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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!
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.).
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.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
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.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
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.
February, 2010, Vol. 10, Issue 02
The Massage Road Show
By Jenn Sommermann, LCMT
When I lived in Boston, I owned and operated a wellness center. I had full control of my surroundings, which included a lovely treatment room that was set up exactly how I wanted it. When I relocated to New York six years ago, I decided not to open a store front and I started a travel business instead, offering massage in the comfort and privacy of people's homes.
There were two reasons behind my decision. First, I did not know anyone in New York and securing office space seemed risky. The allure of savings from a lack of overhead was another reason. I have been on both ends of the spectrum and, recently, many of my students are asking which I prefer.
Office-based space and travel businesses each have pros and cons. As a massage therapist, it is common to have more than one job or work at more than one location. I know many therapists who choose to have office space, work for someone else part time and do some outcalls as well. Here is the good news: there is no right answer. We are so fortunate that in our profession we can design a work strategy that fits our personality and lifestyle. So although I will give some thoughts on office space versus house calls, it is up to each of you to decide what works best for your life, family, and schedule.
My physical office in Boston was lovely. I am often nostalgic about it; remembering the quintessential New England home that was converted to commercial space. My treatment room was the former living room, complete with hard wood floors and a fireplace. I had several therapists working for me and each of them had a room that had also been converted. We had a shower for clients, a lovely garden in the back of the house, ample parking and were off the main road so it was very silent and peaceful. It was really quite perfect. But it cost a lot of money. Overhead was high, maintenance was endless and the landlord had control to some extent. I made a very decent living and was very happy. I saw 25 clients a week for about 12 years. Had my life not changed on a personal level, I am certain I still would be there.
I moved to New York and because I did not know anyone or have the same "connections" compared to Boston, I decided not to rent office space. It just felt too risky. I also decided I no longer wanted to see 25 clients a week and not having the office space meant lower overhead. Lower overhead equals less need for income. Massage by Land & Sea was born, offering massage in the comfort and privacy of people's homes, boats and offices. The first thing I realized was that travel and set up time is more than expected. So while I charge $100 per hour, when I tack on travel and set up time, each one hour session takes about two hours. My $100 per hour rate goes to $50 per hour (without expenses) in a heartbeat. Obviously, overhead is lower. Linens, lubricant and laundry will always be an expense, unless you work for someone who provides those things. The other big overhead item is the travel; car expense, insurance, gas, tolls and parking, along with phone, insurance, membership dues, continuing education and music round out the list of expenses. Am I really saving on overhead? The answer is yes, because I do not have rent to pay.
The downside, as I see it, is the lack of control over my surroundings. I described a perfect set up in Boston and when I step into other people's spaces, it's not the same. There often isn't enough space, meaning I have to move furniture to fit my table. It is not always as clean or quiet as I would like either. The other downside is the extra wear and tear on my body; lugging the table, as well as the supplies. I have a light weight table but it is still heavy. There is no way around it. Overall though, people like massages in their own space very much. There is something to putting on your snuggly robe after a massage, curling up on your own sofa with a cup of tea and not having to step into your car and fight traffic. I have created a lovely massage road show business for myself and am quite happy again.
On a side note, my students ask what I bring when I travel for massage. Here is a list of all the items I carry with me each time:
Do yourself a favor and get a really good carrying case for your table. I have a heavy-duty one and it protects my table well. I carry the rest of the items in a strong canvas bag so I only have to make one trip from the car. It's not ideal, but it works.
I enjoyed having office space and I currently enjoy my massage road show. Both have advantages and disadvantages. Some days I long for what I currently don't have, but that's the nature of the beast. Most days I am really happy that I have had the experience of both, and I trust that I am exactly where I belong.
Click here for more information about Jenn Sommermann, LCMT.
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