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U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
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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