Acupuncture Starter

Pack - International

Version 2 International 10/12/07

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Thank you for your interest in our acupuncture program. We are excited to have the unique privilege of introducing Chinese medicine to the cruising population while simultaneously providing great employment opportunities for licensed acupuncturists. At Steiner our goal is to provide superior quality service, creating a loyal clientele throughout the world. We accomplish this through on board seminars and workshops. Educating each guest about the benefits of acupuncture is the key to our success! In order to meet this goal, we have put together an intensive training program that takes place in Miami, Canada, New York or Los Angeles over a period of three days. Based upon your location, you will need to complete the training before working at sea. This program includes seminar training, retail training, and spa protocol instruction. The training is comprehensive and maintains the excellent standards the cruise lines are expecting from our acupuncture program. Working at sea brings many challenges and opportunities. The benefits include becoming a better practitioner, dynamic public lecturer, and savvy world traveler; all while earning income! We will provide you with all the tools and training necessary to be successful, in return we need your expertise. Please review the attached information regarding the specifics of the position and email me a good time to reach you so that we can arrange a phone interview.

Thank you for your time and attention. Dan Brown, L.Ac Stephanie Kimber, L.Ac. Director of OM Programs Manager of OM Programs Steiner Management Services Steiner Management Services 305.284.1443 305.284.1463 ext 263 danb@steinerleisure.com stephaniek@steinerleisure.com

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I. Chinese Medical Program Overview

A. Requirements:

• Licensed acupuncturist by state or country’s legislation • Successful bill of health from a Maritime Approve Doctor, examination is at your

cost. Ask us for a list of medical providers • No visible tattoos or piercings, with the exception of ear piercings • Ability to maintain dress code standards when in a public area • Ability to successfully provide acupuncture treatments • Ability to publicly speak on TCM topics (power points lectures provided) • Successful completion of Steiner training course • Ability to manage multiple treatment rooms simultaneously

• Ability to conduct 10 minute consultations about acupuncture and Chinese herbs • Ability to conduct yourself in a professional manner consistent with the rules of

behavior on any vessel and your profession. B. Hours and Contract Length

Average work hours per week: 52 hours-guaranteed 1 full day and one half day off per week. ***In addition to providing acupuncture services, acupuncturists are expected to take part in minimal cleaning, inventory stocks as well as desk hours. There are also meetings that are held periodically, which do not count against the 52 hour work week.

Contract length: 7 months

II. Information You Should Know Before You Begin

All job offers and/or offers of employment are contingent upon meeting certain physical requirements and obtaining a valid seafarers health certificate. Medical examinations and the issuance of a seafarer’s health certificate must be performed by an approved seamen’s doctor.

Failure to pass the physical examination will automatically terminate your employment agreement. During your medical examination you will be asked whether you are receiving or have received in the past medical care for any injury, illness or medical condition. You will be required to disclose to the doctor performing your physical any prescription or non-prescription medication you are currently taking. You will be drug tested, x-rayed and thoroughly examined.

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In addition, you will be required to disclose to Steiner in writing any condition, disability, or circumstance, which may prevent you from working full time onboard a vessel in navigation. Failure to make this disclosure may result in forfeiture of medical benefits and be grounds for termination of employment.

In addition to a hearing and eye sight test, the following is an abbreviated list of diseases and conditions that may or can result in failing the required medical examination.

Asthma Hypertension Colour Blindness Coronary Disease Eyesight problems Arrhythmia (symptomatic) Tuberculosis Deafness/hearing difficulties Heart / Cardiac Disease Back Pain / Sciatica Eczema/contact dermatitis Lung Disease Diabetes Orthopedic-Condition/spine,hips, knees, Epilepsy/fits Kidney Disease or Dialysis Carpel Tunnel Syndrome Mental Illness / Depression Arthritis/rheumatism Hepatitis

If you are uncertain about a medical condition you have, or have experienced in the past, and would like to communicate directly with a seafarer medical examiner, please feel free to contact Dr. Levy directly at: www.jlevy@advisa.co.uk with any questions or concerns you may have. Please sign and return this form acknowledging you understand this disclosure. Signature …………………………………….. Date …………………………………. Print Name ……………………………………

