resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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).
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%.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
September, 2002, Vol. 02, Issue 09
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.
Uh-oh. This is one of the hardest decisions you've had to make for a long time. You've only been the supervisor of the spa therapists for a few months, and already you're being asked to fire somebody! The situation came about swiftly, as these things do, and now suddenly the entire staff is looking at you to see what you'll do. It's crisis time.
A Case of Harassment
One of the male therapists under your supervision has been accused of sexual harassment by several female guests. Management, of course, says to get rid of him right away, but you're inclined to investigate further and see if it's not as black and white as they might think. It might be a mistake, you feel, to engage a knee-jerk reaction in such a delicate situation. Tact and discretion are called for, so I totally agree with you. One thing is certain - maintaining the integrity of your spa and your profession is a top priority. Your decisions and actions, in close coordination with those of the owners and the spa director, are critical at this juncture.
There are several steps to take as you proceed gingerly through these dangerous waters.
Get the Whole Picture
In emotionally charged situations like this, hysterics often rule. You're going to be bombarded from all sides by people who believe fiercely in their own version(s) of the story. Don't let one point of view sway you, especially in the beginning. At times it may be a struggle, but, in my view, it's best to remain impartial, perhaps even seeming aloof, as the various parties bring you their points of view. After all, you're being called upon to function somewhat like a judge in this situation.
Supervisor First, Therapist Second
You're also now acting as a supervisor, not a therapist. When you decided to accept this position, you knew there would be times when you would be pitted against your former colleagues. This is one of those situations. The therapists on staff are looking at you with their own agendas. Some hope that you recommend firing the therapist, because they don't want the taint of scandal hanging over their workplace. Some may feel their in competition with this therapist and would like to see him gone. Others hope that you recommend not firing him, because they feel it's too easy for people to wrongly accuse therapists these days, and that our profession should be protected against unfounded attacks.
Know one thing: After you make your decision and pass your recommendations onto the spa director, you are not going to be popular with everyone in both camps. Sides will be chosen. Lines will be drawn. It's part of the price you pay for becoming a decision maker. And now that you're in that situation, how can you be sure you're making the best decision? You can never be 100% sure, but the best thing you can do is follow the precepts of justice and reasonableness as they've been handed down to you. Then act from your heart.
Look at the Law
To form an objective, well-thought-out opinion in this situation, you need to know what is legal and illegal in your state. Believe it or not, rules change from place to place regarding draping and precise conduct, although we all have the same ethical guidelines to follow, as laid down by massage industry associations. Know these guidelines and the law well. In addition, it may help to understand more broad-based statutes regarding sexual misconduct in general.
Recent years have seen a rampant increase in accusations of sexual harassment, some of which have been more founded than others, and many of which cannot conclusively be proven one way or the other. When it's a question of two people in a room alone, it's a matter of one person's word against another's. I've seen large judgments against respectable men in diverse fields, based solely on the word of a young woman who may or may not have had revenge or vindictiveness as a prime motivation.
A Personal Experience
I feel comfortable giving you this advice, Lou, because I dealt with similar situations on two occasions. Once, while supervisor at a large resort spa, I was called into the spa director's office in the middle of a busy afternoon and asked to pull one of the therapists off the floor. He was handcuffed and led away by two officers, and I had to cover for his remaining clients that day myself. A woman who'd been a guest of the spa several weeks earlier had called the authorities and accused this therapist of rape. He left the profession in disgrace.
More recently, I was called to mediate in a case with accusations that were less severe, but nonetheless quite troublesome. A therapist at the spa at which I was consulting had been accused of "potentially inappropriate behavior" by several women over time. I met with him and the general manager of the property once, and it seemed we had the situation under control. There had been some misunderstanding, the therapist pleaded. He would be more careful about draping, decorum, and modesty in the future. He was a highly praised therapist at the spa and we didn't want to lose him. When two more women complained, however, we had no choice. He had to go.
In my opinion, the bottom line in these situations boils down to one essential question: Has a guest complained? If so, something is wrong -- end of story -- regardless of how sincere the therapist may appear while professing innocence.
Don't get me wrong. I'm not trying to be prudish on this issue. I understand that some couples who met first as therapist/client in a massage encounter have ended up getting married. Attractions do happen. We can't turn off our humanity in the massage room. However, whatever attractions may surface need to be taken out of the massage room and into an acceptable arena before they are acted upon.
Spa therapists, especially males, have to be especially careful these days. Guests come to your resort expecting to relax, have a great time, and be given the royal treatment. Perhaps some of them let their guard down a little. It is unfair to take advantage of that relaxed attitude by instigating any unwanted sensual scenario. At the very least, the therapist in question is guilty of insensitivity, and the situation needs to be dealt with in a firm, swift manner.
I look forward to hearing how you've dealt with your particular situation. Until then, take care of yourself.
Click here for previous articles by Steve Capellini, LMT.
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