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Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
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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