Tag Archives: essential oil

Vibrational Healing with Aromatherapy

Do you know…… The aura is an electromagnetic force field that surrounds all living things in both the animal and plant kingdom and interpenetrates the physical body. Everything is made up of energy and has a vibrational frequency which is the rate at which vibration occurs and it could be changed. Our body attunes to its surroundings. That’s why it’s important to surround with things that have a positive frequency or vibration (vibes or awareness). Any energy disturbances i.e. the

         Vibrational Healing with Essential Oil

change in the harmonious coherent frequencies of the subtle body due to any physical or emotional or organic imbalance, precede the appearance of disease and illness in the physical body. This blockage of the flow of life energy can be characterized by inflammation, irritation, and illness. The frequency of human body can be measured by a Biofeedback machine, that usually operate by detecting skin temperature, muscle tension, and/or brain wave activity.

According to researchers in Washington, using Tainio Technology, the vibrational frequency of Essential oils are the highest of any other measured natural substances. Essential oils have been used for centuries for their healing and medicinal properties. Through the principle of entrainment, the oil’s higher frequency will raise the vibratory quality of the individual. For example;

Rose oil is typically cited as the highest frequency essential oil, resonating at 320 MHz (although some research has indicated that Idaho Blue Spruce can reach up to 580 MHz). Frequencies of some common essential oils:

Frankincense: 147 MHz

Lavender: 118 MHz

Myrrh: 105 MHz

Sandalwood: 98 MHz

Angelica: 85 MHz

Peppermint: 78 MHz

Basil: 52 MHz

A healthy body typically has a frequency ranging from 62 to 78 MHz, whereas disease sets in at 57 MHz. Fresh produce and herbs vibrate from 20 to 27 MHz, whereas dry herbs carry a frequency between 12 and 22 MHz. Canned and processed foods have no measurable frequency (0 MHz).

Based on the information, by changing your food choices and by smelling, diffusing, and topically applying high quality Essential oils, you can almost immediately increase your vibrational energy for your well-being.

 

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment

Workshop: Manage Insomnia with Essential Oils

Workshop:
Manage Insomnia with Essential Oils
        with Uma Bagadia of Aroma Wellness

Lack of sleep is a problem for millions of Americans. Sleep deprivation not only causes tiredness, but can eventually lead to chronic agitation, depression, dizziness, and headaches.
Attendees will learn;-What is Essential Oil?
-How to tap into the healing power of Essentials Oils through Aromatherapy?
-How to improve the quality of better night sleep with calming-relaxing essential oils?
-DIY Insomnia Essential Oil recipe demonstration.

Date/Time: Thursday, July 11, 2019, at 6:30pm to 8:00pm
Venue: Village Wellness Brookfield, 18720 Pleasant St., Brookfield, WI 53045
Early-bird discount $25, until July 9, 2019. At the door $35

Uma is the Founder of Aroma Wellness. She is a Certified Clinical Aromatherapist, very passionate and dedicated to create practical awareness towards the natural remedies using Essential Oils for Chakra Balancing and resolving most persistent problems of human body, including stress.
Uma has 22+ years of experience in the US healthcare system, working as a Medical Technologist(MT-ASCP) for major hospital systems in Wisconsin. She accomplished her MBA studies from UW-Milwaukee and Masters in Genetics from India, with keen interest in teaching-learning, focused upon a key role of Aromatherapy as an alternative-holistic approach for cure of the recurrently growing day- to-day human health problems in the present stressful mechanized world.

Medicinal Properties of Castor Oil

Do you know………. Castor oil is a translucent multipurpose vegetable oil with a yellow tint. It is produced by cold pressing the seeds of the Ricinus communis (Castor seeds) plant, which is native to Africa and Asia. Ninety percent of its fatty acid content is a specific, rare compound called ricinoleic acid and thought to have anti-inflammatory, antimicrobial, anti-bacterial, moisturizing, and some other useful properties.

            Benefits of Castor Oil

Folk healers worldwide have used castor oil to treat a wide variety of health conditions for thousands of years and have been commonly used in traditional Ayurvedic medicine. Now, still Castor oil is used for a wide range of industrial, cosmetic, and medical purposes and has become a trendy budget beauty buy. It can be used both topically and internally in low doses.

