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Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
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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