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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
January, 2009, Vol. 09, Issue 01
Raising Fees by Raising Self-Esteem
By Cary Bayer
The easiest way to raise your income as a licensed massage therapist is to raise your fees. You don't need to get any new clients, you don't need to sell existing clients any new packages, and you don't need to sell any new products. The easiest way to raise your fees is to raise your self-esteem. But I'm getting ahead of myself.
The whole issue of raising your fee is a charged topic for many, so let me backtrack and first set the groundwork. Virtually every massage therapist, even those who are self-employed, has some history of being an employee. The same is true for most employers in our country. As a result, most of us have had a history of asking for a raise. For those who are more timid than not, that experience was fraught with butterflies. That's a nice way of saying that they were scared s*#$less.
Those experiences probably taught us two things: (1) Asking for a raise (in other words, increasing your income) is filled with anxiety; and (2) It can be hard to get a raise (easy to think if you were often unsuccessful in your attempts to procure one in the past).
The emotional traumas incurred from asking for raises are stored in your body and mind, even if you're now self-employed. If you're a massage therapist, these old scars will likely surface when it comes time to raise your fees. If you're a timid massage therapist, they might not. That's not because you've healed more quickly than more-confident LMTs, but because you're less likely to attempt to raise your fees in the first place.
Let's assume that it's time to raise the fees that you charge for your massages. The good news is that you no longer have to convince a boss or a committee that you deserve such a raise. Now that you're self-employed, all you have to do is make the decision for yourself. Clients will either accept the raise or they won't. Having raised my own fees many times in the 24 years that I've been self-employed, I'll give you one simple, but highly effective, shortcut to successfully raising your fees: convince yourself first that you deserve the increased rates.
If you succeed in doing this, you'll likely receive little or no resistance from your clients. But if you don't take the time to persuade yourself, if you don't do the inner work that's necessary to make such a transformation, I can guarantee that you will receive resistance from your clients. I don't say this to be negative; I say it because it's true. We're such mirrors for each other. I've seen this play out countless times in countless self-employed professionals from all walks of life and across different industries over the past couple of decades.
Taking the time to accomplish the inner transformation is somewhat analogous to a piece of advice I've received countless times from massage therapists throughout the country. Namely, that as an avid and active tennis player who's on the courts three or four times per week, it's vital for me to stretch before and after matches. When I take the time to follow this wise counsel, my body recovers faster and with less strain from the intense workout. When I arrive late and other players are waiting to get started, I'll sometimes forego the stretches. Or if, after finishing play, I'm late for a meeting, I'll often take a pass on the post-play cooldown. The people giving the advice are always right - my body suffers as a result. As the wise maxim goes, "An ounce of prevention is worth a pound of cure." It's as true for a tennis player stretching muscles as it is for a massage therapist stretching self-esteem.
The reason for the inner change is that our self-worth is intricately linked to our net worth. This is such an important principle - and one that many therapists have not heard stated so succinctly - that I'll take a moment to repeat it so that it sinks in more deeply: Self-worth is linked to net worth. Those with low self-esteem often find themselves in dead-end, low-paying jobs. They usually find it hard to ask for a raise, and if they muster the courage to do so, they're often denied. On the other hand, those with high self-esteem often find themselves in higher-paying positions, with many opportunities for growth and expansion in their careers, along with the higher salaries and bonuses that naturally come along with that.
When you feel poorly about yourself, you wouldn't dare think about asking clients to pay you more money than they've been accustomed to. Conversely, when you feel great about yourself, the prospect of getting paid more for your services doesn't seem as daunting.
Now that you've come to see the relationship between self-worth and net worth, let's take a moment to look at the word discount. When you discount yourself, you don't appreciate yourself. As a result, you don't take in the compliments and praise of others. You shuffle them off as if they meant nothing, because you think you're nothing. Then the idea of changing your fees can mean only one thing: lowering them, rather than raising them. We have a word in English for lowering prices: it's called discounting. And it comes about when you've first discounted yourself. When you do, you discount your fees. When you praise yourself, you raise your fees. You make the choice.
Let's say that you propose to raise your fee from $60 per session to $70. One good affirmation you can use to help create the inner transformation is: "I'm so talented and experienced as a massage therapist that my clients are getting a bargain to pay only $70 for my massages." It's worth a few minutes a day to transform your belief system. As the old Johnny Mercer song goes,
"You've got to accentuate the positive
Click here for more information about Cary Bayer.
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