Category Archives: For consideration

Discovery

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The most exciting phrase to hear in science, the one that heralds the most discoveries, is not “Eureka!”, but “That’s funny…”
~Isaac Asimov

We like to think that the practice of medicine rides the rails of reason and logic. That there are codified answers to our inquiries. That an expert has an answer.
Often enough this is indeed the case.

But, there are those moments, and they are not infrequent, when we as practitioners think “huh, that’s weird.” Sometimes we toss it aside as useless and inconvenient. As it is outside our expected norm, we can discard it as inconsequential.  These moments, if taken as a gift of curiousity, can break our frame and give us the opportunity to learn something new.

What makes a good doctor? That is a difficult to answer question, but I suspect that one trait is their ability to notice and act upon that which elicts a “huh, that’s strange.”

 

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Gratitude

In our consumer driven world of manufactured discontent, gratitude is the antidote to feeling emptiness and lack. Oddly enough, here in the USA we have a day of gratitude just before the onslaught of advertising that whispers a constant stream of diminishment. Perhaps it is one of those odd “messages in a bottle” that the universe presents as a puzzle of contradiction– that gratitude and connection in a moment of quiet opens the door to the deep reserves of support and abundance that are always waiting, like still water below life’s surface activity.

It is easy to focus on what is missing in our lives. All the more so when advertisement driven media relentlessly suggests and cajoles that what you have, and more importantly who you are, is not enough. That the accumulation of years is to be medicated or surgically enhanced. That the toys in our garage need an update. That our relationships would go better should we possess the product prayerfully flashing out from our flatscreen window of wonder.

There indeed are reasons in life for discontent, but few have to do with the urgent messages extolling us to open our wallets. There are moments in life when we come face to face with the harvest of an ill sown crop. Realize we are following a path not of our own choosing, or lost sight of a guiding star. It might be that life takes away its generous gifts and we feel stranded and alone. Especially in these times when we feel the world shift and our hope ebb away, the practice of gratitude reminds us of the deep resources that only may be claimed– they are not available for purchase.

Gratitude is not a pollyanna practice of propped up smiles, but a deep soulful appreciation for the vast wonder, forgiveness and support that is available even in the dark times. Indeed it can banish the shadow with a just glimmer of its light.

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The simple stuff is the most helpful

This is a guest post from Ashley Kuykendall, who interned at Yong Kang during the summer

If you would have told me a year ago that I would be spending the summer before my senior year of high school doing an internship with an acupuncturist, I probably would’ve given you the same look that the curriculum coordinator gave me when I asked her if she would work with me to set up my internship at Yong Kang clinic. Although, I have to say, it’s something I’m very glad I did! I spent about a month shadowing Dr. Max and I learned so much, but so little in comparison to the wealth of knowledge that is circulating the world of Chinese medicine. The majority of my time at YK was spent shadowing Dr. Max as he talked with, examined, and treated patients. I even got to do some pulse and tongue diagnosis of my own. All along the way, I read literature about Chinese medicine and the different techniques that are used, but I found that the most helpful thing I learned was how to do the simple stuff.

The miraculous thing about Chinese medicine is that it incorporates theories that people have put into practice for many, many years. These therapies are gentle and self-stimulating in so far as the change in your health comes from your own body (with the help of some acupuncture needles or herbs, of course). The basic, underlying tenants of Chinese medicine are interesting, and they make me question what I know about how the human body works. As Dr. Max and I discussed, any treatment that makes people say “That’s so weird!” is a good one, because if nothing else, it sparks curiosity for them to want to learn more and ask the bigger questions: “What is this doing?” “How is this working?” “Why do needles in my elbow help my knee pain?” In order to ignite the flame that alternative therapies could be, people need to start asking questions. This is the main reason why I ended up doing my internship at Dr. Max’s clinic. I had a lot of questions about what kinds of therapies he had and why his treatments worked. Even though I had been using acupuncture for a while, but did not know what was really happening in my body.

Beyond the science is the practice, which I learned, can be the tough part of Chinese medicine. I’m certainly not qualified to treat patients or hypothesize beyond a partially educated guess about their conditions, but along the way, I have learned a few things that will help me for the rest of my life. Most of them are to help other people; some will help me to gather information, so I can understand more about them. The best illustration of this came when I was nearing the end of my time at the clinic.

