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Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
August, 2001, Vol. 01, Issue 08
Is the Customer/Client Always Right? Part II
By Perry Isenberg
If you recall, my June column asked the question, "Is the customer/client always right?" (Editor's note: accessible on line at www.massagetoday.com/archives/2001/06/11.html) The response to that article was so overwhelming, and the opinions so varied and passionate, I decided use this month's column to present (and comment on) what some of your fellow readers had to say.I've selected the comments randomly, and withheld the identity of the authors. I ended the column by asking whether I was wrong or right in returning a pair of running shoes. What follows are a few of the responses to that question:
"I enjoy your column -- it's direct, honest and always interesting. In response to the question you posed, I think the storeowner was right. Small, locally owned businesses cannot compete with the big chains, and that's why they are disappearing, which is a tragedy."
"I believe in treating the customer as if they are always right because they make it possible for my business to exist. Most people are reasonable, and if they feel they're right, I should value their opinion along with their patronage. In your situation, I can easily see your point. It is funny how people can spend thousands of dollars doing mass marketing, but pass up opportunities to win individual customer loyalty. To me, this was a perfect situation for him to give you the same deal he was willing to give to the masses and gain repeat business. If it were my shoe store, I would have had a very similar conversation with you (I would want you to know that I was making an exception for you), and then I would have given you the money back. This has been a long-winded way of saying that in your situation, once again the customer is always right."
"I thought your article and your response to the sporting goods store was lame. As a practicing massage therapist in a competitive city (Naples, Florida), I set my prices in stone and offer discounts only for follow-up massages. Many people tell me that others offer a better rate and better discounts. I say, "Go for it." They come back because I offer quality service, not necessarily the best price or quick discount."
"I read your article and here's what I think: Since you came home with one day still left while the sale was going on, I would have returned the shoes and then repurchased them at the sale price."
"I always enjoy your column. You provide good advice, and solid perspectives (that just happen to match mine!). Massage therapists in general need the kind of information you provide. With regard to the shoe-return situation, in general I would say that sort of situation is a very gray area and could go either way, depending on specifics. Thanks again for all the good work!"
"If you do that with shoes...do you do it with new cars and every other piece of merchandise you buy and then go look at the sale flyers? I think you just have to take the loss and swallow it yourself. Is it any different than playing the stock market...sometimes you win...sometimes you lose... stop complaining. Suck it up...believe me I have been in your situation many times too!! Not that I like it any better than you."
"If I had been the store manager at the time of purchase, I would have said, "Sir, these shoes will be on sale at 40% off in a few days. If you'd like, I'll put them aside until then." As far as your situation, it was worth a shot. I probably would have given you a break. Customer service requires flexibility. Anyway, I find your column very helpful, keep it coming."
"Your comparing the Home Depot return policy vs. the small shoe store reminds me of a teenager telling his parents he should be able to do (something) because his friend's parents allow his friend to do it. Every company should have their own policy as every parent to grow their children. I think the small running shoe storeowner is correct in handling the situation as he did."
"I just wanted you to know how much I've been enjoying your articles. I'm a former business owner of a massage clinic, which employed therapists, and I also hold a degree in marketing. Many times I can have empathy for both sides of the "counter," but never more so as with your last article. I can't say exactly what I would have done if I were in your shoes (no pun intended). I liked your opposition's quote of "Sales have start and end dates..." but you also have a point with "exceptions to the rules". Would you have accepted a discount on one pair of shoes, recognizing you are in a give-and-take situation? I don't see either one of you as right or wrong, but I do see a battle of wills with no winners, but who lost more? You lost valuable time, but he lost a valuable sale, with no hope of repeat business and worse, no positive "word-of-mouth" advertising. In the end, the customer usually comes out ahead, not because he's right, but because he has less to loose than the business. It should be a lesson to business owners: You're the boss and you have the final say, but if you stick to your guns you'll probably end up shooting yourself in the foot. His position is more reasonable, although whether it was wise is an entirely different matter. I don't know if there is a right or wrong here. I think that if it had been me, I would have tried to get the owner to reimburse me the difference in the price, but if he would not, I probably would have kept the shoes if I liked them and they were a good fit. Shopping for shoes is a major pain."
"I believe you were wrong to expect the sale price when you had already purchased them before they went on sale. Be thankful you found shoes to fit at all since you have hard to fit feet. I'm sorry to hear you bit off your nose to spite your face."
"I just finished reading your article. And I appreciate your position, but rules are rules. Why didn't you return them and then turn right around and repurchase them, at the sale price. I can see that the store wasn't going to give you a discount, but since they took the return, you could have repurchased them. That is probably what I would have done or tried to do."
