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Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
Highlights from the Aromatic World: News from the AIA Conference
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.