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Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
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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