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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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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."
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.
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.
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.
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.
December, 2002, Vol. 02, Issue 12
Step 12: Sustainability
By John Fanuzzi
In the past year, I have presented the basics of opening a successful day spa, from conception to opening. Once open, there is just as much work (or more) necessary to sustain the business you've created.In a sense, it's like keeping the marriage alive after the honeymoon. You have convinced your investors, or the banks, that you can make a substantial profit. Now you must use all of your energy and expertise to keep everyone happy.
Expect some bad days, bad weather, a bad economy, or any number of problems. But through the challenges, keep the vision; don't let those down days get you depressed. New businesses don't always start off with a bang, so be patient; at the same time, prepare yourself, so you don't get into so much trouble that you can't make adjustments. The most important thing to consider is the minimum amount of business you need to maintain - that way, you will know on a daily basis if you are swimming or sinking. My April article on budgeting included a sample startup cost sheet that illustrated initial set-up costs with monthly amortization, startup month-to-month expenses; monthly net profits; and daily net profits with breakeven points. Set your daily goals and place them where they can be seen. The only way to transcend yourself is to know where you have been. The day spa owner, and possibly the managers, should know the breakeven points, and you should post your actual number of treatments per room, along with your retail sales. The more visible you are, the more you and your staff will be comfortable with the progress of the spa, or make the proper adjustments before it's too late.
As an owner of a manufacturing company, I check our daily quotes, orders and invoices, along with the daily average for the month and several month-to-month and year-to-year comparisons. These figures are posted for everyone to see. Sure, you could get the reports for your eyes only; however, it is empowering to share the progress with your staff. If the numbers are up, everyone gets a sense of a personal victory; if the numbers are down, everyone gets a chance to give a bit extra. If sales decline, it may be a time for a special promotion, a spa party, or a few calls to customers. If it is a historically slow period, it might be time for cleanup or training. Your ability to adapt and respond quickly to problems can make or break you. If you have prepared well; worked with experienced spa consultants, have a good way to get the proper financial reporting promptly, and can make timely adjustments, you should be able to sustain your business for years to come. The Baby Boomers are here, and they are ready to spend tons of money. Even though the competition is increasing, all reports show an increasing demand for alternatives to feel better. The flower children of the 60s may be older now, but they still prefer to eat organic foods and frequent spas. The future of the spa business looks positive, and it should be sustainable for years to come.
So, may you have your victory now! That's all there is.
Click here for previous articles by John Fanuzzi.
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