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II. TRAINING

A. Training Fees

1. Flight-each acupuncturist will need to get an open round trip ticket to Los Angeles, California. 2. Visa (international recruits only)-differs based upon country of residency. See section C for more specific details. 3. Hostel/Hotel (options for room/board during training)

-Santa Monica Beach Hostel-$35 average per night. The hostel is located in Santa Monica two blocks from the beach and in a neighborhood of shops and cafes. For more information regarding the hostel please visit the following page: http://www.hilosangeles.org. Phone number: 1310-393-9913 Address: 1434 2nd St Santa Monica, CA 90401. You will need to make a reservation for yourself once you have confirmed attendance to the training. Reservations should be made a week in advance as they tend to book up. -Hostel California-$27 average per night Website: http://www.hostels.com/en/availability.php/HostelNumber.1818 Address: 2221 Lincoln Blvd, Venice Beach -Hotels- If you would like other accommodations than a hostel, which is a shared living environment, there are other hotels in Santa Monica or Venice Beach that you can reserve. We strongly recommend that if you are going to rent a hotel instead of stay at the hostel to arrange your own rental car at the airport as public transportation may not be as readily available at the hotel. 4. Food-there is a kitchen in the hostel. A health food store and commercial market is located four and five blocks away from the hostel. There are restaurants, cafes and food courts nearby as well. 5. Medical-$120-$250 depending on ship assignment. All cruise lines require a physical be completed by a maritime approved port doctor before embarking on a vessel. You should complete your medical prior to arriving in Los Angeles. If you have not then you will need to arrive a day early before training and alert your recruiter. You will need to arrange transportation to the port office once at your hostel. There will be someone there to help you with a bus or shuttle service if you are not renting a car. If you are taking a bus, you will need to leave early to make your appointment on time as it can take two hours to arrive at the port office. Costs vary (please review the below estimated transportation expenses for more specifics). If you arrive in LA and fail your medical you are not employable and therefore

responsible for getting yourself back home. To prevent this, please have your

medical completed prior to your arrival in Los Angeles.

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Address of the Port office: Dr. Andres Jimenez, Dr. James Schmidt Dr. David Smith, Dr. Mark Perez Memorial Maritime Clinic 1350 W. 6th Str., 2nd fl. San Pedro, CA 90731 tel: 310/832-1126 / 7221 / 0686

6. Transportation costs around Los Angeles. Rental Car:

To minimize travel costs associated with transportation, we recommend that you rent a car at the airport. We can help connect you with other acupuncturists arriving via airplane to further reduce the cost of transportation. Please inform us if you are interested in this option.

Public Transportation:

If you are not interested in renting or sharing a rental car, you will need to take public transport.

-Bus service to and from training-$3-$5 each way -Taxi service to training-$15.00 each way

-Bus to Port doctor-$3 each way (It is a two hour ride by bus. If there is a group, you can take a shuttle which will add to the cost but reduce the time it takes to 45 minutes). Shuttle cost to port doctor is $85 one-way. -Shuttle Service to and from airport-$10-$16 pending other travelers arriving at a similar time. A reservation will be made for you once you confirm attendance and dates for the training. To confirm attendance you will need to forward your flight schedule to your recruiter and copy stephaniek@steinerleisure.com.

Estimated Transportation Cost for the weekend-$50-$250

7. Spending money while in California.

B. Expenses for Steiner 1. Flight-Steiner pays for flight to ship and return flight to Los Angeles 2. Training

3. Travel Insurance – please note that the travelers insurance does not begin until you board your vessel.

4. The company has a policy which protects the business and staff against third party claims arising out of services provided onboard by Steiner’s personnel.

5. Room/board on ship 6. Meals on board 7. Acupuncture supplies 8. Marketing materials 9. Jou Herbs and Elemis products for retail

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C. C1D Visa (international recruits only)-each international recruit will need to get the

necessary Visas to be in the United States for five days prior to arriving for training. Please consult with the US embassy in your country regarding obtaining the appropriate Visa. It is your responsibility to provide this. For more information about US Visas you can visit the following web page http://www.unitedstatesvisas.gov. The below are guidelines for your each particular region; however it is important that you verify with your US embassy to ensure you will not have any immigration problems when entering the US.

