Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
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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