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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
September, 2002, Vol. 02, Issue 09
The Eighth Element: Cultural Expression
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 ninth article in a 12-part series and focuses on the eighth of the 10 elements: Cultural expression.
Cultural expression, the eighth element of the spa experience, embodies much of what often goes unspoken or unacknowledged in our daily lives. Yet like a mirror, it reflects back to us who we are and who we can become on our own life journey. Most simply, cultural expression refers to the science, politics, belief systems and arts of the time and how we perceive them using our minds, emotions, senses and souls. We are not separate from the world we live in, and we constantly re-define ourselves according to norms and constructs within our culture. Cultural expression embraces this process of self-discovery through the following four categories: values and beliefs, science and technology, political climate and the arts.
Values and Beliefs
What are the prevailing religious and belief systems, and how do they relate to the spa experience? Our belief systems help us to form concepts of what is right and wrong and what is attractive and unattractive. Cultural expression is important to the spa experience if only to understand simple things such as how modesty and nudity are addressed in the spa setting. The human body and our sexual/sensual concept of what makes us who we are is one example. Europeans are characteristically much less modest than Americans, and Americans less modest than the Chinese, and so on. Nudity, draping issues, touch and gender issues differ according to age, upbringing, culture, and religious beliefs. Belief systems can make or break a spa experience, whether the client is a novice or a discerning spa consumer.
Treatments with religious or spiritual overtones are also a new issue surfacing in the spa industry. Although there is a general interest in exploring spirituality, and a growing tolerance and acceptance for the beliefs of others, there are still problems. For example, providing spa treatments that lean toward Eastern or esoteric philosophy may not be appealing to a dedicated Christian, and vise-versa.
How do science and technology change our idea of an optimal spa experience? How will the spa experience be affected by the shifting scientific paradigm from mechanical reductionism to the emerging paradigm of wholeness and dynamic interrelationships? What kind of treatments appeal to us: do we want pure, natural and organic treatments, or the latest in scientific discovery to remove wrinkles and retard the aging process?
For example, consider current scientific research, the long and high cost of the FDA approval process for bringing a product to market. What is funded, why is it funded, and who provides the funding? I remember how hard it was for our industry to raise funding for the first scientific research on "massage and touch therapies" at the Touch Research Institute in Miami years ago. It would be interesting to compare research dollars spent on touch and hydrotherapy to those spent on laser resurfacing and botox treatments, for example.
Often we don't stop and think how the political environment and ruling party of the time affect a spa experience or even our daily living. Are we at war? What is the climate for trade, social programs, health benefits and insurance? For example, how will social security and health benefits affect the baby-boomers as they age - will they be able to afford spa treatments? Government organizations and political lobbyists help determine what will be available to us: everything from organic food, to beauty aids, to genetic engineering. We must begin to think ahead and become more conscious of the political climate. Do we want spa to become more medical? Should spa treatments be covered by insurance? Who will qualify for new anti-aging therapies and how will they be paid for?
Also, the political climate of the time affects our global trading opportunities from a business perspective. Costs of goods and unique sourcing directly affect the therapies that we can offer and the profit they deliver.
In the words of Dr. Lawrence Van Der Post: "Nations decay when the arts decay." What the arts really do is connect people to the culture and the stories we are telling. I went to Karlsbad in the Czech Republic with Dr. Jonathan DeVierville a few years ago, a trip I highly recommend. Karlsbad is an architecturally beautiful city built around an array of spas and mineral springs for drinking. It is obvious the city planners knew the importance of art and beauty to health and well-being. I remember hearing music in my room only to find out that it was the orchestra actually practicing in the spa we were staying in. Here people stay for at least two weeks or longer. The concept is basic; integrated medical/wellness care combined with spa treatments in a beautiful culture where people have the time to change from the inside out.
Are we surrounded by beauty in today's contemporary spa experience? Do we support our government and local community to capture the story of our times through the arts? How do we incorporate art and music into the spa experience? Yes, new age music is often a staple to the experience, but are we consciously bringing this to the spa guest with the goal of transformation?
All of these considerations weave together the importance of cultural expression in the spa experience. It is true, we have experienced much criticism in regards to the eighth element: "it is too obtuse, too vague, not related to the rigors of daily spa business..." This element may have seemed out of step with the spa experience before September 11. But after this catastrophe, the complacency of our political, social, and spiritual lives blew up -- literally. For the first time, this cultural dimension of the spa experience became the core of how people organized or reorganized their businesses.
Traveling less and spending time with family at home became more appealing and cash became tighter, so selling strategies needed to change. People were more likely to visit a day spa than a destination resort, showing us the diversity of needs within our profession. We saw the ugliness of war on the homefront, and we experienced the impact it had on our artistic communities. We became intimately aware of how political choices, actions and bureaucracy affect the stock market, home security, international trade and travel. Our first reaction was to cocoon and process, the next to connect. No longer was pampering and pleasure the essence of the spa experience, but rather stress reduction, self-discovery, and reassessing of values.
That is why it is imperative that we look to spa as a cultural movement, not just as an industry. This search for the soul of spa is something we can all share together. Imagine this movement becoming the vessel for cultural renewal, one in which people come together to share at a deeper and more meaningful level. We must recognize that it is our responsibility to listen to these inaudible murmurings of our collective unconscious. They are what call us to simplest purpose of the human experience, the search for who we are and that which connects us to something greater than ourselves.
Click here for previous articles by Robin Zill, LMT.
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