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Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
April, 2013, Vol. 13, Issue 04
Six Steps to Help You Establish a Six Figure Practice
By Sharon Desjarlais, CC and Michele McGrew
Does the idea of making $100,000 a year or better feel like a pipe dream? Or does the thought of it leave you feeling exhausted? Then you're probably making the mistake of thinking your individual healing sessions should be your highest-priced offer.Even if you charge a healthy fee, tying yourself to individual sessions limits your income to the number of clients you can see in any given week. When your client load is low, your income suffers. And when it's high, you're making more money, but you're also working too hard. And you're not modeling the kind of self-care you want your clients to commit to.
So, how do you grow a healthy six-figure practice? By changing your business model. Instead of offering individual sessions, offer high-end private programs that attract clients who are willing to make a generous investment in their health. After teaching practitioners how to design and sell private programs for years, we promise you this: right now you have clients who would gladly step into a high-end program ... if only you offered one.
A high-end program is designed around four specific features:
Ready to design your first high-end program? Follow these six simple steps and you'll be well on your way.
Step 1: Your Signature System
The key to crafting your first high-end program is to start with the topic we shared in our last Massage Today column called, "How to Clear the Path to a Wealth of Loyal Clients" A comprehensive high-end program is designed to walk a client through each step of your system to achieve the outcome they want.
Step 2: The Program Structure
Once you've got your signature system, how long do you think it would take to walk a client through every step? Answer that question and you'll know how long your high-end program should last. Of course, radiant health is a lifelong process. But that doesn't mean your high-end program has to last a lifetime. Most practitioners get excellent results delivering their programs over a period of six months. Some programs are longer and others are shorter, but six months is a great place to start.
Once you have your program time frame, you're ready to create your monthly structure. Here's one format that works very well for many practitioners.
Start with a 1-day private retreat that covers the first couple steps in your program and includes one or two hands-on sessions. This kind of immersion experience gives your clients the big breakthrough they'll build on through the rest of the program. And it jump starts their transformation, giving them the speed they're looking for. Follow up the retreat with a telephone check-in and healing session within two weeks.
Months 2 through 6
Do a hands-on or distance healing session two times each month. Conduct a simple telephone check-in once a month between healing sessions. Give your clients exercises, tips and assignments between sessions to continue their progress through each step of your signature system. Add in priority e-mail access to you with a reasonable 48-hour turnaround during weekdays.
Final Healing Session
Celebrate with a half-day wrap-up retreat. This gives your clients room to reflect on all their improvements. And fully embody their accomplishments.
Step 3: Your Core Components
Once you've got your signature system and basic program structure laid out, the next step is to choose your core program components. What services do you already offer that you'd incorporate into the program? And what other tools and modalities would you love to bring in to facilitate each step of your system? A private program gives you plenty of time to blend in even self-healing techniques that complement your bodywork. Consider adding components like guided meditations, creative journaling and nutritional tips.
As you see in the program format above, you always want to give your clients exercises, tips and assignments between sessions to maintain their healing momentum and prevent backsliding. But whatever you do, don't call it homework. Work sounds like pain and no one wants more of that. Clients who don't feel well also don't want to be overwhelmed with information. They want a connection. They want to feel witnessed. And they want a transformation. So resist the urge to throw every one of your therapeutic tools into your program. Instead, carve a few of them away and offer them as bonuses.
Step 4: Attractive Bonuses
One of the most delicious aspects of a high-end program is having the opportunity to give your clients a rich and indulgent experience that makes them feel as treasured as they are. That's where the benefit of extra bonuses comes in. It's like adding a great big gift on top of all your other core components. To make this easy, include some of the self-healing tools you carved away from your core components. Especially tools that don't take any more of your time or energy, like home-study systems, home-healing products, even products that other healers offer. As long as they complement your system, your program and your clients, it's a win-win.
Step 5: A Compelling Title
The title of your program is often the first detail people see when they're deciding whether to sign up. And like anywhere else in life, first impressions count. That's why you want to give your program a name that makes an instant connection. What's the biggest outcome or result clients want from your therapy? Name your program after that and you'll have a magnetic title.
Step 6: A Healthy Price Point
Here's where you might be inclined to backslide and devalue the rich program you've created. We understand; you're probably stepping into a level of investment you've never offered before. So before you decide on a final price, take some time to track the ripple effects of your therapy in your client's life.
When your favorite client is feeling fit and fabulous, how does that impact her job performance and income? When she's feeling well-rested and patient, how is she responding to her kids, her friends or her spouse? When she's finally feeling free of the pain and stress that have been her constant companion for too many years, what is she able to see in her future that wasn't even possible before? That's where you'll find the value of your program. And only then will you be able to price it for what it's truly worth.
For a typical 6-month program, our clients find $4,000 to $6,000 a great place to start. That means, instead of having to work with 17 to 25 clients a week, you only need 17 to 25 clients a year to break the six-figure barrier. And when you have that kind of breathing room, you're being as generous to yourself as you are to your clients. And you're offering a healing gift that takes your clients – and your practice – to the next level.
Click here for more information about Sharon Desjarlais, CC.
Click here for more information about Michele McGrew.
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