Thursday, March 28, 2013

An Excellent Blog site for Acu-biz Information

Can I say grounded, realistic, doable, practical? Other than my own blog (ha ha!), this is the best other source of useful and immediately-applicable information for running a successful acupuncture business that I know about on the entire internet.
Matthew Bauer....author of "Making Acupuncture Pay"

Check it out.
http://www.makingacupuncturepay.com/ForumRetrieve.aspx?ForumID=3795

Tuesday, March 19, 2013

Acupuncture as a Player in the U.S. Escape Fire

Last weekend, CNN aired their film about the serious problems with the American Healthcare System, Escape Fire, for a second showing. Anyone in our profession who has yet to see it should try to catch it online, as it gives acupuncture an important send up! Our strange bedfellow in this film is the U.S. military, which is "trying to figure out how to integrate this service" into all levels of active duty and veteran PTSD care. One of the guys at the top of medical services in the Pentagon, General David Fridovich, states clearly that the military doesn't need more research studies to be convinced that acupuncture works well for PTSD, specifically the NADA protocol, they only are struggling to figure out how to integrate these services (which is probably "code" for figuring out how to pay for them). Another problem is that "acupuncturist" is not one of the coded professions on the list of health care professionals on the EASR-VHP (pronounced "esar-vip") system that allows governmental agencies to hire acupuncturists, understand exactly what we do, and know what our pay scale should be. Getting our profession on that list with proper reimbursement codes would be a major hurdle for us.

While I know there are many heroes in this work, two come to mind that I count as personal friends or at least acquaintances. The first of those is Frank Yurasek, Assistant Dean of Acupuncture and Oriental Medicine at National University of Health Sciences in Lombard, IL, who has single-handedly created and staffed a free clinic for veterans with PTSD through one of the largest hospitals in the Chicago area. They are treating 25-30 per week now and are in negotiations to open two more similar programs at area VA hospitals that will significantly increase the number of patients treated. Frank, now 73 years young, has been tireless in this work, stating that "acupuncture is an idea whose time has come," especially due to the fact that hospitals and the VA have a mandate to find alternatives to using morphine derivatives to ease pain. He is working every day to give us a permanent seat at the integrative-medicine table.

Second is Deb Boehme, a veteran and PTSD sufferer herself, Deb has worked hard to get acupuncture included in standard disaster emergency response teams in her home state of New Mexico. She also runs a successful free weekly clinic, open to all veterans and their families, that has been in operation for several years in Albuquerque. Deb, an active member of the New Mexico Medical Response Corps (MRC), has brought her considerable expertise from a life-time of working with the military as well as state and federal disaster response teams to Acupuncture Without Borders, with which group she is a regular instructor.

These are just two of those who are called to the service both of trauma sufferers as well as the larger acupuncture community! Think what could happen if we all participated in these efforts?

So check out the Escape Fire movie (and no, I won't give away the reason it is called by that name), and think about how you could help this growing awareness and respect for acupuncture in our nation and become even more a part of the solution to our nation's serious medical-care problems than you already are! My commitment is to complete MRC required trainings and certifications to be a part of any local disaster response in my own area.
Thanks for reading and best wishes.

Thursday, March 14, 2013

Are You Called to Service?

by Honora Lee Wolfe

I had the time and privilege to attend a Level 1 Training with Acupuncture Without Borders (AWB) this last weekend, held in the greater Los Angeles area. More than just inspiring, this training is designed to give attendees the tools necessary to go back to their own communities and actually get started in the work of bringing simple acupuncture techniques (notably the well-researched and vetted NADA protocol) to all types of people who are currently or have in the past experienced unresolved trauma.

Ways this could be applied are many and varied. Notably, this work is growing in the area of Veterans PTSD Support Clinics, which can happen anywhere there is an adequate community of veterans in need! AWB-affiliated clinics providing this type of service include 35 around the US today! We all know that 100 more of these clinics would still not be enough!!  And, this same type of clinic could be applied to so many other populations in need:
• specifically women Vets who have suffered sexual abuse as well as war-related PTSD
• victims of domestic violence
• populations such as the city of Newtown, CT
• refugees from wars all around the globe

This list could go on and on...
In addition to the nuts and bolts of how to start and then operate one of these types of clinics for whatever population of people you are called to help, we also learned about AWB's Disaster Relief work and what hoops we acupuncturists will need to clear to be included in Medical Response groups after any and all types of disasters (fires, tornadoes, hurricanes, floods, terrorist attacks). This information is invaluable if we want to be included as part of the standard, automatic response teams in each of our areas.

