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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
February, 2002, Vol. 02, Issue 02
Building a Successful Spa: Step Two - Theme/Spa Personality
By John Fanuzzi
Last month we initiated a 12-step process designed at opening a spa, starting with conception of the spa. Now let's talk personality!
As we move forward in the process after making that first commitment, the earthy decisions will start to accumulate.Before you even decide on location, design and operational details, it is a good idea to consider the spa personality or theme, if you have not already done so. Do you want to have exotic Italian tile with painted murals? Will you focus on a specific ethnic or cultural atmosphere, reflected in particular modalities such as Ayurvedic treatments accompanied by Indian music? Would you like Greek marble columns with statuary and clouds painted on the ceilings? Contemporary with a full spread of treatments is common. How about Oriental massage with Asian therapists, or multicultural rooms with a variety of multinational therapists? Are you Zen, are you clinical, are you wholistic? Will you need a yoga or fitness room?
Have you considered a retreat setting? If so, what about housing or local hotels? This could be a good choice if you are interested in creating a restorative or anti-aging clinic. People will come to the middle of nowhere to get away. Perhaps a farm, one in which its outer restoration plays a role in the clients' restoration, would work well.
Do you want your spa to reflect a sense of "sacredness," such as the feeling of an ashram, in which spirituality and self-growth are part of the attraction? How about a certain smell when you walk in the door? Is there a clothing or uniform image you'd prefer?
If you choose an ethnic theme for your spa, the location could be even more crucial. The more exotic might prove impractical, when you consider having to find or train specialized therapists. You must also consider your budget. Do you want real marble of faux-painted? Carpet or tile floors? The options are endless.
Whatever you decide, the thread of the theme should penetrate everything in the spa, from products to treatments, colors, smells, uniforms, aprons, robes, and even ethnic therapists if that applies. The keywords are continuity, cohesiveness and uniqueness. You are defining who you are, and what your message and purpose are. In essence, you are defining the image and the perception that the public will get when they visit your facility. In economic terms, how you define your spa's theme and personality equals marketing dollars well-spent.
When spa consultant Monica Brown took on the job of developing the Hershey Spa, she flowed right in with the theme of the Chocolate Giant -- Chocolate. The result was a line of skin and bath products that smell just like chocolate. What a unique signature for such a company. (I have smelled the products and they do smell just like chocolate -- you almost want to drink the bathwater). That sounded like a no-brainer, but to a closed mind, the opportunity could have been missed, and the Hershey Spa would have become a traditional services spa instead.
Tara Grodesk, of Tara Spa Therapies, has been known for her "regional specialties" that reflect the needs of the local environment. For instance, in a cold harsh dry climate, such as at the Peaks at Telluride or in ski country such as here in Montana, she would perhaps promote an alpine menu, with treatments and products that would warm the bones, hydrate the skin, and feature some sort of a fireplace setting to lounge around. A Southwest theme might take into consideration the clay, aloe vera, sage, and adobe indigenous to the region. A tropical climate would invite a feeling of cooling, which might include ingredients in the products such as mango, citrus or coconut. An urban oasis in New York would create the sense of a "lunch-hour getaway" from the fast-paced city life. These seem like obvious points, but sometimes they are overlooked because people rely on familiarity with a certain product or a place, rather than thinking about the wants and needs of the people who truly matter: the clients who will frequent the spa.
In rural areas, consider a restorative retreat for lifestyle changes. Clients will travel to get away to pattern new habits. Here you might include cleansing diets with fasting; colonics; liver flushes; dark-field microscopy; blood and urine analysis; iridology; and classes on self-improvement and spirituality. If people could spent a week and return home transformed, just think how quickly all of their friends would be knocking on your spa door.
Next month, we'll take the third step toward opening a spa by addressing Location, Location, Location.
Click here for previous articles by John Fanuzzi.
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