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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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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."
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.
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.
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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