Finally, we learned about AWB's ongoing trainings for health workers in other countries, teaching them to use the NADA protocol in response to all types of trauma and difficulties. This is an ongoing effort in Haiti, Nepal, Mongolia, Chile, Equador, and Mexico...with new programs and needs arising all over the globe.

So I encourage anyone with a stirring toward larger service to check out AWB and do one of their trainings. I guarantee you'll be inspired.
Click Here for more information.

Tuesday, March 12, 2013

Are You Called to Service?

I had the time and privilege to attend a Level 1 Training with Acupuncture Without Borders (AWB) this last weekend, held in the greater Los Angeles area. More than just inspiring, this training is designed to give attendees the tools necessary to go back to their own communities and actually get started in the work of bringing simple acupuncture techniques (notably the well-researched and vetted NADA protocol) to all types of people who are currently or have in the past experienced unresolved trauma. 

Ways this could be applied are many and varied. Notably, this work is growing in the area of Veterans PTSD Support Clinics, which can happen anywhere there is an adequate community of veterans in need! AWB-affiliated clinics providing this type of service include 35 around the US today! We all know that 100 more of these clinics would still not be enough!!  And, this same type of clinic could be applied to so many other populations in need:
• specifically women Vets who have suffered sexual abuse as well as war-related PTSD
• victims of domestic violence
• populations such as the city of Newtown, CT
• refugees from wars all around the globe
This list could go on and on...

In addition to the nuts and bolts of how to start and then operate one of these types of clinics for whatever population of people you are called to help, we also learned about AWB's Disaster Relief work and what hoops we acupuncturists will need to clear to be included in Medical Response groups after any and all types of disasters (fires, tornadoes, hurricanes, floods, terrorist attacks). This information is invaluable if we want to be included as part of the standard, automatic response teams in each of our areas. 

Finally, we learned about AWB's ongoing trainings for health workers in other countries, teaching them to use the NADA protocol in response to all types of trauma and difficulties. This is an ongoing effort in Haiti, Nepal, Mongolia, Chile, Equador, and Mexico...with new programs and needs arising all over the globe.

So I encourage anyone with a stirring toward larger service to check out AWB and do one of their trainings. I guarantee you'll be inspired.

Monday, March 4, 2013

Patients with Anxiety? Here's One Treatment Idea

Q. Hi Honora, A few years ago I came to a seminar you taught. During that weekend, I remember you suggested an interesting treatment for anxiety disorder. A patient came in last week with anxiety attacks as a major complaint and I wondered if you could refresh my memory on that treatment.                      –Sarah in Chicago

