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Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
April, 2011, Vol. 11, Issue 04
Your Backup Plan: When Life Interrupts Your Practice
By Jenn Sommermann, LCMT
Being a massage therapist is physical. I don't have to tell you that in order to do this work well, it takes a strong body, a clear mind and endurance. Even if you only practice part time, you must inhabit a high state of health to care for your clients.Of course, there are differences, i.e., you travel with your table, perform sports massage, have to work around a hospital bed with less than optimal ergonomics or have a private practice where clients come to you.
I am not referring to any particular type of practice but am speaking in general. You must have a certain level of fitness to be a massage therapist. I often joke that I am in the best shape of my life and it is because I have been a massage therapist for almost 20 years.
But then life happens. Sometimes you get sick. Sometimes you get injured. Sometimes you have emotional issues that leave you less than grounded and present for your clients. It isn't realistic to think that you can be strong, sound and able, year after year, client after client, without interruption. If you have practiced for any length of time, this issue may have already occurred. The question is what to do about it so that you can maintain your practice, your income and your reputation.
One morning this winter, I woke up injured. The distal joint of my fifth finger on my right hand was bent at 90 degrees. I have come to learn it is called a "mallet finger". There was no injury or trauma; I simply woke up with a crooked finger. As I make a portion of my living with my hands, I panicked and rushed to a hand surgeon. He told me this is a common injury and probably occurred while pulling up the sheets in bed. Really? Didn't I just say I was in the best shape of my life? How on earth could this happen? After consoling me, I was put in a splint to be worn 24/7 for eight weeks.
As of this writing, I am still splinted and hoping for a positive outcome. Surgery is the next option and one I don't care to bring into consciousness. And then the reality sets in: I am impaired. I cannot use one of my fingers and moreover, need to keep it out of the way of the other fingers. How will this affect my work? Can I work? I asked the doctor. He merely stated, "Try it and see how you feel". I hated this answer but realized he couldn't say anything else.
I decided to take the first week off to heal and come up with a plan. There are options when you are sick or injured and it is important to consider them, even before you need them. A backup plan is one you hope you will never need to use but is good to have ready, just in case. A backup plan for a massage therapist may include:
It should be noted that there is always a risk if you stop seeing your clients for a period of time (either because you took a break or referred them elsewhere) that they may not come back to you when you are able to work again. I truly believe there is enough work to go around and chances are if the relationship is well-established, it can survive a hiatus until you return. That being said, the risk is real and must be considered.
Once the options are weighed, implement your decision. Remember if the decision does not work out, you can change your mind. For example, if you find that you cannot work with the injury or illness, inform your clients immediately so they can seek care elsewhere. It really is OK to change the plan. Your health is paramount and if you don't take care of yourself, how are you to take care of others when you are well again?
I am back to work again. My finger is splinted and bandaged. I have also chosen to wear finger cots that are changed between clients. For the most part, I keep my finger out of the way of the other nine but it occasionally comes along for the ride. I have adapted; the first few massages were shaky. Most of my clients have no idea that anything is wrong with my finger. I am not trying to hide it and if they "see" it, I tell them. But I don't want it to be the focus. The care is about them and I want to focus on them.
Whatever ails you, be it physical, emotional or spiritual, your work can be impacted. If it is too much of a burden, you may need to consider options. A backup plan is a good thing to have in place. My wish for you is that you never need to call on a backup plan. But in case you do, you'll be glad you planned ahead.
Click here for more information about Jenn Sommermann, LCMT.
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