resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
February, 2003, Vol. 03, Issue 02
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, the medical spa is open, and you're interfacing with doctors and nurses and physical therapists. You're looking at forms, charts and files. You're wearing blue surgical scrubs to work, and feeling a little different about your massage career than you did a few months ago at the luxury spa. It's not exactly the way you thought it would be, is it? I understand you're feeling a little let down now, after all the anticipation of getting the medical spa up and running. Reality is seldom as romantic as imagined.
Your two main complaints about your new position are ones I had myself, when I first worked with plastic surgeons who were converting their offices to mini-spas. Complaint number one -you feel there's too much emphasis on the external beauty aspect of the services rendered at the spa, rather than true health and well being; complaint number two - you didn't fully realize you'd have to wait until the insurance reimbursements came through to receive the commissions on the services you give.
I'll talk a little about these issues, and see if there's a way I can help put you more at ease when it comes to working in the medical spa environment. You don't want to bail already; after all, it's only been a month, and you're not even sure the spa will be a success or not. I think you should give it more time and see what happens, especially considering you've just relocated to a new city.
More Than Skin Deep
I can see why you might feel the spa is focusing too much on the aesthetic aspects of health (tummy tucks, liposuctions and face lifts), rather than the holistic/preventive aspects that inspired you to join the field in the first place. You're at a medical spa, where you thought you'd have the chance to interface with people on a more in-depth level, and you've ended up dealing with more superficial issues than you did at the luxury spa. There, you were free to deal with clients as you saw fit, but now things are more regimented. How can you apply your deeply therapeutic skills to someone interested primarily in reducing hip measurement?
I think we're at an early phase of the entire medical/spa integration, and we have a long way to go to reach the lofty plateau you thought you were going to step into right away. Indeed, a handful of spas offer guests serious medical screening and comprehensive lifestyle assessments, such as those at La Quinta Spa, the Chopra Center for Well Being at La Costa, and the Ojai Valley Inn & Spa's Destinations Health programs. I believe this is the wave of the future, even though it's taking a while for the general public to catch on and fully embrace the new paradigm.
What we have to deal with right now, however, is that a majority of the public regard spas as places where they can go to look and feel their best. These are the famous "Baby Boomers" who want it all, and want it now; the me, me, me, me, me generation. I know this doesn't sit well with your natural therapist's instincts of wanting to help people on a meaningful level, but I don't think you should write off the medical spa just yet.
The way I feel about this issue can be summed up in the words of Jen Kerr, who once said "I'm tired of all this nonsense about beauty being only skin deep. That's deep enough. What do you want, an adorable pancreas?"
In other words, it's OK for people to be focusing on their beauty, Lou, and you can help them get the most out of their experience, rather than fighting against what you called the "superficial culture" of the spa.
I know it must be tough, waiting months for a good chunk of your money to come through, but hey, you knew buying into the medical model was going to have some drawbacks. The insurance labyrinth is one of them. I agree it's not an ideal situation, and as an employee, you shouldn't have to wait to receive compensation, just because the business hasn't received payment for the services you've rendered. But remember, you are not just an employee; you're a partner, with stock options, and you're partaking of both the upside and the downside of the business's cash flow.
Consider yourself lucky that a large percentage of the medical spa's business is "out of pocket" because these are for the most part elective cosmetic procedures not covered by insurance. Can you imagine what it would be like if 80 percent of your paycheck was withheld, rather than 20 percent?
Give It Some Time
Lou, it concerns me a little that you're already thinking about leaving the medical spa. You should at least give it a couple more months. Sometimes those of us in the spa industry for a long time refer to the high-turnover rate in soap-opera terms - "As The Spa World Turns." People are constantly hopping from one property to another, sometimes to the detriment of the spa guests' experiences.
I'd like to see you hang in there for a while and see where this medical spa paradigm will take you. Who knows? There may be some unknown reason you are where you are right now. Perhaps it's not the stock options, or even the chance to work in a medical setting, that has brought you to where you are, but something else entirely - something hidden, something about to be. Just wait and see.
Until next time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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