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Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
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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