PCA, Part 1: They. Get. It.

Skip's picture

One of the perks about leading workshops outside of my home in Portland is that I usually get to see another Community Acupuncture clinic. As we know, all of us are different and so by definition all of us who choose to define their Acupuncture clinic as a Community Acupuncture clinic all choose a slightly (or not so slightly) different way of defining what CA means. We wouldn't be human if that didn't happen as far as I can tell.

So last week the 'Ol Ball and Chain (Lisa) and I flew Back East to Philadelphia to conduct a workshop at Philadelphia Community Acupuncture (PCA) which is owned and run by partners Korben Perry and Ellen Vincent. (Yes, I have pictures. I'll post them in the comments.) My immediate reaction on seeing the clinic and reuniting with Korben after 13 months and meeting Ellen for the first time was.... They. Get. It. They really nailed the idea of what CA is about. I even thought that Lisa and I could stop talking about CA now because PCA figured out every detail to make a successful clinic after only two months in operation. I was impressed.

My second thought was that in thinking They. Get. It. that of course that's in using my definition of Getting. It. and that there are wonderful other CA clinics around the country that have their own perfectly worthy take on the CA model- many of whom are not on LOC.

Since then I've been mulling over the Synthesis of the two thoughts above. What do I mean by Getting. It? I thought of ll sorts of things: The space they are in. The neighborhood they are in. That they had volunteers from the beginning. The racial and class diversity of their clientele. Other things too I thought of. But then I hit it: Korben and Ellen are altruists. They set up their clinic with the idea that their patient's needs come first and they'll do everything possible to meet those needs. More than anything else putting that altruistic urge to the forefront defines CA.

I'm pretty naive. Until recently I thought that most acupunks put the needs of their patients first. I even used to think that the all health care workers like M.D.'s, messed up as they can be, put their patient's needs first. I know better now. I know that acupuncturists in general aren't any less selfish as most of the rest of the profession, or aluminum siding salesmen, stock brokers, the people who run those car title loan stores in some state, or the players on the World Series of Poker. The health care profession is just another way to put yourself ahead. I guess I am talking about Samsara now that I think about it. Ugh.

But its interesting, altruism is. Did anyone notice the articles that came out in the past year where some research showed that an altruistic act actually stimulated pleasure parts in the brain? I'm trying to find some of those articles and the best I am doing are here:

http://www.nytimes.com/2007/06/19/science/19tier.html?_r=1&oref=slogin

and here:

http://tierneylab.blogs.nytimes.com/tag/altruism/2007/06/26/

It makes sense to me that there must be a reward in oneself for an altruistic act; to even build one's life around altruism. That's what I try to do in fits and starts and when I saw PCA that's what I saw. To me the idea of altruism is as much the definition of CA as any other. Its that willingness to create your clinic around your patients' needs rather than what you want and trust that you will be taken care of. Altruism creates the idea that maybe charging as high a price as possible isn't the best of ideas, that the key to life isn't driving a Porsche. Its living in your community, being a part of your community, identifying with your patients of all walks of life.

Its funny too since we (Lisa, myself, Ellen, and Korben) didn't even talk about altruism. But I felt instantly at home there so much so that its taken me a good week after leaving there to get over my "jet lag", to re-enter the world. And, again, if I do nothing else in the acu-world, I am satisfied that with PCA I met a kindred clinic. What could be better?

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Re: PCA, Part 1: They. Get. It.

wow, very pretty clinic and looks like a fun neighborhood. third floor? do you have an elevator? how do you accommodate folks who cannot do stairs?

Re: PCA, Part 1: They. Get. It.

I'm in love with that space, you guys are ruining me for the more average spaces I'm seeing around here, and those wood floors must be heaven compared to the standard concrete n' carpet.

Re: PCA, Part 1: They. Get. It.

You East Coasters are killing me softly with the brick walls. Great photos! Thanks for the less-blurry shots of Ellen, Korben. I can just imagine the music floating in from the park on a summer afternoon - add some needles and what a great recipe for a nap! And great post, Skip. The role of altruism merits further discussion, maybe on the boards.

Re: PCA, Part 1: They. Get. It.

Here are a few more photos if you're interested.
http://spiritgate.typepad.com/photos/philadelphia_community_ac/index.htm...

Re: PCA, Part 1: They. Get. It.

your clinic looks absolutely beautiful. really inspiring as well!

Re: PCA, Part 1: They. Get. It.

Yesterday, I bumped into an old acupuncturist classmate at the playground with our kids. She had heard about CA and politely probed what it was all about...

"So you mainly do Richard Tan style needling?"

Sometimes in depth conversations are challenging while watching 4 year olds run around a playground, and I think I answered her question without a lot of thought, basically saying yes, even though now I realized a more truthful answer would have added many qualifying statements and a few koans to her question.

