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The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
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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