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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.
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.
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.
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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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."
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.
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.
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.
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.
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.
December, 2013, Vol. 13, Issue 12
Highlights from the Aromatic World: News from the AIA Conference
By Shellie Enteen, RA, BA, LMBT
I was invited to attend the Alliance of International Aromatherapists (AIA) conference, "Expanding Aromatherapy," held in St. Petersburg, Fla., by my long-time friend and author/educator Sylla Sheppard Hanger.I participated in her talk "Start Me Up – Confessions of a Vintage Aromatherapist." My part was to receive her badge of acknowledgment as one of the pioneers of aromatherapy in the United States. Having begun studies and practice in the 1980s, I qualified. Also to get special acknowledgment were those who had really led the way, beginning in the 1970's. Sylla is one of them, but so were my mentors in South Florida, Gerri Whidden and Pat Ashford, who own and operate what is thought to be the oldest shop offering true essential oils in the country.
I went a day early to hear the esteemed Robert Tisserand deliver a preconference workshop. Robert, an author, educator and international speaker in this field with more than 40 years of experience, spoke on the "hot topic" of the day: Clinical Safety for Aromatherapy: The Way Forward. Much of his information came from his latest book, Essential Oil Safety. It's a very large text in which he and his co-author cover a lot of ground, including a great deal of the research, resulting clinical indications for using essential oils and also a fair evaluation of the risks. One key point he mentioned is that research studies cannot be considered the final word in accuracy about how an essential oil will work in practice. Essential oils behave differently when applied than they do in a Petri dish. And because there are many chemical components in each essential oil, research is not studying a single agent, acting alone. He also spoke a great deal about exposure of usage regarding safety issues. An example of this is his recommendation to limit exposure by diffusing only for an hour, leave off for an hour, and if diffusing for an hour again, using a different blend. Symptoms of overexposure can include changes in breathing, heartbeat and headache.
Unfortunately, this whole talk is not recorded (some of the speakers have CDs for sale) and is not in the Proceedings of the Conference. However, his second talk on "Safety Scares and Myths" was a shorter, more lighthearted approach that covered some of his workshop points and is in this professionally produced volume that can be purchased from the AIA (www.Alliance-Aromatherapists.org). I highly recommend this as a good representation of current thinking in this field, covering a wide spectrum of focus, from the purely scientific to the subtle and spiritual, from the physiological to the cosmetic application. While it can't convey the total content of any speaker's presentation, it does deliver a lot of wonderful information from a well-chosen selection of experts in their field.
One very interesting talk well covered in the Proceedings was given by Valerie Cooksley, RN, author of Aroma-Balneotherapeutics: Aromatic Medicinal Bath Therapies. Apart from the wonderful information on bath methods and their effects and recipes for certain types of baths, I was intrigued to hear of a new development: the oil dispersion bath. Developed in Germany and following the philosophy of Rudolf Steiner, it uses the new Jungebad Apparatus which is capable of creating a vortex that produces diluted essential oils in minute particles that are uniformly dispersed throughout the water for the duration of the bath. That is a huge breakthrough to address the old issue of "oils and water don't mix."
However, despite the representation of many diverse subjects, my personal observation is that the polarity between the scientific and the intuitive approaches to aromatherapy has grown. It is hard to imagine how it has gone this far since this is a profession that was practiced for thousands of years before the invention of the microscope made chemical components available. I was glad that in his talk on "The Qi, Prana and Pneuma of Essential Oils," Gabriel Mojay tried to bridge this gap by reminding the audience the first people to distill both Rose and Rosemary oils were alchemists. It seems to me that in going so far toward science and a reliance on chemical components for selection, we are losing the "essence" of the essence and getting too far into the attitude and arena of allopathic medicine.
I have been concerned about the growing need for aromatherapy professionals to be accepted by the western medical community and very distressed at the growing number of those with little education and no credentials suggesting ingestion and undiluted use of essential oils, along with the growing number of incident reports that have resulted. I feel that we both jeopardize our practice (scope of practice) and our ability to obtain and use essential oils (unwanted scrutiny from government agencies) by routinely offering essences in this way. Unfortunately, my worries were substantiated at this conference by a news report to the group, delivered by fellow Vintage Aromatherapist Marge Clark. She told us the FDA had stopped a shipment of Geranium from being delivered from Africa because, "a website had suggested it supported a certain condition." (It wasn't the website of the purchaser awaiting this delivery.) And because of this, the FDA said it now considered this to be an "untested drug" and the purchaser had the choice to either destroy it in front of an FDA agent or send it back to Africa. There are plans afoot to create a petition to the FDA about this, but I do wonder how this will be able to counter the many medical claims proliferating on the Internet through suppliers and practitioners.
Still, it was wonderful to spend time in the aromatherapy community, seeing old friends and making new ones. And I am happy to say that many of the vintage aromatherapists are taking their many years of experience and education to mentor others on several Facebook lists. One of these is "Learning About Essential Oils," moderated by Lea Harris. It's a good time to stay in touch with the latest news in aromatherapy.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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