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Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
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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