Common uses of Castor Oil:

  • Castor seed oil is most widely used in small quantities as a laxative (a purgative). The presence of ricinoleic acid helps in the digestion process by ensuring regular bowel movements and promoting nutrient absorption. It can be a very effective treatment for extreme cases of constipation, irritable bowel syndrome (IBS), cramping, edema, and leaky gut syndrome.
  • Castor oil can be consumed in case of nausea or chronic vomiting.
  • It can be used topically on skin and hair, in order to increase the luster, shine, and nourishing scalp from drying.
  • It stimulates tissue growth and is often used on wounds to speed healing and prevent infections.
  • Castor oil is anti-inflammatory due to its ricinoleic acid that helps with inflammatory disease such as rheumatoid arthritis, psoriasis and muscle aches.
  • Its antifungal properties may help fight off Candida, keeping the mouth healthy.
  • Castor oil has strong immune-enhancing effects by supporting the body’s lymphatic system.

Castor oil can have a few side effects, like:

Pregnancy: If administered to pregnant women in higher dosages, can cause excessive pelvic contractions which can lead to a miscarriage or premature delivery.

Skin: The skin can sometimes break out and have an allergic reaction when exposed to castor oil.

Digestive issues: Taking too much castor oil internally can cause diarrhea or cramping.

 

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment

Chakra, Yoga, and Essential Oils

Do you know……… According to traditional Indian medicine and Vedic scriptures, there are 72,000 Nadis in human body. The Nadis refer to the network of channels through which the Prana (energies of the Subtle Body) said to flow. For a healthy body and mind it is important that prana flows in the body freely. When there is blockage or hinderance in the flow of prana, it messes up the whole system (creates Vyadhi). Out of all Nadis, 3 of them have special importance – IDA, PINGALA and SUSHUMNA

Sushumna: is the central channel that runs vertically from the base of the spine to the top of the head.

Ida: terminates in the LEFT nostril and is cooling, feminine, and calming. It has lunar energy and is associated with introverted qualities in the right hemisphere of the brain.

Pingala: terminates in the RIGHT nostril and is heating, masculine, and energizing. It has solar energy and is associated with extroverted qualities in the left hemisphere of the brain.

Ida and Pingala Nadis cross along the central Sushumna Nadi. The points of intersection of these 3 Nadis, makes a whirlpool of energy along the spine, called Chakras. We and everything around us is made up of energy. It includes layers of energy fields that surround the physical body. These interconnected metaphysical layers create the body’s electromagnetic field, also known as its aura. This energy connects us to one another, to the universe, allows us to attract love, health, positivity and joy. The energy rises from the base of the spine to the crown of the body. There are 7 main chakras in the human body:

Mooladhara (Root) Chakra: .is the first chakra at the base of the energy system, If a person operates from this energy center, then the person seeks security and focuses on survival.

Swadisthana (Sacral) Chakra: Considered the gate chakra for all fluidity. A person operating from the sacral chakra seeks pleasure and sex.

Manipura (Solar Plexus) Chakra: To foster positive energy for personal transformation and to keep belly fire at a control. If the energies are around manipura (behind Naval), then that person is a doer and enjoys power. Till here all the Chakras are found in other species also.

Anahata (Heart) chakra: Promote peace and harmony between your physical and spiritual worlds. The energy from the heart center emits pure love, creativity making the person very loving.

Vishuddhi (Throat) chakra: To purify your being and keep your emotional self-balanced. If your energies are dominant in vishuddhi (throat), you become non- judgmental.

Ajna (Third Eye) chakra: To purify your being and keep your emotional self balanced. If your energies are dominant in the third eye, a person is intellectual, intuitive and lives in harmony with everything around.

Sahasrara (Crown) chakra: People who attain enlightenment are represented with the halo. This is the ultimate state which you want to attain.

