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Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
September, 2004, Vol. 04, Issue 09
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.
So, the roller coaster ride isn't over yet, just because your new day spa is open, right? In fact, a new ride has just begun.The ups and downs of the long planning stages are over, and you find yourself behind the wheel of a new enterprise with all the unforeseeable problems and challenges that are sure to arise. You're encountering one of those problems right now, in the very first month of operation. Though it's not a pretty one, it's all too typical.
After months of training and coaching, trusting and coddling, and friendship and teamwork, your lead esthetician, Marie, has shown her gratitude by not showing up for work one morning - quitting without giving notice. Isn't it amazing what goes through the minds of some people? What could she have been thinking to justify such an unfair move? Now, she's taking her newfound knowledge with her to a spa that is going to open across town in a few months - a new business, no doubt, inspired by the splash your Spa House made. The competition is going to be fierce, especially with the "insider's" knowledge that Marie will take to the other spa.
"Life is not fair!" You think, and perhaps you're right. But, as we say in the spa industry, Lou, it's no use crying over spilled milk and honey- exfoliating paste. There are a few proactive steps you can take at this interesting juncture.
Job Security - In Reverse
Usually when people talk about job security they mean the employee, not the employer. As a spa owner and employer, you are looking for the same kind of security from your employees as they're looking for from you. How can you trust them when you give them your best and they still abandon ship - like Marie? How can you know they'll be there for you in your time of need? Is there really any such thing as job security in the spa industry?
Spa employees know that their security is somewhat tenuous at times. There are a couple of spas that are unionized but, by and large, the majority is not, and employees have little recourse in instances of dismissal. Perhaps that is part of the reason why so many of them are ready to leave even a good job at the first sign of something better on the horizon. How can you get employees to be loyal?
There are some techniques that work well for some spa owners, such as offering money for continuing education, contingent upon the employee staying in the position for a certain amount of time; increasing pay scales over time often work; and giving people responsibility and a clear path toward career advancement helps, too. However (and this may be just my own overly nihilistic opinion), in the end, employees are out for themselves; they will do what they will do. It is better to go into your role as boss realizing this. It may be a mistake to put too much stock in your friendship with your employees. Doing so will often lead to disaster (emotional, as well as business-wise).
This is not to say you shouldn't be friendly with your staff - that is desirable. Remember though, that part of the relationship, no matter how friendly it gets, is also based on economics. Employees need you for the money you give them. You need them for the money they bring through the clientele. Friendships that exist within that dynamic are sometimes fragile things. That said, now what do you do? You're short an esthetician. In fact, you're short your only esthetician. You've spent months training her and thousands of dollars on the products she was going to use. Ahhhggg!
Of course, you've got to begin the search for a new esthetician. You might offer some of those incentives I mentioned earlier to your new recruit. Tell her you're going to increase her pay over time, and offer money for continuing education after a year of service. Tell her she'll make a higher commission rate as a "senior employee." And treat her like a professional first, a friend second.
In the meantime, before you find this person, you can take some immediate steps that will help you fill the gaps in your appointment book and make sure that you'll never ever again have to explain your complete lack of facial services to clients.
Face Treatment Options
You have a secret weapon on your staff when it comes to facial services. I'm talking about your massage therapists. You haven't been thinking about them offering esthetic-type treatments, but as I told you before, there is no reason to confine their scope-of-practice to the body alone. The face, in fact, is a part of the body, right? There are many face-specific services that massage therapists can perform to the satisfaction of your guests, the great support to your bottom line, and all without greatly angering the folks at the cosmetology board.
For example, I teach an Ayurvedic face massage treatment to students in my spa workshops, and they love it. The treatment consists of an application of herbs that are left to dry and then exfoliated off with the fingers. A hot towel is applied, and then herbal floral water followed by a pressure-point massage with essential oils from India. The treatment is finished up with a short massage using an emollient cream. It takes just half an hour, and it does not include extractions, diagnoses, or any of the specialties of our esthetician colleagues; however, clients report a healthy glow to their skin afterwards, induced, no doubt, by the balancing herbs and oils, plus increased circulation from the massage.
Clients also report feeling relaxed and cared for in that particular way that facials can make you feel. An esthetic treatment is different than a massage treatment. They both have their advantages, and these hybrid "face massage" treatments sometimes offer the best of both worlds. The Ayurvedic treatment can be emulated with a wide range of other products and techniques. Some of the more popular these days are Balinese, Indonesian and Thai. Getting your entire massage staff trained on these modalities is a great way to offer guests something different and assure that you won't be left without a facial service to offer if something like this ever happens again.
Of course, it's always a good idea to be aware of the laws in your state regarding face treatments. You definitely do not want to break any of them; in a few states, it is actually quite difficult to do even simple treatments, like the one I described above, if there is any chance it might impinge on cosmetologists' practice. Just be careful and do the right thing. I'm sure once your business starts to really rock, you'll have more than one esthetician on staff, and perhaps this problem will never arise again, but it's always good to be prepared, right? And don't forget about the new retail possibilities you'll be creating by adding these spa face massage treatments to your menu!
Well, Lou, I hope your second month in business is a little less traumatic than your first, and that you and your partner, Barbara, get the operation running smoothly after these initial hiccups. Always know that in the spa business there are usually more surprises than certainties. This makes for some great rewards, as well as challenges. I know you're up to them all!
Talk to you soon,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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