Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
March, 2010, Vol. 10, Issue 03
Massage Tables Are Like Elegant Desserts
By Angie Patrick
It's true, massage tables really are like elegant desserts. The best ones have the perfect balance of sumptuous and delicious layers. Go enjoy a delicious gourmet dinner. Chances are the dessert tray will be filled with items sporting layer after layer of sheer decadence. More layers really equals more luxury and more indulgence.
However, this is where the similarities with your massage table end. I have seen some therapists who will place a sheet over a table and call it complete. This can leave a client shivering and feeling more than a little exposed. I have also witnessed other therapists create the equivalent to the Leaning Tower of Pisa in an effort to make the table more comfortable. This often results in the client fussing with the table covers and struggling to keep them in place while trying to roll over, or even worse, the coverings sliding to the floor completely when the client gets off the table due to ill fitting or inappropriate coverings not created for use on a massage table.
How do you know when enough is enough? How can you be sure you have not crossed the line between cocooning comfort and overcompensation for an uncomfortable table? Often, these lines can be blurred. Let's look at some of the regularly used table coverings in order of their layering on the table, and then you can utilize the information provided to pick and choose which would be appropriate for your specific applications.
Table warmers come in many different forms. Some are washable while others are not. Some are suited for treatments where they might come in contact with water and others are not made to withstand moisture. Before you choose, decide whether or not you plan to practice treatments that require the warmer to be water-proof. For instance, if your plan is to offer herbal wraps, you will most likely opt for the water-proof option for safety's sake. If your plan doesn't include treatments utilizing moisture and free-flowing water, then a regular fabric table warmer will work fine. In all cases, check to be sure the warmer has an auto-off feature. This alleviates the age old worry in the middle of the night as you sit straight up in bed, "Did I unplug the table warmer?"
Some models can be programmed to work continuously for up to 99 minutes, and then power down. This is a great feature, and one I personally prefer. It takes the guesswork out of whether or not the warmer will remain on for the full treatment. Given the average massage is 60 to 90 minutes, it should cover most treatments. The trick is remembering to reset it between clients so it does not power down in the middle of your massage. These typically are washable on the gentle cycle, although it is preferable to hang them to dry to better prevent the warming filaments from breaking.
Ideas for Added Padding
Fleece likely is the most popular and widely utilized plush covering. This covering provides additional cushion and a degree of comfort that a sheet on bare vinyl will not provide. Look for fleece with elastic corner holds or a fitted cover to secure it to the table. You have a couple of choices in the type of fleece you utilize. Some people only want wool fleece pads. Although these are very warm and cozy, they cannot be machine washed and some clients might have allergies to wool, which won't necessarily be disclosed in the intake form. I prefer the synthetic fleece because it offers greater flexibility in washing. It can be machine washed and dried in the dryer on fluff or air dry without heat. I would suggest a therapist have a few sets of fleece so they can be changed out between clients on a busy day. Now they are more affordable than ever before, ranging from $25 to $110 depending on the material you choose.
Another popular option for added comfort is memory foam covered in vinyl. This is a fantastic way to soften a hard table or elongate the life of one that is beginning to show wear on the padding. It usually is 2 to 3 inches thick and is made of visco-elastic material which reacts to body heat, conforming to the contours of the body. These, when covered with vinyl, are easily cleaned and offer a very comfortable foundation for your client. While not inexpensive, they can truly provide a luxurious feel to your table and extend the usefulness of a table in the beginning stages of wear, allowing an additional pocket of time before you must invest in a new table.
Choosing the Right Sheets
Once your warmer and choice of pad are in place, affix your fitted sheet to the table. The next layer is your top sheet. Please be sure the sheet sets you buy are appropriate for a professional setting. I have seen the occasional therapist use cartoon-character sheets fitting a twin bed on their professional massage table. The intent is to be cute and quirky, but the reality is you come off looking ill-prepared, childish and difficult to be taken seriously. Purchasing sheets appropriate for your practice is fundamental in being considered a professional. Be sure your sheets are in good repair, not stained and do not reek of old oil. This is more than a wee bit off putting, and can ruin the whole massage experience, no matter how expertly executed.
Your choice in sheet material is one that could require some additional thought. Although we all want an attractive and inviting table, being pretty may not be enough. Look for fabrics that are durable and can withstand repeated usage and laundering. Here are a few examples of the most commonly chosen sheet types, and reasons why they may or may not be a fit for your needs.
Poly Cotton: These are a blend of cotton content and polyester. These sheets are thinner and great in warmer climates. They resist wrinkling, although they are not wrinkle-free. There is little shrinkage, and they usually hold up well during laundering.
