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The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
December, 2003, Vol. 03, Issue 12
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.
The recruits are coming through the front doors fast and furiously now, and it's up to you to assemble a successful team.It wasn't long ago that you were applying for a job at the resort spa. Now, here you are on the opposite end of the job application, making your own judgments about who's a "keeper" and who's not. How can you possibly make such crucial decisions - decisions that affect not only your spa but the lives of others, as well? How can you look someone in the eye and tell them, "No, you're not good enough?" You weren't bargaining on this aspect of the process being so tough, were you? Well, don't worry too much. I'll give you a few pointers that should make it easier for you to go through this process.
Your spa consultant has already done a good job of winnowing out the best candidates from the dozens who applied. Now it's your turn to meet them face-to-face to receive that all-important, hands-on experience: the test massage. A while back, I gave you instructions for giving the best test massage, but I believe it takes an equal amount of skill to properly receive a test massage to consider a candidate's potential for employment.
Techniques for Receiving a Test Massage
Receiving a test massage is more work than it might seem. Sure, you're lying there with your eyes closed while someone gives you a massage, but the skill required to put a candidate at ease while trying to enjoy yourself and critique their performance is tricky.
I once hired the entire massage staff for a new mid-sized spa, which required me to receive over 40 test massages. Because of our deadline, I had to schedule three massages a day, every day for a week. This not only made it difficult to differentiate between candidates but also left me in a state of near-catatonia (by the end of the week I was bruised from bumping frequently into furniture!). Leave yourself enough time to savor the distinct qualities of each massage before moving onto the next. Schedule your test massage sessions with as much time between them as possible.
When you were giving test massages, I gave you the following advice: Do not hurt the person; ask for feedback, but not too much; be confident, but not too confident; and provide a whole massage. Look for these same qualities when receiving a test massage. Is the therapist sensitive to possible contraindications? Is he or she willing to help clients fill out an intake form and go over it with them? (I'll send you a sample intake form in a future letter.) During the massage, does the therapist ask pertinent questions about pressure and comfort? Is the therapist professional and sure of the technique, yet humble enough to change tactics if you ask for something different? Does he or she cheerfully offer a full-body massage?
Someone who fulfills these criteria will likely be a good choice, but look for other signs of potential success, as well. For example, when the airline companies hire flight attendants, they place several candidates in a room together and give them each a problem to solve. Airline officials observe the performances through a two-way mirror, but they are not concerned with who solves the problem. Rather, they watch for who helps their fellow candidates - they want to hire helpful people.
Look for these traits in potential candidates, too: helpfulness, compassion, cooperation, humility, and a positive attitude. Does the therapist want to clean up the massage room after giving the test massage? Do they pick up towels, linens or other things lying on floor? Do they smile and say hello to the other people they meet during the process (not just you, the person they are trying to impress)?
The Final Word
Finally, the hiring process comes down to trusting yourself. No matter how much you think you should hire someone because of a slick résumé or other factors, you have to go with your instincts (after checking references, of course). I've had to make some tough decisions. I once received a test massage from a blind Peruvian Indian. I wanted to hire him because he had fought against staggering odds to find success; however, his massage technique needed a lot of improvement. I was sorry to turn him down, but I had to be honest about the needs of the spa. Do what you have to do, Lou, and forgive yourself for mistakes you make.
Talk to you soon,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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