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Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
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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