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Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
March, 2008, Vol. 08, Issue 03
Make Your Table a Sanctuary
By Angie Patrick
In my previous two columns, I shared information about some of the products you use every day, such as lubricants. I also shared tips on how to choose the correct table for your specific needs. No doubt lubricants and your table are two types of products you work with every day. But there are a few other very important pieces of which you should be aware. These pieces are designed to provide your client with added comfort, adequate cover and the promise of cleanliness. These items are your table additives and dressings. In this article, I would like to share some ideas that can enable you to make your treatment table an oasis for your client, while maintaining proper attention to sanitation.
Not all modalities will require the same types of table dressing. Sometimes, all you will need is a sheet. However, in this article, I would like to focus on modalities designed for relaxation and stress relief. I would like to share some ideas that can change your treatment table from just a place to give massage to a healing and stress-melting cocoon of pure comfort and client pampering. (Sign me up!)
Your purely indulgent table should have a foundation of warmth. Table warmers or bed warmers are different from electric blankets. They typically are the size of the surface of your table and have multiple setting for levels of heat. There are a variety of types on the market from ones that are sewn into a flannel fabric to those encased in vinyl with a flannel cover. The vinyls are better suited for any treatment that introduces moisture, such as mud and wraps. (Always refer to the manufacturer's instructions before introducing anything that could conduct electricity. Make sure your specific warmer is made for this.) Still others are intertwined in a plush fleece fabric, providing cozy warmth and added cushioning.
Once you have a platform of warmth, you may decide you need a little more cushioning and pampering for your client. To add a bit more cushion to even the hardest table, add a fleece pad cover to your emerging cocoon. These can be made of natural wool, although, they can certainly be priced higher than some of their synthetic counterparts. One thing you will want to consider is laundering these pieces. The synthetic option is readily washable and usually can be dried on low heat. (Refer to the care instructions for the pad you buy.) This flexibility can certainly be a plus; additionally, you run less risk of a client having an allergic reaction to wool.
OK, so now we have a warmer and a fleece pad. This table is beginning to sound like a real retreat, but we still have a few more items that could truly make it a sanctuary. At this point, I would like to address an issue regarding a barrier between the next layer and the fleece pad. Since you will not want to launder the pad after each use, you will want to purchase a thin, impenetrable barrier that will inhibit cross-contamination, while allowing for the warmth and cushion of the first two layers to shine through. There are barriers made of plastic and vinyl on the market, although, I find the vinyl to be less noisy and easier to clean.
Now the sheets - so many options, so many materials. How do you choose? I have to say I am a big fan of flannel. To me, there is little that can compare to the encompassing comfort of fluffy, soft flannel. Although, I must admit I have had some amazing massage experiences on well-appointed, crisp cotton sheets as well. These days, there are more eco-friendly choices as well, with fibers made of bamboo. Bamboo is a readily renewable resource that has become popular in everything from flooring to furniture. It has recently emerged on the textile scene, creating some extremely soft and luxurious sheet sets. You also can find organic cottons that are quite luxurious. Organic sheet sets are often three to four times the cost of typical massage sheet sets, and this can make it an interesting choice for an item that will be laundered after each use. You will want to choose options that will withstand daily washing, oil stains and repeated usage. Also keep in mind that sheet sets purchased specifically for massage commonly include the cradle cover of a matching material.
This brings us to blankets. I am fond of thermal, cotton-knit blankets. These blankets are cooler in summer and warmer in winter. They are truly workhorses, as they can withstand repeated usage and can hold their shape. For an extra-special treat, try one of the fleece blankets on the market. These are cozy, soft and reminiscent of a baby blanket to the touch. Very indulgent! If you choose to go the far end of the luxury scale, you can purchase a twin-sized down comforter, and have a beautiful duvet and matching pillow to dress the table. Of course, these will be removed before treatment, but the client will get the immediate idea they are in for a soothing and relaxing experience.
Your table should reflect you and your idea of comfort. Imagine yourself on the table and then decide which pieces would make you feel relaxed, renewed and rejuvenated. Client perception is hugely important. Couple a quality massage with indulgent comfort, and your name will be on their lips for days. Hopefully, this pleasant experience will result in word-of-mouth referrals, providing you with a broader client base.
I would love to hear some of the ways you make your table a sanctuary. Feel free to drop me a line and let me know what you do to achieve the ultimate in client comfort! I look forward to hearing from you.
Click here for more information about Angie Patrick.
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