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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.
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%.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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).
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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).
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.
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.
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.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
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.
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.
February, 2004, Vol. 04, Issue 02
By Steve Capellini, LMT
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 treatment menu for your soon-to-open Spa House is coming together, and it was a little trickier to create than you'd imagined, wasn't it? When you walk into a great spa and take a glance at its beautiful brochure and list of services, it all seems so natural and easy, doesn't it? But when you have to do the work yourself, you understand how much goes into it.I think you've made some wise choices as far as the treatments you're going to offer, and I'm not just saying that because you followed my advice on some of them! Nobody could resist the sumptuous Spa House Specials you've created:
You've also added several foot and hand treatments, a scalp treatment, manicures, pedicures and "quickie" chair-massage. This is a great start for a menu, Lou. There is no need to be overly worried about the items you did not include at this stage, as you will inevitably revisit this menu and make amendments in coming years. What you should concentrate on now is training your staff thoroughly on all the treatments and products.
I'm happy to hear that you've chosen products known for their organic properties. Although these products are not generally well known, you will be able to educate the public about their value. Sometimes it's smart to use a less remarkable brand and then pair it with your own Spa House private label products later, rather than go for a famous skin care/body care line now. You're smart to avoid the tendency of "transference" in which you hope to upgrade the image of your spa by associating with famous brands. Sometimes that backfires, and you end up without a clearly recognizable image of your own.
Proudly display, in a conspicuous area in your spa, each of the all-natural lines you will be using in your treatments. These of course will also be available for sale to your clients, but they are there to enhance your spa's image, not take it over. The trick is to get your clients interested in buying your spa's overall image and to have them view products as an adjunct of that.
You've got mud from Hungary, clay from Sedona, fango from Italy, seaweed from France, Ayurvedic oils from India, shampoos from the Hawaiian rainforests, plus several more products on your shelves. My advice is to keep diversifying, as you have already. Then, when it comes time to highlight one brand in the near future (hopefully shortly after you open the spa), it will be your own house brand.
The Signature Service
I absolutely love the signature service you've chosen for the Spa House. Asian treatments are very hot right now in the spa market, so it's great that you're going with that theme and offering the Spa House Balinese Ritual. At 2 1/2 hours long, with a healthy snack and take-home spa sandals included, I think you're going to receive some rave reviews and many repeat customers, even though the price, at $295, seemed high to you at first. Your spa business partner Barbara was wise to price it at that level. After all, your clients will be getting a lot for their money: the dedicated attention of one of your therapists, gifts, and first-class natural products from the exotic South Pacific via Jamuspa.com, the same company you trained with while working at the resort spa a few years back.
It's some kind of destiny that your previous work is coming in handy as you incorporate your training and experience into your new endeavor. Based on the traditional "Lulur" ritual of preparing brides for their weddings, the treatment features my favorite triumvirate of exfoliation, hydrotherapy and massage. It doesn't get any better than this, with rose petals in the bath, a creamy yogurt-based mask application, and a long, flowing Polynesian-style massage session.
Your choice of signature service can even color other, broader choices at the Spa House too, if you want. The room in which you provide the Balinese Ritual can be decorated with wood carvings, silk wall hangings, native statuettes and warm tropical earth tones. This theme, over time, may trickle out into the rest of the spa. Personally, I can't wait to see it!
Now that you have created a menu in your mind, you need to create a physical menu on paper, which means that you're going to have to strike up a relationship with yet another co-creator of your spa vision - a printer. Perhaps you didn't think of a printer as being a core member of your spa-creation team, but stop for a moment and think about collateral materials - brochures, fliers, stationary, letterhead, logos, business cards and so on. Besides the actual spa, collateral is what most impresses clients and potential clients. It's what "shouts out" your spa's image loud and clear; it is your signature and personality sent out far and wide into the world. In fact, when you use electronic collateral on the Internet, you are making this image visible for millions across the globe.
One tip I'd like to offer as you and your collateral design partner begin putting together your materials: Insert a separate price card, sometimes known as a tariff sheet, which you can change at any time easily without having to go back to the printer for another run, wasting hundreds, or even thousands of dollars on existing brochures.
Stop and give your collateral materials some serious thought, Lou. You'll benefit greatly by teaming with a printer and/or designer who shares some of the vision you have for the Spa House. Interview a few people. Find someone who loves spas and would like to get involved hands-on with the project. He or she should receive a few treatments and walk through the spa with you to get an idea about the kind of image you're attempting to create.
I look forward to hearing about the collateral-collaborator you find and seeing some of the art you create together soon. In the meantime, hang in there - you're getting closer and closer to the opening of your new vision, the Spa House!
Until Next Time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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