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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.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
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."
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.
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.
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.
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?"
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:
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
December, 2013, Vol. 13, Issue 12
Adding Vision, Momentum and Growth: Working Beyond the Day-to-Day Business
By Ann Brown, LMT
As a spa director, I try to do my very best to not only manage my business day-to-day, but also steer it with some vision. It's a challenging task to take care of the present and look into the future at the same time, trying to see the forest through the trees when you are taking care of all the day-to-day operations that need your attention. It's hard to be the visionary and the operations manager as well.
To make sure I don't lose sight of the goals and mission, I try to spend a portion of my day thinking about the big picture. For me, reading articles about leadership, management and entrepreneurism really help me get excited and ready for the future. I don't want to stand still. I realize that no one really stands still in the spa/massage business because it is very physical work and sometimes very emotional as well. But we can end up standing still in where we are going personally and professionally when we just do the work and don't think about why and where we want it to take us.
Trying to just handle daily operational tasks can take up a lot of time, especially if you are a hands-on performer in your business. Oftentimes, the financial, management and leadership things are left until the end of each business day. I know many of you reading this article are hands-on and it may be very challenging for you to find the time to do the daily, weekly or monthly financials or set out a marketing plan for your business's future – the end-of-the-day tasks that can often get lost to dinner, family, kids or other obligations or to some simply much needed downtime.
I recently read a really good article, "Is your company willing to be challenged?" by Baron Christopher Hansen. I happened upon the editorial on Twitter and don't know Hansen besides reading his brief biography, but I really enjoyed what he had to say. I recommend you read it. It does have a big company/corporation feel, but I often look to the bigger fish for ways to grow and develop. Even if you are a small business – a one-man shop or managing only a few employees, you can incorporate big ideas into your personal and professional world.
In Baron's article, he said, "Some owners and CEOs are unwilling to be challenged or to implement improvements ‘under the hood.'" Some are fearful or insecure, in a complex conundrum or just plain stubborn. However, if your company plans to face today's economy and the future, being open to challenges as a leader and as a business may be the difference between your organization prospering or fading away. He goes on to talk about a competitor either "nearby or upstream."
I know that when the economy took a nose dive, it hit us hard in the third quarter of 2007. I decided to ask our entire team (40 at the time) to come to a strategic planning session to do a SWOT analysis to look at our strengths, weaknesses, opportunities and threats. This was not a mandatory meeting, but we had more than 20 staff members show up to help in this process and I thought 50% was a pretty good number. I know I was "fearful and insecure" because up to this point, it had been mostly smooth sailing for our spa. Since we had opened in 2000, our revenues had climbed each year. More and more LMT's were looking at our company to be a part of our team and we were seeing more and more referrals from clients that had already been with us.
I went into that SWOT analysis feeling really paralyzed. I wanted to keep growing our revenues and keep our staff making good money, but there seemed to be less and less appointments, less groups in our resort and less leisure guests taking vacations. Together, the 20 staff members and I spent four to five hours with a facilitator going through the SWOT process and it was one of the best things ever for our company. I think one of the largest outcomes was we made a decision as a team, not just a CEO or spa director or GM or manager making it – it was all of us together looking out for each other.
We were straightforward and honest with each other without hurting feelings and we tried to keep it at a level that affected our guest expectations and our bottom line, beginning by adding some new referral programs to ask guests back. It was so interesting to me to hear other perspectives and to hear some thoughts and concerns I had never thought about. The dialogue was very relative to the health and future of our business. It really brought the team together, and I think, even at this very moment, I still have 80 percent of the 20 staff members that came to that meeting because the task really bonded us to the big picture, helped us to focus on some new things and gave everyone a sense of ownership.
I realize many of you don't have 39 other team members and are running your own small business with just yourself or two to five others involved, but I would hope you would entertain the idea of doing some type of strategic planning session even if it is with you and a mentor, friend, business colleague or a coworker. Baron writes about a "turnaround-management team" coming in to examine your business piece-by-piece for potential leaks, operating flaws or critical areas of improvement. Many of us are not in the position to find that type of "spa/massage detective," but what can you do to help your business still grow revenue, thrive, grow your customer base and sustain?
Challenge yourself and set aside some time to look at all the pieces of your business and see what is working and what is not. I think it could be as simplistic as a list and maybe even a running list (something that you keep in your pocket while you are working) because sometimes thoughts are in and out, and it is best to capture them when they appear. A simple SWOT analysis can bring to mind some visionary goals you want to achieve and reveal some dynamics of your business that may need immediate tweaking to benefit your client or your bottom line. I also believe surveys (anonymous or not) that have a special something tied to them work very well. Plainly ask the guests in your business what they think – Who better to ask? This survey can be done by typing up three to 10 simple questions to hand them before they leave, or ask for an email address (also great to use in future marketing efforts) and send them an online survey. Easy to do! Give them $10 off if they fill out the online survey or the hard-copy one, and hopefully you get two things: (1) needed information about your current business and (2) a repeat client that wants to use their incentive.
There are so many ways to engage and grow your business. Don't get paralyzed thinking it will get better by doing nothing because that usually doesn't happen!
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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