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Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
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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