Collectively, our chakras keep us healthy and whole. When we experience “off” times in our lives or keep attracting “losers and negativity” into our personal world, it is generally a sign that chakras are misaligned or blocked. Unbalanced chakras can lead to a variety of physical, mental and spiritual ailments, dysfunctions as do each of the vital organs connected to the out-of-balance chakras. Chakra Balancing could be attained by the use of Essential Oils, Yoga, Reiki to facilitate healing benefits:

Alleviates tension and apprehension

Ability to heal physically, emotionally, mentally, and spiritually

Ability to increase self-worth through greater self-confidence

Capability to connect to others on a deeper, more spiritual level

Rebalances the body’s entire organ function

Improves Physical, emotional, and mental Imbalances

Essential Oils are natural, volatile, concentrated extract of different parts of plants and contain therapeutic properties. It has been used since ancient times for healing, health care, beauty products, meditation, etc. Essential Oils promote health of body, peacefulness of mind, helps a person get in touch with their true selves, by working in conjunction with olfactory system. Following essential oils could be used in attaining the chakra balance in our body:

Root Chakra: Sandalwood, Juniper, Patchouli, Vetiver
Sacral Chakra: Ylang-Ylang, Cypress, and Myrtle
Solar Plexus Chakra: Lavender, Fennel, Sandalwood, Cardamom, and Champa flower
Heart Chakra: Lavender, Rose, Geranium, Rose otto, Neroli, and Bergamot
Throat Chakra: Frankincense, Lemon, Bergamot, Chamomile
Third Eye Chakra: Basil, Camphor, Rosemary, Lavender
Crown Chakra: Lavender, Neroli, Frankincense

Yoga is another basic way to balance each chakra because it creates alignment in the physical body like essential oils. Practice simple Yoga postures and controlled breathing (Pranayama) to cleanse, balance and open the Chakras; Forward bend for the Root chakra, Triangle pose for the Sacral chakra, Mountain pose for the Solar Plexus chakra, Cobra pose for the Heart chakra, Shoulder stand for the Throat chakra, cat/cow pose for the Third Eye chakra, and the Tree pose, head stand for the Crown chakra.

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment

Workshop: Self-care with Aromatherapy

Workshop: Self-Care in Daily Routine with Aromatherapy  

with Uma Bagadia from AromaWellness

During this informative, engaging presentation, Attendees will learn about:

  • What is Essential Oil?

      Self-Care with Aromatherapy

  • How to tap safely into the healing power of Essentials Oils through Aromatherapy?
  • How to incorporate Essential Oils for Self-care in daily routine with healing affirmation and intention?
  • What does Self-care mean; being selfish and arrogant or empowerment and believing in yourself?

Date/Time: Tuesday, June 18, 2019, at 7:00pm to 8:30pm

Venue: Village Wellness Brookfield, 18720 Pleasant St., Brookfield, WI 53045

Early-bird discount $25, until June 16. At the door $35

Uma is the Founder of Aroma Wellness. She is a Certified Clinical Aromatherapist, very passionate and dedicated to create practical awareness towards the natural remedies using Essential Oils for Chakra Balancing and resolving most persistent problems of human body, including stress.
Uma has 22+ years of experience in the US healthcare system, working as a Medical Technologist(MT-ASCP) for major hospital systems in Wisconsin. She accomplished her MBA studies from UW-Milwaukee and Masters in Genetics from India, with keen interest in teaching-learning, focused upon a key role of Aromatherapy as an alternative-holistic approach for cure of the recurrently growing day- to-day human health problems in the present stressful mechanized world.

 

Aromatherapy Application for PTSD

Do you know……. Today, Monday, May 27th, we Americans across the country, will remember the brave men and women who sacrificed their lives for our country, for our freedom, for our safety, so that we can sleep peacefully. We salute and applaud our Military Personnel. “Memorial Day isn’t just about honoring veterans, its honoring those who lost their lives. Veterans had the fortune of coming home. For us, that’s a reminder of when we come home we still have a responsibility to serve. It’s a continuation of service that honors our country and those who fell defending it.” -Pete Hegseth

On this Memorial Day, I thought of talking about PTSD. What is PTSD (Post Traumatic Stress Disorder)? It is a psychiatric disorder that can occur in people (of any ethnicity, nationality or culture, and any age) who have experienced or witnessed a traumatic event such as; a natural disaster, a serious accident, a terrorist act, war/combat, rape or other violent personal assault. PTSD affects approximately 3.5 percent of U.S. adults and women are twice as likely as men to have PTSD. Military personnel are among the most at-risk populations for exposure to traumatic events and combat-related stress disorders.

