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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
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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