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U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
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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