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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).
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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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