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Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
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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