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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
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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