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First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
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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