One day, I was sitting at the breakfast table at my office job, talking to one of the girls at work. She commented on the fact that I was drinking ice water, saying that she couldn’t imagine drinking something that cold. It was then that I pointed out that she was drinking hot coffee…and it was 105 degrees outside. I went on to ask her if she had an affinity for other hot things like hot showers, or summer time temperatures. Not surprisingly, she did. She then went on to tell me about digestive issues that she has as well as some problems with headaches. It became clear to me very quickly what was going on with her; however, from her perspective, it was just a bunch of random things happening at the same time. Her obsession with heat, she told me, is “just the way she is.” What I told her was that, from a Chinese perspective, all of her symptoms fit perfectly together in a pattern for internal cold, and suggested that she try drinking some ginger tea to see if that would help with some of her problems. She immediately responded, telling me that she craves ginger occasionally. Her body was already attempting to lead her to a natural remedy. This tea is a really simple solution that I’d heard Dr. Max pass on to several patients–she’s going to give it a try.

Another piece of information that I learned is how to better focus on what my own body is telling me as well as what other people’s bodies are saying. I’ve found that, more often than not, you can gather a wealth of information from what a person is doing or how they are saying something, rather than from the words that they are actually speaking. Personality traits and general body composition play a big role in Chinese medicine, and knowing a bit of background about this area can really help in figuring out whether or not people have a susceptibility to certain health problems, or if they tend toward one particular illness pattern or another. One such thing is spotting a red tip of the tongue with someone who has been suffering from insomnia. While this isn’t a remedy, it is a diagnostic tool. It’s helpful because it serves as a starting point to figuring out what else might be going on with that person. I also learned about acupressure points that can be helpful in ‘curing’ the common cold, neck pain, and headaches. All of these are good remedies to know so that I am more equipped to help the people that I care about, which is really what medicine is all about.

I frequently find myself educating people, ever so slightly, about natural therapies that could be used as alternates to what they’re utilizing. Most of the time, I illicit a response chock full of confusion and doubt, but instead of being discouraged, I view it as an opportunity for growth. Never underestimate the impact that you could have on someone’s life by simply telling them that acupuncture or herbs are options. While at the clinic, I saw patients with chronic symptoms lessen significantly and side effects of chemotherapy diminished. I saw examples of successful fertility treatments, and balanced approaches to curing women’s issues. Acupuncture isn’t for everyone, but it could be. Everyone deserves the chance to have an alternative avenue for healthcare and general well-being. As for us, the people who have already discovered the gift of acupuncture, the best thing we can do is spread the word. Tell someone, or everyone you know about acupuncture and how it can help. Afford someone the opportunity to bring their life and their health into balance the natural way.

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How does Chinese medicine work?

I get this question all the time, but I think there is actually another question that is lurking beneath this one–
The real question being “is this stuff trustworthy?”

Acupuncturists commonly point to 1000′s years of collective clinical experience, but this is a poor substitute for how our Western cultivated minds parse life through the filters of modern biology and pharmaceutically targeted molecular chemistry. We understand medicine to be a collection of laboratory facts and figures. But, Chinese medicine is not so concerned with the microscopic symphony, and therein lays one of its hidden powers– its ability to understand how interconnected life processes, unfold, evolve and change.

Western medicine is profoundly powerful at both describing life changes on a micro level and understanding the dynamics of disease processes. But, it is Chinese medicine’s perspective on how life unfolds at the human level and its ability to access and treat both healthy and aberrant life processes that is its greatest strength.

Just as a garden is not simply a spreadsheet of nutrients, chemical interactions and temperature charts, but an act of ongoing cultivation and attention. And like a field biologist learns to dance between micro and macro views of the environment to understand how each interplays with the other, so too do Chinese medicine practitioners learn to connect the dots between observable phenomena and the underlying processes that influence our state of health and wellbeing.

Chinese medicine is not Western medicine. This seems obvious enough. But, when we start to think about Chinese medicine it is almost impossible not to bring along our Western map of the medical terrain. We know how to think about Western medicine– we swim in that ocean. The challenge is that using the Western mind to understand the constructs of Chinese medicine is not unlike taking the grammar of one language and forcing it onto another. Not only are nuance and precision lost, but the basic way we parse meaning gets terribly mangled.

How does Chinese medicine work?
It is like asking a gardener to describe what they do using the language only of organic chemistry. When the real question is how do you cultivate a delicious tomato, a strawberry bursting with springtime, or soil that can not help but bring forth vital life.

In truth, the issue is not “how does it work,” but “will it help me to live a better life?”

Want to know how it can help? Check out the Frequently Asked Questions about Chinese medicine for more on how you can benefit from this medicine!