 

It is natural to feel afraid and be in emotional disharmony during and after a traumatic experience. Re-experiencing symptoms, from the person’s own thoughts, feelings, anger, distressing dreams, objects, flashbacks, or situations, could trigger the past and may cause problems in a person’s everyday routine, relationships. Not everyone exposed to a traumatized event is diagnosed with PTSD. Most people recover from initial symptoms naturally. Those who continue to experience problems may be diagnosed with PTSD. People who have PTSD may feel stressed or frightened even when they are not in danger. Negative thoughts and feelings about oneself or others (e.g., “I am bad,” “No one can be trusted”), ongoing fear, horror, anger, guilt or shame, less interest in activities previously enjoyed, feeling detached or estranged from other, being irritable and having angry outbursts, behaving recklessly or in a self-destructive way,  being easily startled, lack of sleep and concentration

There is need for comprehensive interventions based upon both Neuroscientific

               Aromatherapy for PTSD

information and new integrative care modalities. Individuals with PTSD are often  treated with psychotherapeutic drugs, but it should be handled in conjunction with other safe alternative healthcare approach like clinical Aromatherapy. Though, several research are being conducted to validate the effect of aroma on PTSD and emotional distress, we are familiar with the therapeutic properties of Essential Oils and their physiological effects on brain to heal the mind-body. Essential oils directly impact the brain’s Limbic system where Amygdala is located. This is the region of the brain that activates our fight and flight response at the time of danger and trauma. Special blends of essential oils as well as applying oils to specific points (acupoints) on the body help to calm the nervous system and to harmonize our Qi (energy or life force of the body) and Shen (cognitive and emotional life).

 Here are the most widely used essential oils for PTSD:

Lavender, Bergamot, Mandarin, Orange,

Rose, Chamomile, Ylang ylang, Clary sage, Frankincense, Sandalwood, Vetiver, Geranium

 Calming Emotional Trauma Blend:

3 drops Rose or Geranium Essential Oil
2 drops Frankincense Essential Oil
2 drops sweet orange Essential Oil
15ml carrier oil (Almond or Grapeseed Oil)

Add essential oils to a dark 15ml glass euro vial, pour carrier oil, close the lid, mix, label. Apply on pulse points like, wrist, temple, back of neck, or inhale directly 2-3X daily or as needed.

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment

Increase Power of Reiki with Aromatherapy

Do you know……..Reiki is believed to have originated in Tibet over 2500 yrs. ago, rediscovered by Dr. Mikao Usui in Japan in early 1900s. Reiki is a Japanese word meaning “universal life-force energy”; the “Ki” in the word is the same as the Chinese word Chi or Qi and is an energy-based form of alternative healing modality.

   Enhance Reiki with  Aromatherapy

Reiki treatments offer many benefits to the recipients. Like:

Relaxation

Tension and stress reduction

Boosts the immune system

Reduces blood pressure

Increases energy

Aromatherapy is the science and art of using Essential Oils to promote healing on the physical, mental, emotional and spiritual levels. Essential Oils are natural concentrated liquid extract of different parts (such as leaves, fruits, flowers, root, bark) of the plants. They can be used before, during and after the reiki session to bring a deeper level of healing. Individual essential oil correlates with our chakras and energy fields to promote healing along with the Reiki. Essential Oil aroma enhance the experience, add ambiance to the environment and can help the client relax, and get deeper into receptive state before the Reiki session. Following Essential Oils could be used during Reiki session:

Frankincense (Boswellia carterii): cleanses the aura, ceases mental chatter

Lavender (Lavendula angustifolia): brings a sense of relaxation and nurturing

Juniper (Juniperus communis): is good for cleansing the room before and after

Sandalwood (Santalum album): helps accept others with an open heart, warmth and understanding

Rose (Rosa damascena): brings a sense of comfort, allows you to trust and love again

Sweet orange (Citrus sinensis) or Peppermint (Mentha piperita): can help slowly bring a client back to the Reiki room after a deeply relaxing session.

