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!
Yes, I said "we." I'm
lumping you all in with me and almost everyone else I know. We're
wimpy. My sister said it best several years ago in a comment about
the "wussification of America." No, I'm not sure how to spell that.
She was speaking about the general wussiness of people these days,
and I'll see that new word and raise it to
another contextual use.
I'm sure you know what I'm talking about. If you have had a baby
in the past 10 years, you've certainly had to explain to a
grandmother (your kid's or otherwise) why baby has to ride in the
car seat for every little trip. "Yes, grandma, I know
we're just riding up the street to the corner store. Yes, she still
needs to be strapped into her car seat. Just because." Grandma
undoubtedly replies, "I never strapped your father into a car seat,
and he lived. He would ride all the way to Florida to visit Aunt
Ida every year and nothing ever happened to him." Then simply to
justify my own wussiness, I make up something about how I'll be
arrested if the police see me with my kid riding on my lap.
Some of you might not be
convinced about the car seats. They're important. Even I strap my
kids into those things just to ride up the street, and I don't
consider myself a huge wussy. Just start extrapolating this theory,
though, and you'll surely jump onto the "wussification of America"
bandwagon. We all drink light beer. Every kid gets a trophy. They
cancel school when it snows. I'm so hot walking the 10 feet from my
air-conditioned car to my air-conditioned office. I have to wait 3
whole seconds for my Facebook page to load on this old phone.
How does this relate to Acupuncture and Oriental Medicine? Well,
the wimps don't leave their wimpiness at the door of the clinic.
That is for sure. I can write this post without fear of offending
anyone, because I, myself, am a needle wuss. That's right. I don't
want to feel the needles. I'll needle you, but don't you
try to needle me.
Clearly I am not alone. Sure, you have a few patients who never
flinch when you insert a needle. They never complain that something
hurts or feels weird. These are the lovely "exception" patients,
and they are few and far between. Most of us recoil in pain -- pain
that is really just an unfulfilled apprehension of pain --
with the insertion of each needle. At first, I liked seeing this
reaction from patients, because it justified my own wimpiness. Now,
though, I've evolved. As I become less wimpy about needling myself
and letting others needle me, I think I subconsciously expect more
of my patients, too.
The people in Nicaragua
never flinched. We would jab those needles right into the sore back
or the tired feet, and the patient would hardly notice. Are
Nicaraguans simply a stronger people than Americans? Probably, but
I didn't stop there. No, what about the Chinese needling? So deep,
so hard, so scary for most Americans. Are they inherently stronger
than us, too? They want to feel that moxa until it burns a
blackened memorial into ST36. I would move to Japan, home of
"shallow needling," to avoid those 6-inch needles I've been told so
much about from the Chinese professors and clinicians.
No, I don't think it's
that Nicaraguans are freakishly strong or that Chinese people are
particularly masochistic. I just think Americans are caught in the
throes of the recent trends towards wussification. Be careful,
don't get hurt; don't let the sunshine get you! I reject
wussification insofar as I legally can, but I am still and will
always be one of the wimpy ones in the clinic when I'm on the
receiving end of that needle business. So, if you're afraid of
needles and therefore have not yet tried acupuncture, this post is
for you. If I can do it, you can do it.
What's the appropriate relationship for doctors to have with
patients? How do you know when it's OK to accept a gift, meet for a
coffee, or call a patient at home? What's the difference between
being empathetic towards a patient's horrific home life and being
taken advantage of by a patient who thinks you are her new best
In a recent "Doctor and Patient Relationship" class with the
talented Dr. Dennis Delfosse, we explored the all-too-common gap
between what patients might be experiencing in life compared to
what we assume their lives are like. The point of the discussion
was that everyone is dealing with something. Maybe you've heard the
saying "Everyone is fighting a battle that you know nothing about,"
and its usual ending, "...so be kind." But are you?
Do you, interns of acupuncture and oriental medicine, treat your
patients as important individuals, worthy of your time and energy?
Have you ever groaned when you discovered that you suddenly have an
"add-on" patient halfway through your shift? Do you dread treating
that "difficult" patient who keeps scheduling with you, stealing
your qi? Are you counting the minutes until your shift in
clinic is over for the day?
Much like the general population of American doctors (of whom
only 54% would choose medicine as their career if they could do it
all over), practitioners of acupuncture and oriental medicine might
find themselves unfulfilled, unchallenged, or unhappy at work from
time to time. How can we refocus, reframe, and recharge ourselves
and our passion for helping patients find balance and wellness? We
must revisit our goals from time to time, remembering why we chose
our respective field in the first place, realizing that our next
step might be in a slightly different direction than we originally
planned. It's OK to change treatment strategies, to move towards a
different specialization, or to study under a different clinician
One way to change your personal energy
dial-back to "Positive" is to remember that the patients, their
oftentimes unfortunate circumstances and their health needs, are
the reasons that we're here. They aren't in the way, they aren't
the reason we can't finish our paperwork, and they aren't the
problem. Helping them is the whole picture. The key is figuring out
how to strike the perfect--or at least, a workable--balance with
each individual patient to optimize their satisfaction and
Do you want to make your patients happy? Start by being happy
Physician Frustration Grows, Income Falls - But a Ray of Hope.
Medscape. Apr 24, 2012. Retrieved 1/18/14 at
• Jabbing Nerves with Needles
• Mission in Nicaragua
To read older blog posts, scroll to the bottom and click the "Older Posts" button.