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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
June, 2006, Vol. 06, Issue 06
Selecting the Right Spa Vendor and Creating a Good Relationship
By Stephanie Beck
We have covered most of the basics: You have selected a vision for your business, you understand which treatments offer the right benefits that coordinate with the vision, and you have a good understanding of what products and equipment you will need to purchase.But, now you are left with figuring out where to purchase your products. So, let's uncover some basic truths that will help you work smarter instead of harder.
Benefits in Ordering From a Distributor
There are many vendor choices currently in the market. Determining the right choice for you can be confusing. Some of you might think that working directly with a manufacturer is the best way to go, but let's take a look at some of the myths and facts.
Myth: I get a better discount if I order directly from the manufacturer. Fact: All the spa and massage product and equipment manufacturers have distributors and all of them have policies not to undercut their distributors. Manufacturers and distributors have to operate on a level of trust and have great working relationships, so if a manufacturer were to compete with their distributor, their relationship would be over. Also, keep in mind that you might be in New York and the manufacturer is in California, but they have a distributor in Illinois; the savings in shipping costs alone by ordering from Illinois rather than California makes that the logical choice.
Myth: I receive fresher products if I order directly from the manufacturer. Fact: Manufacturers have shelf life and turn around times on all their products and most do not keep product inventory for more than 60 days at a time. Any authorized distributor should rotate stock on a regular basis; they never want more inventory than what they will sell in a given period, therefore products from the distributor should never be more than 60 days old, either.
Myth: I need to receive my training directly from the manufacturer. Fact: Every skin care manufacturer offers training, and most of them charge extra for it. Most distributors pay to have their staff trained - not just for one product line but several product lines - and the training can be included with your purchase without additional expense from a distributor. Also, there are several videos and DVD's, manuals and workshops that cover, in great detail, the training needed to operate the equipment or apply techniques and products. Therefore, it's not necessary to spend countless hours and thousands of dollars to end up with multiple trainers from different manufacturers coming to your facility to train your personnel. So, how do you determine which distributor is going to meet your needs the best?
How Supportive Are They to My Business and My Industry?
If you recall, in the first article I touched on the "one stop shopping" theory, in that it makes sense that the more you can order from one place, the better your pricing and service will be. Plus, think about how convenient it would be to make one phone call to order all your products, check on order status, report any claims, schedule training, etc. than to have to make those same calls to a bevy of different people who may or may not be available.
And this brings up another good point: How available are they? How responsive are they to your calls and questions? Do they have a Web site or direct contact information for an expert to call you back or for you to have your questions answered in a timely fashion?
Also, what kind of marketing materials do they offer? Are they able to assist with materials that will drive your sales? How educated are they to your needs and do they understand what is important to help you grow your business? How involved are they in the industry? Do they belong to the professional organizations and contribute to the education process? Think about it. Why would anyone want to support a company that is only concerned about making the almighty dollar and not giving back to their community?
You have a responsibility, too. You need to make sure that you are giving the spa vendor all of the information needed to support you. For instance, if you wait until three weeks before an opening to contact the distributor and you need to order three stationary tables, one wet table and 100 customized robes, you must understand that not even the manufacturers would be able to pull that off in such a short time. That is why it's important for you to plan your work and work your plan. Also, it's much easier for us, as spa experts, to work within your budget and recommend the right equipment and product lines if we know what your financial limits are ahead of time.
It's just as important to know the company's philosophies, policies, shipping/lead times, as well as their general level of friendliness and willingness to help on the phone. What are their return policies, backorder policies, warranties and guarantees? Sometimes it's not just about price. Sometimes that old adage is true: "You get what you pay for," so be aware that if it sounds too good to be true, it probably is.
It makes sense for you to want to conduct business with people who have an interest in you and treat you like more than just another account number. The very famous customer service motto is true, "If you don't take care of your customers, someone else will." You should not have to compromise service, friendliness or knowledge to fit a distributor's needs. We are here, as experts in the industry, to make sure your needs and the needs of your customers are being met.
If you have further questions regarding selecting the right spa vendor, please feel free to e-mail me at , and thank you for the support and feedback from everyone else who has been writing.
Click here for more information about Stephanie Beck.
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