"Give her a Brazilian in Room 1!" This is the new catchphrase
around Stroger. That's right, we're giving Brazilians at the pain
clinic in Cook County Hospital. I occasionally worry that a passing
doctor thinks I'm waxing ladies in the treatment room, but the
concern quickly fades as I get down to business. This Brazilian is
all in the ears, and the only intimate part is the bleeding. I
always think bleeding is sort of a personal interaction.
According to a successful acupuncturist in Brazil, the best
treatment for relieving joint pain with heat signs is to tonify the
energy of the major internal organs, direct it towards the affected
joints, and then bleed it out of the body. How do we do this
exactly? Here's a sample case: inflammatory knee pain, let's say on
the left knee. It's painful, the area is red, swollen, and warm to
the touch. The patient often reports feeling warm, the pulse is
slightly rapid, and the tongue is often red.
The Brazilian technique is essentially a three-step process.
First, we needle the following points on the ear of the
non-affected side: Shen Men, Sympathetic, Liver, Kidney, Heart, and
Lung. Six needles so far, if you're counting. Then, we needle the
corresponding painful body parts on the ear of the affected side of
the body: Knee. OK, we're up to 7 needles so far. Totally doable.
Now we let those needles rest for a while while we enter the SOAP
note in the lovely electronic medical records system at
After about 10 or 15 minutes, we take those needles all out.
Next step, we get intimate. It's time to bleed the Ear Apex on the
affected side. I like to give it a few hard squeezes to ensure I'm
stealing as much hot blood out of this person's body as possible.
Don't worry -- it's usually just a drop or two.
What happens next? Well, it varies. Often times, though, it goes
like this. The patient stands up, wiggles around to "test" for any
perceptible changes in pain level and range of motion, and starts
to smile. "I feel better!" Pain levels are dropping from 10/10's to
4/10's in that 15-minute treatment time. Is it unorthodox?
Somewhat. Is it effective? Seems to be. Will we keep giving
Brazilians at Stroger? You bet.
With at least two distinct "appreciation" events in the next two
weeks, Acupuncture and oriental medicine seems to be powering its
way into the integrative healthcare arena. Currently at NUHS, an
acupuncture awareness campaign is giving AOM students, faculty,
clinicians, and interns of all kinds of an excuse to sport an
unmistakably fashionable bow tie. That's right, in addition to the
pristine business professional wear and white coats, always part of
our clinic attire, you can also catch us pinning on a snazzy white
and black yin-yang bow tie from now through November 1st. It goes
If gawking at odd bow ties isn't enough to grab your attention
and get you thinking more about acupuncture and oriental medicine,
then how about some free treatment? That's right. From October 27th
to November 1st, all new patients to the NUHS AOM Clinic can
receive a free treatment. This is a great opportunity for anyone
who's been considering giving acupuncture a try, but hasn't been
willing to shell out the usual $25. Just make sure to schedule
ahead of time -- free generally means "busy" around the clinic!
Why do we need to raise awareness about acupuncture (and all of
oriental medicine)? In a 2014 National Health Interview Survey
report, researchers revealed that 14 million Americans have tried
acupuncture. That sounds like a lot, but it's really not. That's
only 6% of Americans! What's holding back the other 94% of the
American population? My guess is needle phobia. Who wants to be
poked and pricked? Not even I like needles, and I use them every
Neporent, Liz "A Close-Up Look at Acupuncture for
ABCNews.go.com. ABC News. April 22 2014. Web. April 25
Thankfully, needlephobes like myself are not holding back the
growth of acupuncture in the United States today. Lately we've been
finding needles everywhere. The military is hiring acupuncturists,
veterans' clinics are treating PTSD, and pain management and cancer
treatment centers are flooded with requests for acupuncture
services. Even research studies, in English, showing the efficacy
and safety of acupuncture are appearing at a rapid clip. It seems
like the west is doing a good job proving the east already knew
what it was doing. Acupuncture can treat just about everything.
Ladies and gentlemen, the people have spoken. They want to be
To find out more about these awareness events at NUHS, and to
keep up with the happenings of our program on campus, check out the
NUHS AOM Club Facebook page.
I get this question all of the time: "Do you acupuncture
Yes, kind of, not really, I don't know what I'm supposed to say
exactly. Do I put needles in people? Yes, of course. Should I?
Well, that's where you've got me. Technically, I'm not a licensed
acupuncturist yet, so I take that to mean that I can't
charge people for acupuncture yet. Is it safe for me to
needle people? Well, I do have my Clean Needle Technique
certificate filed away somewhere....
Do I know what I'm doing?
Can I help someone feel better? I don't want to be a pretentious
jerk and assume the answers are "yes" here, but over the past year
I've certainly had some good feedback. As a sometimes full-time and
sometimes part-time student in the acupuncture program, I'm
somewhere around Tri 5. I've completed a large chunk of the
coursework, the whole observation phase in the clinic, and now I'm
actively practicing on everyone who schedules an appointment with
me in the AOM clinic on campus.
For the next year, I'll continue along in this internship,
enjoying the opportunity to test out treatment strategies, hone my
diagnosis skills, and figure out if "patient consents to treatment"
actually belongs in the "A" or the "P" portion of the SOAP note.
I'll do intakes; I'll form diagnostic impressions; I'll pow-wow
with Dr. Cai, Dr. Stretch, and any other clinician I can find. I'll
needle patients; I'll moxa their cold feet; and I'll do as much
moving cupping as my forearm strength permits. If you're really
special, I'll do tui na and I'll gua sha you
afterward. Want some herbs? Sure, we have raw, granules, or patent
pills. Right this way!
