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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
October, 2002, Vol. 02, Issue 10
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 decision has been made. The die has been cast. As the supervisor of the massage department at the spa, you recommended that the male therapist accused of harassment be fired, and now he's gone. It was a tough decision, wasn't it? And, as if it wasn't bad enough having to pass judgment on a fellow therapist, now you're facing an additional, completely unforeseen problem having to do with your old nemesis, Ms. X, the spa director.
Surprisingly, it was the director who ended up most perturbed by the firing of the therapist. After a time, it seemed as if she was the only one who felt giving him a second chance was a good idea. Everyone, even the therapists closest to him on the staff, agreed that he'd overstepped his bounds, that his flagrant actions were definitely grounds for dismal. The owners and other upper management of the resort were pleased with your actions, too.
So, what's up with Ms. X?
The Green-Eyed Monster
Lou, in my opinion, what you've just encountered is the first sign of a situation that may lead to your ousting from the spa you've come to love. The situation is called jealousy, and the spa director is aiming it at you. She sees you as someone who is climbing the corporate ladder, because that's what she's been doing herself for years. She doesn't realize that you're operating based on an entirely different set of motivations. You reached the position you're in because you have a passion for your work and the field you're in, not because you want to manage other people. This director, on the other hand, is there precisely because she wants to manage others, taking the fast track to managing an entire property one day.
Tread lightly, Lou, because, whether you like it or not, Ms. X is still the one with the power to have you fired. In fact, from what you've described, it looks to me that's exactly what she's planning on doing.
Consider the signs: Instead of her going to the spa director's retreat that you recommended, the management sent you in her place because you were more of a "hands-on" person, and Ms. X professed feeling uncomfortable about taking all the time off to attend the retreat. She thought she was scoring points with the spa owners by keeping her nose to the grindstone, but what really happened was that she revealed how insecure she is in her position.
Guess what? The more I think about it, the more obvious it becomes to me. The owners of the resort have begun to groom you. They think you're director material yourself. You've been there a year and a half already, which is a lot more time than many other therapists have spent before getting tapped for directorship positions.
No wonder Ms. X is worried. She should be! You're her worst nightmare, even though all you're doing is following your heart and doing the best job you can in the position you've been given. Do you see how it's working? The spa owners see you as someone who could more fittingly represent their philosophy and make their guests happier. You've already proven your ability to manage people and make difficult decisions. The practical skills needed to perform the daily tasks of a manager can be taught. What you've got - heart and talent - is not so easy to instill.
Do you want to become a spa director? It's a question you couldn't even imagine asking yourself two years ago, but now it's a real possibility. The spa owners have already asked you to attend the annual International Spa Association (ISPA) trade show along with Ms. X., and she's not too happy about it. In fact, she's requested that you not attend, citing scheduling difficulties. We both know that's hogwash.
My guess is that if she really does succeed in barring you from attending the show, when she returns to the spa afterward the bomb will be dropped, and you will be named the next director. It's either that, or you'll get fired.
Ms. X. has already shown all the signs of backstage maneuvering. She can't afford to let you keep doing what you've been doing. In this situation, I have two bits of advice for you, and I hope they help.
Stay True to You
First of all, I think it is most important at this juncture to get firmly back in touch with what brought you to where you are in the first place - namely, bodywork. You've been considering taking one of the CranioSacral workshops offered by the Upledger Institute. I'd consider this a prime opportunity to do just that. Get away from the spa for a weekend. Take the course. Immerse yourself in a new technique. Feel your hands on people, doing what they love to do best.
This, in my opinion, is your true strength. You're a great massage therapist - sensitive, strong, and with great palpatory skills. To downplay this aspect of your personality now would be a mistake. As you move forward into the spa industry, if indeed that's what you end up doing, it will be good if you keep yourself grounded in the real work being done there. It's all too easy, as I've learned from personal experience, to get caught up in the mechanics of the spa world, rather than its message.
Stay true to you, Lou. Take that time. Settle your heart and clear your mind. Things will look different when you come back from the workshop.
Go to ISPA
Second, no matter what happens with Ms. X., I say go to the ISPA conference anyway, even if the spa doesn't send you. That's right. It might sound strange, but I believe you'll end up better off if you make this move. In the end, we're all private agents in this industry, and you're now getting to the point at which networking and contacts are going to be vital for you. ISPA is the best place to create and nurture those contacts.
What do you think Ms. X. is going to be doing at the conference? That's right, nurturing her own set of contacts. If you don't go, and then somehow through political maneuvering you get ousted from the spa, where will you be? You'll be up a creek without a paddle. Also, I think your spa owners will look favorably upon your attending this conference on your own. They'd see you as serious about your spa career if you pay for it yourself, because it's an investment of several hundred dollars, as much or more than one of your weekend massage workshops.
You can't lose by choosing to go to ISPA, no matter who pays for it. It will open up doors for you that you didn't even know existed. After the conference, things are going to change for, you one way or the other, so you'd best be prepared.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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