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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
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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