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The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
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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