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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
January, 2001, Vol. 01, Issue 01
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend.
Thanks for writing.I'm glad to hear you're interested in exploring spas and perhaps even joining me one day in some professional capacity in this industry. As you know, spas are sprouting up all over the place, and the opportunities are boundless. We need lots of good therapists with diverse skills to fill a growing number of positions, both hands-on and supervisory. I've known several massage therapists who have successfully navigated the spa waters, ending up as spa directors, owners or educators themselves.
First, though, before you get all excited about your wildly successful new career, I want to fill you in about what spas used to be like not too long ago when I first started in the industry, and so I'll tell you a little story...
It was a day like any other day at the Safety Harbor Spa in Clearwater, Florida. Bob, the supervisor of the men's spa, rang an old ship's bell attached to one wall in the locker room - GONG - and soon a ragtag line of two dozen elderly gentlemen in worn terrycloth robes began shuffling down a long corridor on their way to the massage room. I could hear the sound of cheap paper slippers sliding on tile; grunts and groans as the men disrobed and climbed aboard massage tables arranged in rows in one large room; and the "squirt-squirt" of mineral oil slipping out of plastic bottles. Ribald jokes tossed across the room during the 25-minute full-body massage sessions. Then robes again; paper slippers; GONG; and the whole thing was repeated 12-14 times a day.
Yes, Lou, many spas were in this sorry condition when I started as a therapist myself in 1984.
At that time, no one had heard of a day spa. There were barely 30 destination spas in the country, and they were often called "fat farms."
Now, at the beginning of 2001, this industry has changed so dramatically that it bears practically no resemblance to those not-too-distant days. Over 300 resort and destination spas dot the landscape, and day spas number in the thousands. Did you know that spa visits account for more vacation dollars spent than ski trips in the U.S.? It's true - I heard it as part of the Price Waterhouse industry analysis at the recent International Spa Association (ISPA) conference in Vegas. Remind me to tell you more about ISPA in another letter.
There are a ton of letters I want to write to you about the spa industry and how you might get involved. I'm sure you have lots of questions: How much can you expect to be paid as a therapist in a spa? How can you increase your chances of getting hired? Will you receive continuing education as part of your employment? Should you consider opening your own small spa on a tight budget? What kind of equipment should you buy? Should you hire a consultant? What kind of profits can you expect? What are the definitions of the various types of spas? How can you travel the world some day working in exotic foreign spas or on cruise ship spas? Where can you find a medically oriented spa that hires skilled therapists? Are there any standards for training or education within the industry?
In future letters, I'll be delving into these and many other topics.
To start off, let me briefly fill you in on a few of the trends you might be interested in that are shaping the spa industry: medical spas, spa branding, and becoming a spa entrepreneur.
The Slow-But-Steady Merging of Medicine and Spas
Not too long ago, many massage therapists working in spas found themselves the victims of snide remarks about the low quality of bodywork done in those establishments. The words "pampering" and "fluff" were thrown about with gusto. There are still some remnants of this attitude left in the massage community today. Even though such disparaging remarks aren't used so often anymore, other words, like the word "spa" itself, take their place, as in "Oh, he just does spa massage," with an ugly emphasis on the word "spa."
Believe me, this is changing rapidly. There is a new respect for therapists who work in spas now, in large part due to the merging of the spa world with the world of medicine. Did you know that hundreds of doctors are opening their own medical spas, and thousands more will in the near future? I've been working at the Pritikin Longevity Center in Florida this past year because they are building a spa into their well-recognized medical program.
Everybody is getting on the spa bandwagon, and as more physicians join the party, it will continue to add legitimacy to the work we therapists do in conjunction with them there.
The Branding of Spas
Pretty soon spas are going to be as common as restaurants. You can already see it happening, as the larger established spas like Canyon Ranch and The Golden Door begin to expand beyond their original facilities into hotels, resorts and satellite spas in all sorts of locations. The growth we've seen will look infinitesimal compared to what's going to happen. It's a great time to get involved with the industry right now.
Even though spas are becoming big business, that doesn't mean there isn't plenty of room for the motivated and inspired entrepreneur to use some creative visualization and hard work to construct the spa of his or her dreams. I can guarantee you that's exactly what's happening all over the country right now. I go all over the place teaching workshops for LMTs who dream of opening their own smaller spas, and I've been constantly encouraged to see them succeeding. Whether it's a one-room operation or a more challenging project with a dozen rooms and as many employees, I see massage therapists taking the reigns and making their spa dreams into "nitty-gritty" business reality. Healing spas are something they can believe in and put all of their effort into. It's not easy to make it happen, but the rewards can be profound, and there is a large network of support out there for people trying to make it happen.
That's what I'd like to give you in every letter I send support; direction; new contacts; new ideas; and new ways to dream. Keep letting me know how you're doing!
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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