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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.
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:
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.
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.
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.
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.
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.
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?
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.
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?"
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
July, 2002, Vol. 02, Issue 07
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.
So, everything's running smoothly at the spa for a change, eh? You're firmly in charge as the supervisor of treatments; your staff appreciates the efforts you've made to create a better work environment for them; and management is pleased by your ability to cut costs and still offer superior service.Plus, you still get to do 20 hours of your own hands-on work each week. What could be finer?
Of course, there always has to be at least one fly in the ointment, and in this case that fly's name is Ms. X, the spa director. Like many spa directors, she's landed in the position via the management route rather than moving up through the ranks of spa line staff, and so in your opinion she doesn't have the skills needed to communicate with authority to your fellow therapists. Yet communicate she must, even though she's put her foot in her mouth on a number of occasions. So, how can you, a massage supervisor, educate a spa director?
Step One: Put Yourself in Your Place
First, make sure that your head is securely attached to your shoulders and hasn't inflated to five times its normal size after your recent promotion and pay raise. The last thing you want to get involved with is some political maneuvering in which you'll likely be perceived as angling for yet another promotion, perhaps even taking over the spa director position, much too quickly. You have to let things take their natural course, and right now that course includes Ms. X.
Once your ego is firmly in check and there is no danger of doing something you'll later regret, you can then proceed to step two.
Step Two: Put Yourself in Her Place
Next, think about Ms. X's position. Like many people who are not completely familiar with every aspect of the work their staff does, she may feel somewhat insecure, although according to your description she acts exactly the opposite. That's what insecurity does. Rather than confronting her head-on, though, take the diplomatic route and put yourself in her place first.
She knows she needs to become better acquainted with what you and your team do behind closed doors in the therapy rooms, and she'd feel much more comfortable if she could speak your language, but how can she go about saying that without looking incompetent in this one particular area? Some people are comfortable admitting to what they don't know, but your spa director doesn't seem to be such a person. So what can you do? How about trying a little education?
Step Three: The Education of a Spa Director
I propose that you approach your spa director privately, either through a letter or in person, without anybody else knowing, and tell her about the educational opportunities that exist for people in her position. She may be surprised to learn, for example, that massage schools are starting to perceive the need for spa directors to learn more about what their staffs do, and at least one has already planned a workshop tailored specifically to this audience. The Utah School of Massage received an encouraging response to their initial idea for a special spa director's training class. The folks there imagine, correctly, that there are a large number of directors who would benefit by learning the basics of what their therapists are doing. Imagine it: Ms. X with a fellow spa director's glutes in her hands, learning petrissage. This is the type of thing that will both inform and humble her. Try calling the school to see when they're next going to offer the course. I think they're planning on one sometime next year.
As an alternative, you might let one of the vendors who supply you with products and training do a little side-training for the director. Sure, Ms. X can sit in on trainings with the rest of the staff, but in that environment she can't receive the individualized attention a non-therapist needs. It probably won't be too difficult to convince a vendor that it's worthwhile to invest private time with a spa director. After all, the director is key in making decisions about which products to use, so it's in the vendors' best interest to stay on her good side.
If you can't find someone else who is willing to educate Ms. X, consider doing the job yourself. But you have to be politically correct and couch the suggestion in amenable terms. How about something like this? "Ms. X, I know you've been working extremely hard to make sure the spa is running in tip top form, and that probably hasn't left you time to keep up with the latest advances in spa therapy being performed here. I'd like to suggest that I give you a one-on-one presentation of some techniques we're using now, telling you how we do what we do, and why, and maybe you can try your hand at it yourself a little."
Step Four: Surrender to the Outcome
Of course, your spa director may not be open to such suggestions, in which case you can forget all about these ideas. Instead of trying to force unwanted information on her, it's better to drop the idea. You're still going to have to deal on a day-to-day basis with someone who is not fully versed in the language of what you're doing, however, so in this case I would suggest the following: get over it.
That's right. Just surrender to the idea that this particular spa director is not the ideal person you would like to be working with in an ideal world. But then again, you're always going to find that something is not perfect, no matter where you're working or what your circumstances are. What is there in your relationship with Ms. X that is instructive? What positives can you create from the situation? How can you make her job easier, now that you know her limitations?
Perhaps most importantly, refer back to step number one. Take a look at yourself as you ponder trying to change the behavior of somebody else. What could you do to be more humble, more highly educated, more helpful to the entire operation you're involved with at the spa? Perhaps there's a training course or two you could take yourself that would help you better understand Ms. X's position and her point of view. If you can find one, take it, and expand your mind. You'll be glad you did.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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