"I say, good riddance! I would not want you as my customer anyway! It doesn't hurt to ask, but I believe your response to be childish and irresponsible. You say you don't have time to shop, but you took the time to revisit the store and try to squeeze the $60 credit you were hoping to get."
"In the scenario you described, if I was in your place, I would have done everything you did, except for returning the shoes for a refund."
So there you have it, folks -- a mixed bag of responses. Now here's my response: The title of this column is Business Insights -- it is not about ethics or morality. I don't make this point to say that you shouldn't maintain ethics and morals in your business life, but to emphasize that 50% of the respondents failed to address the business issue I presented.
I need to state my position on being a business owner. Owning a business, and having it become profitable with a loyal customer base, is a privilege. It should be appreciated, not taken lightly or for granted. I have little interest or patience for business owners who forget how privileged and blessed they are to attract and keep customers.
One of the biggest mistakes Henry Ford made in building his automobile business was to say "You can have any color you want as long as it is black" - hello competition! My hope in reprinting responses is to also provide my response that may give you an optional perspective.
The consuming population did not ask for chain stores to dominate business to the point that small businesses disappear. As our lives became busier, and convenience became important, it was the small business owner that failed to respond to our needs.
Our economy functions because of supply and demand; competition and choices; consumers and merchants; etc. Large corporations do not become large chains because of pricing alone. They become large in part because they offer greater selection, unbelievable customer service and more often than not, do things consistently better than mom-and-pop stores.
My actions were justified. I went back to the store while the "sale was still on," and spent over $200 two days prior to the sale. This particular business owner was absolutely wrong. He already had me as a customer, and he chose to let me leave the store empty-handed.
I suggest that part of the reason small businesses have disappeared is because of poorly skilled owners who lacked the vision and resources to meet the changing needs of the consumer. I do not believe a small business can truly survive if it does not grow, and to expect consumers to adjust to a business, rather than the other way around, is not smart thinking. Remember, having customers is a privilege, not a right.
As a consumer in a free-market system, I see no reason to support stores that can't manage themselves. I also see no reason to spend more for a service or product than necessary. That does not mean cheap, less quality. It means if two identical products are available, I should buy it where it is less expensive. Obviously, at times services are difficult to compare to products.
This storeowner had myself, my wife and my children as customers for life, but decided it wasn't worth it. I decided it was better to put the $60 into my kids' education fund than leave it with a storeowner who didn't deserve my business.
Assuming all things are equal, a merchant-customer relationship is about providing product and service to consumers at a reasonable profit, while doing the right things to build a loyal customer base.
Shopping for everyday products is not like playing the stock market. With stocks, if you lose money you don't have a choice. Where we purchase shoes, and at what price, is our choice and ours alone. To suggest that a comparison exists between how one purchases products and how one raises their children seems a stretch. Home Depot is a retail store selling nonperishable goods, and so is the shoe store -- period. If your policies do not allow for the flexibility needed to deal with different customers, under different circumstances at different times, I suggest you revise the policies.
For years, companies have had policies related to the rights of employees. I think you'll agree that over the years, corporations have needed to change those policies to keep in touch with the needs of the workforce (i.e. pregnancy leave, job protection, etc.).
Unions protect employees. Choices protect the consumer. If a small business cannot compete to satisfy the needs of the consumer, they will go out of business. The onus is not on the consumer to adapt to store policies. If you go to a restaurant and order a specific dish that includes French fries and you ask for vegetables instead and they accommodate you, that's wonderful. If the same situation happens at another restaurant and they refuse to switch the side dish (yes, they do have other dishes with vegetables) wouldn't you scratch your head and say, "what's with this restaurant?"
I'm not the type of person who "goes with the flow," "believes everything I read," or accepts things just because "that's the way it is." Consumers are obligated to help businesses grow by bringing issues to their attention (positive and negative), and businesses are obligated to constantly meet the needs of the consumer.
Remember, I bought the shoes two days before the sale started and was back in the store while the sale was still ongoing. This fact is important. I didn't come back two weeks later, or come back with the shoes worn, or with any other extenuating circumstance that might have complicated an exchange or return. The reader who responded with "Good riddance -- I wouldn't want you as a customer anyway" obviously doesn't agree that having customers is a privilege, and that customer comments and actions can help you grow your business.
Let's apply this discussion to your practice. If you sell gift certificates that expire, do you honor the certificate after the expiration date? If your answer is "yes," keep on truckin'! If your answer's "no," I suggest you revise your policy. You received the money, so please provide the service. Remember, late is still better than never, and you might get new clients after you've treated your potential new clients with the service they deserve.
Let me know what you think about this column, or any of my other columns in Massage Today. In the meantime, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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