While the patient visits are the most important and most fun
parts of the clinic internship experience, the clinic lottery is
the part that causes the most anxiety among the interns. "Will I
get my same shifts next tri?" "Which clinician will I work under?"
"Which interns or observers will be on my shift?" All of these
panic-stricken questions and many more can be heard all over campus
right now -- the infamous Week 12 clinic sign-up and resulting
lottery has arrived!
interns get to sign up for their preferred shifts and locations for
clinic internships. We AOM students have the luxury of choosing the
on-campus Lombard Whole Health Center clinic or driving to Stroger
(Cook County Hospital) in Chicago for an off-site experience. My
45-minute commute is plenty, so I try to keep it simple and stick
to the main campus. There we all are, fluttering around the sign-up
sheet in the clinic lounge room, which is busting at the seams on a
regular day, elbowing the interns who are actually trying to sit
nicely and write SOAP notes that day.
If all goes well, there is a nice white empty slot shining and
waiting just for you on the day and time that you've decided would
be perfect for your upcoming trimester. In reality, someone else
probably agreed and already signed up for that one. In the end,
many interns are able to secure an acceptable shift and everyone
survives the sign-up week. Some lucky individuals end up in the
clinic lottery, where randomly drawn numbers allow devastated
interns to play a sort of game-show rendition of "This will be your
life next trimester."
In my two years at NUHS, we haven't lost anyone yet! The sign-up
process can be stressful for some, but by the time the next
trimester rolls around, we're all just excited to start treating
our patients and working with our clinicians to hone our skills. I
have one more year of this endearing learning process, and then
it's out into the real world for me (again). No more clinicians to
ask questions of, no more easily accessible chiropractors down the
hall to consult with on orthopedic issues (thanks, Dr. Anderson!),
and no more half-days of work! Maybe this whole clinic deal is
pretty great after all....
You've made the first move. You've called to schedule an
appointment in the AOM clinic. Just as you think you're almost done
with this first critical step, the receptionist throws a massively
important, yet completely unexpected, wrench in your plan. "Which
intern are you looking to schedule with?"
Oh. My. God. What do you do? Which name do you say off the top
of your head? As you feel the pressure mount in those two seconds
of silence on the phone, your brain quickly scans the names,
personalities, general skill levels, and specific competencies of
every student you know at NUHS.
It might not seem like a big decision to some, but for many
patients, your intern will make or break the entire appointment.
I've heard it all in the halls of the clinic, "He got a D on that
Point Location Exam, so I don't want to schedule with him!" "She's
the only one who follows up needling with tui na every
week--I want her!" "I only (or, I don't) want my best
friends seeing me with my pants down." If you're bringing sensitive
people--the elderly or young children--then even appearance might
matter. If I scheduled my kids with a super-tall bearded man, they
might run outside and hide by the swans!
If you haven't thought about which intern you will choose for
your first or next acupuncture appointment, here is a handy guide
to help weigh your options. No, I'm not going to provide a rating
list of each intern in clinic this trimester, complete with names,
pictures, and assorted blasphemies or accolades. Instead, I'm going
to walk you through the options that may or may not be important to
you in your decision-making process.
Image source: www.visualphotos.com
Now for the great part--there isn't one intern who fits every
criteria! This is wonderful news, because it means that a variety
of options exist for each patient who walks through the door. Each
patient is different, and each intern is different. If you've tried
acupuncture once, but just didn't get that great feeling, then try
again with someone else! If you were lucky and hit it out of the
park with your first intern, then stick with that person, or ask
him or her for a referral for another intern who treats in a
Good luck, and happy hunting!
When they ask you why you
came in for an appointment today, go ahead and let them know that
your urine is coming out in long, clear streams, and that your
dreams have been creepily vivid this week. Tell them that your
bowel movements are light brown, formed, and coming with ease twice
per day in forearm lengths that would make Dr. Yurasek proud.
Mention that you've been feeling kind of cold and that you can't
stand being out in the wind. That heaviness in your arms? Mention
Dive straight into the rest of Oriental Medicine's famed "Ten
Questions," noting whether you've been extra hungry, not so
thirsty, frigidly anti-sexual, exhausted from periods with
quarter-sized black clots, or muzzy-headed in the afternoons. It
all matters. If you're in an AOM clinic, these are the types of
things you can expect to be asked by your acupuncturist or
herbalist. No one here bats an eye when patients share the color
and consistency of their bowel movements. In fact, if you withhold
that information, we can't really help you very well.
Here they are, in detail but translated by me:
The Ten Questions
Your acupuncturist or herbalist not only wants to know these
things, but also actuallyneedsto know many of these things in order
to properly diagnose your condition and begin a treatment plan. If
you have long, clear streams of urine, loose stool, weak knees, a
sore lower back, and feel cold all the time...well, we know what's
going on. No, I'm not going to tell you here. Look it up. Better
yet, visit an acupuncturist!
So, if you're in an AOM clinic, have your thoughts on these
vital topics prepared beforehand. Otherwise, you might be so thrown
off guard by some of the Ten Questions that you can't formulate
sentences. That's actually fine, because none of the 10 questions
directly correlate to grammar skill level. Thank goodness, right?
However, if you find yourself in the office of an MD, keep in mind
that you might not want to just jump right in with details about
where you are in your menstrual cycle and how gassy you've been, if
your chief complaint is seasonal allergies. Just a tip, from me to
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