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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
September, 2011, Vol. 11, Issue 09
What is Your Play Personality?
By Sharon Puszko, PhD, LMT
When the last time you played? I'm sure there are some people who can quickly give an account of what they did yesterday that constituted play for them. There also will be many who will pause with a furrowed brow and remain silent as they try to remember when they last did something just for the fun of it.
Whether it's cooking a new recipe, going on a hike, watching a movie, fixing up an old car or reading a book, play is a primal and necessary part of our lives. Especially in a competition-based culture such as ours, play is essential to being a productive member of society. As helpers and caregivers, it is crucial that we as massage therapists give ourselves time to play. It is impossible to help others heal and relax when we aren't relaxed ourselves. Playing helps us re-boot our systems and bond with others, which, in turn, makes us better therapists.
Merriam-Webster defines play as, "a recreational activity; especially the spontaneous activity of children." However, the types of play that exist are as varied as the people who engage in them. As adults, we often do not think about, or spend a significant amount of time, playing. Notice that the definition itself refers specifically to children. While play is crucial for the intellectual and social development of our children, it is also important for us in adulthood.
We are learning that it would be beneficial to change the ending of that entry to "children and adults." Current research demonstrates that not only have Americans made work and competition a priority, but that we are sacrificing playfulness and creativity for them. For instance, over the past 30 years, time spent at work has jumped 10 hours a week. Therefore, learning how to play more at work has become a popular subject these days. However, the nature of our work as massage therapists puts a limit on how much play we can integrate into our work. While some clients enjoy playful banter and laughing throughout a massage, others would never return if we did not respect the quiet time they look forward to while in a session. This makes it all the more important that we try to incorporate play into our lives outside of work.
So, if we simply work less, will we spend more time playing? Not necessarily. Play and work are not mutually exclusive; rather, one cannot survive without the other. A life without play is not one filled with work: it is a life filled with depression. For example, the work we find most fulfilling usually reflects the type of play we engaged in as a child. Does this mean I spent a lot of my childhood volunteering massages to my friends? Not necessarily. But it does mean that I was an active, social child who enjoyed problem solving, which Stuart Brown, M.D., the founder of the National Institute for Play, would say meant I have three different types of "play personalities."
After years spent gathering "play histories" from people, Brown noticed several archetypes that play preferences usually fall into. While some people might fit into just one type, others might have several preferences for the type of play they enjoy. An easy way to start putting more play into your life is to identify what type of "personality/personalities" the play you enjoy fits into.
I've listed what I feel are the more common types below. You can find the complete list in his book. These "types" can be used as a guideline to determining the type of play you prefer, and help you remember how to put some fun back into your life.
Someone who enjoys comedy shows, making people laugh and finding the humor in any situation enjoys the Joker type of play. It is the most basic form of play, and is repeatedly found throughout recent history as a species. Think of the saying, "Laughter is the best medicine."
The Kinesthete is the person who taps their foot, twirls their hair or rocks back and forth during an exam. Kinesthetes are happiest when they are moving, whether that be playing basketball, walking, or cleaning the house. I am also inclined to believe that the majority of massage therapists — those that truly enjoy their work — are all or partly Kinisthetes, since our work is very physical.
The unique, the different, the unknown is what drives the Explorer personality. Visiting a new park, reading about a new scientific theory, or trying a new cuisine are all activities someone with a dominant Explorer personality would prefer.
People who have an Artist/Creator play personality find pleasure in creating things: planting a garden, cooking, writing music, or even fixing up an old car. Some might share their creations with others, some may not, but the point is simply to create.
Fun is found in the imagination for people with a dominant Storyteller personality. Some examples include people who like to write, perform, play Dungeons & Dragons, watch movies or read books.
No matter what type of play you enjoy, the point is simply to make sure you spend time having fun. It doesn't have to be all fun all the time, but one needs to find a balance between focused work and playfulness. Remember: the opposite of play is not work; it's depression. The more ways we find to incorporate play into our lives, the happier and healthier we will be. This in turn will make us better therapists, which is a good example of how work and play complement each other. So start singing, take a road trip, see a play, or get out your postcard collection and just start having fun!
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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