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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
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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