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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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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).
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.
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.
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.
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%.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
October, 2003, Vol. 03, Issue 10
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.
Setting up a spa is a lot different than working in one, isn't it? By changing roles from employee to employer, you have changed your mindset, your perceptions of how business works, and how people relate to one another.Suddenly, your friends are other spa owners, too. Do you see how following your dream helped sculpt your reality? It's difficult, but you're doing it.
The Spa House is a work-in-progress. It's like remodeling your home: In the midst of the dust and confusion, it's sometimes hard to keep the goal in sight. The best policy is the "one-step-at-a-time" approach. Now that you have made your decision to construct a wet room, you have to look at the other equipment you will need. You've also got to decide whether to hire a spa consultant. I can help you with those decisions.
Wet Room on a Budget
You might be wondering how your "little" spa is going to be able to offer all of those treatments you administered at the mega-resort where you used to work. Have no fear: There are some cost-saving measures you can take to ensure your clients receive the kind of luxurious experience they expect that will not put you way over budget.
One key ingredient you will need is a hydrocollator; maybe two. This item is a staple in many spas and clinics, and for good reason. In addition to heating gel packs for therapeutic application, hydrocollators are used extensively to allow budget-oriented spas to offer a full array of wet services. Hydrocollator units come in various sizes: a smaller business can get by with an ES-1 model; but most day spas, including yours, need the ES-2 model. Bigger spas often opt for the larger M-2 or M-4.
The hydrocollators can be used in a number of ways. I place hand towels inside 165-degree water, wring them out (wearing rubber gloves), and store them in an insulated container, such as an ice chest. The towels come in handy to wipe off mud, clay, seaweed and other products. Another option is the hot-towel cabbie, found in many spa supply catalogues. This is a useful, attractive addition to a spa room; however, if you have a hydrocollator, they are not absolutely necessary. Almost every service you offer can benefit by the presence of one of these units. There's only one problem: they tend to look a little clinical and will probably not fit into your spa's "homey" decor, which brings me to another topic: the staging area.
All the Spa's a Stage
To create an illusion of timeless peace and tranquility while running a thriving business, you will need to employ the same secret that Disney World uses: an invisible, behind-the-scenes staging area. In Disney World's case, this involves a vast network of underground passageways. For the Spa House, you will only need a room the size of a large closet. In addition to linens, oils, products (both retail and professional) and other items, you can place your hydrocollators in this area, which will ideally include a janitor's sink, so you will have to think about plumbing. A five-foot by eight-foot space is usually big enough to accommodate these items and leave room to maneuver.
In a smaller spa like yours, one staging room should be plenty. You can keep it from getting overcrowded by including extra storage space in the treatment rooms below counters, on shelves or beneath the tables. You'll want the staging area centrally located for greatest accessibility.
Whew! You didn't think there would be so many details regarding what is essentially a closet, did you? That is where an onsite spa consultant might come in handy.
One thing is for certain: There is no shortage of spa consultants. It seems the spa business has launched a thousand consultancy ships over the past decade. Many spa consultants allow you to retain as many or as few of their services as you need, and contract for areas you feel weak in. For example, you wouldn't need a consultant to conduct a demographic study because your partner Barbara has already done that; and you have already retained a lawyer, so there will not be a need for business plans. You could use some help, however, with a few aspects, including space utilization, menu planning, and retail and staffing issues.
There are many good consultants out there, but there are also a number slightly prone to exaggeration as far as experience, knowledge and track record goes. So beware. Start your search for a consultant with the International Spa Association (www.experienceispa.com) or SpaTrade (www.spatrade.com).
When interviewing a potential consultant, ask the following questions:
One last thing: the "click" factor. Do you feel empathetic with the consultant? Would you look forward to working with him or her closely for a period of time? Your consultant may have a profound effect on your finished spa. You'll want his or her sensibilities to be as closely attuned to yours as possible, while still leaving room for some creative divergences. Give those Web sites a try, interview a few consultants and let me know what you come up with.
Until next time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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