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Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
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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