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.
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?
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."
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.
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.
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).
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
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.
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.
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.
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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