I Just Discovered I'm not CAN enough!

napaustin's picture

When I was about to graduate last summer, one of my classmates told me that I should check out Lisa’s articles in Acupuncture Today because if he knew anyone that should be doing a community acupuncture clinic, it would be me.

I hail from Youngstown OH. If you know anything about the steel industry, blue collar, union organizing, massive strikes & lay-offs and the first community buy-out of a steel mill…then you should know Youngstown. It is WAH-HUR-KIN CLASS!!!!

I will never forget Black Monday in 1977. Although, only 5 at the time, I understood by my parent’s expression while watching the news that evening, that we would not be running around the house that week. The impact of the steel mills shutting down that day is something that still defines me. Neighbors lost jobs and friend’s families were split as their fathers moved to Houston in search of work. The community came together to help each other. Till this day, it is still hard for me to explain what it was like to live in “murder city”. Later, when I went to college, I would listen as people talked about “diversity”. I knew that I had already lived it my whole life and did not feel the need to define it or analyze it. People whose lives lack it tend to be more compelled to talk about it.

I guess “community” is the same way for me. We lived “community”. I can’t tell you how many casseroles my mother baked for neighbors, how many times I got spanked by Mrs. Stanford, scolded by Mrs. Sanders or how many stamps I licked for Mrs. Story. We were just in and out of each other’s houses, because all we had was each other. With unemployment being three times higher than the national average, ranking 3rd in the country for murders per capita and constantly being shunned by the bourgeois burbs…you needed each other…White, Black, Puerto Rican, Italian, Vietnamese were not as important as the distinction of being from Youngstown. (we joked that we were all covered in soot so that you couldn’t tell what was under there anyway)

Why do I give you this history? I want you to know that I understand community. I understand poverty. I understand working my ass off. I understand the difference $5 can make. I understand being an underdog, a have-not, an outside shot, a poor prognosis. I don’t understand it in the cerebral sense, I understand it in my guts.

I decided to go to school for acupuncture because I saw it for its simplicity and sustainability (although at the time, I did not have that idealized word to assign to it). I could help the people that I identified with….although many are either long gone or incarcerated…there are faces I see in every city that remind me of them. So when Tony came to me with the info on WCA & I read Lisa’s writings…. I knew without hesitation that I was going to do a C.A. clinic.

So why is N.A.P. not a C.A.N. clinic?

The top end of our sliding scale is $45. It seems our clinic, at the moment, attracts a lot of middle class clients. At this time, this is who we need in order to exist. We are in a different boat than most of the people starting C.A…. all of us are fresh out of school and are still trying to digest the information we had shoved down our throats for the past 4 yrs. We still have to stop and come up with treatment plans. At the October conference, I believe I was the only one there who was a recent graduate. Everyone I had talked to had an average of 5 yrs out.

After 9 mos of practice, I am only now able to see an average of 2 patients/hr…that is if I even have that many signed up. I am seeing cases that school did not prepare me for. If I were to see more than 30 pts per week right now, I would not be helpful (unless they were straight up pain patients). I don’t want to give crappy acupuncture and I do not yet have the tools to go to 4-5 pts per week and still feel that I am giving a good treatment. I can’t wait to get to that stage, but I’m just not there yet.

It is rough right now. I am poorer now than when I was in school; however, I wouldn’t change it for the world. I love my patients and I love coming to the clinic. I feel right about what I am doing. Even if the majority of my patients are middle class, they are coming to me for a reason. This is who I’m supposed to be treating now, whether or not that was my plan.

Sure I feel a little shunned by C.A.N. I am disappointed that I am not considered C.A.N. because I have so much passion for it; but, I do agree with the Board’s decision to make these guidelines and I am happy to still participate in C.A.N. because I believe in it. I know its purpose is to help people like me! :>

Hopefully, it will only be a matter of months before we can get our name listed again on the clinic locator. If not, oh well! I still love the people involved and I still love C.A.N.

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Re: I Just Discovered I'm not CAN enough!

I would like to send my humble encouragement, too.

Yes growth is coming, you are the coolest thing possible for all of us

you provide the essential moment of nothingness
and are sharing healing love (agape)

like the others and you have said
the money is an exchange

but community blows your heart open
and everyone elsesa little bit too

the great masters would probably admit not knowing what to do or being quick enough

but
you know what to do

please regard only the most words
james

Re: I Just Discovered I'm not CAN enough!

I hope the LOC guidelines don't become a dividing issue for the CAN community. You are still a part of CAN. We all have to create our practices in a way that works for us as individuals. No one is judging you, or refusing to associate with you because you have a $45 high end. The best thing about this network is having a supportive community of acupuncturists to communicate with. It would be a shame to have one little aspect of CAN divide us.

Re: I Just Discovered I'm not CAN enough!

I appreciate you words of encouragement Jordan. I hear so often people talk about how simple acupuncture is, but your image of a giant lotus emerging from muddy swamp couldn't be more spot on.

I understand the basic principles of acupuncture. I understand the basic principles of Zang Fu, 5 Element, Japanese Meridian, E.V., Korean Hand, Auriculotherapy, Tan, Tung, JingGei and 3 different style of Hara Diagnosis. It's a swamp of basic principles. Everytime someone comes in I stir up that swamp to see what settles..and right now it just takes me more time.

I am not going to stick needles in people without knowing my intent. I do want my treatments to be effective. Probably 5 yrs down the road, I'm going to cringe at my naivete..but right now, I think I have to sift and figure out what kind of artist I am before I can see 4-5 pts PER HOUR (not week) :>

Growth is coming soon now...I can just feel it.

And probably the $5 is not a big deal. It sure seems to be one when it is at the bottom of the scale. I guess we will have to see. BTW it is not my concern that we are not on the locater for marketing reasons...

Re: I Just Discovered I'm not CAN enough!

Dear Napastin,

I feel the passion, and compassion, in your post. With your obvious dedication to service, I have no doubt that your clinic will grow and grow like a giant lotus emerging from a muddy swamp.

However, I think it is difficult to give bad acupuncture treatments if you are at least paying a little attention and aware of the basic principles of acupuncture. And the more treatments you give, the quicker you will refine your diagnosis, needling style, patient communication, etc.

Being listed on the CAN locator....I don't think this is really a critical issue in the success of your clinic. Word of mouth is far more important. On the other hand, I fail to see the big deal on the $5. Is it going to really be a hardship economically to lower the top end of your sliding scale by $5? As has been written on the Practitioner forums, most of the CA market is going to be in the $15 end of the payment spectrum once word gets around in the community.

Best wishes on the growth of your clinic. I rejoice at all the good work you are doing in your community,

Jordan