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What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
May, 2004, Vol. 04, Issue 05
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.
Well, the opening of your new day spa is just two months out now, and you're going crazy trying to get everything together.Don't worry; that crazed feeling you have is natural. It wouldn't be a true spa opening if you didn't feel like you were juggling at least a hundred balls in the air at once.
I must admit - you really "take the bull by the horns" when you need to get things accomplished. The job descriptions you've created for The Spa House are exactly what you needed to keep things on track as the business gets up and running. Without a clear understanding of what's expected, employees have a tendency to make their own rules, regardless of your best, albeit unstated, intentions.
Job descriptions are usually most effective in spas when they are included in a manual that you hand out to each employee. That means each employee benefits from reading the job description of every other employee, as well as his or her own. It is most important for you to include a job description for yourself and your partner/co-owner Barbara, as well as the people who will work for you. That way, you'll be perfectly clear about your role regarding authority, boundaries, and responsibilities.
There are just a couple little things I would change with the job description you created for Jeanie, your lead therapist.
When writing job descriptions, it's important to remember that employees will often take them literally. So, it's important to include a level of detail that cannot be argued with or interpreted in different ways. For example, in Jeanie's description you say: "The lead therapist shall be responsible for the conduct, demeanor and appearance of the other therapists and estheticians." This can be taken several ways. Does that mean Jeanie can then reprimand the other therapists on these issues? Does she have the authority to send them home if one of the guidelines is broken? Does she have to come to you or Barbara first before making any disciplinary decisions? Is there some kind of logbook into which she can record infractions?
Each job description needs to list specific actions that employees can perform to satisfy their duties. For that, you will need to spend a little more time fleshing out the details. Then, when you have finished, you can insert all of the descriptions into the manual, which will include a list of general guidelines that all employees can refer to.
One other item in the job description that I thought could use some clarification was this: "The lead therapist shall be available to fill in for other therapists if they are sick or otherwise unable to perform their normal functions." First of all, this seems a little onerous to me, as it should really be your own responsibility, ultimately, to make sure the customers are happy and that somebody is available to perform their treatments. Passing this off to your lead therapist gives her a little too much power. This might make her resentful of the imposition on her time, and that resentment might lead to an abuse of the power you've given her.
I would suggest you strike this part of the description entirely and instead say: "The lead therapist shall be responsible for creating and monitoring the weekly work schedule for the massage therapists or estheticians, according to the guidelines written in this manual. He or she will report illnesses, requests for time off scheduling conflicts and potential uncovered shifts to the owner/director in a written report on the first day of the pay period every two weeks."
I think you get the idea. So, it's back to the drawing board on those. Sorry to load you with more work! But guess what? There is yet another form you'll need before opening The Spa House. It's called the "client intake" form.
It's very important that you safeguard yourself against potential lawsuits. Regardless of how professional your staff is and how closely you monitor every aspect of your spa's operations, problems can still occur. Remember when you were working in the medical day spa and that client complained that she'd been injured by one of the mechanical massage techniques you performed? It turned out to not be your fault, but it sure felt good to have that liability insurance provided by the professional massage association you're a member of, didn't it?
To that end, it's important to include in your guidelines that each and every one of your therapists and estheticians carries his or her own liability insurance, usually via an association. And it's a must for all clients to fill out an intake form before anyone on your staff touches them. The intake form should give you an idea of each client's general health and any specific problems that you may have to look out for when your therapists and estheticians apply products and procedures to them. Thus, it must be customized to complement your particular offerings.
For example, I've been working with Biotone lately, and have developed an intake form that addresses the specific concerns related to treatments performed with their line of spa products. (View this form at www.royaltreatment.com/Intake_Form.htm.)
In other news, I was happy to hear that the hotel down the street has approached you asking to form a strategic alliance. It has customers in need of a spa; you have a spa (or will have in two months) in need of customers. It seems like a marriage made in Heaven. But how will it work?
I recently counseled another friend opening a spa, on the same issue, and I recommended that she get a written agreement from the hotel stating exactly how they would promote her spa. (Will they have brochures or table tents in the rooms, for instance?) In return, she agreed to offer each guest coming from the hotel a 10-percent discount. The guest receives the benefit, and you receive the business. It's "win-win-win." This, I believe, is a more effective strategy than charging full price and then giving the hotel a percentage of your income.
Keep on charging forward, Lou. You'll have your spa up and running sooner than you think!
Until next time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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