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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
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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