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Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
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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