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News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
May, 2002, Vol. 02, Issue 05
By Steve Capellini, LMT
Author's Note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
A-ha! Now you know what I was talking about, don't you? The entire staff of massage therapists, who just a few short weeks ago were your colleagues, equals and friends, are now looking at you with new eyes.You're the one in charge of their destinies, on a certain level, in the enclosed environment of the spa. Sensing your vulnerability in this new position, they're pressing their advantage by staging a mini-revolt. They want more money and have started to complain bitterly about the miserable 50% cut they're receiving from each service performed, plus tips and benefits.
Remember what I said in my last letter about being the boss? Well, now's the time to embark upon that treacherous journey of making yourself into another person: a boss person.
The Boss Trap
Do you remember any previous bosses who everybody agreed were complete jerks? And do you remember speaking to many people from many different companies, at all different levels from top to bottom, complaining about their own bosses? Did you ever think that there was a "boss gene" of some type that selected these people for a combination of power-hungriness and unreasonableness? How could every boss be so bad?
Well, now you know. Be absolutely certain, and make no mistake about it, some of your erstwhile colleagues are now talking about you in the same backstabbing tones you overheard them using in regard to the former supervisor in the spa. I call this the "boss trap," and it's 99% dependent upon the boss/employee relationship, and 1% dependent upon the personalities involved. Now is when you start to really understand what the spa business is built upon - relationships.
How are you going to position yourself in this new dynamic? On the one hand, the therapists are using their close ties to you as a recent member of the staff to plead their case to the management, and on the other hand the management is watching you to see how you'll help run the department as smoothly and cost-effectively as possible. Where are you supposed to land in this salary debate? As a traitor to your own kind? As an ineffectual leader who perhaps should not have been promoted? It's a dilemma, this boss trap.
Openness Is the Best Policy
In answer to the plea for help in your last letter, I'm going to offer another one of my off-the-wall opinions that many people may disagree with. Be assured, though, that some very successful spa owners and managers have used this technique with positive results. It's a policy of openness about money, and it scares many people.
An "open book" policy means you inform the employees about the costs of doing business, the income, profit margins, goals, etc. Massage therapists seem to be particularly affected by money issues, clamoring for their due, a little naïve perhaps at first, but they usually understand the overall situation quickly when shown the reality.
The therapists confronting you now scream, "How can I, the one working so hard all day, get only $35 when the spa is charging $70 per massage? For doing what? Giving me an empty room to work in? Supplying towels? They're ripping us off!" But, were you to show your therapists the true costs of doing business, they, like many therapists before them, might get real quiet, real fast. I've seen it happen.
The Avalanche of Costs
If you can get management to agree to it, try this. Sit down in a special meeting with the therapists and use a flip chart or a slide show to outline each of the costs faced monthly by the spa. This information alone may be enough to steer the therapists onto another course, regardless of final profits or losses.
Show them the costs for original build-out still being paid off to the bank; the huge utility bills; the staggering amount of laundry; and costs associated with that (on a recent spa project of mine the cost just to launder sheets, towels and robes was well over $5,000/month for 9 massage rooms. Share with them the cost of the janitorial service to keep the facility clean; the constant upkeep of temperamental equipment; the unending flow of supplies and products to stock the spa; and the need to purchase new linens at least quarterly to offset the loss due to rampant stealing. Share with them the costs of licenses; permits; taxes; advertising; promotions; printing; office supplies; management salaries; trade show events; workers' compensation; and health insurance.
Put just these numbers in front of your therapists, add them up, place the grand total in big bold letters, and then ask them if they think a 50/50 split isn't absolutely reasonable. I know of several spas that offer less, more along the lines of 30/70 or 60/40, and the therapists are happy, because they know the realities. Spas usually are not profit-intensive businesses. We are all in it for the service, and to follow our passion.
Most therapists, being reasonable, will relent when faced with an avalanche of so many costs, grateful they don't have to deal with them personally, and remembering that's why they chose to work for somebody else in the first place. It's natural for highly skilled therapists to want to be compensated well for what they do, but some of them don't understand the challenges involved with running a large business.
Gird Yourself for the Fight
Don't think it will be easy. My words might make sense to you now, but you will, of course, be dealing with the volatile reality of several "massage personalities" (you know what I mean) and the newly forming relationship between you and your staff. I think it will work, if you can get management to go for it. Remember to tell them other spas have done this successfully, and assuage their fears by assuring them not all numbers need to be revealed, just those related to spa operations. Also, you have to present it in the right way to the therapists. This is where all your skill and diplomacy will be needed. This is your trial, your opportunity to fulfill your new role: to be one of the therapists, and a part of management at the same time.
Good luck! I can't wait to hear how it goes.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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