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Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
May, 2001, Vol. 01, Issue 05
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.
Wow, so you're finding out firsthand how quickly you can get pulled into the world of a busy spa. The daily operations have already become a big part of your life, and the people you work with are now some of the main characters in your own personal drama. Drama is the perfect word, isn't it? You're not the only person to find yourself suddenly awash with strong emotions and conflicting feelings in your first month of employment at a spa. This probably happens for new employees (and owners) in many lines of work, but in several ways, spas are supercharged environments in which our natural feelings are magnified. The reasons for this are many. So don't worry: you're not "losing it," as you said in your last letter. You're just experiencing a normal adjustment phase. I'll try to answer that question you asked about your "moral dilemma" later in the letter, but first I'll describe why spas might seem like such intense places to work.
The Fuel of Human Contact
One of the reasons spas can be so singularly cathartic is that they put people together under fairly tense circumstances. Think about it for a minute: Where else do you find a place that combines the scheduling nightmare of a small airline; the temperamental personalities of a few dozen therapist/artists; the aesthetic concerns of a five star hotel; and the hygienic exigencies of a medical clinic?
No wonder everyone is running around like crazy all day, while at the same time trying to provide a calm and soothing environment. You're right in comparing the spa to a theater production, Lou. There's a definite divide between "backstage" and "onstage."
In my opinion (perhaps because I'm a massage therapist like you!), it's the prevalence of touch in spas that adds an extra edge of intensity. Spas are vessels that contain chambers of touch, where the real magic of the enterprise takes place. The front desk, retail space, wet areas, locker rooms, and gym are important too, but it's in the treatment rooms that the core business of a spa happens. The interface within that chamber between you and the guests is, symbolically, the interface between the inner and outer world, everything that is the spa and everything that is not the spa. Your hands, and each spa guest's skin, are the positive and negative poles of the engine that runs the entire enterprise.
Few other businesses run so intensively on the fuel of human contact. Spas offer us the opportunity to grow more conscious through the experience of this contact and its attendant emotions. Take your present "moral dilemma" for instance. Perhaps that isn't precisely the right term for it. In my opinion, this isn't a case so much of "right" or "wrong" but rather an opportunity for you to explore your own character.
The situation you're facing occurs every day in spas. You give a client some excellent bodywork, and she asks you afterward if she can have your card so you can give her a massage outside the spa. That way, she gets a massage where she wants and when she wants, and you get to keep all the money instead of splitting it with the spa. A win/win situation, except perhaps from the spa owner's perspective. And there's the dilemma you feel. You know what the rules are at your spa - they are clearly stated in the employee manual. And you know that certain other therapists break these rules; they've told you so themselves. Thus arise all the conflicting feelings - loyalty to the spa; the desire to be "one of the gang" on the massage team; the desire for more money; the desire to please the client; the desire to be a good person; and the desire not to get caught.
Here's what I think you should do. It's very simple. Follow the rules stated by the spa that has employed you, not because it is wrong to massage that client at her home, but because by doing so, you would create a division within your own consciousness. You would need to rationalize what you are doing, which would weaken you as a person. If the spa's policy on this matter were different, that would be another story, but the owners have made their feelings clear. If you act behind the spa's back, you will cause yourself a little psychic damage, even if no one ever finds out. By your action, you will effectively say to yourself, "I cannot be completely trusted," and this will take a long time to repair.
The only way you can make one of this spa's customers your own private customer is to ask the spa owner or director if it's OK. If the thought of doing that makes you uneasy, you've solved your own dilemma. Follow your heart, Lou. It's the fastest way to the long-term success you seek, regardless of whether or not you make a few extra dollars next week from a new private client.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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