Muslin: Very thin fabric, does not offer much coverage for client modesty. These sheets might work well when used in wraps. Not a favorite among most therapists for everyday use on their massage table.
Cotton: Natural fiber, flat-spun fiber finish, and soft to the skin. For client modesty, look for sheets with 300-350 thread count. These are a bit thicker and offer greater coverage. Buy sheets a bit larger than your table to allow for inevitable shrinkage. These will launder well although they will wrinkle substantially if left in the dryer unattended after drying.
Flannel: A tried and true staple in any therapist arsenal. This is a natural cotton fiber that has been spun to allow fibers to be "unruly" and then brushed to allow fibers to loosen and become lofty. These sheets offer superb coverage and long wear. The more they are washed, the softer they become. Flannel is not gauged in thread count, but it is rated by weight per square meter. For durable flannel that will wear well, look for flannel with weight of 150 g per square meter or greater. These weights will launder well but will wrinkle if left in a basket after washing. Again, be sure to buy sheets large enough to accommodate shrinkage.
Bamboo: A new fiber in the massage-sheet arena. This fiber is incredibly soft to the touch. It feels almost silky and can provide a very luxurious feel to your table. It is also a nice "trendy" component to say you are using greener products. Even though there are several positive reasons to choose bamboo, it also has a few setbacks. It can be price-prohibitive in many cases, and it often can have substantial shrinkage and wrinkling if laundered in any way other than described on the packaging. It also is still somewhat fragile in its longevity, allowing the stitching holes to stretch and become somewhat unsightly. If you have the budget, time and opportunity to truly care for these sheets, they might be a good fit. If you are looking for a workhorse, you might decide to opt for another material.
In all sheets, you will want to be sure the pocket is deep enough to accommodate the table warmer, and fleece or memory foam pad, as well as the table. In the top sheet, you likely will wish to find something measuring 59 to 65 inches wide and 80 to 90 inches long. Not only will this allow nicely for any shrinkage, it will continue to provide adequate coverage for the client following laundering. This is why most household sheets for twin beds do not always offer a perfect fit.
The Proper Blanket
There are many schools of thought in regards to blanket materials. Again, it is driven by your needs and usage. I will provide you with the most common offerings, although there are many more on the market than I can list here.
Cotton Thermal: Likely the most widely used blanket in massage. It is loosely woven, thicker yarn cotton that will remain breathable while retaining warmth. It is prone to shrinkage and does have a tendency to become snagged. These are affordable and come in an array of designer colors.
Fleece: Softness is the hallmark of this fabric. It harkens to days when we were children and all things we snuggled with were fluffy and soft. It evokes an instant relaxation response and is widely used in the industry. It will launder well, although it is prone to shed in the first few washes. Most will not have appreciable shrinkage. These will also wrinkle, but not much.
Bamboo: This fabric makes a lovely blanket; offering softness and luxury to any table. This is not a very durable fiber so handling and laundering of the blanket must be done with care. It is prone to pilling, so it should be handled with greater care. It will also shrink if dried in a heat setting. Tumbling on low heat or no heat is preferred to extend the life of the blanket.
Down Comforter/Duvet: Incredibly lush and totally cocooning. It's downside is the expense and the upkeep of the duvet covers between clients. For a similar feel without the expense, look for down alternative comforters. These can also alleviate the allergy reaction to down.
Making Your Table a Sanctuary
Many therapists have different ideas about the way they would like their table to look and feel to the client before they climb on. Some would opt for a clean, luxurious spa feel with a crisp, white duvet covering a plush, down comforter. Others may prefer a world-traveler look, complete with colorful saris from India or Pakistan accompanied by a decorative pillow of silk or satin. Still others may opt for a more ethereal feel, with thin gossamer fabrics covering their table, lending it a cloudlike quality.
I have seen tables with flower petals scattered on them, or simply dressed with a bundle of freshly cut rosemary sprigs tied with a piece of raffia placed in the center of the table. I have seen the table scattered with chakra stones, as well as beautiful bowls of water with a Beta Fish swimming in it on the floor beneath the headrest for a lovely view while face down. Any one of these ideas can evoke a serene feeling of calm and relaxation. The truth is, there are no real wrong ideas when it comes to the decorative part of the table. Just, as in all things, present a professional appearance.
I hope these bits of information will be able to assist you in the decision of what to use on your table. The possibilities are truly limitless, and we have only scratched the surface here. There are more beautiful massage linens coming into the market every day and there are many great suppliers bringing these to the forefront. Enjoy the search, but always remember to present yourself, your practice and the supplies you use professionally.
Click here for more information about Angie Patrick.
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