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Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
March, 2002, Vol. 02, Issue 03
Building a Successful Spa: Step Three -- Location, Location, Location
By John Fanuzzi
How many times have you driven by a commercial property and commented, "What a great place to put a business"? Chances are the real estate or rent might be very high or unavailable - but how important is location? Do you get what you pay for, or do you create your location? Do you settle for what's around, or do you keep looking?
I would consider the following when choosing an ideal location for a day spa:
The location must be a draw for the type of clientele you are trying to attract. Prime location may or may not be an advantage to you. For example, if you plan on offering outdoor tai chi or yoga, fitness or nature walks, these services would be better suited for a remote setting.
If you already own a property without high traffic or are in a secluded location, you may have to adapt your business style and marketing to attract customers according to that location. This is the case in my personal situation: I already own the property. It is actually a challenging location, being so remote in Montana - 50 miles from a population base in Bozeman. To balance the situation, our market must reach a national audience. Friends said I was crazy back in 1985 when I moved Golden Ratio to Montana. My vision did not include a local market. I make my niche now with the Wellspring Institute by attracting a broad variety of customers, local and distant; by having housing for those out of state; and by offering an adventure program, corporate spa getaways, and rejuvenation programs that include longer stays with a cleansing program.
Recently, I attended the Murietta Day Spa, which is about an hour from Los Angeles, California. The owner told me that the spa relies on business from people who want to get away for the day, but do not necessarily want to fly or stay in a hotel overnight. The spa was beautiful and provided plenty of parking. My full day in the spa was shortly after the events of September 11, 2001. To my surprise, the staff told me that they did not notice any slowdown in their business. In fact, they had more people coming to the spa - people who didn't want to fly to a get-away resort.
When I set up Montana Bodycare and Dayspa in Bozeman, I found a location next to a busy hair salon, just off the main drag. I thought the proximity to the salon would pay off. It did - in fact, the current owner bought the salon and knocked a hole through the wall to connect the two businesses.
Here's another important consideration when setting up a spa -- Should I buy or lease? This is a big decision, because if you lease, you usually have to spend your money to make the leasehold improvements, which you do not own. Sometimes the developer of a new commercial property will include the initial improvements, but you will most likely pay more rent. When you start putting plumbing in every room and showers, wet rooms, steam, tile etc., it adds up quickly. Experience has taught me that you will always spend more than originally planned. (My latest advice/warning is to double what you planned to spend)
Make your choice of location and theme wisely. The two must fit together. In this industry, reputation and word of mouth will prevail. A successful blending of the appropriate elements will bring repeat customers, and those steady customers will bring their friends. The bottom line is, it must be the right location for you.
Next month, we will discuss the importance of budgeting, financing, and cash requirements.
Click here for previous articles by John Fanuzzi.
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