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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
August, 2002, Vol. 02, Issue 08
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.
The suggestions in my last letter didn't seem to do you much good. You still have an ornery spa directory on your hands, and now she's threatening to fire you for no apparent reason. Beware my friend: many spa employees have lost their positions to office politics, which are as rampant in this "healing" environment as they are at any corporation. You've got to be careful! I do have a few more suggestions that you can take with a grain of salt. See if they sit well with you, and if you feel it's the right direction to go in, then act accordingly.
The suggestions come from two different angles, both aimed at improving the relationship you have with Ms. X, the troublesome spa director.
A Home in the Spa
Your spa director is someone who came to the field through the management ranks of the resort chain for whom you work. This is great, since she knows the ins and outs of budgets, overall marketing strategy, interdepartmental cooperation, upper-level policy making guidelines, and other important corporate realities, but the one attribute she sorely lacks is spa knowledge. Her heart has not brought her into the spa, like your heart brought you, or the other therapists, and she's feeling a little out of place. Since she's a human being, she probably feels the need to fit in and create a home in the spa for herself, but it's difficult. How can she truly join the ranks of spa directors without knowing, in her bones, how it feels to serve other people in a hands-on way?
Many in Ms. X's position have holed up in their spa director's office, closed the door, and waited out their tenure, hoping to move onto another assignment, in another department, as soon as possible. But that needn't be the case. There is a way for your spa director to feel more a part of the spa world, and to join the sorority of women who have found a niche for themselves there, if she so desires.
A Retreat Treat
I suggest you give your spa director the flier I've included with this letter, and tell her there's a treat in store for her if she'll sign up for the annual women's spa director's retreat, created by Tara Spa Therapy and hosted at a different spa each year. It's been going for four years now, and gets more popular all the time.
One of the women who attended it last year called the retreat a temporary escape from the craziness of day-to-day spa operations in a setting that offers spa directors an inside peek at other famous facilities. If your spa director goes on one of these retreats, she'll benefit in a number of ways:
Ms. X must have ended up working in the spa, with you, for a reason. I hope that reason is not simply to have you fired. In fact, I'm sure it's not. From what you've told me, she's someone who is a little unsure of herself and is looking for a way to really make a mark with her career. She's probably a great spa director in disguise. If she gets the chance to see her own hopes and aspirations reflected in the eyes of all those fellow female spa directors, chances are she'll come back a kinder, gentler boss
A Seminar Vacation
The other way you can approach this director dilemma is from your own end. What can you do to change the dynamic in the soured relationship? If I were you, Lou, I'd think about going on a retreat, too. What I have in mind isn't so relaxing, perhaps, as a four-day trip to a luxury spa, but it's something from which you'll gain tremendously. Maybe it will even send you in a new direction in your career. I'm thinking about a four-day seminar for people in the spa industry who want to learn more about the nuts and bolts of how spas work. Now that you're a supervisor, rather than "just" a therapist, you know that there's a lot more to spas than just making people feel good on a table. The business is intense, and there's a lot to know. That's where the seminar comes in. It will teach you things you never even thought about in terms of spa management , operations, staff issues, budgets, and other topics you might have thought you didn't care about but now realize are extremely important. Who knows, maybe it will even help you move quickly into an upper position yourself some day. It's happened before.
I suggest you find out more about these seminars, and plan your next vacation around one. They range in price, and are given in different parts of the country, which means you'll have to travel, but the investment in your career will probably pay off many times over. Several companies offer this type of advanced spa education, like Preston Wynne, the Bramham Institute, and Cosmopro. There's sure to be one that works for you, and no matter which one you chose, it's bound to give you a better understanding of your newly adopted industry.
A Spa Gap?
You know the old cliché, "East is east and west is west, and never the twain shall meet"? Well, some people think that's true of spa directors and spa employees. There's just too much of a gap, they say, between management and line staff for them ever to see eye-to-eye. However, I feel that there's a lot of room for communication, and if proactive people such as yourself take responsibility and learn how to see things from the other person's perspective and your own, it will make for a better working environment for everyone.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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