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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).
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.
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.
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.
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.
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.
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.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
April, 2004, Vol. 04, Issue 04
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.
You have, without a doubt, one of the most attractive little day spa operations in the United States.I've seen hundreds of them over the years, and what you've created leaves me awestruck! It was so great to see you last month to help train your new staff, and check out the great work you've been pouring into this project.
Walking into the Spa House is like walking into a really comfortable and beautifully appointed home! The screened-in front porch is filled with sunlight, plants, a tinkling fountain, and the artwork of children from the community. It was a great idea to ask them to draw pictures of water - the origin of spa - in all of its manifestations: rivers, pools, the ocean, and even in their own backyards. The result is a blue splash of riotous color that will leave your customers in a calm and uplifted state of mind before they even enter the front door. And how much did this cost? Nada. You even got a local shop to donate the frames in exchange for displaying their name to your customers.
I don't mean to sound commercial about something that was obviously done from the heart, Lou, but think about the marketing coup you've pulled off here. Before you even open your doors for business, you've created a built-in clientele: the parents of those little artists and all of their friends. This was a stroke of genius from your partner, Barbara.
And speaking of Barbara, you didn't tell me she was such a knockout, Lou: gorgeous, sincere, smart, quirky - the woman has it all. Certainly a wise choice in business partners, and, I see now, a wise choice in life partners. You have to be careful, though, when cultivating a personal relationship like this, since you work so closely together and you both have invested money in the spa. But, as they'd say in France, "C'est l'amour." And there's nothing you can do about that.
After passing through the front porch and entering the door, I found myself in a homey sanctuary, with a welcoming wood reception counter, and a large waiting area that is like someone's living room. I was glad to see you'd taken my suggestion to offer foot treatments in this area, enticing other clients to do the same while creating a soothing atmosphere at the same time.
The treatment rooms are gorgeous, too - simple yet elegant, each one with its own music and lighting controls. It was fun and comfortable to train your staff in these rooms, and I'm sure they're going to enjoy working there on a daily basis, too; however, there are a few staff "issues" I noticed cropping up even at this early stage, and I wanted to pass along a little advice regarding your employees - things I've run into over the years that you might want to keep an eye on.
Don't get me wrong. It has been a pleasure working with such a dedicated and enthusiastic staff. In fact, I'd go beyond the word "enthusiastic" - they are downright excited! It's a great opportunity for them to be part of a unique experience in the community. I wouldn't mind working there myself someday. Keep me in mind! However, the startup phase of a spa - or any business - is often the "honeymoon" stage, when excitement is greatest and the rigors (and, at times, boredom) of daily operation have not yet set in. Regardless of your staff's enthusiasm now, you will assuredly run into some problems down the road; it's best to know about them up front.
One thing I noticed in your newly appointed lead therapist, Jeanie, is what I call the "overachiever syndrome." Jeanie is well qualified for the job: She's smart, bright, attentive, customer-oriented, and she seems to want to give of herself for the betterment of the team. What could be wrong, you ask? Well, I noticed some traits in Jeanie that I've seen in other lead therapists who "crashed and burned" early in their spa careers. One was a male who was arrested and charged with assault on a female customer; another was a fellow who rearranged the whole massage department to his liking (without permission); he was ousted three days later. These are people, who, like Jeanie, are self-sufficient and highly skilled, but don't take orders well, and at any given moment they could create unrest among fellow employees or guests.
I am not suggesting that you fire Jeanie, but I do suggest taking her aside and laying down the law. You, for better or worse, are the boss. Remember when you worked at the resort spa and I told you there were going to be some unsavory aspects of being a supervisor? I called it "the boss trap." You are caught in it more deeply now because you are not only the boss, but also the owner. It is crucial, in my opinion, to let Jeanie know that you are watching over her closely, and that her power is limited to her job description.
That's right, Lou. It's time to get serious about job descriptions. I know this is yet another task that seems less than glamorous, but it is going to help a lot, believe me. It will improve your chances for having a happy staff if Jeanie knows exactly what is expected of her, and what lies inside and outside the boundaries of her authority. This, in turn, will lead to a proper understanding by the other therapists, the receptionist, the estheticians, and you regarding who is responsible for what. There will come a time in the not-too-distant future when you are so busy with the daily rush of activities that these written job descriptions will be a lifesaver. They can, of course, be modified, discarded, or changed, but it is important that everyone agrees upon a working framework - especially as your grand opening approaches.
So, that is your homework: job descriptions for everyone! Add it to the endless list of things to accomplish as you move toward your dream of opening and operating a successful Spa House.
Talk to you soon,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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