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5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
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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