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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).
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
March, 2001, Vol. 01, Issue 03
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 of the author.
So you've landed your first interview for a job in the spa industry.Congratulations! It wasn't as hard as you thought it was going to be, was it? I told you spas are very much in need of qualified, motivated individuals to make their programs work. In fact, spas are more employee-heavy that almost any other industry. According to a study done last year by PricewaterhouseCooper, there are over 104,000 full-time employees in the spa industry, and over 45,000 part-time employees.
This observation was echoed by Nancy Griffin a friend of mine in the spa industry. Who has done an in-depth analysis of the spa industry. This is what she says regarding the employment picture in spas: "Creative compensation strategies and continuing education will go a long way in creating employee loyalty. Strategies must be developed to minimize employee loss. Turnover is costly to any industry, but is especially damaging in the spa industry because of the high cost of training per employee."
That's right. Spas, like any industry, have trouble retaining qualified employees, so they're hoping you not only qualify for the job you're going to interview for next week, but they also hope you're going to stay with the job for a long time to come. What could be better than that?
I know, I know all of this information is fine, but it doesn't do much to calm your nerves about the upcoming interview. OK, then, let's get to work.
In Human Resources
Since you're applying at one of the big resort spas in your area, you're probably going to have to do a preliminary interview. Depending upon who interviews you, this can either be a fun experience or a rough one. Probably your biggest challenge is going to be keeping your positive attitude. It's easy to get awestruck and depressed by the impersonal atmosphere in some of these larger corporations. You end up sitting in a little plastic chair for hours and taking a test that has nothing to do with your skills as a massage therapist. All I can say is, keep your head up! It gets better.
The most important points you need to get across to the human resources interviewer are the intangible, yet crucial qualities that make you a superior candidate for a position in this fine, upstanding company. Qualities like honesty, loyalty, punctuality, and disciplined focus on the job at hand, for example, are important factors when considering anyone for any position. But it's tricky to just walk in and say, "I'm honest, loyal, punctual and disciplined." Instead, let your résumé work for you, as I suggested in my last letter. Be humble, attentive, and patient. Mostly, stay positive.
The Spa Director
I'm confident that you'll make it to the next step, which is meeting with the spa director. This may very well take place in the spa facility itself, so watch out! Many applicants, when they first step foot in the opulent surroundings of a first class spa, are overwhelmed by the atmosphere, and a little intimidated by all the marble, the muted colors, and the seemingly rich ladies floating around in robes. Remember, this fancy place needs your services to be successful. Just take a deep breath and relax.
Share with the spa director your vision of yourself in the spa industry, speaking with conviction about where you see yourself a few years down the road. You want to show your serious intentions of remaining with the industry (hopefully at this spa), learning as much as you can, and eventually moving your way up to more responsibilities. Be careful here, though. You don't want to appear too greedy or overanxious. For instance, I was recently interviewing a newly graduated massage therapist for a position at a spa project I'm working on, and he said he wanted to start on the management team right away, for a competitive spa director's salary. Needless to say, this individual never even started as a therapist, and I think he'll find it hard to get a job in any spa with that kind of attitude.
It's all about balance, Lou. You want to look extremely eager yet also aware that there are ropes to be learned. This spa director you'll be talking to can be your ally in that respect. Listen to what he or she has to say.
The (Gulp) Test Massage
If you've never given a test massage before, the experience can leave you standing in a puddle of your own sweat, mired in a complex swirl of emotions, the most prominent of which include fear and self-doubt. I know - it's happened to me. The first test massage I gave was to my instructor in massage school in order to graduate. It was one of the most unpleasant experiences of my life. (Hint: don't eat bean burritos directly before giving the test massage.)
You don't have to go through the same pain I did, though. Just relax as much as possible and follow a few simple guidelines:
I know, this probably sounds ridiculous, but I received one test massage from a fellow who kept banging my own hand into my head as he massaged my arm. This went on and on until I had to ask him to stop. Remember, the person receiving the massage wants you to be good. You can help create that impression by not being bad.
Give a nice, courteous, sensitive massage, asking for feedback a few times during the hour. Adjust your massage accordingly. If the interviewer wants a light relaxing massage, give it to her, even if you're a steadfast deep muscular therapist. You need to show a breadth of skills to work in a spa. Also, don't do anything too "far out," like breathing in sync with the "far out," like breathing in sync with the interviewer throughout the entire massage, or crawling up on the table for some esoteric manipulations. Think simple, straightforward massage.
I received a test massage from an applicant who had several years of experience and was very confident and nonchalant about his prospects of getting a job. The problem was, he was too confident, to the point of not really caring. I felt that he was burned out after too many years of doing the same thing, and that his soul wanted to be doing something else. His massage was good, but he didn't get the job.
You'd be surprised how many candidates come in thinking that a little massage will show the full range of their abilities. This is a mistake. Unless the interviewer requests otherwise, assume you will be giving a full-hour massage. This is more than just courteous; it shows that you can perform the job you're applying for, which in most spas is usually full-hour treatments.
Well, once again, Lou, I hope this information helps you a little. I'll be eagerly awaiting news from your interview.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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