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The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
February, 2008, Vol. 08, Issue 02
Helping You Choose Wisely
By Angie Patrick
In my years of experience in the massage-supply business, I have had the tremendous opportunity to meet and speak with literally thousands of massage therapists. I often am asked questions about professional-grade products and how to know when it might be time to make a change. When I began in the industry years ago, there were only a couple of major players in the lubricant field, so the choices were not so difficult to make. But now, as our industry has grown and prospered, so have the choices in lubricants. My intent in this article is not to promote any specific brand, but rather give you some pointers so you can make the right decision for your own practice.
My first piece of advice: Always use professional-grade products designed and manufactured for professional massage therapist use. Products found in drug stores, discount chains and grocery stores are typically not designed for use on a professional level. Keep in mind you will be in contact with this product every day, with your hands immersed. You want to make sure the products you choose are designed for this type of extended exposure to skin and that it's not irritating to your skin after prolonged exposure.
Changes in skin-care technology have prompted many changes in lubricant markets. Manufacturers have become far more savvy in the ingredients they use and the overall effect the products have on the skin. In other words, it's OK to branch out and try something new because there is so much out there now. It's just a smart idea to stay in touch with new ideas in lubricants. Here are a few tips on how you can try new products without breaking the bank.
When looking for new products, it's always smart to ask your supplier if they happen to have any samples. Manufacturers sometimes will supply their distributors with sample-size products to try. In the event there are no samples, I would suggest you buy the smallest available size of the product in order to give it your evaluation. In most cases, once you break the seal on a product, it cannot be returned. This is the best reason I know to buy the smallest size on the first try. You can always buy a larger size if you like the product. Even if you have used the same lubricant for years, it never hurts to branch out a bit and see what else the market has to offer.
How should I care for my lubricants? This is a question I get asked all the time. I have to say, it's always best to avoid extreme temperatures. I have heard of therapists who have left their products in their cars for months during searing heat and bitter cold, and then wonder why it separated or smelled "funny." You should care for your lubricants by providing them storage in a temperate location not prone to climate changes. Oils like the dark, so a cabinet or closet works well. Avoid prolonged exposure to sunlight.
How do I know when my lubricant has "gone bad?" Most manufacturers provide information regarding the shelf life of their products. In some cases, you may even see an expiration date printed on the bottle or jar. You will want to avoid using any product that has an undesirable odor. Oils can sometimes have a faint "cooking oil" smell when they begin to turn. Lotions and crèmes can give an unpleasant smell that somewhat resembles "plastic," for lack of a better descriptive. Of course, should you see any discoloration or growth on the inside of the container or cap, you should discard the product immediately.
One way you can help inhibit the growth of bacteria in your lubricants is to avoid cross-contamination of the product. Never use your hands to dip product from a larger container to a smaller one. Always use a clean spoon or spatula. This will prevent bacteria that live on your skin from being transferred to the product.
Whether you decide to use an oil, lotion or crème, it's always important to make sure you have asked your client about any allergies they may have. Occasionally, you will have a client who may have a pronounced allergy to an ingredient found in your lubricants - most commonly nuts. Be sure you have asked the proper questions on your intake form so you can avoid your client having an uncomfortable reaction.
This brings us to the question, "Which lubricant type will work best for me?" This will depend largely on the type of massage you want to perform. Each type of lubricant has its own special properties that aid the therapist in treatment. Oils can be used for any modality in which you will need extended glide. Oil provides the least amount of friction and is widely utilized for Swedish massage. Seed oils and nut oils are widely used; however, I would again stress the importance of making sure your client has no allergies to the ingredients in the oil you use. Lotions and crèmes are better suited for modalities that do not require a great deal of glide but instead utilize grip. You will want a product that will allow you enough glide to warm the tissue, but finish with enough grip as to allow you to work the tissue below the skin.
Finally, "How do I clean my sheets and avoid staining?" This is a concern for therapists and spas alike. Once your sheets are stained, you really cannot use them again because your clients will have the impression they are unsanitary. So, how do you care for them? There are detergents on the market made especially for the removal of oils, creams and lotions. You can surf the Web site of your favorite massage-product supplier and find a number of eco-friendly and lubricant-specific detergents designed to break down and remove the residue. Also, many manufacturers are using ingredients that make the products "water-dispersible," which certainly helps when it comes time to do laundry!
I encourage you to check out all your options and begin your journey of exploration. There are so many wonderful and exciting things appearing on the market every day; you owe it to yourself to stay in the know and be informed about the newest advancements and product breakthroughs in the industry. It's a big sea of options out there; happy fishing!
Click here for more information about Angie Patrick.
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