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How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
November, 2003, Vol. 03, Issue 11
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.
Building a spa is like remodeling a house.There's a snowball effect and before you know it, you're making purchases you never dreamed would be necessary when you started. This is true even if you've put together a solid business plan with budget projections, cost analyses, timelines and "plethora proforma." In every case, reality steps in rudely and changes things. In your case, there were a number of factors you didn't count on: While changing some of the exterior siding, you found a horde of carpenter ants, which necessitated some rebuilding; the ancient plumbing needed upgrading; and choosing the best fabrics and carpeting shot the budget up another few thousand dollars. You needed some help managing this expensive, unwieldy project, so you hired a spa consultant - another expense in and of itself!
Don't worry; this consultant will save you money in the long run. You've negotiated a good fee structure with a $2,500 monthly retainer guaranteed for six months - enough to inspire your consultant to work on the project 50 hours a month and bring the expertise of her colleagues to the table. Considering the scope of your project, I think you've made the right decision.
It's time for you and your consultant to roll up your sleeves and get to work. But what first? You're in the middle of this huge project, and she came on board just last week. How can she catch up to you? First, understand that she's done all this before. She's run into the same roadblocks, solved the same problems, and dealt with similar personality conflicts. Your job is to get out of the way and let her help you. I like some of the design suggestions she's offered; and now is the time, while you're still under construction, to implement these ideas.
Idea Number One: Slightly expand the waiting room and use a large ceramic bowl for spa foot treatments there. This might never have occurred to you because it is such an offbeat idea, but I've seen it work well in other spas. Think of it this way: How much will your customers pay for waiting? That's right - zero dollars; nada; nothing. Does that have to be the case? No! While sitting in a cozy room surrounded by other robe-clad "ladies-in-waiting," your customers can be treated to a fantastic foot treatment that will not only up the square footage of your revenue-generating space (RGS), but also entice other clients to follow suit and do the same thing next time they are waiting.
Using an ornate ceramic basin, one of your therapists can soak the client's feet in aromatic water sprinkled with rose petals; apply a warm-towel-wrap, reflexology and a peppermint sea salt scrub; then trim the nails. The application of polish is optional, but only if it is a noncaustic, odorless product. This treatment not only soothes and relaxes the guest before their spa service, it acts as a live billboard for your therapists' skills. It is a way to spread goodwill and create a holistic caring environment.
Idea Number Two: Create a "river wall." I saw this concept at the Nemacolin Woodlands Spa in Pennsylvania by renowned spa designer, Clodagh (www.clodagh.com). Your consultant has suggested turning the wall between your waiting room and your treatment rooms into a "waterfall" by inserting natural rock outcroppings and a small trough along the wall/floor joint. This doesn't need to be hugely expensive; with a small, inexpensive pump and a little creativity, you'll achieve something important: bringing the outdoors in and giving your clients a little touch of nature. At the Nemacolin Woodlands Spa, this feature extended into the hallways, turning them into "stream banks" in a forest. You can create this effect on a smaller scale by imbedding smooth river rocks along the floor near the wall and letting the water lap up naturally onto a lipless edge. I've also seen this done well at the Avalon Hotel & Spa in Portland, Ore.
Idea Number Three: Use multipurpose tables for your treatment rooms to do facials. You knew about multi-use tables already, didn't you? But you didn't think about using them in your two facial rooms. It makes sense, doesn't it? Why not have two more rooms you can use to do massage, wraps or scrubs in when they are not in use by your estheticians? Golden Ratio makes some good multi-use tables that I've used before; check them out.
Your consultant's ideas about hiring spa staff are good, too. As someone who has helped assemble teams of spa professionals before, you can rely on her to give an informed opinion about potential candidates. It helps that she does not live in your community, too - she doesn't have to worry about stepping on any toes or creating political enemies and can voice her opinion without qualms.
Let your consultant conduct the initial screening of job applicants. You should step in during the next level of interviews, concentrating on the higher hiring values of camaraderie, rapport, "energy" and so on. After that, schedule yourself to receive a test massage or facial from each of the most promising recruits. Maybe I'll talk more about receiving test massages in my next letter - believe it or not, there's an art and a skill to it.
Don't focus all of your attention on hiring the "hands-on" staff. Though you are a therapist and your inclinations may lead you to focus exclusively on the massage department, remember that other staff will make a profound impact on your guests' experience. Your receptionist, for example, will most likely speak to every guest who comes through the door. Doesn't it make sense to proceed slowly and wisely when it comes to choosing this key figure in your operation? Almost anyone can answer a phone and write an appointment in a book. A good number of people may be quick at entering information into a computer. But how many of them will have your customers' best interests at heart?
While it's important to find qualified people, I think you'll do better across the board - from janitors to front-desk staff to therapists - if you look at the person first and the skill set last. Skills can be taught. The intrinsic person remains, and no amount of training, scolding or rewarding is going to change the underlying character much at all. Ask yourself one question: Would you want this prospective receptionist working in your own home? Now it's time to start assembling a great team!
Until next time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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