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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!
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
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.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
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.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
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.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
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.
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.
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.
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.
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."
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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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