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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."
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.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
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.
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."
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
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.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
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.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
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.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
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.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
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.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
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.
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.
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.
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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