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Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
April, 2003, Vol. 03, Issue 04
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.
What a relief! That's the only way to describe the sensation you must have experienced after learning you were not responsible for injuring one of your massage clients at the medical spa. I'm sure being interviewed by a battery of lawyers was not your idea of fun, and depositions were not what you had in mind when you envisioned your dream life as a massage therapist, but look at all the things you've learned.
First of all, now you know for certain that the owners of the medical spa are not on your side. They completely abandoned you when it came time to face the lawyers, and they've distanced themselves even more since, as if associating themselves with you is a bad idea. I don't blame you for wanting to disassociate yourself from them in return.
You've learned that your fellow therapist at the spa, Barbara, is a true friend. When the situation turned nasty and the client's lawyers were talking about having you arrested, she was the one who stood by your side.
You've also learned, or perhaps re-learned, that your therapeutic skills are intact; you know what you're doing; and you were not endangering your client through your actions.
Finally, and most unexpectedly, you've learned what pseudo-atrophy is.
Pseudo-atrophy is a medical term for depression of the tissues caused by a cortisone injection. It affects people who received injections that were not properly administered, especially when the injections are high-dosage. Your client at the medical spa received a massive cortisone injection several weeks ago to the very site she claimed you injured through your massage with Endermologie® equipment. The injection is what caused the depression in her skin she was attributing to you. So, it has been proven to everybody's contentment (even the lawyers) that you were not culpable, and neither was the medical spa or the equipment manufacturers.
Who could know that a cortisone injection,received several weeks ago by a woman you'd never met, would have such a massive effect on your career? The lawsuit has been dropped, and you are free to continue your work at the medical spa, but the question is: do you really want to? It looks as if you're facing a major decision: stay at the spa that employs you, the one you became so enthused about, the one that gave you stock options and promised you the moon, or take the hint and realize that beneath the slick exterior of this place lies a heart of ice, and that it is not your true home?
Should You Stay or Should You Go Now?
I hate to tell you this now, but I had a funny feeling a few months ago, when you started talking about stock options and "new models for rolling out a nationwide spa success plan." I was excited about your new job opportunity at first, but as you became more deeply involved, I began to think you might be getting yourself into an untenable situation. As in any enterprise, those who bite off more than they can chew end up with indigestion. It may have been better if this medical spa ownership team had started out with just one facility in mind and then tried to make it the best it could be, rather than start a roll-out of franchised properties too soon, built on a model of success they aren't even sure works!
Many physicians and spa entrepreneurs are taking this wiser, step-by-step course and finding success. (A good number of them can be found within the ranks of the Medical Spa Association, founded by Hannelore Leavy, president of the Day Spa Association.) My advice to your owners would be to seek some networking and education from these experienced professionals.
In the meantime, you have to decide. Should you stay, or should you go? Let's weigh the evidence, taking everything into consideration:
The Risk/Reward Ratio
The spa industry, like many industries, is a forum of opportunities. The people who reap the rewards in this forum as the ones who take risks. I think you've stumbled on an opportunity to take just such a risk yourself, and discover a level of success you haven't envisioned yet.
The key here is Barbara. You told me she has been considering the possibility of opening her own small day spa, and she might be willing to take on a partner. Your first reaction is probably to dismiss the idea as too much work. You don't want to get tied down to just one place. You want to leave your options open. You're afraid of taking the risk with your time and your money.
I understand these concerns, but at the same time, I have a gut feeling about this, and I'm willing to share it with you now as a friend. You should stay close to Barbara. She's proven her dependability, which is exactly the quality you want most in a business partner. I think the time is right for you to move onto the next phase: to take on more responsibility, take a risk, and possibly receive the rewards. It's time to open your own spa.
Entrepreneurs talk about the "risk/reward ratio, which refers to the amount of capital ( time and money) they're willing to invest to receive a certain amount of possible payoff in the future. The spa world right now has a pretty attractive risk/reward ratio, but only if (and this is a big "if") you're willing to take a hard look at the realities of the business, and do everything necessary to give yourself the best shot at success.
Have a serious talk with Barbara about what she wants to do, and share your vision with her. Take the leap. Leave this sleek-but-heartless medical spa behind, and strive for something you can call your own. I'll offer any input and support I can. I have a feeling this is the start of a great new project.
Click here for previous articles by Steve Capellini, LMT.
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