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Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
July, 2003, Vol. 03, Issue 07
The Five Seasons of Spa: Summer
By Robin Zill, LMT
Author's note: This five-part series is designed to explore the language of nature as it relates to the spa experience.
"Summertime...When the Living Is Easy"...NOT!
Summer is the season when life and business are in full bloom.If your business has been well-planned and tended, the garden is thriving: the soil is tilled and nourished; there is plenty of water; the sun-to-shade ratio is perfect; and the bouquet of color bursts forth, ripe with foliage and fruit. The best of what nature has to offer has been given to you because of your vision and hard work. The harvest is around the corner.
In the ousia (oo-see-ahh) philosophy, summer is considered the time of full bloom, the time of flowering. It is the time when things are in full swing and the senses are filled with wonder. You have made it through the long winter season when your planning began, and the spring season when vision took roo,t as you built and finalized your space, treatment menu and staff selection. The season of summer at its best is fun, rewarding and beautiful.
But the hot summer sun can be blistering. It can mean draught, unexpected insect infestations and weeds. Summer can be the season when many new business owners find themselves running on empty. That is why taking a vacation and slowing down just a little can be the best thing for you and your business. But how can you afford to?
How Can You afford Not To?
Any spa owner will tell you that the opening of a spa (or any new business) is a multidimensional feat. It is like a rite of passage. A new spa owner has counted the cost and made many sacrifices - so have those around him or her. Most new spa owners are tested on physical, emotional, intellectual and spiritual levels. By the time the spa opens, they have lived a lifetime. This needs to be acknowledged and honored.
From the spa business perspective, the ousia key word for summer is maintenance: maintenance of the vision, maintenance of the people and maintenance of the systems. This is the time to review planning and profit expectations, and decide if the staff you selected is the team that will take you forward. Are the treatment programs working optimally? Taking time to review, refine and tweak your systems will save you endless hours of frustration and stress down the road.
I know, I know - you don't have time. You are too busy putting out fires. I rest my case. Whether it is reviewing profit margins, coding in the computer, cleaning up protocols and staffing policies, such as dress codes and tardiness, or making simple clarifications and refinements, it needs to be done. It can make all the difference to the bottom line at the end of the year. There is definitely pruning to be done. It is time to hoe and strengthen the growing plants, remove the suckers and pinch the leaves. Poor team morale or treatment programs that do not sell or are not easy to perform need to be revisited. Listening and communicating with staff to refine your business structure is imperative at this point. Neglecting this proper pruning can leave the garden fruitless, with little more than weeds to show for all your hard work and vision.
Summer season maintenance also means maintenance of your own personal health. Maintain your own health and vitality so you can maximize this incredible growth period. Treat yourself to spa services; pay special attention to your diet, exercise and sleep patterns. Review the pace and rhythm of your life schedule. Do you have enough time with your spouse or significant other, children, friends... yourself? Taking time to stop, reflect and balance by dipping into the fifth season of spa - the integrated center - is critical.
Most people I know in the spa industry, at least the harbingers, chose this industry because it offered them more than a job. The spa industry has the opportunity to create a career path that enhances an integrated lifestyle. Many of us have also found that the lessons are never perfectly clear to our deeper path: One often experiences the "chaos" before the "light." Tapping into the fire energy of summer will help to energize your business.
In closing, I share a quote from one of the oldest books ever written, the I-Ching, or "Book of Changes." The I-Ching is based on living in the moment and embracing the constant of change in the universe and our lives. The following trigram, Ch'ien, the Creative, comes to mind when thinking about the season of spa hot summer:
Click here for previous articles by Robin Zill, LMT.
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