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Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
June, 2001, Vol. 01, Issue 06
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.
You're really a part of the spa team now.Do you know how I can tell? By the way you've started to voice your first uncertainties. In the beginning, you were filled with enthusiasm, and that's what took you to the next place you were supposed to be in your life. The word "enthusiasm" comes from the Greek word entheos: en = in + theos = god. Enthusiasm led you toward your divine destiny, but now that you've arrived, destiny doesn't look that divine, does it? That's how you know you belong -- because it's real.
Welcome to spa reality. You're absolutely right when you mention that the reality includes much more petty aspects than you anticipated. In your early idealism, you imagined spas to be places where everyone is fully dedicated to the same mission of healing and wholeness you are. But now you see that many of the people you're working with ended up there simply out of need for a job, and that they've gotten where they are out of sheer chance or greed. I understand how this could leave you feeling alone.
Dealing with the Drama
Before you judge too harshly, let's take a look at what's really happening. You complained that some of the support people on staff are unnecessarily dramatic, for example, and that they turn the running of the spa into a life-or-death ordeal. Isn't it amazing how many powerful emotions can be generated over seemingly trivial circumstances? You've worked as an independent massage therapist for the past couple years, and now that you're a part of a team at your spa, it's hitting home fast that you have to deal with multiple personalities on a daily basis - and sometimes within the same person!
My advice is to try to avoid getting caught up in the drama.
Now you're at the point of beginning to align yourself with someone or some group in the spa. While it's great to find your footing and start to belong, there is also a down side that often happens, and it has a lot to do with gossip. That's right, as soon as you start belonging to one faction, people in other factions begin talking behind your back.
Take a hard look at everyone around you, and take a hard look inside yourself. Then align yourself with the people you want to end up aligned with. It's a choice. Don't fall into a clique just because it's the easiest thing to do, and don't begin relating with people at the lowest common denominator, which usually includes lots of gossip about others.
The thing to do is to stay centered while dealing with the outer world of the spa, just like you try to do when dealing with the inner world of your massage therapy sessions. That way you can help make the spa a healing place, spreading the positive energies of your massage room outward. The spa's clients are coming for a total experience, one that can be tainted or even ruined by something negative in an area of the spa that may have nothing to do with you. It's up to you to create a "whole" environment, as best you can, by staying true to your vision, intentions and actions.
The Line Between Commitment and Detachment
Another trap many beginning therapists fall into when faced with the unpleasant politics of the spa is to say, "Well, I'll just come in and do my job, and then leave. This drama is not for me." Interestingly, this is your drama now, because you've chosen it. Now you have to walk the fine line between commitment and detachment. Swing too far toward commitment, and you end up depressed at the lack of commitment in others. Swing too far toward detachment, and you risk straying from your true course, which is, as you've told me over and over again, a wholehearted desire to help people. You can't heal the world if you hate the part of it you spend the majority of your time in every day.
What's really happening is that you're going through a phase, and it will soon be over. It's the phase of finding things out. It's the phase of settling in, and the phase of forming alliances. Look around you. Who impresses you? In whose eyes can you see the glimmer of your own future?
Take advantage of this phase by finding the people who inspire you there, and then spending some time with them. Just walk right up to them and say, "You're someone I'd like to get to know."
But what about the ones you don't want to get to know? I think that cultivating your relationship with them is just as important. The spa is a microcosm. You've put yourself in a place where you need to relate to people in many different ways. Cultivate the best kind of relationship you can with each individual, based on simple human respect and compassion for where that person is in his or her life.
Here are some pointers for getting along with everyone and contributing the most to the overall success of the spa:
Well, that's it. I'm just trying to give you some suggestions that will make this transition stage a little more bearable. When I have more time, I'll write you back concerning the seniority issue you brought in one of your previous letters.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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