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Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
May, 2003, Vol. 03, Issue 05
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.
You're doing it! I always thought the day would come when you'd decide to venture out and open a spa of your own, but I didn't think it would come this soon. The timing must be right. Perhaps it was a blessing in disguise that the job at the medical spa fell through - after all, you didn't really enjoy working for the people there, and they certainly didn't support you when you were faced with a career-ending lawsuit. So, it may be for the best that you're now a free agent.
Of course, you probably feel bad about losing those stock options the medical spa offered you, but you've got to remember that options are exactly that: options. They only have paper value until they can be exercised, and if your mishaps with management are at all indicative of the spa's future prospects, I would venture a guess that those options are not going to be worth much in the future. What you're probably throwing away is a bunch of paper dreams. It's better to be rid of them, move on unencumbered, and anchor yourself firmly in the reality of starting up a new spa venture.
I'm sure it isn't easy contemplating a new start in a strange city. It's intimidating, to say the least, but you've got one important thing on your side: a partner on whom you can trust and rely. Barbara has proven herself in your time of need, sticking by your side and believing in you when you were sued for incompetence. Now, she needs your help in creating the spa of her dreams.
More Than Just Another Business
This new facility will be something simple and not uncommon: a day spa. By some estimates, there are over 10,000 day spas in the U.S. alone. Another one opens every day of the week. No big deal, right? Then, why are you so excited? Why are you and Barbara almost delirious at the thought of developing your new business? Why does it all seem so totally unique, so avant-garde, so special? I've seen the same thing many times - in every spa workshop I teach and everywhere I go, from the beaches of South Florida to the woods of northern Canada. When people create their own spa, it almost always becomes a labor of love, dedication, creativity and great hope. You and Barbara now hope to share something of yourselves with many new people, and you want everything to be perfect.
A spa is a special place - definitely more than just another business. It combines the nourishing qualities of a restaurant with the healing properties of a clinic, then adds the social buzz of a great salon and the health focus of a gym. A spa is a place that nurtures, treats and loves people, all in an atmosphere created completely by you.
Of course, to create this fabulous dream, you need to focus on some concrete, un-dreamlike realities. If you don't focus on these realities right now, the entire dream will collapse before it has a chance to take shape. The three things I think most important at this preliminary stage (things you absolutely must take care of first) are concept, financing and location.
What a Great Concept!
First comes the dream. If everyone had to stop and think of all the problems and pitfalls of new ventures before they even dreamed them up, nothing would ever get built. Go ahead and dream. Fantasize. What would your perfect spa look like? What treatments do you want on the menu? Where will it be located? Who are your clientele? Will you have an extensive retail section? Will food or drinks be available? What would you name the spa?
In my spa startup workshops, I share a "Far Side" cartoon with students. In the cartoon, two super-excited dogs sit ogling their owner as she spoons out the same slop they receive every day of the week. The caption reads, "Oh boy... it's dog food again!" The point I'm trying to get across is that spa-goers are not canines. With so many choices available in the marketplace today, you need to spend some time honing and refining your concept until it becomes something a little bit different than everyone else's.
I look forward to hearing about your developing concept over the coming weeks. It sounds like you and Barbara already have some interesting ideas.
You've Got Backing
The primary cause for spa startup failure is undercapitalization, which is a fancy word for being broke. You've got to have some money (six months of operating expenses is the typical suggestion) to get started. In your case, Barbara's parents are going to fund the project with $100,000 of their own capital, and Barbara's going to take a loan out for another $100,000, using her house as collateral. They're definitely taking some major risks here, putting everything on the line to make this new business work. So, what can you offer? You can offer $10,000, that's what. Yes, you heard me right - your entire life savings that you've had socked away in a CD for eight years. I know that's a scary prospect, but if you don't "pony up" a comparable investment, how can your new partners trust your level of commitment? Barbara's family has considerably more money than you do, but you have the ability to show the same level of commitment. You're risking all the money you have in the world, which, relatively speaking, is more than they're willing to risk.
You're young, so you can afford to fail. In fact, failure now might serve as a valuable lesson; not giving it your all would be the mistake. So, in addition to the long hours and hard work you need to devote to your new project, the dollar investment is crucial.
Find the Perfect Space
Even though you're still in the preliminary stages, it's never too early to start looking for the perfect space for your new spa. In fact, when you find the right space, it may inspire you to flesh out parts of your spa dream that weren't quite solid. You and Barbara should both be cruising around, looking for the right place: the place you can fall in love with; the place that will house your dream. Try to let something sneak up and surprise you. Look into properties that seem completely off the wall; walk into them, and see if something gels. You are now officially on the hunt for your future. It is hidden in a building or a storefront, somewhere "out there." It is being subsidized by a bank and your new partner's good faith. It is in the hearts of the hundreds of people you will, with any luck, touch in the near future - your customers-to-be.
Click here for previous articles by Steve Capellini, LMT.
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