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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
November, 2004, Vol. 04, Issue 11
By Steve Capellini, LMT
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.
This is a letter I am both happy and sad to write.I'm happy because you are so successful and your new day spa, The Spa House, is drawing in customers from near and far. They leave enchanted with the homey space you've created and thrilled with the exotic treatment menu you've developed. They are giving you rave reviews, and you're well on your way to surpassing your monetary goals for your first year in business. This is not always the case with spa businesses, as you know. You should be counting yourself quite fortunate at this stage, though your success is due in no small part to your own hard work, insight and persistence.
This is no time to bask too long in your glory, however. After all, The Spa House has only been open for a few months, and fortunes can turn very quickly in this business, as they can in most. I'm glad to see that you are staying on top of your business and working hard to keep it going on the right course. You'll need to do this continually to assure a prosperous future.
While I'm happy for you and all your success, I'm sad because, after these four years of correspondence, the time has come to say good-bye. Mahatma Gandhi once said, "Life is a continual series of separations." Well, this is our separation, Lou. I am formally cutting you loose from the mentor/student relationship that we've enjoyed for these few years. We'll still be friends, of course, but there is no need for me to offer advice any more, so this will be my last letter to you. I would like to look back over the four years we've been communicating in order to give you a perspective on how much you've accomplished. It's all too easy to forget where we are in life until we take the time to more closely examine where we've been.
In the Beginning
When we first started talking, you were a dedicated massage therapist who wanted to help people achieve wellness and find ways they could live more fully in their bodies. You were good at this, Lou. You were passionate and you found your way to the spa world because you knew you would be able to touch many people's lives through this medium.
It's important to note this enthusiasm of yours. Without it, people sometimes get into the spa industry for the wrong reasons, thinking it will mean easy money, prestige or glamour. This superficial initial inspiration does not carry with it the depth of commitment needed to create a truly inspiring spa.
You had what it takes to make a true home for yourself in the spa industry, starting from the ground floor up. You paid your dues as a therapist, working many hard hours a day for years. When the opportunity arose for you to move up the ranks in the resort spa where you worked, you took it and learned about supervision, training, schedules, hiring, firing, politics and more. This knowledge became the foundation you used later to make a move of your own. It's the way many professionals get their start in this industry: Inspiration = perspiration = reward.
Striking Out On Your Own
As so many enthusiastic, dedicated spa professionals do, you realized that opportunity was abounding all around you, and you wanted to try your hand at some new challenges. So, you headed for a new city to work at a startup medical spa. This, as it turned out, was not the dream job you'd envisioned but it was an important stepping-stone in your journey. You learned a lot about what works and what doesn't in a spa business; along the way you were even sued for malpractice! It turned out to be an insubstantial allegation, but it toughened you to the realities of business, which is a good thing (as long as nobody was hurt).
You also became involved with professional associations like the International Spa Association (ISPA), and you learned from folks at the Day Spa Association. You took classes, attended conferences, networked, got to know people and became known. Perhaps most important at this time, though you didn't know it yourself, was your new friendship with your coworker at the medical spa, Barbara. She would later turn out to be your partner in business and in life. And now you're going to get married! So, you can say in a very real way that your spa adventure has turned into your life adventure: the two are inseparable.
Finally, you could no longer take a backseat in this spa adventure and you decided, like many have before you, to open up a spa of your own. You were in a new city with few friends, and you had no real business experience, but you knew what you had to do. You hired people, created a business plan, learned about layout, design, contracts, consultants, retail sales, mission statements, team-building and more.
Most of all, you learned about risk. Risk is inherent in business, and that is why so many massage therapists stay away from business and prefer to remain cocooned within the sense of security created by a job. As I've said before, no matter who you're working for, you are working for yourself. This is especially true in the spa industry where people change jobs frequently, locations open and close, whimsical bosses hire and fire, and the entire landscape changes every couple years.
You took the step of opening your own spa, and even though I wish you the very best for your continued success, I can say in all honesty that even a failure at this attempt will be better than if you had never tried. When you become aware of your potential, feel what it's like to receive income not based solely on your own physical work, and felt the feelings of ownership and entrepreneurship, these impressions become imbedded in your subconscious, allowing you to recreate them again and again, if necessary. This is why millionaires who lose everything so often wind up millionaires once again - they know what it feels like to be rich.
Now You're the Mentor
You now know what it feels like to be a successful spa therapist, supervisor, manager, director and owner. These precious gifts are yours to use as you wish, Lou. You can spend your time worried about the competition and trying to keep the things you've learned a big secret (which you won't be very successful at anyway), or you can go the other direction and share your knowledge with others. And, if you wouldn't mind one last bit of advice from someone who has been your mentor for these past four years, listen to this: Become a mentor yourself, Lou. Find someone you can help, or simply remain open and let that someone come to you. Use your success to give back to others. I can tell you from experience that this is an excellent way to enjoy what you have attained and to move enthusiastically into your future in the spa industry, wherever that may lead you.
As always, I wish you the very best of luck.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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