1. Brazilian acupuncturists-acupuncturists from this country would need a B1B2 Visa.

2. Australian/New Zealand acupuncturists-acupuncturists from these countries will need a visitors visa that is issued on entry providing they have a return ticket out of USA, a C1D visa and an immigration letter stating they will be joining a cruise ship after a 5 day training period. The immigration letter will be provided by Steiner before travel.

3. European acupuncturists—acupuncturists from European countries are allowed to stay in the US for 90days without a visa if they have a new passport or a passport issued before 15.10.2005. You will need to fill in the landing card and need to have a hotel booked.

D. Dress Code for Training- 1. Business casual

E. Items to Bring to Training 1. Copy of passport 2. Copy of Diploma/License 3. Copy of Medical if already completed 4. Visa

F. Training Itinerary-

1. Duration: 3-4 Days depending on location of training Wednesday-fly into Los Angeles Thursday-get medical completed at San Pedro Port office. (If the applicant already completed medical before arriving, can arrive on Thursday instead of Wed. to begin class on Friday). Firday-1st day of training Orientation Business/marketing concept Seminar Training Saturday-2nd day of training

Continued Seminar Training Retail training Herbal Concentrates

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Sunday-3rd day of training Spa Protocol Training

(There may be additional days for training based upon ship availability and training

needs for each individual)

G. Documents provided at training 1. Training manual 2. Seminar/Power points 3. Contract 4. Medical paperwork

H. Preparation for the training

***Point of Well-Being Seminar must be read and studied before arriving at the

training. Acupuncturists will be expected to give this seminar Day 2 of the training.

Acupuncture: An Introduction

Chinese Medicine – The Point of Well-Being • Set up the seminar room to create atmosphere-bring banner and brochures • Pause after strong statements to make impression and to give time to think. . • Make yourself part of Chinese Medicine by using 'WE' statements, not just

'according to Chinese Medicine.

The following is one person’s example of an introduction to acupuncture seminar. Each

slide includes a number of bullet pointed items for you to personalize your seminar. Insert

these when lecturing.

Slide #1

Ladies and Gentlemen, welcome and thank you very much for your interest in Traditional Chinese Medicine and Acupuncture. (Introduce yourself as the resident acupuncturist on board and tell your testimony-where you are from, where you went to school-years of education). The concept of having an acupuncturist on a cruise ship may sound strange, but when you think about it, this is the perfect environment for healing. We are determined to be a part of making your cruise experience an unforgettable event with lasting feelings of well being. We will be offering 5 lectures through the duration of this cruise: (TBA) Of course we will also be available for consultations for the whole duration of the cruise. Please feel free to talk to me whenever you see me, stop by the spa, or make an appointment after the talk or anytime over the phone. We are completely at your service. Slide #2

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For the last twenty years America has become increasingly interested in alternative medicines. “Chinese Medicine is the fastest growing alternative therapy in the United States today.” It seems that everywhere you look there are news flashes, newspaper and magazine articles, and celebrities touting the benefits of acupuncture and other alternative therapies. In fact Oprah just received her first acupuncture session, with excellent results, on national TV. Why this sudden interest in Chinese medicine? There are several factors that contribute to Americans’ interest in Traditional Chinese Medicine including patient autonomy, society’s changing view of health, and the growing recognition of conventional medicine’s limitations. We spend far more, per capita, on health care than any other society in the world, and yet statistics for obesity, diabetes, cancer, and heart disease continue to rise and plague our nation. Chinese medicine can be a viable option for people that have exhausted conventional therapies, finding them without benefit or fraught with too many risks and side effects.

Slide#3 Even though acupuncture has risen in popularity there are still those that don’t want to try it because they are afraid of needles. Does this describe anyone in the audience? (Get an audience member to come up on stage for a demo. Before inserting the needle, show the audience a sample and compare it to a human hair. Inform them that our needles are so thin, 4-5 of them can fit into the head of a hypodermic needle. Also, emphasize the fact that needles are used once and then disposed of-single use needles only) Needle Demo: When needling a person don't ask 'did it hurt?' (as this would be a negative that they can say YES to) Instead ask: 'was it uncomfortable? Did that feel like you thought it would feel?' Slide #4 In the West, Chinese medicine is almost entirely associated with acupuncture. Perhaps the reason for this is because acupuncture is the most exotic and unique aspect of Chinese medicine. However contrary to popular belief, acupuncture is not synonymous with Chinese medicine, but rather just one aspect of it. Chinese medicine being the primary healthcare system in China for over three thousand years is a very comprehensive and complex system that involves a variety of modalities. In fact there are five main branches and all are considered important aspects of healing. The first branch is acupuncture-which is the insertion of micro-fine needles into points along pathways on the surface of the body called meridians. The second branch is Chinese herbology. This is the use of natural plant and mineral substances to treat illnesses. The third branch, is nutritional therapy, utilizing the concept of “food as medicine” Manipulative Therapy includes massage, tuina, and stretching. Traditionally this also included adjustments as seen in chiropractic, however in the United States this is not in our

