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Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
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 previous articles by Jenn Sommermann, LCMT.
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