A: Hi Sarah, There are several good treatments for anxiety disorder. In fact, acupuncture in general has an anti-stress, down-regulating effect on many patients. That said, however, there are several approaches that I suggest you consider as rotating treatments, using them in succession and then repeating from the beginning.  Here you go:
  1. Start with Four Bars (often called Four Gates) as an opening treatment. While these needles are in, do some simple massage on the head and neck, dragging across Yin Tang and doing small circles on Tai Yang, GB 20, along the cervical spine and occipital ridge.* (The only time this is inappropriate is if the person really is not comfortable being touched and we do, on the odd occasion, get patients like that.) If they don’t like to be touched, but a needle into Yin Tang.
  2. The next time that patient comes in, hopefully within a few days, do the treatment that you saw me do, which is a cross treatment as follows.
a.    Insert LI 4 and Sp 4 on the right
b.    Insert Per 6 and Liv 3 on the left
c.     If using Ion pumping cords, use black clips on the right and red clips on the left.  Connect LI 4 to Liv 3 and connect Per 6 to Sp 4.
d.    If using polarized needles, use Gold plated needles in place of the red clip and Stainless steel in place of the black clip.
e.    Insert needles very shallowly, because electrical flow in the body is strongest on the surface.
f.      No jewelry; don’t leave the room during tx; 15-20 mins or until they wake up.
3. As a third alternating treatment, you could do Miriam Lee’s Great 10 Needles adding points such as Liv 2 and LI 11 for excessive heat, Ht 7 and CV 17 for palpitations and severe fearfulness, or An Mian (extra point), Sp 6, and Ear Shen Men for insomnia.
4. In terms of self care, suggest that the patient use exercise, stretching or progressive muscle relaxation routines, calming music, aromatherapy oils, and an anti-inflammatory diet high in Omega-3a and plant-based protein and low in sugar and caffeine! While acupuncture can calm people down in the moment very quickly and effectively, in the long run the patient has to find ways to help him-or-herself as well.
Hope that helps. If you want details of the theory that goes along with either Four Bars treatment, Miriam Lee Great 10 Needles Treatment, or ti Ion Pumping Cord treatment, check out my online CEU courses attached to these links. If you have a serious interest in treating people with "shen disturbances," I hope you'll check out Chinese Medical Psychiatry by Bob Flaws and James Lake. Thanks for your question and best wishes.

Friday, March 1, 2013

Writing Articles for Patients and Profit

Writing articles is a wonderful way to get your name in front of lots of people with very little effort. However, if you’ve never done this before, it can be a little intimidating at the beginning. Who could I write for, you might ask? How to I get started? What if I’m not a great writer? What sort of publications take articles? Who has ownership of my articles? Where can I find the names of publications that might be interested in receiving articles? Why would a general interest magazine be interested in articles on Chinese medicine? What good will writing articles do for me in my practice?

All of these are valid questions, so let’s take them one at a time, starting with the last one first.

What good will writing articles do for my private practice?
Let’s say you like to treat children and you get an article about the benefits of Chinese dietary theories published in a parenting newsletter in your community. This does not have to be longer than 500-750 words long, written in very simple English, with just some basic information about eating cooked food, the dangers of sugar, avoiding iced drinks for small children, etc. Maybe, instead of getting paid, you negotiate to have your photo and contact information put at the end of the article. In that “contact paragraph”, you also put a sentence saying to call your clinic for more free information on keeping kids healthy.

First, you get visibility and more visibility in your local area! Published articles immediately present you as an expert if not THE expert in the field in which you want to build your practice.

Second, it gives potentially interested parents a very low-risk next step to take, i.e., call you for a free article or a short consultation about children’s health. This helps you build a mailing list which can be used for all sorts of things, but that’s a different article.

Third, any articles you can get published in your local area are better than any paid advertising you can buy!

Fourth, you can clip the article, laminate and frame it, copy it and use it as part of a mailing to your patients or potential patients, put it into a waiting-area notebook along with testimonial letters, other articles on Chinese medicine, research articles on specific conditions, etc. Or, use the digital version as part of a blog series or to send to larger publications to get more writing opportunities.
Finally, since most articles your write for print are likely to have an online version as well, link them to your website, Facebook, LinkedIn, or Twitter pages or any blogs in which you participate! That way, you can get the word out to as many people as possible. Get any of your friends who want to help you build your practice to do the same on their social media!

What sorts of publications would be interested in articles on Chinese medicine outside of our profession?
Almost any one of hundreds of newsletters or niche market publications, depending on how you write it! To cite just a few examples, can you make a case for acupuncture for professional bicyclists? Can you address stress reduction for business people? Can you write about effective diet plans for pregnant mothers? Could you do an article on maintaining low back health for motorcycle enthusiasts? Do you have anything to say about recuperating from sports injuries, maintaining healthy, beautiful skin, preventing high blood pressure, or getting off hormone replacement therapy? What about an article for office workers on easy, at-your-desk self-massage for stress reduction? Do I need to go on?

There are literally hundreds of small and large publications on every subculture and every niche interest group in the US. Corporations and large businesses also have company newsletters. These publications are industry specific or interest-area specific, but that does not mean that you do not have an interest message for them. What are the largest companies in your city? Call them and find out if they have a company newsletter and who the editor is. These editors are always looking for something interesting and new for their readers.