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scope of practice. The fifth branch consists of what we consider qi exercises, otherwise known as tai chi and chi gong. These are static and moving meditations that harmonize the body and breath. These exercises are very revered in China. In fact, up until a few years ago, it was common in China to find a park full of people of all ages doing tai chi together at sunrise. It is believed that these exercises prevent osteoarthritis, stimulate immunity, hold the secret to longevity, and promote an overall sense of well being. Modern research is validating these beliefs. Although there are only five branches, treatment is not limited to these modalities. An acupuncturist may also recommend lifestyle changes if necessary.

• Give and example of a patient you have treated with pain and have used all five

of the branches to complement the treatment.

Slide #5 (Brief History) Traditional Chinese Medicine is a term describing a traditional healing system with Acupuncture being a central component coming to us from China, Korea and Japan. It was the primary healthcare system in China for over 4000 years. It is a time tested medicine.

It wasn’t until 1972 President Nixon opened the doors to China. A New York Times journalist, James Reston, was in China at the time and had an emergency appendectomy. After the surgery he woke up in excruciating pain and an acupuncturist was rushed into his room. The acupuncturist inserted a few points and the pain disappeared completely. The next morning James Reston, completely amazed by his experience, explored the hospital and found that there was a whole wing of the hospital dedicated to Chinese medicine. Here he witnessed surgeries being performed using acupuncture as the only anesthetic. I am going to repeat that-he witnessed surgeries where acupuncture was the only anesthetic. In other words, someone is receiving brain surgery, while perfectly coherent and talking to the doctor. THAT IS HOW EFFECTIVE ACUPUNCTURE IS! (PAUSE) When he returned to the United States, instead of doing a story on foreign policy as expected, he did one on acupuncture and over night America became fascinated with this ancient science. This brought great notoriety to acupuncture and renewed interest in this form of treatment. Seeing brain surgery performed with acupuncture drew big headlines. Information started to flow, countless books were translated, scholars traveled back and forth and the power and potential of this ancient healing system began to unfold. 1996 the FDA bestowed the class 2 status of medical tools to acupuncture needles. This changed their previous classification of experimental device. This change of classification means that needles used for acupuncture will be subject to FDA approval to ensure quality control and “single use only” labeling, and it could make the treatment eligible for coverage under insurance policies which exclude alternative medicine. Nowadays 50% of insurance companies cover acupuncture treatments, again underscoring how effective acupuncture is. Most significantly the FDA ruling indicates that acupuncture is a safe and effective medical treatment.

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In 2003 acupuncture was practiced on cruise ships for the first time in history. It was initiated by an executive of a major cruise line that found relief from his sciatic pain through acupuncture. HOW MANY PEOPLE HERE TODAY SUFER FROM PAIN? (RAISE YOUR HAND AS WELL). He turned to acupuncture because he tried everything else and didn’t get any results. After his session with acupuncture he no longer had any pain. He was so amazed he invited the acupuncturist on board one of his cruise ships to do a guest lecture. The acupuncturist happily agreed and took his whole family on board. After his lecture, everyone wanted treatments. There was a great enough demand that the cruise line set up a temporary space for acupuncture for subsequent cruises. After the cruise, the guests wrote in and thanked the cruise line for having acupuncture on board. They were grateful to be able to enjoy their vacation pain free. That is what I can offer you, a vacation without pain and an experience of true health. This marked the beginning of acupuncture on cruise ships, now this service can be found on over forty ships worldwide. Some of you may wonder why something as ancient as acupuncture would end up on something as modern as a cruise ship. Its actually a perfect place for it. In fact we attribute the success of this program to the fact that people heal faster when they are on vacation. Conditions that usually take months to resolve take only a few treatments on the ship because people are away from all of the things that are usually making them sick in the first place. For this reason results are better and are longer lasting. Conditions that may have taken months to resolve on land can take between 3-5 treatments on the ship because we are able to see you everyday and are not competing with your everyday stresses.

