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Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
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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