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Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
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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