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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.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Pain Is Only a Piece of the Puzzle
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, etc.
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.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
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.
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.
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.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
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.
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."
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.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
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!
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.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
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.
October, 2002, Vol. 02, Issue 10
The Ninth Element: Social Contribution
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 10th article in a 12-part series and focuses on the ninth of the 10 elements: Social Contribution.
Social Contribution concerns how we exchange and value goods and services, in our economy and in our profession. For me, social contribution, quite simply, explores the dynamic of giving and receiving in our lives. It explores the purpose and intention behind our work; how we and others value it. The two excerpts above from Robert Rabbin's Invisible Leadership describe the paradox of the American Dream.
Originally, we created this element to embrace the need for integrated and "generalist" management skills among spa employees. However, as discussions evolved, we discovered that the essence of "social contribution" was exchange and communication. Spas were and still are highly compartmentalized. Often the right hand does not know what the left hand is doing. Integrating leisure, fitness, massage, aesthetics and retail can be difficult, as there is no common language that speaks to these issues and how they relate to each other. Hence, it is difficult to provide or even explain the "essence of the spa experience" to the consumer.
I must confess that this element is more complex than it may seem at first. On the one hand, business survives on the measurement and management of money and profit. On the other hand, the spa industry is service-oriented and needs to meet the new elusive demands of the discerning consumer, who is craving personal fulfillment and social connection. To complicate matters, we are playing the new business limbo, "how fast can you go," which seems to be changing by the minute. "Show me the money" is now a common theme at every level of business, from corporate CEO to massage therapist. Certainly, the days of bartering goods and services, when people were more connected to nature and a simpler lifestyle, are long gone.
Like you, I try to balance my idealistic self with the rigors of everyday business. It is obvious that money will probably continue to be the common medium of exchange. But our financial world has gone virtual; money is not a physical exchange anymore. The gold standard is out; greenbacks are out. Debit and credit cards are in. Perhaps this transient way of exchanging money through computer clouds is somehow a reflection of our changing consciousness. Is this a metaphor for why people are craving physical touch? The exchange of energy and heart is hard to value in dollars. Can we put a value on the exchange of "chi"?
Just as receiving completes the circle of giving, the 10 elements of the spa experience form an interdependent circle. The 10 elements help to create a career path that supports lifestyle choices and a mechanism for increasing monetary compensation as skills and scope of practice increase. The circle format for a career path also works for the next century professional, just as in nature, the circle reflects a pattern of dynamic living. If you think about it, the sun, the moon, and the horizon all are circular. There are very few, if any, truly straight lines in nature.
Take for example the career path for a massage therapist. Is there one? How does a spa owner or consumer determine who is a master therapist, and who is right out of school? Similar to Maslow's hierarchy of needs, we must recognize it is difficult to contemplate ideals, values, missions and visions if we do not have adequate food or shelter and struggle to pay the bills. We also must be compensated fairly in the scope of, and in relation to, the business environment. Compensation plans must be commensurate with other team members, and they should be long term in focus. That is why determining fair compensation for the massage therapist is such a vital topic in the industry. After all, massage is the most popular spa service in the industry right now.
There are a myriad of compensation plans in the spa industry now: salary, hourly, commission, sub-contractor, etc. For the most part, spa owners recognize the intangible gifts massage therapists bring to the spa experience. They are interested in finding a fair and rewarding plan for everyone. But remember, the spa director or owner must answer to investors and others. A recent article by Brian Coughlan in Massage Therapy Journal summarizes some of the latest hiring trends for massage therapists working in spas. I believe the most significant is the shift from being an independent, self-employed therapist to an employee with perks and a salary.
For the most part, at least historically, most spa professionals believe that the spa industry is a cultural renewal industry, one poised to create new lifestyle values that synergize with global preservation. Anita Roddick, founder of The BodyShop and author of Business as Unusual says, "The business of business is not just about money, it is about responsibility. It is about public good, not private greed." Do you agree? I do, but let's be practical. If the workers with vision are not compensated fairly, will their voices be heard? Are they powerful enough to make change happen? I don't think so. Growing older and perhaps a bit wiser, with the help of my visionary friends and mentors, I know there is cause for concern. More than ever, they are saying with remorse, "Robin it is about money, it is all about money."
In the very beginning, we started out giving free massages. It was understood that we needed to educate people about the power of touch. While becoming more mainstream, has the massage industry gone extreme? I'd like to see the industry bounce back to a position of balance: giving touch back to the elderly, children, disabled and others in need. I believe this is happening somewhat, we just need to see more of it. I believe the healthier you get, the better you can give back to others. The best massage therapists are the ones who have learned to give and receive. We have to explore what this means on a deeper level. Anita Roddick brings this point home again and again in Business as Unusual. She envisions a future in which business leaders come to see their industries as incubators of the human spirit, rather than factories for the production of more material goods and services. If companies truly have a global or community vision, they will find themselves far ahead of their competitors in the long run.
Click here for previous articles by Robin Zill, LMT.
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