Slide #6 The World health organization has a list of over 40 conditions that acupuncture has proven to be effective for. Listed are some of the more common symptoms, however there are many more not listed. (read conditions listed)

• Give an example from each of the columns of conditions you have treated

successfully.

Slide #7

The great mystery that faces Chinese medicine today isn’t whether or not it works-that is well established-its why it works. Of course the Chinese have their theories as to why acupuncture works but these explanations can be difficult for Westerners to grasp. The TCM explanation uses concepts such as chi and meridians-words and concepts that are truly foreign to the western world. Although I will touch upon these concepts, chances are they will remain as elusive as they sound. For this reason I will outline, from a western perspective, using scientific terminology reasons for its effectiveness. The following are the five prevailing theories posed by the western medical community. These are based upon studies performed before and after acupuncture, using blood draws to measure the biomedical changes in the body.

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Slide #8

The “Augmentation” Theory- Acupuncture raises levels of triglycerides, specific hormones, prostaglandins, white blood counts, gamma globulins, opsonins, and overall anti-body levels. This is why acupuncture can treat disorders relating to immune deficiencies.

• Raising WBC’s can help every patient. According to research, more and more

conditions are being linked with a weak immune system. Whether or not you

are immune compromised, you want your immune system as strong as possible

and this is a positive bi-product of all acupuncture treatments. If you have

experienced working with immune compromised patients, speak of how

acupuncture helped.

Slide#9

The "Endorphin" Theory states that Acupuncture stimulates the secretions of endorphins in the body (specifically Enkephalins). Endorphins are our body’s natural pain killers. They are 1000 times stronger than morphine.

• Give example of immediate pain reduction with acupuncture.

Slide #10

The "Neurotransmitter" Theory states that certain neurotransmitter levels (such as Seratonin and Noradrenaline) are affected by Acupuncture. This is why acupuncture is so successful with depression and mood disorders. This is also why people feel so amazing after a treatment.

• Speak of weight loss treatments and how low serotonin levels may cause

cravings for sugar-serotonin levels are affected by sugar intake.

Slide #11

The "Circulatory" Theory: this states that Acupuncture has the effect of constricting or dilating blood vessels. This may be caused by the body's release of Vasodilaters (such as Histamine), in response to Acupuncture.

• Give an example about how acupuncture can resolve edema and heal chronic

injuries-fresh supply of RBC and WBCs in an area that has scar tissue build up

and blockage.

Slide #12

The “Gate Control” Theory-This is the most popular theory among western scientists. According to this theory, pain signals must pass through a number of high-traffic "gates" as they move from the area of injury upward through the spinal cord into the brain. Like a road or highway, these nerves can handle only a limited number of nerve signals at one time.

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Acupuncture generates competing stimulus and effectively interrupts the neurotransmission of the pain signals from reaching the brain. The result: we never "experience the pain".

• Explain how this is used for acupuncture anesthesia

Slide #13 (Read slide and elaborate on concepts) Oriental Medicine is not a substitute for Western Medicine, it is complementary. Western Medicine is focusing more on acute health problems and on symptomatic treatments and Oriental Medicine is focusing more on prevention and on the root of a problem. Both have their strengths and their shortcomings. If someone breaks their leg they should not seek alternative therapies. However for many chronic issues Chinese medicine’s approach can have many more long term benefits than conventional medicine. For example Insomnia patients are given Ambien or Valuem when they can’t sleep. Although this will help them sleep, after time they will become dependent and acquire a tolerance-rendering the medication less effective and their original problem worse. However an effective short-term solution, the long term consequences can be detrimental. In Chinese medicine we focus on symptoms and the cause of those symptoms. In this particular case we would investigate to find out why the patient isn’t sleeping. Are they eating before they go to bed? Are they under a lot of stress? Are they getting enough physical activity throughout the day? Are they in chronic pain? Is it a side effect from a medicine they are taking? Once establishing a root cause, we would address it with lifestyle advice, herbs and acupuncture, working to restore the patient to their natural sleep/wake cycle without fostering dependence. Without the treating the root of the problem, in Chinese medicine, the treatment isn’t considered effective-even if the symptoms have disappeared-because without treating the cause of the problems the patient will have to return for more treatments in the future. Our goal as TCM practitioners is not only to restore health, but maintain it. The only way to do this is treat the person as well as their disease. In China they have learned to integrate both eastern and western medicines, using the strengths of one to compensate for the weaknesses of the other. What you get, is what I believe to be a more comprehensive healthcare model. In fact in most hospitals in China it is not uncommon to find two separate wings-and eastern and western medical wing-and they are constantly referring back and forth to each other based upon the patients needs.

