Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
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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