How to Use the Oils with Reiki During a Session
Diffuser –You can create a blend using 2-3 essential oils and placing 4 drops of the blend in the diffuser before the session to induce a feeling of relaxation and energetically cleaning the room.

Spray Mist – Place 12 drops of appropriate essential oil/s in a 60ml (2oz) spray bottle, fill with distilled water, Close, label. Shake well before each use and spray in the room before and/or after Reiki session.

Tissue – Put 2 drops of your blend on a tissue and place it beside the pillow.

Hands – Place 1-2 drops of appropriate essential oil or blend in the palm of your hand, rub hands together, have your client inhale deeply the aroma before commencing reiki.

 

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment

Boost Energy with Essential Oils

Do you know……..Energy boost doesn’t mean, you want to run a marathon, it simply means that you want to maximize your efficiency and productivity at work as well as at home without being completely exhausted. You want to spend more play time with your kids, or exercising, or cooking delicious meals for the family, or have time to work on your favorite hobbies, etc. There are simple, natural steps that will help to accomplish these goals without any unwanted

                      Boost Energy with Essential Oils

stimulants or caffeine:

 

Keep body hydrated: with regular sip of warm water

Consuming healthy food: to keep mind sharp

Walk in nature: that will boost alertness by the release of feel good chemicals; serotonin and dopamine

Exercise regularly: to stay healthy and active

Write a gratitude journal: thank the Almighty or that Super – Power, up above for all your blessings and what are you grateful for

Read your favorite book instead of watching TV: as reading forces to process information and helps to get energized

Clean up your living space, whether at home or at the office: let new energy flow through to uplift your mood

Walk and sit up straight: to have adequate flow of oxygen in the body

Do Gardening: besides making your garden look beautiful, gardening keeps you active, keeps your mind sharp, reduces stress levels, and mental fatigue. This in turn helps prevent heart disease, obesity, and other lifestyle associated ailments. Also, eating the nutritious foods from your own garden is very satisfying and heart healthy. Engaging in physical activity during gardening will tire you and will help you snooze better.

Essential Oils: are another great natural way to get you out of this slump. Essential Oils are the natural, volatile, concentrated extract distilled from different parts of the plants, used holistically to alleviate several physical and emotional ailments. When Essential Oil(s) inhaled directly or applied topically, they can influence areas of the brain that control feelings of tiredness and stress, thus leaving you feeling more awake, focused, and ready to roll. Some of the following Essential Oils are used for boosting energy:

Peppermint Essential Oil

Citrus Essential Oils (Lemon, Grapefruit, Orange, Neroli)

Cinnamon Essential Oil

Lavender Essential Oil

Eucalyptus globulus Essential Oil

Geranium Essential Oil

Black pepper Essential Oil

Rosemary Essential Oil

Cedarwood Essential Oil

Ginger Essential Oil

Instant Mood Lift Room Spray:

10 drops Grapefruit Essential Oil

10 drops Frankincense Essential Oil

4 drops Peppermint Essential Oil

2 oz (60ml) Distilled Water

Add essential oils to a 2oz glass spray bottle, pour distilled water, close, mix, label. Mix well before each use, Spray as needed.

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment

Scientific Name Importance in Aromatherapy

Do you know…… Scientific system of nomenclature is a system of unique name, used by scientists to identify an organism and plant based on their common traits and their origin. It consists of Genus (a generic epithet ), followed by species (a specific epithet). Unlike common names, these scientific names are important, because they allow people, scientists, researchers throughout the world to communicate ambiguously about animals and plants and usually come from Latin or Greek. For example, the scientific name of, narrow leaf firethorn is Pyracantha (Greek for fire) angustifolia (Latin for narrow leaves).

