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Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
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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