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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
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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