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Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
July, 2002, Vol. 02, Issue 07
Step Seven: Operations
By John Fanuzzi
Last month, we dealt with construction planning; this month we'll shift gears a bit and focus on the actual internal operations required to run a successful spa or day spa.
Before we hire our therapists, we've hopefully done our homework as to appropriate theme planning, and should have penciled out our menu to some degree.That means we know our specialty treatments will fit right into the particular personality and image we want to manifest. Sometimes situations come up in the hiring process, such as finding a massage therapist with other skills that might be beneficial to offer, that triggers new menu items. Modalities such as polarity therapy; chair massage; aromatherapy; Ashiatsu foot massage; etc. could be added to expand your spa theme. There are many more potential additions, but the point is that any employee's extra skills could add more depth to your spa menu that will set you apart.
When you hire staff, there are many qualities to consider. Personally, I would look at attitude first and a passion for work second -- they must love. Don't forget, you are in effect married to your employees, so communicate and make sure their vision is in line with your vision. I recently visited the DePasquale Day Spa in New Jersey, which is in my opinion an extremely well-managed, five-star operation. What most impressed me was the spa's hiring procedure, and the steps it takes for a new therapist or stylist to actually work the main floor. First, employees train in the school area; then perform their skills on the department heads; and finally, on the spa owner(s). Only then are employees "ready" to treat paying customers.
Generally, you should start your staff training about four weeks before your spa opens. Employees need to learn much more than where they will be working; they need to know your philosophy, theme, internal operating systems, and products, so they can sell products and services besides their own. Employees must be trained as team players and be ambassadors to customers and the public. This can only happen if they are happy with their relationship with their supervisors or owners.
Another important key to success is to set up a computer system that will give you all the information you need. With access to the right information, you can manage and make decisions based on facts. Computers will not solve your problems if your systems are not prepared; and wrong or incomplete data is worse than a manual system. In choosing your software program, do your homework. Ask yourself some questions. Will it be easy to learn and operate? Is it a complete bookkeeping and operations package? Can you get any kind of report you need easily? How does it handle commission splits? Does it create barcodes for your inventory? Will your reports produce graphs? If used correctly, your computer system will save you lots of work, so don't skimp.
A few months ago, in my article on spa budget and finance, I presented several charts illustrating startup cash requirements and cash flows. (Editor's note: See "Step Four: Budget/Financing" in the April issue). It would be a wise business practice to prepare those same charts with real everyday numbers, so you can immediately see where you are winning and where you are losing. This type of daily record will reveal trends and allow you to make adjustments before you lose big money. I like to post daily sales figures and employee performances, which help build teamwork and create a challenge to set higher goals. From that original business plan with cash requirements you should be in the ballpark to know what your marketing budget is and at this time there will most likely be some adjustments since the original was done before the final design.
Retail sales is one of the most important, but often neglected, facets of spa operations. Retail sales can be a tremendous source of "extra" revenue. When setting up your retail sales operations, consider a full time retail sales manager and an incentive program for therapists who sell. A good salesperson can make you a lot more money than just letting the receptionist ring up a passive sale. Your retail sales revenue may depend on how big or small your operation is, and how well your employees know your product line.
If you've hired a spa consultant, you may already have a complete operations manual based on experience from similar past clients. Don't forget to allow for regular cleanup and maintenance in off hours, so your place will always stay sparking.
Next month, we will discuss the initial startup marketing strategy for your spa. Until then, keep reading those spa magazines!
Click here for previous articles by John Fanuzzi.
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