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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.
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.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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