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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
June, 2003, Vol. 03, Issue 06
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.
So, you're on the hunt for your new spa location, and you're trying to come up with a name that will catch the public's interest and broadcast your spa's true mission at the same time. It's a time of excitement and pandemonium! You haven't been this excited about creating something since your 6th-grade science project.
The more focused and forward-thinking you are at this early stage, the better the finished product will turn out. It's extremely important to take your time, step back, take stock of the overall situation, and formulate your plan of attack.
In the case of a new spa, the plan of attack is also called the "business plan." If you don't have one, you're sunk before your ship of dreams even drifts away from the dock. So, let's begin by talking about that plan of yours.
Care and Feeding for Your Business Plan
In your case, it's true that your partner Barbara has more (much more) capital to invest in your spa project than you do, but that doesn't mean you shouldn't become intimately familiar with every aspect of the business plan, including the financial health of the fledgling enterprise. The $10,000 you've pitched in is no meager sum, especially since it represents over 90 percent of your life savings.
Barbara was fortunate enough to have a corporate lawyer in the family, who drew up a business plan with your help. If you didn't have this family connection to fall back on, it might have been tempting to forego the business-plan idea altogether. I mean, why bother with all that paperwork? You don't need to attract outside investors at this point. You're thinking that what really counts is the logo; color scheme; name; location; and stuff like that. Right, Lou?
There are several good reasons to have a business plan before you take another step toward creating your spa. The plan will solidify what exactly you're attempting to create. Refining the details of capital investment; management structure; client demographics; marketing plans; and expense budgets will allow you to see your business existing in the "real world."
Do yourself a favor: Spend some time getting to know each and every detail of that plan the lawyer created. Although you're a "right-brained" therapist with little interest in such matters, you need to know and care about what it says for the spa to be a success right from the start.
It might be a good idea to get to know the general structure of business plans more intimately; this will help familiarize you with what business is all about - a must for nonbusiness types such as yourself. Go to amazon.com, or any other book-related Web site, and type in "business plans"; you'll find a load of books on the subject. Have you thought about taking a class at the local community college on business management? You are, after all, going into business. I've seen too many spa owners disregard this obvious fact since opening a spa seems more like a healing vision than a nuts-and-bolts reality. Do yourself a favor: Get real and study up.
As you're boning up on business practices, you also are out scouting your spa's perfect location. It's fun and spiritual putting the soul of your idea into the body of a building and giving birth to a being, not just a business.
You've told me about three possibilities that have intrigued you and Barbara so far: an old house downtown; a storefront in a busy mall; and half a floor in a medical office building. As is often the case, there are pros and cons to each option:
You're probably familiar with the saying that the three most important things in business are location, location, location. That's partially true, but what that axiom fails to emphasize is there's more involved than the GPS coordinates of the building you're considering. There's something else going on, too; it's called "energy."
I know it's weird, and some massage therapists are already marginalized for couching things in "new-agey" terms, but I truly believe that below the surface, energy levels are a factor to business locations.
Some locations can't generate successful business, no matter who or what goes in there. Even the best businesses can't succeed in a "jinxed" location. Potential customers just seem to pass it by, as if there were an invisible gate blocking the entrance. You know the spots - those spaces where one business after another has come and gone over and over again. Of course, you're not a native of your new city, and so you don't know about the history of each site; but Barbara does. You can also ask local residents or look up county business records.
In addition to practical considerations such as lease terms, the amount of rent you'll be paying, zoning rules, etc., it would be wise to look into the background "energy" of the structure. Who has been in there? Why did they leave? What is the gestalt of this old home you're considering? What types of clientele frequent the mall in which the storefront is located?
I have a friend and former student who settled on an old home, similar to the one you're considering. It's on the main street in the busy tourist town of Provincetown, Cape Cod. She faced a lot of challenges restoring a 150-year-old building, but she made the right choice. The building had never been used for a business, so she created her own energy there, and it worked. She's now opening a second location.
You can tell I'm leaning toward the old house downtown, can't you? Don't let that influence you too much. You and Barbara need to figure things out gradually, in your own time. The next time I have the chance to write, I'll give you some ideas regarding two other hot topics that are surely burning in your brain about now: your new spa's name and its mission.
Until then, take care.
Click here for previous articles by Steve Capellini, LMT.
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