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Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
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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