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What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
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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