Some Observations on Healthcare from Training in China

I just returned last week from three weeks in China. The last two weeks were spent shadowing doctors and observing treatment strategies for various problems. The clinics in the hospitals I went to mainly were in the departments of gynecology, internal medicine, pain and gastroenterology. Some of the many medical problems I observed included: chronic and acute body pain, migraines and headaches, dizziness and vertigo, depression, gynecological issues including fibroids, cysts & painful menstruation, various digestive problems including gastric pain, reflux and gastritis.

It was interesting to watch the various approaches, both herbal and acupuncture. Most of the doctors of TCM (Traditional Chinese Medicine) do either one. I was told there is a pretty clear boundary on these areas. I would imagine it might be different in other parts of China however. In order to practice in Texas, we are required to be Board Certified in both Chinese Herbal Medicine as well as in Acupuncture.

In general, patients tend to respond better when both acupuncture and herbal medicine is prescribed. But it does depend on the condition and the number of Western prescriptions a patient takes.

I found the general population seeking medical care at the TCM clinics of two types. Those who only believe in Chinese medicine (and consequently don’t go to Western style MD’s) and those who tried Western medicine but didn’t like the effects of the drugs on their bodies. It was interesting to note that there seemed to be a larger percentage of younger men who were having strokes in China. My guess is that many of them did not go to Western doctors to monitor blood pressure or cholesterol. ( I maintain my mantra that if you get the best of Western and Chinese, you can have really good healthcare).

There were a few glaring observations that I would like to share. We in the USA are very blessed to have good healthcare and healthcare facilities. As broken as some people think it is, it is wonderful in comparison to healthcare in other parts of the world. We have requirements for cleanliness, proper disposal of trash and needles, disinfecting exam tables and surrounding areas, washing hands and sterilizing equipment, to name a few. We have the right to meet with the acupuncturist, doctor or nurse privately. We would never tolerate having five patients waiting in the same room listening until it is their time to meet with the doctor. We expect that the health care provider will use clean needle technique when giving a treatment or injection. We take these “little things” for granted and would be appalled if it would not be the case when we visit our doctor. The TCM doctors I observed were good doctors. They had different styles and philosophies about treating the different problems but they were all trained doctors of Chinese medicine. The patients were completely willing to submit to the treatment strategies the doctors recommended and there were very few, if any, questions asked…

With all the above said, I have to say that the doctors see a lot of patients every day. There is a waiting line out the door. Which means that patients feel they get better whent they see the doctor. Although it would not seem up to our “sanitary standards,” there is a cultural understanding that this is sufficient. Patients need healthcare and they get it in the manner they know and are accustomed to. Through my interpreter, patients responded that they like coming to the clinics and they like getting their acupuncture and/or herbal prescriptions. They say it helps and they feel better. I guess at the end of the day, that’s what we all want when we go to the doctor.

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Acupuncture Can Help Anyone Going Through Cancer Treatment

As I was contemplating writing a blog about some of my patients who are undergoing chemo and/or radioation therapy, I received this blog from another acupuncturist. I thought she wrote about it so well that instead of writing my own, I decided to go ahead and post her blog.

Top 10 Ways Acupuncture Can Help Anyone Going Through Cancer Treatment!

Getting the diagnosis of Cancer is a real life-changer. I think you’ll probably always remember everything about that day when your doctor sat you down to tell you the news. And it certainly does have the chance to be a real life-ruiner, doesn’t it?

As a person, I have been dealing with cancer in my family for as long as I can remember, and as an Acupuncturist I have been working with Cancer patients since I was in Grad school. I’ve seen both sides of the story and I’m here to tell you that although getting the news of Cancer will probably always be one of the worst days you can imagine, your cancer treatment doesn’t have to be as scary as it sounds. Find a good Oncologist (shameless plug for one of the best Oncologists in Denver, Dr. Samir Witta of Mountain Blue Cancer Care Center) and you will find plenty of options if your cancer is treatable. Now bring on an Oncology Specialized Acupuncturist and you have a very well rounded team to get you through your cancer treatments.

Does it seem strange to think of a Medical Doctor and an Acupuncturist working so well together? Well it shouldn’t! Many of the best hospitals in the country offer Acupuncture as part of their treatment program.

Here are 10 things Acupuncture can help anyone going through cancer treatments with:
· Fatigue
· Neuropathy
· Nausea/vomiting
· Headaches
· Body-aches
· Insomnia
· Surgery Prep/Recovery
· Blood counts/Immune System
· Depression
· Hot flashes

Although that’s the list of things I most commonly see, there is so much more that Acupuncture can help with! The timing, a frequency, can change depending on what works best with your body and your chemo schedule, so be open to playing around with timing of treatments. A good place to start is the day before your Chemo treatment. Although once a week is useful, many of my patients, who have done the very best, have come in twice on the week of chemo and once a week otherwise.

So there you go… while the diagnosis of Cancer will always suck, the treatment doesn’t have to. Things like rest, sleep, good nutrition, laughter and Acupuncture, you are giving your body the tools it needs to take care of itself, while you go thru treatment, and I know that it will return the favor tenfold!

Click here for more about this article and acupuncture for cancer

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Depression, Anxiety, Bi-Polar Disorder & Acupuncture, Houston, TX

Questions about acupuncture for mental health issues are one of the most common inquiries I receive after questions about pain.

Acupuncture can help with depression, anxiety, stress and bi-polar disorder. So in terms of various mental health issues, yes, acupuncture can frequently help.

I caution to say that acupuncture is not in lieu of continuing or being in therapy. I do not take patients off of their Western medication if they’re already on it. Medication is a discussion between the patient and their doctor. Acupuncture, and in many cases Chinese herbal formulas, work just fine in conjunction with Western medication as the mechanism of action is quite different. They can complement each other beautifully.

When a patient comes in with a Western diagnosis of depression, anxiety or bi-polar disorder, my job is to determine what the underlying problem(s) are from a Chinese medical perspective. For example, if someone presents with anxiety along with insomnia, excessive worrying, hypervigilance and internalizing feelings, the strategy might be to balance the heart and kidney channels. However, if the main complaints include depression, irritability, sleep disruptions and digestive problems, the approach might focus on smoothing the liver channel.

Usually, a patient will present with a combination of the above plus more. After a thorough evaluation, a point selection is chosen based on the most disruptive concerns working our way in to the deepest and most chronic issues. We as human beings are rarely uni-dimensional, therefore it is more complicated than I have described. However, it gives you an understanding that the treatment strategy is quite individualized.

I have treated bipolar disorder and have found that acupuncture can be stabilizing; but with bipolar, it’s really important to stay on your Western drugs and/or be in regular communication with your therapist. What the acupuncture can do is help balance and stabilize some of the mood swings: the degree, frequency and intensity of the ups and the downs. You might be able to reduce the dosage of some of the medications, but again, that’s between you and your psychiatrist.

Stress is a major variable in just about every health issue we have. I think that stress is the one variable in our life that cannot be controlled in a double-blind, placebo control study. So you can have everything, all variables equal, but how do you really control for stress? Stress definitely triggers mental health issues and it triggers health issues overall.

Because stress is a major factor in all of our lives, acupuncture in and of itself helps with mental health issues because it works to balance the mind, body and spirit. When we are in balance, our emotional and physical health is improved.

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