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Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
August, 2002, Vol. 02, Issue 08
Exploring New Paths: Starting Your Own Business
By Perry Isenberg
So, you want to start your own business and be your own boss? There are quite a few considerations to keep in mind as you branch out on your own. Location; expenses/overhead; insurance; payroll; taxes; business licenses; depreciation on equipment; cost of supplies; etc., all influence how much money you need to start.The major reason smaller businesses fail is an insufficient amount of money (start-up capital). You need a budget, which should include your salary. An accountant can help you handle things smoothly.
Where you set up your new practice depends, among other things, on how much money you have to rent a decent office. Maybe you want a small office in your home, or just want to see clients in their homes (sort of a mobile therapist). You need to research how close your existing clients will be to the office, and if there are any high-traffic areas that may complicate their visits. No one wants to drive 20 miles to the therapist's office; decide how far you think your clients are willing to travel, since they are going to be the staple of your business in the beginning. Also check the zoning laws, and don't forget the business licenses and insurance! Find out how much insurance you need to carry; this varies depending on the state in which you are starting your business. You will need a fair amount of equipment, including massage tables; linens and towels; a washer and dryer; phones and phone lines; computers; desks and chairs; etc. Depending on how big you want to be, you may also need waiting-room furniture and decorations, office supplies, a copier, fax machine... the list goes on and on. Shop around for these items, so you get the best deals and spend the least money (without sacrificing quality). The plan is to research, budget, implement and market.
OK, so you've determined your approximate office costs... are you going to have any staff? With employees come payroll, federal and state tax, unemployment tax and workers' compensation obligations. Are you going to offer any benefits for long-term employees? Think about it first! If you have a few bad months financially, you'll still have to pay these benefits! Good therapists are hard to find, and you get what you pay for. You also need to be careful about the people you hire. You should do a background screening, and definitely check references. If you accept insurance from clients, you will need to have staff that knows insurance coding, medical billing, etc. Paperwork takes up too much time. It is worth hiring someone with this expertise (maybe part-time at first) to help free up your time to see more clients. Also, are you going to sell any products? Retail sales are vital for the financial health of the practice, and to expand client services. This may generate extra income for you... but don't forget the bookkeeping!
How do you get the money to start your practice? Some of the start-up money may be yours, a family member may help, or perhaps a friend has a little extra cash... of start-ups take the Small Business Administration (SBA) loan route. If you choose this option, you will need a good business plan in writing (a three-year projection is usually required) to be considered for one of these loans. The Small Business Administration has a fabulous website that can answer many of your questions, including how to apply, who to contact, what the business plan entails, and why you need one. You can visit the SBA website at www.sba.gov. There are numerous small business seminars you can attend (some at local community colleges). Usually a seminar is only two days long, and it's worth the time invested. A good seminar will provide such information as where you can apply for loans, and how to design your business and marketing plan.
Having your own practice has its upside and downside, but if you plan, research and prepare yourself to work hard for yourself, you will be successful.
Until next time, be healthy, be good, and stay focused and motivated.
Click here for previous articles by Perry Isenberg.
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