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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
March, 2002, Vol. 02, Issue 03
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.
I'm quite impressed with the incredible enthusiasm you've shown for your work in the spa industry.At this rate, you might become spa director yourself in the near future! You should be proud of the "Supervisor of Spa Treatments" position you've been offered, whether you accept it or not.
That's right, I said whether you accept it or not. You should definitely sit down and think long and hard about the decision, although right now it would seem silly to turn down something so obviously good for your career - including an increase in pay and prestige. But before jumping for that big spa brass ring, consider what I call the "3 Rs" that come into play when moving into management.
First of all, when you make the switch to being a manager/supervisor, other people are going to look at you differently. When you are somebody's "boss," he or she may have the tendency to categorize or even demonize you. This single quick decision will make you the "enemy."
I'm not exaggerating. This happened to me, and it's happened to many others I know in the spa industry -- therapists who started working in the spa out of a sincere desire to do good work and treat other people in a caring manner. As soon as they moved into a managerial position and felt the sting of separation from their colleagues, many of them retreated immediately into their former roles as therapists (with the added stigma of "demotion" attached to the position), while others quit the industry altogether.
I don't mean to alarm you, but if you choose to take the position, you have to be prepared to see therapists from the opposite side of the desk. What you see may not be too appealing.
Consider the new responsibilities you're likely to have, including, among other things:
Being in charge of payroll means you'll be in charge of your staff's wallets, bank accounts and paychecks. People will see you as the gatekeeper to their prosperity, or their lack of it. You'll be amazed how quickly a massage therapist will transfer his or her feelings of lack and poverty onto you if the paychecks are not what is expected. You will have to be there to distribute these paychecks, and you'd better not be late or in any way impede the flow of funds, because you will hear about it immediately. Once you have a system worked out, payroll can become routine. Just be aware that others will see you not so much as a friend anymore, but more as a parental figure, if you're the one handing them their money at the end of every pay period.
The flip side of payroll is scheduling. By deciding who gets which shifts, you ultimately will be in control of who gets the biggest paychecks. This is often tied in with some kind of seniority system, as I mentioned a few letters ago. Some managers have a hands-off attitude about scheduling, leaving the details up to requests from the staff and the day-by-day exigencies of the spa, but I think it's better to be proactive on this issue. Of course, scheduling massage staff will include scheduling yourself, since you'll still be a working therapist, and even though you think that will mean you can choose when you work and get the choicest times and dates off for vacations and so on, you'll find that in reality, supervisors work a lot more than the line staff, because a lot more is expected of them. Upper management knows that you're someone who wants to move up, and they'll take advantage of that ambition.
If you decide to be a manager of people, you'll also definitely find yourself managing disputes. With massage therapists, that can be tricky. Everything from security issues to sexual harassment charges will come under your jurisdiction, so be prepared!
As a supervisor, you'll be expected to be on top of the latest issues as far as training is concerned. This usually isn't that much of a problem, because vendors come in to do most of the training, as you've already learned. But it's important for you to stay current and informed and able to offer assistance and even extra solo trainings for those on-the-spot situations where an outside trainer is not available.
Perhaps the most important role you'll play as a supervisor is as liaison between staff and upper management. The other therapists will rely upon you to get their concerns headed, and the owners/management will depend upon you to get their views heard (and their rules obeyed!).
Now consider the reasons you're thinking of saying "yes" in the first place. As a supervisor, you will be in position for serious consideration when other job opportunities evolve within the company, or maybe even in other spas. You'll have to keep your eyes open for such opportunities. Also, you'll be making a steadier paycheck, not one based on the fluctuating flow of clientele at the spa. Also with the greater responsibility, you'll get the opportunity eventually to grow into a more mature you. In the meantime, you'll have to settle down to the job at hand, which will be substantial, as I just pointed out.
Ultimately, your rewards may be greater, in terms of career trajectory, but they will also be different from what you originally entered the field to gain. You've only been a therapist for a couple of years, and now you may be heading off into this uncharted territory. I've seen it happen over and over in the spa industry. It can be a tricky path.
Whatever your ultimate decision is, I'll be here for you to help in whatever ways I can. In fact, I'm kind of excited to find out what that decision will be! Let me know as soon as you've made your choice.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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