficial bacteria help prevent bacterial and yeast overgrowth, support digestion of fiber, promote bowel regularity and enhance immune function. Recent research even suggests balanced gut flora positively impacts mood. You can consider taking a probiotic supplement, but eating fermented foods like yogurt (look for those containing live cultures), sauerkraut, kimchee, miso, tempeh and kombucha can also add a delicious twist to your diet while promoting optimal health.
Do you know that we don't make a single mineral in our bodies? That means we have to get them from our food. Sea vegetables or seaweed have many times more mineral content than land vegetables, offering the broadest range of minerals of any food. They also contain lignans that have anticancer and hormone-balancing properties and fucans, which can reduce the body's inflammatory response.
Easy ways to get sea vegetables include eating sushi or buying nori sheets and eating them as snacks or as a "tortilla" to wrap hummus, black bean dip and/or cut veggies. You can also cook beans, soups and stews with kombu and then discard it when done. The minerals will get infused into the food (which will also make beans, etc., easier to digest). Lastly, you can use kelp flakes as a condiment to sprinkle on your food instead of salt.
Cooking with spices to improve the taste of your food can also provide potent health benefits. Cayenne is an effective pain reliever, helps digestion and supports a healthy heart. Cinnamon has been shown to help reduce fasting blood sugar, triglycerides and cholesterol. Ginger is a powerful digestive aid and a potent anti-inflammatory. It has also been shown to decrease nausea and alleviate menstrual cramps.
Turmeric packs a hefty antioxidant punch and has been shown in many studies to reduce inflammation. It holds promise for both the prevention and treatment of various cancers, as well as in the prevention of heart disease and as a brain-protective agent. And of course, don't forget garlic and onions, which reduce inflammation, support heart health and promote healthy detoxification. Figuring out how to integrate these foods into your daily life is key.
Dr. Aimée Shunney is in private practice in Santa Cruz and Campbell, Calif., where she blends conventional medical diagnosis and treatment with the use of natural therapeutics. Dr. Shunney specializes in women's health, functional endocrinology and family medicine. She is also co-host of "Green Tea & Honey," a podcast about integrative medicine, delicious food and the joys of eating; and co-creator of Cleanse Organic, a 28-day fully supported whole-foods cleansing program designed to optimize health and create sustainable healthy living choices. She currently serves on the Nordic Naturals Advisory Board. Visit www.drshunney.com to learn more.
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