Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
April, 2001, Vol. 01, Issue 04
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.
Congratulations! You're now officially a part of the spa industry.I understand your excitement and also your trepidation, and I'm not surprised that you have a lot of burning questions to ask. For a moment, though, allow yourself to bask in the accomplishment you've just achieved. It's not always easy to snag a position as a therapist in the fast-growing spa sector.
Let's address your question about pay first. It was probably a good idea not to put too much emphasis on the pay scale when you first applied at the spa, because that can turn interviewers off and make it seem like your self-interest outweighs your desire to do a good job. But now that you've got the job, you have to start thinking about your budget, and of course it's only natural that you want to nail down some realistic numbers.
It's a general assumption (stated or unstated) that the pay scale in spas is not worthy of the talent and training most therapists have achieved. Some people in the massage profession feel that the pay in spas can drag down the overall prestige of massage therapists and make it seem that they're not worth as much as they should be.
In my personal opinion, this assumption is incorrect for two reasons. In the first place, spas have a very large overhead that is not taken into consideration by many people. The cost of running a spa is extremely high, with its management staff salaries, facilities cost, heavy laundry expense, equipment cost, product cost, and other drains on the bottom line. It's often hard for a spa to make a profit. If the spa were to give the therapists 80-90% of the price of a treatment, which therapists sometimes act like they're entitled to, the spa would soon go broke and everyone would be out of a job.
Second, the pay scale in spas over the past few years has been going up quite significantly. Factor in the pluses for the therapist, such as built-in clientele, no marketing costs, no facility cost, with products, oils, laundry, equipment all supplied, and, oftentimes, paid training and benefits. You can see that an hourly wage about half of what you'd expect doing a private outcall massage is not unreasonable.
This wage scale is typical of what you can expect at many spas today. Take the spa where you've just landed a job, for example. Your pay scale of $30 per hour is right about in line with this principle, because I know you've been asking $60 per hour from your private clients since you graduated from massage school last year.
And remember, you live in California, in an area with a pretty high cost of living. Extrapolating this to a less expensive part of the country, a new therapist could conceivably be getting $45-$50 per hour from private clients. Therefore, a $22-$25 per hour pay scale in a local spa would be reasonable.
You point out correctly that you might be losing some precious hours, though, because the spa will not be paying you for hours in which you're not massaging. But keep in mind that they will definitely be trying to book you as many hours during your shift as possible. Why? Because the more you're booked, the more money the spa makes!
There are some spas that pay a certain number of therapists a lower hourly wage when they're not giving a treatment, thus making sure there is always someone available for last-minute bookings. Seeing as you're new to this spa, you can't expect to be put on the schedule all the time right away. That's a seniority issue, which I'll deal with in a future letter. When you achieve this level, the spa will have to provide benefits to you, which can run up to 20% of additional cost to the spa on top of your pay. You're going to have to prove yourself first.
The Best Attitude
I wouldn't worry about this too much, Lou. The spa where you've found a job has a great reputation, and as you know, they're booked for much of the year. So keeping yourself busy shouldn't be too much of a problem. I think my best advice to you at this point is the following:
Treat the space you've found as your very own business.
That's right. Try to avoid the typical mistake: looking at the spa as an us vs. them environment, in which the ownership and management are out to get you and your fellow therapists. Avoid excess gossip, chatter, and complaints about your bosses, because that only separates you from a perceived higher level, actually diminishing your power.
Treat each guest as your own private guest in your own private business. Make sure that everything possible is done to make her experience positive. Treat the whole spa like your spa, keeping it neat and orderly. Whenever you have an opportunity, make things easier for your boss and anyone else in management.
This attitude is sometimes known as being a "team player," but that's a term I'm not too fond of, because it gives the impression that you have to wait to take orders from a coach, instead of proactively taking control of your own situation and being your own boss. Even better than being part of the team, is acting as if you were part of the ownership of the team. If you truly believe this is true, and act accordingly, you'll be amazed at how quickly things will change for you in the spa world, and for the better.
Talk to you again soon,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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