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Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
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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