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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
October, 2013, Vol. 13, Issue 10
A Career Move to a Resort Spa: Is It Right for You?
By Ann Brown, LMT
Wondering if working in a resort spa is right for you? I've been in this industry for nearly 20 years, but I have to admit – it was more of a career path that opened up for me, instead of one that I purposefully set out to make my life-long mission. It was definitely one I never expected to love so much.
I fell into the resort spa industry. I say "fell" because, when I started, I was looking for a job with flexible hours and good pay while I was finishing my MBA. My previous work had all been in sales, driven and dollar-focused. I went to nail technician school as a means to support my way to my MBA, not looking for a career in the resort spa industry. I didn't really know all the benefits of working for a large corporation, but once I started working within one of the largest resort spas in the U.S., I started to see so many other perks besides good wages and flexible hours. I had, at my fingertips, very low employee hotel rates at the other hotels within the corporate group, great pay with taxes taken out, medical benefits, complimentary lunch and uniform cleaning, and the ability to trade freely with the other licensed staff for massages, facials and all sorts of modalities I had never tried before, such as watsu, Thai, MLD, reflexology, craniosacral, acupressure and more.
I also had the opportunity to add to my spa education at a discounted rate, sometimes even earning free CEU's from training for new menu items. Training for treatments such as stone massage and classes on the principles of hydrotherapy were the perks that really opened my eyes to the BIG world of spa. When I started at my first resort spa, I have to admit my nail technician job was primarily about meeting my needs – some decent money and very flexible hours. I had my basic license, but it became quickly apparent to me that the more education I had, the more money I was going to make.
The resort spa I was working for had a couple of pedicures that included reflexology on the spa menu, but I wasn't eligible to perform them. You had to have at least 16 CEU hours in reflexology and some case studies before being opened on the schedule for these pedicures. When the resort spa offered a free 16-hour CEU class on reflexology, I decided to do it, mostly because it meant a significant pay raise per hour for me to be able to do these specialized pedicures over the basic ones.
You may have heard the saying, "When you are ready to learn, the teacher will appear." I learned so much in those two days of reflexology training – that is exactly what happened to me. I was in awe of what I learned and the potential it held. At the time, I had some minor health issues and was at a loss as to a course for my future wellness. Through this class, I immediately felt the benefits that spa therapy had upon my own health. The reflexology class set me on a path that has daily reminded me of why I am in the spa industry.
It also put my big toe in the pool of entertaining the idea of entering massage school, which was very intimidating to me. I had never been much of a touchy feely type and hadn't given much massage of any type to anyone before entering school, but the more spa therapy I learned, the more I wanted to learn. I have to admit – I was so intimidated about massage school that I pursued esthetician training first. Please don't judge me, but I was equally intrigued with skincare and really learned so much from some Eastern European estheticians I worked with, I thought I better get that license under my belt next, so fast forward four months and I finally took the plunge with massage school. I was living in Florida at the time and went to a 500-hour evening program. I was receiving treatments for my health concerns within the spa, trading with massage therapists and receiving lots of MLD, reflexology and seaweed treatments and hydrotherapy using water temperatures to aid in the exchange of fluids and to help me reduce water retention issues, and it was all working. I honestly had a hard time believing that all this natural stuff was working and making my body more alkaline, but it was undeniable how it improved my overall health. As I look back even today, it was an "ah-ha" moment in my life.
That's my story, but you may still be thinking – is the resort spa industry for you?
First, I know it can be intimidating, but you will have to push through those fears. Working with 50 to 150 staff members, some with oodles of certifications and years of experience, can be quite overwhelming. What I found is so many of them are willing to share their experience, technique and offer great advice. I am so eternally grateful for all the spiritual souls I have met in the spa/massage industry. Second, the pay and hours are really pretty good. You have no overhead, and since uniforms, supplies, business cards, linens, massage oil, equipment and clients are provided – Why not?
Many resort spas are breathtaking and so ample in room size, offering luxurious locker rooms, ergonomic hydraulic tables and more. There is so much for you to enjoy. I do understand that some massage therapists are hesitant to leave their own practice because they like the relationship they have when they see the same client weekly or monthly to better his or her health. Sometimes, in a resort setting, this is almost impossible. But I do think you have the ability to set the bar really high for resort spa clients with your massage techniques and abilities. You can set the guest's expectations and put them on a course of action for better health, for sure. All clients are looking for prevention/wellness tips and who better than to do that than a licensed massage therapist who is getting a better understanding of the client's structure/muscle/fascia during a massage, not to mind the emotional aspects the body holds.
So many people enter the massage world with their first massage on vacation, whether a resort or cruise, and why not impress them with their first experience? You have the potential to make them aware of how important massage is for their health.
Lastly, I think the career implications and business aspect of making a move to a resort spa is huge. You can potentially learn from other smart business people, not only in the massage industry, but also food and beverage or resort group sales or marketing gurus. You can learn how they operate and this can benefit you in numerous ways via networking, growing your own future business and giving a broader scope of your potential. If you are worried about the interview at a five-star property, my advice is to own it. If it seems like a good fit to you, it probably feels the same to them. Good luck – and let your journey begin.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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