expert's view

tatyana's picture

Earlier this week, at the end of my weekly community acupuncture shift, I was talking to one of my very regular patients about her recent experience with a doctor. She has been having a lot of digestive problems (possibly parasite stuff) and we have been keeping her symptoms very much under control with regular acupuncture for nearly a year, but she is really working hard to get to the bottom of the situation. So she went to see a really famous “holistic” doctor in Marin County (mostly a very wealthy part of the San Francisco Bay Area). This doc has written several well-known books about nutrition, and so my patient had high expectations of her visit to him. During her meeting with the doctor (who was meeting her for the first time), he asked a lot of questions about her family history and her relationship with her father, etc. He also proceeded to make a lot of assumptions about the influences of those relationships on my patient’s state of health. My patient is a young Latina, born and raised in Mexico in a poor family, and she had to take at least two buses to get to this doctor’s office. She was put off by the doctor’s style of questioning and assumptions and felt violated personally by all the questions. She said she felt that by trying to analyze the supposed influences of her relationships on her physical health, he disregarded the immediate situation, which is: she is in pain and having digestive problems. She was not there to hear an expert who did not know her tell her that she has a father problem. She went to see a doctor to help her figure out what is happening in her actual physical gut and correct it.

As we kept talking, my patient said that after seeing him she was so happy to come to see me for acupuncture. Her explanation of it was that she believes that I am a “real” healer. I gently clarified that perhaps the reason she feels so good after acupuncture, is because of her relationship with the acupuncture itself and the fact that I try not to get in the way of that relationship. I told her that my job is just to be the hands that guide the needles and the energy, not to figure it all out for her. As I said that, her eyes lit up and she pulled herself up to stand more upright. I could see that she got it and it felt powerful. She understood - she does the work, I just provide a bit of encouragement. That’s why it feels more “real”, I guess. It was a very rich moment for me.

Lisa and Skip are writing a new book about the clinical aspects of doing community acupuncture and on the night the conversation I just described occurred, I came home and read an excerpt from their new book posted on CAN member forums. If you are not a member, I would say it’s worth it to join just to read that excerpt – it is that good. Of course the part that struck me deeply that evening was the one about understanding what our job as an acupuncturist really is. I think this part is so important to be clear with ourselves about – then we save so much energy and bring a lot of ease into our relationships with our patients.

I will include one partial brilliant paragraph here, I hope Lisa and Skip do not mind, I just can’t imagine saying this any better:

"To effectively communicate with patients as an acupuncturist, you have to be clear that you are just an acupuncturist, and you are just concerned with the acupuncture part of their lives. You are not a shaman and you are not trying to save their souls. You are not a psychotherapist and you are not trying to find out about their childhoods. You are not a doctor and you probably are not going to need to know the details of their past surgeries. You are an acupuncturist and you are going to help them establish a relationship with acupuncture."

I can’t wait for more, guys. And thanks.

-tatyana

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Re: expert's view

Thanks for sharing this Tatyana.

Re: expert's view

Great story, Tatyana. And way to plug CAN membership! I agree that the latest dose of brilliance from la Rohledaldo is worth the price of admission!

Re: expert's view

Where can I find the excerpt from the book? I've checked the forums but can't seem to find it.

Thanks,
Trish

Re: expert's view

Thanks, Tatyana and Nora. Tatyana, especially after reading your response to Blythe's post about Miriam Lee's protocol, and now this post, I think we are experiencing a mind-meld. Not sure whether this bodes well for your future ;) but it's sure fun for me!

Trish, the excerpt is in the "Nuts and Bolts" forum, titled "Talking to Patients".

I have to say that so far, myself writing this book has greatly resembled my cat coughing up a hairball -- so I really appreciate all the encouragement, here and in the forums. Skip and I are in the painful rewriting and editing stage, so it's nice to know someone actually wants to read the thing. That will keep us from chucking our laptop out the window, I think. Thanks!

Re: expert's view

say one word with your mouth shut

or so they say

jimmyjabs

Re: expert's view

What I've been learning by reading here and at the workshop in Philadelphia and what this post demonstrates so well, is that a lot of what I attempt to accomplish with words happens naturally with the needles. Patients become empowered, they see connections between their symptoms and lifestyle, they know how to feel better. And it happens at the right pace, maybe without them even connecting it to the acupuncture.

My question is about the phrase "figure out what is happening in her actual physical gut and have it corrected." While I agree it's not ok to make assumptions about what may be causing an ailment, we all know there's no such thing as "just" a physical gut. Do those of you in practice think that your patients get this? Do you think it's important that they do? And maybe I answered my own question and the case is that they realize it at their own pace naturally through treatment.

I'm a student wanting to learn as much as I can.

Thank you.

Re: expert's view

debbie -

yes, you certainly did answer your own question. i think that some patients come to acupuncture with understanding that there may be emotional components to their physical issues, some do not, but could wind up gaining that awareness through receiving acupuncture. the point i was hoping to get across is that it is not really my job as an acupuncturist to figure that out for people. even though acupuncture could help them get to that awareness, it is still up to them to arrive there in their own time.

the patient i wrote my post about definitely knows that she has emotional issues and she is working hard on them. the problem was that she was not going to the doctor for psychological analysis, and certainly not to TOLD what emotional issues she has on a first visit. she already knows about them.

-tatyana

Re: expert's view

Well, i just don't agree at all with what tatyana wrote. Not at all. I don't make presumptions about my patients at all. But I have been in practice for 10 years, and knowing about their lives, their surgeries, their families, their traumas, I have had truly remarkable, truly remarkable experiences helping people pull a whole lot together and bringing full and fruitful coherence to their past, their present, their current 'digestive problems' - the whole ball of wax. To say, we are 'just acupuncturists' and we just channel the energy is just such a superficial version of what we can do when we shine the full spotlight of oriental medicine on our patients. I think you should reflect deeply about what you are saying. Your patient's digestive problems are, no question about it, fully intertwined with who she is on every level.

Daniel (in Canada)

Re: expert's view

daniel,

i did reflect deeply and do every day.

sounds like you are a great help to your patients, but did you help them pull a whole lot together the first time you saw them? speaking for myself, i don't, and do not expect to. the few times i tried, the patient was too overwhelmed to continue working with me. so lately i see my job as just helping them to begin to unravel the ball of wax on their own and see where that takes us and where the acupuncture can help. it's not at all superficial, but it is gentler and i found it is more likely that the patient will stick with the process. plus, it is a lot less work for me that way, so i can treat more people and make it more affordable. i think you took the quote from Skip and Lisa that i put in my post out of context, and i really recommend you read the whole book excerpt on the forums (maybe you did, but it doesn't seem that way from your post).

-tatyana