A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
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.
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