resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
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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