resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
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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