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F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
April, 2003, Vol. 03, Issue 04
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry.The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
What a relief! That's the only way to describe the sensation you must have experienced after learning you were not responsible for injuring one of your massage clients at the medical spa. I'm sure being interviewed by a battery of lawyers was not your idea of fun, and depositions were not what you had in mind when you envisioned your dream life as a massage therapist, but look at all the things you've learned.
First of all, now you know for certain that the owners of the medical spa are not on your side. They completely abandoned you when it came time to face the lawyers, and they've distanced themselves even more since, as if associating themselves with you is a bad idea. I don't blame you for wanting to disassociate yourself from them in return.
You've learned that your fellow therapist at the spa, Barbara, is a true friend. When the situation turned nasty and the client's lawyers were talking about having you arrested, she was the one who stood by your side.
You've also learned, or perhaps re-learned, that your therapeutic skills are intact; you know what you're doing; and you were not endangering your client through your actions.
Finally, and most unexpectedly, you've learned what pseudo-atrophy is.
Pseudo-atrophy is a medical term for depression of the tissues caused by a cortisone injection. It affects people who received injections that were not properly administered, especially when the injections are high-dosage. Your client at the medical spa received a massive cortisone injection several weeks ago to the very site she claimed you injured through your massage with Endermologie® equipment. The injection is what caused the depression in her skin she was attributing to you. So, it has been proven to everybody's contentment (even the lawyers) that you were not culpable, and neither was the medical spa or the equipment manufacturers.
Who could know that a cortisone injection,received several weeks ago by a woman you'd never met, would have such a massive effect on your career? The lawsuit has been dropped, and you are free to continue your work at the medical spa, but the question is: do you really want to? It looks as if you're facing a major decision: stay at the spa that employs you, the one you became so enthused about, the one that gave you stock options and promised you the moon, or take the hint and realize that beneath the slick exterior of this place lies a heart of ice, and that it is not your true home?
Should You Stay or Should You Go Now?
I hate to tell you this now, but I had a funny feeling a few months ago, when you started talking about stock options and "new models for rolling out a nationwide spa success plan." I was excited about your new job opportunity at first, but as you became more deeply involved, I began to think you might be getting yourself into an untenable situation. As in any enterprise, those who bite off more than they can chew end up with indigestion. It may have been better if this medical spa ownership team had started out with just one facility in mind and then tried to make it the best it could be, rather than start a roll-out of franchised properties too soon, built on a model of success they aren't even sure works!
Many physicians and spa entrepreneurs are taking this wiser, step-by-step course and finding success. (A good number of them can be found within the ranks of the Medical Spa Association, founded by Hannelore Leavy, president of the Day Spa Association.) My advice to your owners would be to seek some networking and education from these experienced professionals.
In the meantime, you have to decide. Should you stay, or should you go? Let's weigh the evidence, taking everything into consideration:
The Risk/Reward Ratio
The spa industry, like many industries, is a forum of opportunities. The people who reap the rewards in this forum as the ones who take risks. I think you've stumbled on an opportunity to take just such a risk yourself, and discover a level of success you haven't envisioned yet.
The key here is Barbara. You told me she has been considering the possibility of opening her own small day spa, and she might be willing to take on a partner. Your first reaction is probably to dismiss the idea as too much work. You don't want to get tied down to just one place. You want to leave your options open. You're afraid of taking the risk with your time and your money.
I understand these concerns, but at the same time, I have a gut feeling about this, and I'm willing to share it with you now as a friend. You should stay close to Barbara. She's proven her dependability, which is exactly the quality you want most in a business partner. I think the time is right for you to move onto the next phase: to take on more responsibility, take a risk, and possibly receive the rewards. It's time to open your own spa.
Entrepreneurs talk about the "risk/reward ratio, which refers to the amount of capital ( time and money) they're willing to invest to receive a certain amount of possible payoff in the future. The spa world right now has a pretty attractive risk/reward ratio, but only if (and this is a big "if") you're willing to take a hard look at the realities of the business, and do everything necessary to give yourself the best shot at success.
Have a serious talk with Barbara about what she wants to do, and share your vision with her. Take the leap. Leave this sleek-but-heartless medical spa behind, and strive for something you can call your own. I'll offer any input and support I can. I have a feeling this is the start of a great new project.
Click here for previous articles by Steve Capellini, LMT.
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