• If you have worked in any complementary clinics/hospitals, give their full name

and speak of your experience there.

Slide #14 This next slide depicts the map of the acupuncture points and meridians on the body that guide us in clinical practice. The meridians are pathways where acupuncture points lie. These

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points help us access and effect different physiological functions within the body. For example we may select points that most affect the nervous system, stimulating the release of endorphins (body’s natural pain killers) for someone that is in pain. Or we may select local points near the injury if we are trying to increase circulation to the area and facilitate healing. Our point selection will depend on the patient, their condition, and again, which system within the body that we are trying to effect. This is what makes it a precise art and science. The concept of energy is what makes Chinese medicine distinct. In addition to the physiological systems, such as the circulatory system, respiratory system, cardiovascular system etc, there is also an energy system that is unique to Chinese medicine. A healthy energy system is flowing and abundant-the manifestation is vitality. Conversely, an unhealthy energy system is deficient and stagnant-and the manifestation will be sickness, fatigue, and disease as it is effected by and affects all physiological functions within the body. We perceive health, as not merely the absence of disease, but rather the experience of vitality. Many people out there have adequate lab results, but they still feel unwell, tired, listless, and unsatisfied with their lives. Until the lab results come back with something physically wrong, there is little out there to validate this experience. Rather than ignore or suppress these feelings, they can be successfully addressed through Chinese medicine. If you are not feeling vital, you need to do something about it and acupuncture can be your first step. Dr. Oz stated on the Oprah Winfrey show, that he believes that “the energy system is the final frontier for western science.” Hopefully further integration of these two systems will underscore the absolute necessity of our medical system to emphasize prevention, rather than just symptomatic care. This map of the body has remained unchanged for thousands of years and is based upon a deep understanding of the human body. Although we are constantly learning new ways to better use these points, the points themselves have not been altered. This is remarkable when you think about how often our understanding of the body has changed within the brief history of modern science. Perhaps as science continues to advance it will eventually arrive at the same conclusions about energy and prove what the ancient Chinese doctors discovered thousands of years ago. Slide #15

Health is Balance, balance is health. This is the underlying philosophy of Chinese medicine. This is a symbol of that philosophy, portraying two opposite qualities coming together to create a whole. The ancient Chinese philosophers, or Taoists, spent the majority of their time observing nature and noticed a duality within all aspects of life. For example, man and woman, day and night, hot and cold, up and down, white and black, soft and hard etc. They used yin to describe all qualities that were cold, soft, feminine, wet, yielding, down, material etc. Yang conversely described everything that was hot, hard, masculine, dry, aggressive, spiritual, up etc. They believed that life thrived when there is balance and harmony between these two qualities and ended when there was separation and discord. For this reason they strived for balance within all things.