Swedish botanist, Carl Linne (Linnaeus, 1707-1778), devised Binomial System (two name naming system) of precise identification of plants called Taxonomy, which is used internationally. The Binomial name consists of a Genus, which is always written first and capitalized and followed by a species which is in lower case and the entire name is italicized. Here are the levels of highest to lowest classification as follows:

Kingdom

Division

Class

Order

Suborder

Family

Genus

Species

In Aromatherapy, which is the science and art of using natural, volatile essence of different parts of plants, called Essential Oils, extracted usually by Steam Distillation. Each Essential Oil possess different chemical component giving it different therapeutic properties that is utilized to harmonize our physical and mental well-being. There still, remains much to be discovered through research and experience. Since, Essential Oils are derived from the plant kingdom, it’s important to identify them by their scientific names for their proper therapeutic properties. In Aromatherapy, generally Family, Genus, and Species is used, eg;

Lavender (true English or French Lavender) – Lavandula angustifolia

Variety (var), is used for subdivision of species for the variant of horticultural origin or importance, eg; Bitter orange

Citrus aurantium var amara

Chemotype (ct), is visually identical plants from a single species, but produce essential oils with different chemical components giving it different therapeutic properties, eg; Thyme

Thymus vulgaris ct. linalol
Thymus vulgaris ct. thymol

Some more examples of Scientific names of Essential Oils:

Lavender (true English or French Lavender) – Lavandula angustifolia

Lavender, Spike – Lavendula latifolia

Lavandin – Lavendula x intermedia (hybrid between Lavandula angustifolia and Lavandula latifolia)

Tea Tree– Melaleuca alternifolia

Rosalina– Melaleuca ericifolia

Cajeput – Melaleuca leucendendra

Melaleuca Quinquenervia (Niaouli) – Melaleuca quinguenervia

Neroli (Bitter Orange, orange blossom) – Citrus aurantium

Sweet Orange (Orange peel) – Citrus sinensis

Orange leaf (Petitgrain) – Citrus aurantium

Tangerine rind – Citrus reticulata

Thymus vulgaris ct. linalol
Thymus vulgaris ct. thymol

Thymus vulgaris ct. geraniol

Essential Oils are very potent, concentrated extract, therefore it’s important to gain full understanding of these oils for their best effective use as a complimentary, holistic Aromatherapy with conventional medicine.

 

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment

Welcome Spring with Aromatherapy

Do you know…….It’s Spring now. We all survived long nights, frigid temperatures, drying indoor heat, cold-flu, and fading tan lines. Spring is the time for new growth, new beginning, fresh potential, and spring cleaning. It is ‘Kapha’ time of the year.

According to Ayurveda (Ayu=life, Veda=knowledge, is a comprehensive system of healing), universe is composed of 5 Elements:

Ether, Air, Fire, Water, and Earth

These five elements combine to make three Doshas, that controls all the function of our mind and body:

Vata(Air and Ether) –Fall-Early Winter, Later life

Pitta(Water and Fire) –Summer, Adolesent-Middle age

Kapha(Water and Earth) –Late winter-Early Spring, Birth-Puberty

Without going into details of Kapha characteristics and imbalances, I will talk about Aromatherapy, an alternative-holistic healthcare approach, is the art and science of therapeutically using Essential oils to alleviate variety of ailments. Essential Oils are pure, natural extract of different parts of plant with individual aroma and chemical properties. Together with consuming balanced healthy diet,  Essential Oils that will be beneficial in this season to restore balance of heavy, cold and wet nature of excess Kapha dosha and to achieve abundant health, are warm, spicy, and invigorating ones (aromas). They are used to massage, or in bath, or to diffuse, or to inhale. Some of these Essential Oils include: Cardamom, Cedar, Cinnamon, Ginger, Black Pepper, Clove, Frankincense, Rose, Marjoram, Eucalyptus, Tea Tree, Clary Sage, Bergamot, and Tulsi

Good Carrier oils to make dilution:  mustard seed, almond and grape seed

Aromatic All-purpose Cleaner recipe for your daily cleaning:

Add 12 drs each of Lemon and Tea Tree Essential Oil to 4oz (120 ml) of distilled water in a 4-6oz of spray bottle, close, mix well, label. Spray on countertops and wipe dry to naturally disinfect as desired and enjoy the fresh aroma.

 

 

Om Healing………..Uma
(Founder of AromaWellness)
visit aromawellness.net, to order
Call 414-793-8645, to schedule your consultation appointment