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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.
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."
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.
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.
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.
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.
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.
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.
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."
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 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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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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