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In fact, believing that human beings are microcosms of nature, they believed that we too are composed of these opposite qualities. When these two qualities are in harmony we have health and happiness, but when they are imbalanced we have sickness and ultimately death. Everything can affect this balance within us, including our thoughts, emotions, diet, exercise, relationships, and environment-enhancing or detracting from our well-being. An acupuncture treatment aims to restore balance and thus restore health. According to TCM, good health is not only quantifiable and based upon favorable lab results, but qualitative-and based upon how you feel on a regular basis. Health is about feeling vital, energetic, and passionate about life-not just about the absence of disease. This is one of the most profound contributions of Traditional Chinese Medicine, its ability to not only rid people of their ailments, but to restore vitality-which is considered our birthright. Slide #16 The acupuncture experience-this is a great title, because it is just that-an experience. In fact people are often surprised about how deeply relaxing and enjoyable an acupuncture treatment is. It is not just a means to an ends-it is an amazing experience as well! It is important to enjoy the healing process and we make sure you do so while on board. When you first come in for a treatment we have you fill in an intake and we do a total body assessment, investigating all aspects of your chief complaint and health in general. Once established we use traditional diagnostic methods to gather more information about your body and health. The Chinese didn’t have the X-rays and MRIs that we have today so they had to develop other diagnostic techniques to assess the organ systems and health of an individual. These diagnostic techniques were developed thousands of years ago and evolved through the ages. They are so effective, they are still used today. Your pulse, tongue, abdomen, fingernails, eyes, facial color, odor, posture, gait, and voice all give us information that we can use to treat you more effectively. Once your intake has been completed, tuina is applied when appropriate. Tuina is Chinese massage and we use this to relax you, to gather more information about your injury, and increase circulation to the area that we are going to be working on. Often times we apply Chinese herbal liniments to the area of concern as well, to facilitate healing. Once we have increased circulation and worked on the area with our hands, we apply acupuncture to the points we have selected based upon our diagnosis and your chief complaint. After the acupuncture is applied, you rest on the table for 30 minutes. Most people are so relaxed they fall asleep during this time or enter what we call “the acupuncture zone.” People describe this as not quite asleep, but not awake either-science calls this an alpha state-similar to what people enter when they meditate. After a half hour, we remove the needles and may do additional massage if required. We then establish a treatment plan based upon your individual needs. This may include subsequent visits and herbal remedies to maximize your time on board and your healing potential. Remember, one treatment on board is equal to 2-3 treatments on land because of the healing environment you are in and fact that you can see me frequently instead of once a

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week. It is like going to a destination spa, which is perfectly in line with how Chinese medicine is meant to be practiced. In China, when you come in for treatment, you come in everyday until you are better. This is obviously impossible given our busy lifestyle in the West-but it is very possible on board. This is the advantage of getting acupuncture while you are here, and I encourage everyone to take advantage of this unique opportunity. I guarantee you will be amazed by its results. Last Slide This concludes my Introduction to Chinese medicine. Again, although an interesting topic, the best way to discover Chinese medicine is to experience it. It has indeed been life changing for me and countless people who came into contact with it, as practitioners and patients. For those of you that are interested in receiving acupuncture, I am passing a sign up sheet around the room. You can sign up for a free fifteen minute consultation to find out if you are in fact a good candidate for acupuncture. It is fifteen minutes of your life and could lead to life-long improvements. Otherwise if you would like to books straight away, please come and see me after the lecture and I will book you in.

• CONFIDENTLY EMPHASIZE YOU ARE BUSY, BUT HAVE A FEW

APPOINTMENTS LEFT AND HOPE TO BE ABLE TO SEE EACH PERSON

THERE. I would now like to answer any questions that you may have about Chinese medicine or any health related topic. If no one asks any questions, ask the audience questions to initiate Q/A. Possible questions: Has anyone experienced the benefits of acupuncture? Does anyone have a health concern that they would like improved? Q/A *When confronted with someone's statement that they had acupuncture treatment before and it didn't help, stress the fact that not doctors are the same. Also ask if diet and herb therapy was included in the treatment? Inquire about what they did after the treatment? Did they follow the diet? Did they carry heavy loads, which could have undone the effect of the treatment? Were they under stress? This can all adversely affect treatment results-also underscores the importance-and opportunity of receiving treatments on board.

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ACKNOWLEDGEMENT FORM

The enclosed manual describes important information about Steiner Leisure Inc., and I understand that I should consult with the Personnel Manager regarding any questions not answered in the manual. Since the information, policies, and benefits described here are necessarily subject to change, I acknowledge that revisions to the manual may occur. I understand that revised information may supersede, modify, or eliminate existing policies and that only the management of Steiner Leisure Inc. has the authority to adopt any revisions to the policies in this manual. Furthermore, I acknowledge that this manual is neither a contract of employment nor a legal document. I have received the manual, and I understand that it is my responsibility to read and comply with the policies contained in this manual and any revisions made to it. NAME (printed):________________________________________ SIGNATURE: __________________________________________ DATE: ________________________________________________ Mailing Address: _________________________________ _______________________________________________ Permanent Address if different: ______________________ _______________________________________________ Phone: __________________________________________ Mobile: __________________________________________ Email: __________________________________________

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