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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
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.
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.
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.
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.
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.
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.
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.
November, 2002, Vol. 02, Issue 11
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.
Ouch! That hurts. You've been fired from the spa.
It never feels good to get fired, but in your case, it's particularly jarring. Your heart was in the right place, you were doing a great job as supervisor of the massage and body treatments department, and everyone at the spa really liked you -- everyone except one person, that is.
As I suspected, the notorious Ms. X., the spa director, couldn't take the pressure of an up-and-coming therapist who was liked by both management and staff. She was afraid for her own job, perhaps rightly so, and she must have pulled the right strings to get you ousted before you irremediably blocked her own corporate ascension. It's funny, isn't it, how you became a therapist in the first place to escape corporate politics, but now find yourself deeply affected by them once again?
What advice can I give you now that you're out in the big world again, soon to be in need of a job, cut off from the security of the spa that had become more of a home than you had realized? It's not so easy to just stand up and walk away from the spa industry entirely, as you had thought you might be able to do. It's gotten into your blood, hasn't it? The friendships you formed with therapists and other professionals in the business have become important to you now. To leave the spa world would be to leave a part of your family behind. So what are you supposed to do now?
ISPA Was the Right Move
First of all, I'm glad you took my advice and attended the International Spa Association (ISPA) conference in Anaheim, even though you were there as a free agent. It was the right move. The easier thing to do would have been to fold your tail between your legs and slink away. The spa was no longer paying for your trip or your conference registration. You had no support structure to take care of you, no corporation backing you as you continue to grow in the industry. Well, Lou, in the long term, that's the best way to grow, even though it may hurt you in the short term, especially in the wallet.
Attending the conference was a positive, proactive step. Instead of licking your wounds, you put yourself precisely in the spot where the largest concentration of people were gathered who might be able to help you with your next step. And look how it turned out - not just one, not just two, but three new job possibilities!
A Step Backward?
I'm sure the first of these new job possibilities came as a complete surprise. After less than a month, you've been asked to come back on board at the spa. While attending a breakout session entitled "Making Retail Work in your Spa," you ran into your former employer, the owner of the spa, who was attending the conference. When he saw you proactively investing in your own career and education, attempting to learn all you could about making spas work profitably, he took you aside and made you a secret offer to come back on board as the spa director, ousting Ms. X!
You probably made the right choice not to go directly to the owner in the first place, letting Ms. X. and the general manager conspire in the matter of your firing. That way, you had even more clout when you ran into the owner himself. There you were, on your own dime, eagerly soaking up the kind of information a spa owner so dearly wants his employees to focus on - profitability. And where was Ms. X. this whole time? Receiving a manicure in the spa to look her best for the grand ball? I can't believe it. She seems to have chosen the worst possible time to relax and take care of herself. It would have been better for her career if she had taken her manicure before the conference, rather than take time away from valuable learning experiences in order to spruce herself up for the ball. I can just imagine how that looked to the spa owner.
Now you have to decide if you want to head back into the political intrigue you've just been ejected from. The owner will be on your side, but the general manager and his allies might well make things difficult for you. It's definitely a feather in your cap to be asked back by the owner, and he'd protect you in your new position, but this move might be a step backward. It's a tough call.
A Step Up?
A rival spa, across town from the one in which you've been working, spotted your talent, and the owner swooped down upon you at a cocktail reception. I've seen many spa careers get boosted at ISPA cocktail receptions. What a heady experience to be stalked by headhunters, isn't it? You'd start as an assistant spa director, but you'd still be making more money than you were, with better benefits, and more prestige. This spa has a bigger name, a loftier reputation. You can see yourself shooting up the ladder of the spa world, can't you? Within a few more years, if you continue the way you are now, you could end up as an executive in charge of spa operations for a worldwide chain of luxury resort spas. It's happened before.
Hmm, this one is definitely worth considering.
An Intriguing Possibility
Perhaps the most intriguing possibility, from my point of view, is the conversation you had with the woman at the networking breakfast who has gone onboard with a new medical spa startup and thinks you might be a good match for their team. It would mean starting over again as a therapist instead of a supervisor, but you'd be learning a lot in a cutting-edge environment. In my opinion, medical spas are the wave of the future, with prestigious institutions on the verge of opening their own versions on that theme in the near future. The doctors involved with this project were all trained at the Mayo Clinic, which is a pretty good pedigree. This opportunity may be the least certain of your options, as the spa isn't even open yet, and it would require moving to another state. On the other hand, the adventure quotient here if high, and the rewards as far as experience and learning go could be tremendous.
The Right Track
Wow, so many choices. Do you see how this industry works? People keep revolving in and out of positions at a furious pace. It's up to you to keep yourself educated, informed, and well balanced in all applicable disciplines in order to maintain your value as an employee. I think it was wise to take the CranioSacral workshop after leaving the spa, further honing your hands-on skills. And attending ISPA was crucial. Try and see yourself from an employer's point of view now: you have proven therapeutic skills, you're effective at managing people and capable of making tough decisions, and you're learning more about daily operations and profitability. What's it all boil down to? You're becoming a well-rounded valuable asset for any spa, and that's what it takes to succeed in this industry today.
Have no fear. You're on the right track. All you have to do is keep doing what you're doing. One of these new possibilities will work out for you, I'm sure, but as usual, the decision will not be a simple one. Your career, and your future, hangs in the balance.
I look forward to hearing what decision you make.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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