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National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
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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