So how can I find out what publications are in my area?

The reference department in your public library can be of great help in your search for local and regional publications.  Ask the reference librarian if they have a copy of Hudson’s Subscription Newsletter Directory, the Internal Publications Directory, or the Oxbridge Directory of Newsletters. Then look for newsletters in your area of interest or in your geographical region.

Second, comb the Sunday issues of your local newspapers for the names of all organizations in your area. Call each of them and ask if they have a local, regional, or national newsletter. Find out the names and contact information about the largest employers in your area. Call them and ask about in-house employee newsletters. Also, don’t forget to ask what publications these organizations subscribe to and carry in their offices.

If you are a specialist in any area, (sports medicine, orthopedic acupuncture, gynecology, etc.) find out if there are local publications that might allow you to show off your expertise in that area. Even general interest local publications are possibilities.

I also suggest that you query your local newspapers for their submissions guidelines for articles on health.  Speak to the health and features editors and find out what things might interest them. Maybe you could write a once-per-month “health tips” article.  Of course these editors will probably want to see samples of your work, a photo, a short biography, and anything else you’ve published elsewhere. While many larger newspapers have wire services and staff writers and will probably not pay you anything, if you can say something they think is interesting for their readers, you just never know what they might accept for publication. Smaller newspapers, on the other hand, could be very easy to approach and easy to write for.

Put out a little sign in your waiting area that you are available to write an article for any patient’s organization newsletter. Remember that your patients are members of a wide variety of groups, most of whom could use acupuncture or Chinese herbal medicine for something! You can do speeches for your patients’ groups as well as writing for their group newsletters.

Finally, remember that each and every publication you query will have different submission guidelines. You need to follow these closely or the editor in charge is likely to toss your article...they don’t have the time to decipher work that is not presented the way they want and expect to see it. Some may want only hard copies of articles, others only computer files. All will want a short cover letter stating your credentials, what your article is about, why you think it’s relevant, etc. If you are looking to establish a column or a long term relationship with this publication, make it short, interesting, and easy to get at the important information.

Can I publish my articles in more than one place?
The answer to this will vary, but is probably yes. You must negotiate ownership of your articles with each publication. Do know that if you are offered money, the publication will probably then own your article as a “work-for-hire”. However, if you are not being paid, you may be able to retain the copyright to any work you do with the possibility of publishing it elsewhere. It is also possible to take one article and “tweak” it into several others for other organizations, industries, special interest areas. Remember, everyone is interested in good health and ways to maintain it, procure it, or improve it. So, be creative in who you think you can write for!

What if I’m not a great writer?
When you sit down to write, pretend you are writing a letter to your sibling or telling a story to a friend. Keep it conversational and real.  You don’t have to use big words or complex sentences. However, if you don’t trust your writing skills, there are resources such as Writer’s Inc. (available in bookstores or at the library), which gives you basic, easy to understand rules for writing well in English. There are lots of other, similar books out there for would-be writers. If you are going to write on a more than occasional basis, I recommend getting something like this for your reference shelf, and using it.

Consider taking a writing class at a local community college or adult education center.
Finally, you might consider recruiting help. This could be a journalism student, a local copy-editing service, or someone from a local writers’ club.  Their fee might be a few dollars per page, but $20 or $30 could improve your credibility and, what if an article brought you 10 new patients?

Final thoughts on article writing
More people are writing more stuff for more publications of all sizes, shapes, and fields-of-interest than ever before. You can participate and the rewards can be substantial in terms of finding patients for your clinic.

When you write, your written “voice” can be as friendly and relaxed as you would be in person, as long as you are clear and don’t ramble. The best way to get people’s interest is to have something useful to say, said in a way that is easily accessible to the widest group of readers. You are not looking for a National Book Award, just more patients!

Chinese medicine and acupuncture are still treating only the smallest fraction of people in this country (some statistics suggest about 5%). People need to know the benefits of this medicine, and it is up to us to tell them. The burden of proof and communication is up to us!

Finally, why should the practitioner down the street be the “expert” instead of you?