 

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What is right about you

It peppers prime-time TV with its post hypnotic suggestions that your life is lacking. Not enough; deficient, and somehow just a bit below the norm. It could be your naturally slightly shy and inward draw, or the way your smile has wrinkled your eyes, or that your body does not match the latest Barbie doll impossible standard. We are rarely sold on being content with ourselves. So the relentless assault on who we are and how feel infuses the evening airways, as pharmaceutical solutions to man-made problems whispers a constant stream of discontent. Anxious? Take Paxil. Acid reflux? Take this little purple pill. Depressed? Ask you doctor if the drug of the week is right for you. Regardless of what discomfort you have, we have a swallowable solution.

Consider though that what we think is wrong with us, just might be what is right about us.

Feeling sadness over the loss of a loved one, disappointment about a professional setback, anxiety about a new opportunity, or frustration with a relationship that has navigated itself onto the rocks is not necessarily due to the lack of a chemical in your brain, or something missing from your blood. Life brings us the very challenges that will open the next doors of opportunity. It may be inconvenient and it generally feels unsought, but the depression we feel, or anxiety that bubbles up in our throat just might be exactly what we need.

Consider this, do you want to be the kind of person that does not feel empty and destroyed at the loss of a loved one? Why would you not want to feel fluttery and excited about embarking on a new opportunity, where you taking a risk on your own behalf? What if that acid reflux was in fact your key to losing that 20 pounds you have been nagging yourself about, or if that sleep problem was actually your true voice seeking an audience with you?

It just might be that what you think is wrong with you is actually what’s right about you.

What if those lines in your face are the outward traces of your true character? If the weight you carry is the simple expression of your habits– habits that have been begging for an update.

What if the thing you think is wrong about you, in fact is what’s right about you? Imagine making friends with your shyness, grief, sadness, or frustration. What if your loneliness, or love of solitude, or unremitting slight sense of discontent is in fact a vital motive force that keeps you creatively engaged with your world?

Consider that what you think is wrong with you, just might not be something to be medicated away, but a gift awaiting your unwrapping.

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Who is on your panel of experts?

We all have them, those voices in the back of our minds. We usually call it “thinking,” but the truth of the matter is we carry around a panel of judges with their “yes,” “no,” “that’s smart,” “I remember when,” and “just who do you think you are anyway,” litany of commentary.

We all have these thoughts, but what we commonly overlook is just whose voice goes along with it. We all carry around a panel of judges. And it is not a bad thing, as we all can benefit from the well-intended guidance of those who have care and concern for our well-being.

The problem is when we stack the deck against ourselves.
When we allow a seat on that august panel to the boss who never appreciated the out-of-the-box ideas we had, or the teacher who was more concerned with grammar than expression, or the ex-[fill in the blank] whose disappointment overshadowed their compassion. Sometimes, without even being aware we have done it, we stack the deck against ourselves. Give voice and authority to those who did not have our best concerns at heart. Indeed, strange as it sounds, we sometimes invite the harpy screech of criticism over the compassionate voice of critique.

What if you re-shuffled the judges on that panel in the back of your mind?
Re-shuffled to include teacher who saw your potential and asked the questions that tumbled you to a radically wider perspective. Fire the never satisfied ex-boss and replace him with your wicked smart uncle; the one with a keen eye toward how to transform chaos into opportunity, the one who funs his own business– and terribly successfully at it too. What if you included Pablo Picasso, or Walt Disney? Give the boot to that college adviser whose job it was to keep you in line, and invited Dr. Seuss or the fellow at the noodle shop who always manages to have you leaving just a bit more optimistic about the world than when you arrived?

We all carry around a panel of judges, a Parthenon of personalities that help us to chart a course and steer by it. Like any well rounded board of directors, we want those that bring the yin/yang of support coupled with a nudge in the direction that makes us tremble. Best to give a seat to those who care about you, and offer up their challenges based on the desire to see you bloom your utmost potential. The others— fire them!

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Asking the right questions

There is a method of telling fortunes in Taiwan. Actually, there are many methods of telling fortunes in Taiwan.

算命先生 fortune tellers in Taiwan are as numerous as psychotherapists in any trendy west coast American city, and for the most part serve the same function. Which is to help us ask the questions that get us to the right answer.

Shortly after arriving in Taipei in 2001 I found myself at one of the thousands of temples that polka-dot the island. I was drawn by the riot of color, clouds of incense, the feeling of something foreign and far off my map of the world. There, a man who spoke English asked “would you like to read your fortune?”

“Sure, why not.” After all, when in the midst of a jet lag and culture shock cocktail, any kind of sign from the divine could be of service.

I had no idea I was about to be introduced to the Taiwanese version of a Rube Goldberg Ouija board.

The first step is to hold in the mind a question. A clear question. The question that will facilitate an answer that opens the next fork in the road, the question whose answer will invite a fuller and deeper experience of life. First you need the right question. Then, from a brass canister, a stick with numbers is chosen. This is will direct you to the answer.

