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A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
October, 2003, Vol. 03, Issue 10
Therapists Learn the "Why" and "How" of Spa
By Nancy Griffin
Thirty acres of stunning beachfront property Laguna Beach, Calif., is the setting for the Montage Resort and Spa, which opened in February. This world-class, yet casual, property has created a peaceful sanctuary for its guests, sparing no detail in lodging, dining, art and service.The 20,000-square-foot spa sets a new standard of excellence for resort spas worldwide. Beyond the ocean views, superior facilities and luxury amenities, one of the spa's key success factors is a commitment to selecting the finest staff. Early in the project, Montage CEO Alan Fuerstman brought in Barbara Schultz, the former spa director of the Ritz Carlton in Naples, Fla., as Montage's spa director, and Anne Bramham, who has developed results-oriented protocols for some of the world's most famous spas - including Canyon Ranch, the Greenhouse Group and the Ritz Carlton - as a consultant and trainer.
Five months before opening, Barbara and Anne were hard at work hand selecting massage therapists and aestheticians. The therapists selected had eclectic backgrounds but a common passion for holistic, noninvasive techniques and continuing education. They took part in a three-week training where they "basically started from scratch," as one therapist put it, and used the resort staff as "guinea pigs," which helped to create awareness and goodwill among the staff toward the spa.
The Therapists' Perspectives
Massage therapist Peggy Matthess left a 14-year position at a five-star resort to join the Montage. "This was an opportunity to receive education I could not receive elsewhere - at no cost," she said. "I could not pass it up."
Suzanne DeFranco, an experienced holistic healer and acupuncturist, also left a lucrative practice to join the Montage team. "After having my own practice for many years, I debated whether I would be happy in a resort environment," said DeFranco. "But when I heard about Anne Bramham's training, I knew this was the right place for me." DeFranco especially identified with the training in clinical aromatherapy, which is the foundation for "aroma balancing," one of the spa's signature treatments.
Drawing from Oriental diagnosis and constitutional analysis, this technique uses the specific application of oils along the reflex pathways using applied pressure and connective tissue methods.
Interview with Anne Bramham
NG: What's different about the spa at Montage compared with a typical resort spa?
AB: At Montage, the therapists have been trained to have an understanding of the "why" and "how" of spa. They understand the physiological responses of the body, and how the applied elements work with the body. Montage is one of the first spas to make a long-term commitment to training its therapists, and it is already paying off in the spa experience. The spa just opened in February, and already people are coming back for their second or third visit. Montage spa guests take home a program and become involved in their therapy.
NG: I was told that you "hand-picked" Montage's therapists. What are the qualities you look for when selecting treatment staff?
AB: In general, I look for therapists that have a sense of rhythm, flow, contact, and an insatiable desire to learn about the human body. Because of the buzz surrounding Montage, we were lucky to be able to attract the best therapists in the area, but skill and number of years in practice were not most important. We hired for attitude and potential, then taught them the necessary skills, like how to identify the links between general constitutions and the corresponding elements found in spa treatments.
NG: What is your biggest pet peeve about spas in the United States?
AB: In the US, most spas talk about "healing," but when it comes to operating the business, they don't allow for the possibility for that to happen. In Europe, there is a Badmeister program adhering to highly standardized protocols using spa therapies in physical rehabilitation. Much like our Western medical system, most spas don't take the time to understand what will best complement an individual's healing process. We as spa owners need to teach our therapists how to focus their efforts towards specific results for the client.
Click here for previous articles by Nancy Griffin.
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