Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
January, 2002, Vol. 02, Issue 01
By Steve Capellini, LMT
Author's Note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
I can't believe it's already been a year since you've begun your spa odyssey. Now you're a full-fledged member of an industry that employs well over 100,000 people. Plus, as a massage therapist, you're on the front lines of this expanding sector. You are the person spa guests spend time with. You are the person they look to as a living example of the health and wholeness they seek. They want you to walk your talk!
I hope you've benefited from our conversations thus far. What started out as a simple correspondence has turned into a correspondence course for spa therapists! (Editor's note: To read the complete archives of Steve's Spa Letters column, go to www.massagetoday.com/columnists/capellini/articles.html.)
"What's next?" you asked in your last letter. Good question. You've been at the spa for some time, and have become a valuable asset through your training, dedication and hard work. Now that spa season is in full swing again, you're ripe to "make your move," or at least take the first step up the spa ladder. But toward what?
It may feel as if you're suddenly in a dead-end position; maybe you're even questioning why you got into the spa business in the first place. Everywhere you look, you see a long line of therapists in front of you. You've just run into what I call the "Seniority Syndrome," and I don't blame you for feeling frustrated.
Your enthusiasm and energy are colliding with a system that has been in place at most spas (and many businesses in general) for years. Therapists who've worked at the spa longer than you are given preference for prime shifts and time off, simply because the start-date of their employment was earlier than yours. As you've pointed out, some of these "senior" therapists are resting on their laurels, not doing the best work they're capable of. You think they're taking advantage of the system.
You may be right. However, keep in mind that you might possibly behave the same way if, a few years from now, you find yourself in a cushy senior position. If that were to happen, you might resent the energy and enthusiasm of an upstart -- such as the person you are right now!
The problem, in my mind, is not so much with individuals, but with the system itself. Given sufficient motivation and opportunity, most spa therapists will want to continue to improve themselves and their work.
Your best bet now is to continue to work closely (and obediently!) with your spa director, massage supervisor, and other managers. When the time is right, let the director know about an alternative to the seniority system. I saw it in action at a spa in northern California once, and it worked quite well.
Instead of the existing "senioritocracy,"consider an alternative system I'll call a "meritocracy." Rather than awarding therapists simply for sticking around, this system is based on monthly guest comment cards, plus longevity on the job, which does count for something, after all.
If the therapists who garner the most favorable comments also receive the most prized shifts and optimal number of hours, it will work for the benefit of the spa, the guests, and the therapists, who will be motivated to do their best work. The only problem with this system is that sometimes, over-zealous therapists solicit favorable guest comments. Spot-checks need to be in place to guard against this. All guest comments should be unsolicited.
Lou, I have a feeling you're going to go far in the spa industry. You just have to find a way to reign in your enthusiasm right now so it can be used for the greater good. Sooner than you think, you're going to be a senior employee yourself. Exercise compassion toward others in your workplace who are dealing with their own challenges. Believe me, you'll need the same type of compassion in return one day.
Something you can do today is begin to create your own private meritocracy. Continue to do the best work you can do, on all levels that the job demands. That hard work will take you to the place your heart wants you to be -- your soul's calling.
More about this next time I write. Until then, take care,
Click here for previous articles by Steve Capellini, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.