The question here is not “is this the right answer”, the question is “have you chosen the right question for this particular stick?”

Did you get the question right?

 

To find out- grab a pair of wooden smile shaped blocks, hold them along with your question and drop then to the floor. Should they land one up and one down, that stick you pulled is right for your question. But, should they land both face down, or both face up, then it is your question that is not right.

Put away the stick. But, more importantly, put away that question. You are barking up the wrong tree. Pop the frame, narrow the focus, ask about something else, rethink the situation. Ask the question before or the one you thougth would come later. More important than the answer is the question. It is like building a house with the wrong set of plans.

Get the question right, and a whole new set of possbilities opens up.

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What acupuncturists know

We know that there are pathways through that body that can lead to astonishing relief from pain.

We know that things take time– that walking slowly in the right direction is much preferable to a sudden 90-degree turn in lifestyle.

Acupuncturists know that health is like cultivating a garden. That the turn of seasons will bring change — in fact, it is impossible for them to not.
The only question is what kind of change will occur.

We are not the only medical professionals that know the sweet of corn fructose will slowly saturate your liver with a fatty triglyceride ooze. That what you don’t eat can be as powerful as what you do.

You may not know how the open space on the back of your neck evaporates your immune system’s vital heat and results in that annoying post nasal drip that you think is an allergy, but your acupuncturist clearly understands that mechanism. And can help you do something about it.

Acupuncturists know that time and nature are the most profound and powerful healers.

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That how we eat is as important as how much we eat. That our body and being are not separate from the caress of nature. That much illness is that of terrain, of the body losing it’s innate balance. And that we often don’t know when we have begun to drift until we hear the sound of waves upon the rocks.

Acupuncturists know that we are complex ecosystems; universes in our own right. Accountable to the seasons and laws of nature, and that within each of us is the cause of both illness and wellness.

And that balance and well-being are never static, but a constant symphonic-like flow of action and stillness.

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Acupuncture more popular than Ted Drewe’s

In an informal polling at a recent lecture it was discovered, astonishingly enough, that acupuncture is more popular than Ted Drewe’s frozen custard.

In response to the question, “have you had acupuncture,” about ¼ of the hands in room went up. This was followed by the question, “do you know someone who has had acupuncture,” which resulted in all hands being raised. The final question of “how many of you like Ted Drewe’s frozen custard” resulted in 25% of the hands being lowered.

Conclusion: acupuncture is more popular than Ted Drewe’s frozen custard. Further studies are planned.

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What does that L.Ac after your name mean?

L.Ac means three years of focused effort in learning the theoretical and clinical skills that give a practitioner enough experience with Chinese medicine to begin to practice acupuncture. It means the practitioner has a minimum of 1900 hours of training and a Master’s degree in acupuncture or Oriental medicine. Additionally, Licensed Acupuncturists are required to pass a special Clean Needle exam and a National exam.

Licensed Acupuncturists don’t just learn acupuncture. They are schooled in Chinese medicine theory, some basics in herbal medicine, Chinese massage, food therapy and a variety Asian wellness practices. L.Ac means that your practitioner has had at least 650 hours of supervised clinical experience. Licensed acupuncturists have dedicated anywhere from 3-5 years in acquiring the skills that allow them to begin a practice.

Here in Missouri it is also common to see Certified Acupuncturists. These are chiropractors who have a minimum of 100 hours of study in the use of acupuncture, and passed the chiropractic board’s acupuncture exam.

Finally, there are the M.D.’s. As use of needles is considered to be within the Medical Doctor’s “scope of practice” they may perform acupuncture without any additional training. Some take a few weekend courses, others engage in more extensive studies.

Who to see?
Use the services of the person who can help you to feel better! Regardless of training or perspective, there are some people who are just gifted with what they do. There are practitioners who either have a knack or quickly acquire the understanding of how to use acupuncture. When seeking out a practitioner, ideally use the services of someone who comes recommended by someone you trust.

What kind of questions should I ask of a practitioner I am considering?
The basics such as where did you study and for long, along with how much continuing education (and what kind) they have had. It is helpful to know how much clinical experience they have acquired in the use acupuncture. Finding out about what kind of success have they had in treating the condition for which you are seeking their services is always a good idea. As is checking out their website and seeing how they talk about the use of acupuncture in their practices.

As with any kind of health care practitioner, find someone who has the skills and with whom you feel comfortable talking to. Be sure to choose someone who takes the time to make sure they understand your condition and concerns. Acupuncture is a conversation, on many levels!

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