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God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
September, 2003, Vol. 03, Issue 09
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.
The Spa House is on its way to being open! I'm excited for you, as your amazing dream becomes a reality.Now that you've chosen a grand-opening date and your goal is in sight, what will you focus on first: hiring your staff? Testing the skills of new therapists and estheticians? Setting up a retail sales system? Getting a top-notch receptionist? Choosing a spa consultant to help you? What pieces of equipment should you purchase? Which product lines should you feature? The list goes on and on....
Let's start at the beginning. In my last letter, I asked you to come up a "unique selling proposition." You did, and it's a good one, too! The unique selling proposition (USP) is a way for you to encapsulate exactly what you offer so people you meet can get a feeling for your business. It is usually couched in terms of problem/solution or need/fulfillment. Yours is a beauty:
I like those strong verbs: "crave" and "specialize." I like the way you've focused on the community, making The Spa House part of the fabric of daily life for the people in your town. That's a smart move. I predict you'll have some success with this USP if you use it to your advantage. Make a point of repeating it a dozen times a day. When you meet people, let them know what you do. You've got to start switching from Lou the therapist and Lou the employee, to Lou the spa owner!
So, what are you going to tackle today, spa owner? Maybe you can use the USP to lead you in the right direction. You want a spa that feels luxurious, but doesn't have a huge overhead, which means you don't want to invest in expensive, high-tech equipment right off the bat. What, then, are your alternatives?
You want to give your guests the royal treatment when they arrive at The Spa House, but that doesn't necessarily mean they'll be expecting top-of-the-line FF&E (furniture, fixtures, equipment). I've seen many spas create a luxurious environment with a blend of "eclectic" decorations and equipment. The pieces of hydrotherapy equipment you mentioned wanting - the Vichy shower; the Swiss shower; the multi-jet hydrotherapy tubs; and the Scotch hose, for example - are a few items that can wait until you have a track record of ongoing success. I know they're beautiful, especially in those spa magazine ads, and you'd love to offer your guests a treatment in one of those hydrotherapy havens - but do you really need them at this stage?
You learned how to operate this equipment while working at the resort spa, and you know it's not that difficult; you also learned that spa guests can have a bad experience on good equipment in the same way that they can have a sublime experience with no equipment at all. One of the best experiences I ever had in a spa was being massaged with aromatic oils, then wrapped in a cotton sheet for half an hour - it doesn't take much.
You and your partner Barbara have a tidy sum of money to invest, but since you're not independently wealthy, you're keeping a keen eye on the bottom line. In this situation, I recommend you strike a mid-tone in your decor, equipment and furnishings. There are a couple shortcuts you can take, and other areas where you should definitely not cut corners.
Wet Room Basics
Because you are building a substantial spa, not just adding a few spa services to a regular massage room, you'll want to invest in one (and only one) wet room. A wet room is a room with plumbing in it, often with a drain in the floor. A shower may or may not be included. The "dry room," on the other hand, is a massage room with no plumbing, save for, perhaps, a sink. It can have a carpeted floor or tile, but it is not designed for hydrotherapy treatments.
I've seen several new spa owners over-invest in wet room equipment, erroneously thinking that these more "exotic" fixtures are crucial to a classy spa and would attract more clients. One salon-owner insisted on outfitting three full wet rooms in a four-room spa! Needless to say, the rooms were underutilized and dismantled within a short period of time to make way for more popular (and thus, profitable) treatments. In another letter I'll explain how you can use a "dry room" to offer your guests almost all the same treatments you can in a wet room. For now, I suggest one full wet room for The Spa House. Now, what will that room include?
A Wet Table
Your new wet room should definitely include a "wet table." As you know, a wet table is not a table on which someone has spilled water. It's a specially constructed treatment surface that traps water and products used in spa services and funnels them down through a drain either into the floor or sometimes a receptacle below the table. You've no doubt seen plenty of them advertised in the spa equipment catalogues you've been perusing recently. Since you are going to have a wet room, it's a good idea to get a wet table.
In my opinion, wet tables are great for use in exfoliation treatments. They make these treatments easy for you and more luxurious for your guest. Nothing beats the experience of fully reclining while having top-of-the-line spa products sluiced from your newly cleansed skin with warm water. However, when used for wraps, such as mud, clay, fango and seaweed, a wet table may hinder rather than aid the process. I've laid on many a wet table after a seaweed or mud treatment and been hosed down by the therapist, only to wish I could crawl off into a shower instead.
Don't forget, you can make your wet treatment room into a multi purpose space in which you can schedule wraps, scrubs, and even massages. Don't do yourself the disservice of over specializing treatment space. The more types of treatments you can perform in each room, the greater your potential income. Most wet tables these days come with a cushioned top upon which clients can lay comfortably throughout an entire wrap or other service.
My advice for your wet room: a nice wet table for exfoliations with a handheld showerhead, and a shower stall in the corner for washing off wraps. This double duty shower setup may be a little more expensive, but the investment is not that high compared to what many new spa owners get themselves into.
Consult With the Spa Doctor
See how tricky this spa setup process can be? This is why so many people in your situation enlist the services of an experienced consultant at this stage. Among other things, a good consultant will be able to look over your space and let you know what's most important to purchase within your budget, before opening. The spa consultant issue is something I'd like to address at greater length, so that will have to wait until next time.
Until then, get going on the hunt for that perfect wet table!
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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