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A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
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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