This morning, before getting out of bed, my mind picked this topic up again and asked the question - is it the technique which is all important? Or the mind-heart of the practitioner who brings their energy field aura into contact with that of the patient's mind? Or a combination of both?

Certainly in school, most of the emphasis is on techniques (that's even the name of a class most of us took, and to some extent, what we are tested on when we take our Board exams).

I'll close with a couple of quotes inspired by the conversation above:

"The root of happiness is altruism — the wish to be of service to others." (The Dalai Lama at Harvard: Lectures on the Buddhist Path to Peace (1988)

"The universe that we inhabit and our shared perception of it are the results of a common karma. Likewise, the places that we will experience in future rebirths will be the outcome of the karma that we share with the other beings living there [that we are creating now]. The actions of each of us, human or nonhuman, have contributed to the world in which we live. We all have a common responsibility for our world and our connected with everything in it. This is why we can make an offering of it." (A Flash of Lightning in the Dark of Night: A Guide to the Bodhisattva's Way of Life, commentary by the Dalai Lama).

Re: PCA, Part 1: They. Get. It.

Skip,

Nice job targeting what is the pink elephant for many health care facilities - Eastern & Western - namely putting patients' needs before any other considerations.

One of the attractions to CA initially for me was the simplicity of the biz model and the clinical set-up. Patients don't have to read minds to figure out how to get what they want in a CA clinic. It's all transparent.

I've been told by a few patients that it's refreshing to have opportunities to make independent decisions while in clinic. Examples would include, patients walking themselves into the treatment room and choosing which chair to sit in; deciding when their tx is 'over', and of course deciding how much they pay for their visit(s).

These strike me as more subtle ways we all help provide for our patients' health in a broader sense.
===

Great to see PCA pics and get a sense of the jewel of Philly. Outstanding.

Re: PCA, Part 1: They. Get. It.

Wow, what a great looking clinic, Korben and Ellen! Congratulations and all the best in your work!

Marty

Re: PCA, Part 1: They. Get. It.

Great Clinic Korben and Ellen!

Funny to read this today.

I just started writing a long response to an acupuncturist who is inquiring about CA from rural Canada, and I came up with essentially the same thing. Altruism is at the heart of community acupuncture thinking. When I think about the health care needs of my patient's I am able to meet the needs of my community more accurately.

From my perspective, the majority of my acupuncture patients want to know that as a health care provider I have carefully considered the economic (what can my patients realistically afford to pay per treatment), social (welcoming to all kinds of people/ community friendly), and environmental (comfortable clinic atmosphere) needs of my patients.

Thanks for the clarity Skip.

Moses

Re: PCA, Part 1: They. Get. It.

I'm writing from vacation in France --
I will definitely post as soon as I get back: Jingei is my new best friend.

and i take full responsibility for the excellent photo of yours truly...

bisoux
ellen

Re: PCA, Part 1: They. Get. It.

Actually I'm not thinking of talking about the workshop. I mean Lisa and I have done this several times now and to us it seemed to go well: Lisa was inspiring, no one threw tomatoes at me; win-win! It looks to me that a couple more CA clinics will come out of it. Perhaps Ellen or Korben could write something from their perspective as they could have more insights than I.

Re: PCA, Part 1: They. Get. It.

Congratulations Ellen and Korben. Beautiful vision, space, and follow through. Good work.

Re: PCA, Part 1: They. Get. It.

PCA obviously ignored the advice to find a "big darn ugly building." The clinic is gorgeous! I'm so envious, we are looking for space right now and not likely to find anything like that.

Re: PCA, Part 1: They. Get. It.

Great pics, great report, waiting anxiously for Part II-- hope it's about the conference!!

Diana

Re: PCA, Part 1: They. Get. It.

Pictures! I promised pictures! Here they are. First PCA in its community. PCA is in a very diverse West Philly neighborhood, in the top floor of an old converted firehouse:

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020250.jpg[/IMG]

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020252.jpg[/IMG]

Here's Korben from their balcony:

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020253.jpg[/IMG]

Here's their ground floor sign:

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020256.jpg[/IMG]

You walk up the stairs and come to their front desk and waiting area (bad lighting):

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020257.jpg[/IMG]

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020259.jpg[/IMG]

Its one big room with some short walls dividing the waiting area from their treatment space:

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020279.jpg[/IMG]

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020281.jpg[/IMG]

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020278.jpg[/IMG]

They have a private room to talk to new patients which I have no decent picture for. Plus they have a semi-walled off room with a massage table- which they will eventually have to incorporate into their big treatment space.

Finally a picture of Ellen. I took several picture of her but they all came out bad which I attribute to her. Anyway here's the one that is the least messed up:

[IMG]http://i155.photobucket.com/albums/s318/skipvanmeter/P1020276.jpg[/IMG]

Maybe she could post a better picture...