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Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
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.
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."
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.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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.
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.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
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."
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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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