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Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
July, 2002, Vol. 02, Issue 07
The Sixth Element: Aesthetics
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 seventh article in a 12-part series and focuses on the sixth of the 10 elements: Aesthetics.
The sixth element, aesthetics, relates to our concept of beauty and how botanical and natural agents relate to the biochemical components of the body. Beauty is the essence behind the sixth element of the spa experience. What is more important than feeling beautiful and enjoying beauty in your surroundings? After all, your environment and the people close to you reflect who you are.
I'm writing this article late on Memorial Day. I just left the hospital with the news that my mother will need hospice care this week. This may not seem "spa significant," and yet it is what the spa industry embraces: optimal health and enhanced quality of life, wherever you may be on the human health continuum.
During a health crisis of my own, when I wasn't feeling particularly perky, I walked into my house and looked at my favorite tree. I felt nothing for its beauty. I told myself, "Remember how you are observing the world today... you are not seeing or feeling beautiful. This is what you see when you are sick, fatigued, or depressed." I am reminded that helping people feel beautiful is helping people see beauty ? not just in the mirror, but also in the world around them - and deep within. So what does this search for inner and outer beauty mean for the massage therapist? It means embracing beauty by using the skin as a metaphor and tool for enhancing well-being. When you pay attention to aesthetics in the spa experience, you can initiate the hidden journey of transformation, by which inner beauty is reflected in the outer glow of our external persona. We can help change how our clients see and feel things.
As I look back at my introduction to the spa experience, some of my most important mentors came from the skin care and beauty industry: Erica Miller; Mikki Guntta; Lydia Sarfati; Barbara Solomon; Kirsten Florian; Pratima Rachir; and many others. Anyone who studies the skin knows of the connection between the microcosm and the macrocosm of our living universe embodied in our largest organ. The emphasis on healthy skin is a contemporary cultural movement. Our epidermis is the major organ of the body, connecting our internal biology to the external environment. It is also a reflection of our lifestyle and well-being. Although the primary focus for a massage therapist is the relaxation of muscles, you have to touch the skin to get to the muscle.
According to Melanie Schmidt, ISPA board member and vice president of spa development and education at Decléor, massage therapists today are not even minimally trained in basic skin care. Whether or not massage therapists choose to train in aesthetics, they need to appreciate the importance of the products they use on the skin. From massage oils, creams and essential oils, to the latest wrinkle or reducing agent, it is important to remember that for every action on the skin, there is a reaction. For example, it is important to understand that the only proven ingredient to absorb into the skin is an essential oil, because it is a gas molecule. Essential oils are attracted to natural lipids in the skin, which are attracted to the sebaceous glands. These ingredients communicate to active cells in the body and the body sends messages back to the skin. Balancing the body is a goal, because there is so much communication between skin cells. If a body environment is polluted, cells are not very responsive. Put the skin cells in a spa environment, and they can detox, cleanse and regenerate. Imagine how much more effective such an enhanced massage treatment can be.
Because of its influence on our inner beauty, our outer beauty, and our connection to the environment, the skin serves as a good case study of what the 10 elements of the spa experience encourage in terms of a next-century professional. Current statistics suggest that the average person makes eight career changes in a lifetime. Imagine if this switching had focus with inner reward and financial gain. That is why crosstraining in aesthetics, massage and cosmetology is excellent for the spa therapist. It is the perfect example of how one can maximize client retention by providing more services to your current client base, while at the same time providing a marketing edge over the competition. Whether you are applying for a prestigious job at a recognized spa or in business for yourself, massaging the skin with an intention of beauty behind your stroke will give both you and your clients an evolved treatment.
Just as in massage, guidelines vary greatly in the aesthetic training continuum, from a few hundred hours in some states to the high standards of CIDESCO (Comité International d'Esthétique et de Cosmétologie), which requires students to undergo 1,200 hours of training in practical and theoretical work in a registered CIDESCO school. State guidelines also vary greatly in professional scope. In this quickly expanding market, this poses a problem, since skin care and beauty technology are taking the market by storm. This is what I suggest.
So in the end, what does it mean to be beautiful? I asked my children this question and it stopped them cold. For my 14-year-old daughter Aubrey, it was a Duke basketball player. For my son Hart it was a "special smile that makes me smile back." True beauty is contagious.
What do you think? Join the Great Spa Conversation at www.spaelegance.com. Your voice is important.
Click here for previous articles by Robin Zill, LMT.
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