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Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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