resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
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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