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Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
April, 2011, Vol. 11, Issue 04
Your Backup Plan: When Life Interrupts Your Practice
By Jenn Sommermann, LCMT
Being a massage therapist is physical. I don't have to tell you that in order to do this work well, it takes a strong body, a clear mind and endurance. Even if you only practice part time, you must inhabit a high state of health to care for your clients.Of course, there are differences, i.e., you travel with your table, perform sports massage, have to work around a hospital bed with less than optimal ergonomics or have a private practice where clients come to you.
I am not referring to any particular type of practice but am speaking in general. You must have a certain level of fitness to be a massage therapist. I often joke that I am in the best shape of my life and it is because I have been a massage therapist for almost 20 years.
But then life happens. Sometimes you get sick. Sometimes you get injured. Sometimes you have emotional issues that leave you less than grounded and present for your clients. It isn't realistic to think that you can be strong, sound and able, year after year, client after client, without interruption. If you have practiced for any length of time, this issue may have already occurred. The question is what to do about it so that you can maintain your practice, your income and your reputation.
One morning this winter, I woke up injured. The distal joint of my fifth finger on my right hand was bent at 90 degrees. I have come to learn it is called a "mallet finger". There was no injury or trauma; I simply woke up with a crooked finger. As I make a portion of my living with my hands, I panicked and rushed to a hand surgeon. He told me this is a common injury and probably occurred while pulling up the sheets in bed. Really? Didn't I just say I was in the best shape of my life? How on earth could this happen? After consoling me, I was put in a splint to be worn 24/7 for eight weeks.
As of this writing, I am still splinted and hoping for a positive outcome. Surgery is the next option and one I don't care to bring into consciousness. And then the reality sets in: I am impaired. I cannot use one of my fingers and moreover, need to keep it out of the way of the other fingers. How will this affect my work? Can I work? I asked the doctor. He merely stated, "Try it and see how you feel". I hated this answer but realized he couldn't say anything else.
I decided to take the first week off to heal and come up with a plan. There are options when you are sick or injured and it is important to consider them, even before you need them. A backup plan is one you hope you will never need to use but is good to have ready, just in case. A backup plan for a massage therapist may include:
It should be noted that there is always a risk if you stop seeing your clients for a period of time (either because you took a break or referred them elsewhere) that they may not come back to you when you are able to work again. I truly believe there is enough work to go around and chances are if the relationship is well-established, it can survive a hiatus until you return. That being said, the risk is real and must be considered.
Once the options are weighed, implement your decision. Remember if the decision does not work out, you can change your mind. For example, if you find that you cannot work with the injury or illness, inform your clients immediately so they can seek care elsewhere. It really is OK to change the plan. Your health is paramount and if you don't take care of yourself, how are you to take care of others when you are well again?
I am back to work again. My finger is splinted and bandaged. I have also chosen to wear finger cots that are changed between clients. For the most part, I keep my finger out of the way of the other nine but it occasionally comes along for the ride. I have adapted; the first few massages were shaky. Most of my clients have no idea that anything is wrong with my finger. I am not trying to hide it and if they "see" it, I tell them. But I don't want it to be the focus. The care is about them and I want to focus on them.
Whatever ails you, be it physical, emotional or spiritual, your work can be impacted. If it is too much of a burden, you may need to consider options. A backup plan is a good thing to have in place. My wish for you is that you never need to call on a backup plan. But in case you do, you'll be glad you planned ahead.
Click here for previous articles by Jenn Sommermann, LCMT.
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