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A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
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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