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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.
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.
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.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
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."
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
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.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
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.
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.
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.
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.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
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.
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.
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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