resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
May, 2002, Vol. 02, Issue 05
Building a Successful Spa: Step Five: Design
By John Fanuzzi
Before I get into this month's topic, I would like to apologize for some confusion about last month's article on budget - particularly with respect to the spreadsheets. A number of other pages are needed to give the full overview, and it simply would take up too much room to print.I would invite those who would like some clarification to e-mail me at the address listed at the end of this article.
This month's topic is design. After perhaps months of preliminary planning - from birthing the original idea, to exploring the feasibility of such a project, to putting the finances in place to proceed - you are now ready for the next step: putting the ideas on paper. Generally, interior design firms or architects can do everything from construction documents, which include floor plan , electrical, lighting, interior finishes and furniture, to construction management; however, I strongly advise you to speak with a professional spa consultant first.
The reason a spa professional should be on the job before a designer is that he or she has the familiarity with the equipment as it relates to the planning requirements. He or she also can lead you to sources of information, such as attending a major spa trade show where you can pick the brains of an abundance of experienced owners, spa directors, educators, and manufacturers. I often see spa consultants meeting their clients at trade shows, specifically to pick out equipment. This should be done before final drawings on your spa are made.
The spa professional assists the designer, who may not be familiar with the wide variety of equipment used in a spa. Building a spa requires knowledge of specialty equipment that is not in your designer's normal line of residential and commercial jobs. If your designer does not know what equipment is available, how can he or she provide the proper space and flow requirements?
A good spa consultant has a design background and can help with the preliminary floor plan, including room sizes, traffic flow, adjacencies, and room use requirements as they pertain to the proper equipment and mechanical requirements. He or she can advise you on the benefits and drawbacks of certain modalities, which ultimately equate to more or less revenue per square foot.
Spa consultants should also be familiar with the proper space, plumbing, electrical, and ventilation requirements for certain equipment. Some of the specialty equipment includes wet rooms with vichy showers or hydrotherapy tubs, steam, sauna, and pedicure units, and a multitude of therapy tables.
I have had customers building a small operation who did not hire a professional, who thought they wanted a full wet room with a vichy shower, but didn't realize that a water containment table in a dry room would work fine, save money, save cleanup time, save laundry, and also not limit that room to only wet treatments. I usually recommend this to smaller day spas with less than six treatment rooms. I also recommend a floor drain and hand sink in every treatment room, so your facility is versatile enough to accept wet/dry tables and multifunction massage, facial, and pedicure chairs.
For those of you who have no background in building and design, let me explain some of the basic design components that all need to fit together and get coordinated. On jobs requiring an architect, such as new construction or additions, a set of contract drawings is issued for each of the components, including: structural (if required), architectural, plumbing, and heating ventilation / air conditioning (HVAC). If the structural components of the building are already in place, such as in a space that is leased in a shopping mall, then architectural interior design drawings are the primary requirement. On most remodels, individual sub-contractors usually present their own shop drawings to dovetail with your architectural needs.
The next step is to choose an interior designer who will evaluate, edit and draft your floor plan for proper building code requirements. This person must be sensitive enough to work within your budget, to acquire the most aesthetic value for the money and resonate with your theme. He or she will also select the proper interior finish materials and furniture. Ideally the designer will create the space to set the mood and be functional. Using spa consultants and professionals from the design community will save time and money, and create a more professional space. In the end, when you have to live with the results, you will be a happy camper. You may also get less gray hair in the process.
Next month we'll be ready for the construction - bring your tool belt.
Click here for previous articles by John Fanuzzi.
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