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Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
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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