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What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
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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