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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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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."
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.
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."
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.
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.
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.
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.
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.
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.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
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.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
December, 2001, Vol. 01, Issue 12
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 experienced the benefits of herbal wraps firsthand now, by going through your own personal mini-detox program right there at the spa. Great idea! I think more spa therapists should put their own bodies on the line. It shows your spa guests that you really believe in what you're doing, and it can inspire them to experience it for themselves.
I remember once at a spa in Scottsdale, Arizona, I received a clay detox treatment from a gentleman in his 70s who exuded vibrant health. He told me he constantly took advantage of the spa's employee discount program to receive treatments, and that when he was off work, he spent a lot of time meditating and playing on the golf course. He was the most relaxed, content and inspired spa worker I've ever met, at an age when most people yearn for retirement. In fact, he said he could have retired, but the atmosphere in the spa was so alluring that he chose to keep working.
A Book's Worth of Information
Of course, herbal wraps are not the only treatments that can offer profound benefits, and you've got your work cut out for you in the months ahead as you learn the ins and outs of such esoteric matters as thalassotherapy; Ayurvedic body wraps; mango body scrubs; and more. Remember, though, this is the type of job that most people dream about having. Like you said, it's not too hard to feel grateful each day when your life revolves around making people, including yourself, feel better and achieve heightened levels of wellness.
It would take me an entire book to write about the benefits of all the services offered at your spa. In fact, I did write a book about it, didn't I? That's the subject of The Royal Treatment. I know someday you'll get around to reading it, if you can just tear yourself away from those mysteries for a few hours. There are a number of good books on the subject, actually, all of which can help both professionals like you and the general public understand the plethora of treatments available. Check out Julie Register's list of such books on the about.com spa site, http://spas.about.com/cs/spabookstore1.
Keep the Heat On
Some of my favorite spa therapies include paraffin baths (great for therapists' hands between treatments, too), fango mud wraps, stone therapy and hydrotherapy.
Do you notice one thing in common with all of my favorites, including the herbal wrap I wrote about in my last letter? That's right, they're all heat treatments. For me, nothing beats heat when it comes to spa therapy. I've been known to drive thousands of miles to reach remote hot springs in the wilderness, just to experience heat direct from nature. You take something unremarkable, like a river rock, then heat it up, and it becomes a therapeutic tool of remarkable power.
I'm sure you have your own preferred spa treatment protocols. The challenge is to identify them, elaborate upon them, then offer the fruits of your enthusiasm to the guests who come to you for treatments.
I have an idea that I'd like to recommend to you: First, make sure you get permission from your spa director; second, start to take advantage of where you are and, over the coming weeks, make your own list of the top five spa treatments your spa offers, and then personally experience every one of them, getting fellow employees to join you in the process if you can. Finally, create your own personal resource, be it a one-page handout; a mini-brochure; a page on the World Wide Web; or something that you can personally offer the guests you come in contact with - something that shows them how much your care about their well-being, and how you believe in the spa's offerings for your own personal wellness. If you don't want to write this information down, that's OK. At least you'll have it in your mind (and in the cells of your body), so that when guests ask, you'll be fully prepared to answer them.
Enthusiasm + Caution = A Safe, Successful Spa
There's one caveat here: as you recommend your favorite services to the guests, remember that what you consider nirvana might be a nightmare for someone else. Even though I love the herbal wrap, for example, I know there are people out there who would pay good money not to get wrapped in steaming hot sheets. You've got to keep contraindications, both physical and psychological, in mind as you create and grow your personal resource guide for spa therapies. There is, in fact, some rather mysterious equipment used in some quirky spa treatments today that even you or I might think twice about experiencing. You've told me you have some of this equipment at your own facility, such as the puzzling fire-hydrant type spigot in one of your wet rooms.
So, the next time I have time to write, I'll tell you about some of the treatments that aren't seen much anymore, even though spas often still have the equipment, usually a leftover from earlier spa incarnations.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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