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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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
November, 2002, Vol. 02, Issue 11
The 10th Element: Time, Space and Rhythms
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 11th article in a 12-part series and focuses on the 10th of the 10 elements: Time, Space and Rhythms.To view a graphic representation of the 10 elements, click here.
There is a unique time to sleep, eat, wake and rejoice for each of us. The 10th element weaves together three elusive concepts: time, space and rhythms. It is defined as the perception of space and time and its relationship to natural cycles and rhythms. The study of the wholeness of the human experience within the context of our environment, and our relationship to space and time, is not a new one. Ancient cultures and great religions have studied the patterns of wo(man)kind for thousands of years. The circular aspect of time has survived through the Aruyvedic teachings, the Chinese Five-Element theory, and the Native American MedicineWheel. All of these circles convey a sense of seasonality, ofrhythm as people move through the brief time they have here on earth. They also emphasize the importance of the environment, the space in which that individual resides. The 10th element represents our effort to capture this dynamic and relate it to the spa experience.
This element makes up the circumference of the 10 Element Circle. I like to think of it as a vessel that holds all of the elements together, giving form to our discussion. The relationship between time, space and rhythms highlights the dynamic interplay between the physical life and the spiritual life; the visible and the invisible. Time and space are "invisible" and relative, yet how we think about them reflects the elusive, existential quality of who we are. It is crucially linked with the fifth element, Integration, located in the center of the circle. A greater understanding of time, space and rhythms helps us integrate the elements of the spa experience. Essentially, the 10th element is about transcendence of self.
Before we leap to how this element has practical applications for our industry, it is helpful to approach it philosophically. Frijtof Capra is one of America's most innovative thinkers; his work as a philosopher, scientist and author has inspired my vision for the spa journey over many years. Since the Tenth Element interacts with all of the other elements, it is the container that gives structure to the spa experience. Capra's description of a living system directly relates to this concept of time, space and rhythms. A living system, he says, has three characteristics:
Capra goes on to say:
Although this element may seem abstract, the 10th element is woven into almost every aspect of the spa experience. It affects how the client perceives space, how much time the client gives to the experience, and the rhythm and flow of the treatment sequence. This intangible "flow" often affects the client's perceived value of the spa experience. It also is a critical factor in determining the quality of the experience and whether the client will come back.
As with life, the spa experience involves many complex interactions and rhythms. Take scheduling for example. What are the busiest days, hours and high seasons of the spa? What is the ideal treatment time for a massage, signature treatment or spa package? Do you change the treatment menu to adjust to the changes in the season? How much transition time do you need for the spa guest to maximize their experience, and keep them moving to the next treatment to keep your schedule, yet not rush them? Do you have a rest period built into your treatment program to maximize results? What is your turnaround time between treatments to maximize profits, yet keep your technical staff energized and motivated? How long should a shift be for a massage therapist? What about for the other workers? What is the optimal work week for a massage therapist, receptionist, or spa director? I believe this element will come quickly to the forefront as professionals and consumers begin to create language and meaning as to its importance to the healing process.
I would be remiss if I did not mention the importance of dreams to the 10th element. Dr. Elson Hass, author of Staying Healthy with the Seasons, finds that "regular dreaming awareness suggests that you are close to balance between your inner and outer worlds." For example, "busy/type A" personalities are often unable to relax and often do not sleep well or dream. This causes them to get sick and be forced to rest to recharge their batteries-sound familiar? Conversely, the visionary whose primary focus is the immaterial world can also be out of balance with too much dreaming. They may experience greater physical-mental stress, age faster, and appear confused.
I believe this exploration of balance and integration between the inner and outer world, the physical and nonphysical worlds, is fundamental. Practically speaking, that is why the rest period after a spa treatment is so important. This is where true healing occurs; it occurs from within. For example, the most common problem with hydrotherapy treatments is the lack of a rest period after the body's core temperature has been elevated. Even 5-15 minutes can give your client the chance to achieve homeostasis, and solidify an inner intention. I have often reflected on how important the surrender of one's own personal time is to the ritual of the spa experience. Giving control of one's time over to another with the intention of personal healing is about trust. In a time-impoverished culture that is struggling for balance, this first step is analogous to the first step of the spa journey, ousia insight. Only the client as journeyer can begin on his or her own, by opening the doors to trust, or to truth. It is heartening to note that the essence behind the massage industry is creating the space for this deep unspoken interchange.
There is something magical about a great massage or spa treatment. It is not just the touch, the products or the decor. It is the interchange between client and therapist that creates the quality of space. The elusive rhythm of touch, eyes and smiles, time surrendered, time honored -- this is what makes a memorable experience. Time, space and rhythms are the key to transformation, not just for the individual, but for the therapist and society at large. The immortal chant of nature's rhythm is calling us to dance. Let's listen.
Click here for previous articles by Robin Zill, LMT.
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