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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."
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.
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.
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.
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.
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.
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.
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.
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:
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.
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.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
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.
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.
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.
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.
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.
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?"
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.
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.
March, 2002, Vol. 02, Issue 03
The Second Element: Nourishment
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the second article in a 12-part series and focuses on the second of the 10 elements: Nourishment.
The 10-Element Circle is available for viewing on line at http://www.massagetoday.com/archives/2002/01/16.html.It is no secret that optimal nutrition enhances health and vitality. But what is good nutrition, especially in today's fast-paced and chaotic society? Is good nutrition simple and pure, high-tech and advanced, or a little of both? The process of discovering what diet or nutrition program is right for you raises numerous questions, and for good reason.
It appears that Americans choose fast foods over everything else. In his book Fast Food Nation, author Eric Schlosser makes the case that what we eat has changed more in the last 40 years than in the previous 40,000 years. Americans spent $110 billion on fast food in 2000, up from six billion in 1970. We spent more in 2000 on fast food than we did on higher education, personal computers, computer software, or new cars. If we are what we eat, we have a lot to reflect upon and change.
Perhaps this is why the spa industry has also experienced tremendous growth. The spa experience can be an invaluable tool in expanding awareness and health through food and nourishment. This second element of the spa experience, nourishment, offers the spa-goer and the spa professional a framework to integrate nutritional choices into today's lifestyle. It includes foods, herbals, supplements and medicine; everything we consciously put into our bodies.
Natural food, water treatments, and exercise have always been at the center of the spa experience. According to spa historian Dr. Jonathan De Vierville, a new interest in nutrition, water and exercise emerged in the 1920s, in part to help war veterans recover from the rigors of World War I. Escaping from Romania just before Hitler's takeover, the Szekely family became pioneers of the spa industry in this tumultuous time. They started one of the first spa health retreats in America.
"Our principal asset was a simple faith in the values of living in harmony with nature," says Deborah Szekely. Opened in 1940, the Essene School of Life, now Rancho La Puerta in Escondido, California, is one of the most famous destination spas in the world. Originally committed to a vegetarian philosophy and a grape juice diet, the Szekelys believed that healthy food came from healthy soil. Although the price tag has changed since then, from $17.50 a week and "bring your own tent" to a few thousand dollars weekly and required reservations months ahead, the Szekelys' philosophy has remained intact. They still seek to provide a healthy retreat with a focus on integrated living, including an emersion experience with natural and organic foods.
This time period also saw the beginnings of the American Medical Society (AMA) and the Food and Drug Administration (FDA). This represented a big social change, affecting citizens on a personal level. Although it may have escaped the average citizen's conscious attention, the individual no longer controlled what went on the table. As the 20th century advanced, technology and regulations advanced at an exponential speed, and the general population embraced and admired these advancements in the name of progress.
Sound familiar? Gradually, natural and pure foods (and simple health remedies) were devalued. This unconscious cultural withdrawal from nature had many serious consequences, which we will discuss in future articles, but certainly people became more and more removed from the food they ate. From the beginning, the spa industry responded to these issues. Healthy and natural food, spa cuisine, was central to the spa experience. What is spa cuisine? Cathy Cluff, director of the Oaks at Ojai and daughter of spa and fitness pioneer Sheila Cluff, laughed when I asked her to define spa cuisine. She said that asking that question is like asking someone to define "the spa experience." When pressed for spa cuisine guidelines, Cathy suggested the following:
Cathy says the latest trend in spa cuisine is to create a menu and dining experience for the guest vs. letting them choose from a set menu. This way, the spa guest can receive the best of what the chef has to offer: food of the season; regional specialties; secret recipes; and a simple education of what and why you are eating this delicious entree. In fact, says Cathy, education of the client is one of the best forms of creating client retention, and should be woven throughout the whole spa programming.
For health-conscious massage therapists and bodyworkers, I definitely recommend visiting a spa that specializes in spa cuisine. Not only will you have a great time and a healthy retreat, you will also absorb knowledge that you can then share with your clients. Unfortunately, some destination spas can be pricey, so if you are on a tight budget this year, check out the recipe of the month on the International Spa Association website (www. experienceispa.com). Local day spas also have healthy, trend-setting options. Also, remember to remind your clients that after the rigors of massage, water treatments or exercise, it is advisable to eat simple, easily digestible foods.
We have a lot of work to do to when it comes to healthy eating, but we are on our way. Mary Tabacchi, a nutritionist from Cornell University and a spa spokesperson says that in the last 10 years or so, we have gone from the Pepsi Generation to the Fitness Generation. Nutrition, fitness and health are beginning to dominate our lifestyle. Mel Zuckerman, of Canyon Ranch, sums up this evolutionary yearning for better health when he says, "How we deliver our message may change, but how we truly get there does not. We tell our customers that wellness can be achieved by making emotional connection to health by finding balance of mind, body and spirit."
What do you think? Your voice is important. Join me at The Great Spa Conversation, hosted by www.spaelegance.com.
Click here for previous articles by Robin Zill, LMT.
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