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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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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."
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.
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.
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.
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.
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.
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 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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
December, 2002, Vol. 02, Issue 12
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.
So, you're going to work in a medical spa. Congratulations.
You could probably tell from my last letter that I felt this was the right direction for you to take. Medical spas are the wave of the future. In fact, I think that over the next two decades, the distinction between spas and medical facilities will continue to blur, until eventually, we will barely be able to remember the days when we thought of them as such separate facilities.
Consider this: major medical establishments such as John's Hopkins and the Mayo Clinic are aggressively pursuing the development of wellness facilities and spas. They have "seen the light" and have already contacted professionals in the industry to help formulate their plans. These new facilities will feature the latest technology and some of the best physicians, but they will also offer people the comfort and hands-on care found in spas. Practitioners will spend more time, on average, with each person, who may well be called a "guest," as in the spa model, rather than a "patient," as in the medical model. Traditional doctors and experts in complementary and alternative medicine (CAM) will work side-by-side to develop detailed life plans for their guests, attempting not only to stave off disease once it arises, but to create optimal health throughout each individual's lifespan.
Many new facilities will focus on longevity. I personally know of several well-funded startups focusing on this aspect of the medical spa, with treatments and programs tailored to those who wish to maintain youthful looks and health for as long as possible. This paradigm is nothing new - the Pritikin Longevity Center started back in the 70s, and it's interesting to note that Pritikin has just recently amended its name to "Longevity Center & Spa."
So, longevity centers are moving toward spas, and spas are moving toward longevity centers, and the whole medical industrial complex is moving somewhere right into the middle of it all. Knowing this, how can you fit in?
The Holy Grail
First of all, it's important to understand something that is going on in the spa world right now that will impact your chances at success within it. Currently, there is a great quest going on, and there are a number of players seeking the elusive "holy grail" of the spa world. What is this holy grail? Nobody knows for sure exactly what it will look like, but everyone knows it will include a chain of spas or spa-like facilities that capture the public's imagination (and dollars) in a big way. It will be the key brand in a future dominated by wellness-oriented spa facilities. From what you've told me, the owners of this medical spa that is hiring you believes they have a chance to become this key brand. Believe me, there are dozens of others who believe the same thing.
To succeed in this early phase of the new medical spa world, there are several things you can do to make yourself more attractive to those people seeking this "holy grail." By understanding their mindset, you can help them on their quest. This will benefit you on your own personal quest for success and fulfillment. It's important, though, not to get too caught up in the fervor of this quest. People hot on the trail of the holy grail often get blinded by their own ambition. Successful navigation of this next tricky part of your career path requires two apparently opposing qualities: a cool, calm rational perspective and also a truckload of enthusiasm.
Keep Your Cool
I understand you're excited, but in this situation, your excitement may not serve you. Let me explain.
If you hop on board the dreamboat created by the owners of this new medical spa, you're going to be in for a rough ride at first, because their concept is not proven yet, and the clientele is still being created. So, rather than jump feet first, keep a cool head, and ask yourself some practical questions:
There are other questions, of course, but I think you get the idea. You're someone who always strives to do the best possible job, Lou, and I know you're going all out in this new position, but I'm worried that you're going to overextend yourself. Remember, you've got to take care of yourself to be able to help others!
Medical Spa Rah-Rah
All of these warnings notwithstanding, let's not forget that you're also embarking on an extremely fun, challenging and exciting mission. At this early stage in the development of the medical spa category, the fledgling field needs all the enthusiastic boosting it can get, especially from those of us who find ourselves working in the trenches, trying to make a consciousness shift in the minds of millions of people.
So... get fired up! You're going where few spa therapists have gone before. You'll be working with people who have serious medical conditions, people who've recently undergone surgery (cosmetic and otherwise). You'll be standing side-by-side with doctors who'll expect you to know what they're talking about when they reference medical codes and other arcane information. The people on your treatment table are going to expect more than just relaxation. They're going to expect results.
It's up to you to become an ambassador for this new field. By getting more serious about your skills, developing them further, and soaking up all the knowledge you're going to be surrounded with, you will soon add immeasurably to your value as a therapist, as an employee, and as a contributing member of society. It's a worthy path you're on.
The next time I have a chance to write, I'll fill you in on some of the details regarding the hands-on skills you'll likely need to develop in your new position. I have a few other friends who work in the medical spa field, and I'm sure their experience will be of help to you.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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