Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
January, 2003, Vol. 03, Issue 01
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 in your new city, already hard at work at the medical spa. You probably didn't anticipate that, rather than getting your hands on patients and interfacing with doctors right away, you'd end up doing construction first! I should have warned you about some of the pitfalls of the startup phase in the spa business. Everyone's running around like crazy (even the MDs), and now you're forced to jump into the fray to prove you're a part of the team. That's OK. It's been my experience that when you're part of a startup team, you feel more invested in the project once it's underway. The people you're painting walls and hauling furniture with are going to become your close friends - and remember, they're also your partners. It's great that you were able to work out a profit-sharing deal with the new medical spa, and that stock options are part of your new reality. It must be rough being in a new city, though, with new friends to make, on top of the stress of starting a new job. These first few weeks, as the doors are opened and the customers start to arrive, are going to be exciting, but trying.
Thanks for sharing the vision of the new medical spa's founders. I can tell they have big ideas and want to roll out a large number of facilities rather quickly. However, it's important now to concentrate on first things first, so I'll offer my two cents' worth on what's most relevant in a medical spa environment, and what you can do personally to work toward the success of the entire enterprise.
Your new bosses, the doctor/owners of the spa, talk a lot about branding in their materials. That's all well and good, but there's more to a spa than the brand under which it operates. For instance, consider the strategy of a spa branding company called Stonewater, which held a press luncheon at the International Spa Association (ISPA) conference in October. They're in the process of buying up successful day spas and placing them under the umbrella of the Stonewater brand, but they're leaving the original names, décor, philosophy, and most of the employee team intact. The lesson? Leave a good thing alone, and add just enough recognizable branding to make the place palatable to a wide range of people. For example, what was formerly the Kiva spa in Chicago is now Kiva, A Stonewater Spa.
The folks at Stonewater are pretty smart. They realize that what works in the spa industry is the personal touch. That's why they leave these spas alone and let them continue to operate as they were, to the extent that's possible. If you and the new team you're working with in the medical spa create a successful operation, it too will be built one client at a time, over time, much like in the spas Stonewater is taking under its umbrella. By the time you've created that level of trust, you'll have something so personal and unique, it will be almost impossible to brand it in the way your doctor/owners are talking about. It would be like trying to brand your dog. Sure, chocolate labs are a breed that can be reproduced, but your chocolate lab is irreproducible, completely unique, and what you care about most is that exclusivity and uniqueness. No other dog can be your dog, and over time, you've built up a bank of memories and meaning with him.
Believe it or not, I think this scenario applies to spas, too. While you're creating something one-of-a-kind, the owners are thinking about reproducing it in cities all across the nation. Please know that this will be difficult, if not impossible It's great that you have stock options, but don't start counting your money just yet. This will definitely be a challenge.
Do Your Best, One Day at a Time
I don't mean to discourage you with this type of talk. What I'd really like to do is make things more realistic for you. After all, the primary reason you took this job (not to mention the primary reason you became an LMT in the first place) was to help others and dedicate yourself to useful, meaningful service. All this talk about your potential rewards in the future may have obscured the essential present, and your deeper goals, at least temporarily.
So, let's see, what advice can I give you? I think I would just say, "Do your best, one day at a time." Forget about the stock options. Forget about branding. Forget even about the giddy excitement you've been sharing with your partners over the past few weeks. All that is coming to an end in the next few days, and you're going to open those doors and be faced with people, real people, one at a time in your treatment room. What you do then matters more to the ultimate success of the medical spa, and your career, than anything else. It will be a defining moment.
A Defining Moment
So, what are you going to do in that treatment room that is different than what you did in the treatment rooms at the resort spa you just left? What's going to differentiate "Lou the Spa Therapist" from "Lou the Medical Spa Therapist"?
Of course, you'll still be the same Lou giving substantially the same treatment, but one thing will be different: your intention. You'll be working on clients who have individual problems to address, and reasons for being there beyond relaxation and stress relief. In your new role, your intention will have to be aligned with your partners - the doctors and other health providers who are working as a team to meet the goals of these clients.
Now is the time to bring your advanced skills into practice. Medical spa clients will not expect the same thing from a massage as they do at a resort. They will trust you to provide effective treatment. To accomplish this, follow three simple rules that some friends of mine in the medical spa field have followed successfully.
As always, I'm excited to find out what's going to happen next as your massage career unfolds, and look forward to hearing about the opening of the medical spa. Good luck!
Click here for previous articles by Steve Capellini, LMT.
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