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East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
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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