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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.
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."
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.
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.
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.
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.
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.
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.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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.
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."
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.
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.
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.
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.
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."
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.
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.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
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.
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.
January, 2002, Vol. 02, Issue 01
Building a Successful Spa: Step One - Conception
By John Fanuzzi
As I write for Massage Today, whose primary readership is massage therapists, I am honored to share some of my experiences with many friends in the industry. Looking through the eyes of a massage therapist and through the eyes of a hotel chain are completely different, so I will write as if I was a massage therapist considering opening a spa.
"Spa" seems to be the wildcard word that incorporates not just massage, but a potential multitude of treatments, including other alternative therapies; body scrubs; skin care; steam; sauna; hydrotherapy; yoga; fitness; diet; meditation; and cleansing.It is the universal and much more socially accepted word, and it has hit its stride only in the past six or seven years. With that window now open, many massage therapists are upgrading their practices to day spas, which can be quite profitable if properly planned and managed.
When inspired with a new idea, such as opening a spa, a process starts that will test you, to see if you have what it takes to fulfill that vision. Many people get sidetracked when someone, perhaps their closest friend or most respected lawyer, banker or accountant, questions them about the practicality of their dream. Will your passion or your fears win when you hit that obstacle? My experience tells me that with any good idea, there are always hurdles to overcome. The real beginning is when you say, "I will." From that point of commitment, the fun begins. I have labeled this Conception -- the first step of a 12-step process to building a successful spa. Sharing your vision with your close circle of partners or staff, who also have a positive vision, will multiply the ideas and keep the creative juices flowing. It is also a time to start to think about what type of corporate structure you might need, and who the principals will be. Your positive attitude will bring the birth of a beautiful business; it must be nurtured, just like a baby in the womb.
I have personally built two spas, and one thing I can say is that what your final product may be quite different than your conceptual plan. When you do get into the design stage, you want to be as close to the final desired result as possible or it will delay construction and cost more for changes.
Now that you have decided to move forward, it is time to ask yourself some basic questions, such as: Do I want or need partners? Should I incorporate? How much will it cost? How big of a space do I need? Should I lease, buy or build? What types of treatments should I offer? Do I want to be more clinical? Do I want to include a hair salon? Should I start small? Should I hire a consultant? (For the sake of readers who may not have any knowledge of the spa industry, I am starting our discussion at an elementary level.)
This early creative stage is perhaps the most important - it is the thrust to get you through the next 11 steps. Each idea is a very important part of the process, and could be worth thousands of dollars. It is time to open your eyes wide, ask questions, visit as many spas as you can, attend trade shows, and read as much as possible from trade magazines such as Spa Management, Day Spa and American Spa.
Next month, we'll take the second step toward opening a spa by addressing Spa Theme and Personality.
Click here for previous articles by John Fanuzzi.
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