Archive for the ‘nuts and bolts’ Category

How I got here, and where I am

Monday, October 20th, 2008

I remember the 4, almost 5 years of private practice before Communichi, as such a conflicted time. I went through the process most new graduates can relate to; of laboriously and gloriously shifting “book-learning” into a form of innate understanding of our medicine and what my part was. Honestly, this is a process that continues to be refined as long as we work in our chosen profession. I also had to contend with my unconscious ideas of what a ‘doc’ was acu-or otherwise. Most of which, didn’t really feel native to my sense of self.

So the news that there was a group of acupuncturists (AWB) who were taking their sense of social responsibility, love of adventure, and their unique skill set on the road to NOLA to treat evacuees/first responders…. water/desert, thirsty activist: you get the idea. I was profoundly moved by the work we did there and it successfully shook up all my preconceived ideas about how we as acupuncturists fit into the health world and how we need to present ourselves to be ‘professional’ and ‘respectable’. Back in Seattle, it was frustrating as a relatively newbie in the field, to feel like you were in competition for the few patients that had amazing insurance or the disposable income to pay for our services. It made me feel like I had to be a used car salesman to have a successful practice. How frustrating to love the work, yet have no natural head for business and an absolutely hostile relationship with insurance paperwork. So there I was in New Orleans, realizing anew that there was a whole swath of people who get great benefit from the medicine but who won’t even consider it unless (free and) under extreme conditions. I was re-inspired to love the simplicity of acupuncture, its effectiveness, and the irreverent nature and variety of its practitioners. I definitely had a hard time with reentry after this adventure. I knew there was a way for me to bring my fieldwork experiences into play in my everyday work, but was unclear about how. Then in the AWB forum afterward, someone mentioned the term “‘community acupuncture’ like those folks down in Portland were doing“…with a link! I greedily soaked up what little info they had on their site then saw that the Working Class Acupuncture folks would be at the next NADA conference in AZ! I sat in the front row and apparently turned into a bobble-headed doll. It all rang so true and workable that I just kept nodding and my heart was doing that thing that the Grinch’s does at the end of the Christmas show (expanding almost to bursting!). The rest is kinda history, or at least documented here in the Communichi blog…

There is an element of returning full circle to this story for me because my parents were integral parts of their community and often administered health care in exchange for potatoes, construction work, and many other barters. I grew up with a sense of community responsibility, the dignity inherent in all working people, and belief that making the world a better place is a practical necessity, begun between neighbors, not a lofty, abstract goal.

This work at Communichi has been some of the most rewarding work I have ever been a part of. And what is so amazing about it is that it is my J.O.B. not a once a week side-dish to make the regular job palatable. The number of patients we see every week (94 last week!) means that a substantial number of people are benefiting from acupuncture that wouldn’t otherwise. It also means that my personal skill set, my confidence, and needle technique have improved enormously over the last year.

Tangled Mind

Wednesday, August 6th, 2008

There is an old Chinese saying-which loosely translates to: “Think or don’t think but, if you think, make a decision and take action.” The basis of this core belief is the belief that thought, begun but not transformed into meaningful action, is at the root of all stagnation and dis-ease in the body. And that the converse is also considered true: Even a minute decision can break the cycle of inaction.

Many schools of meditation and spiritual practice seek to give us advice and guidance in how to train and discipline our minds. My spiritual teacher calls our minds “problem-solving, goal-seeking computers.” And there are numerous methods, techniques, and practices taught the world over. Some use dance, music, chanting or repetitive mantra/prayer, and drums to achieve the inner quiet necessary. It can feel confusing to decide what to listen to, where to start. Do I have to drink the kool-aid to get the benefits?

I have had a number of patients recently ask me advice on beginning meditation. How do I get started? What methodology do I adhere to? First, many people don’t realize that one of the ways in which we are unique is how we experience our inner world. Some people are very visual, some just sense energy shifts, light, smell, sound. Any sense may dominate the experience for you, and this doesn’t mean you are more or less talented/advanced – just how you are wired. It is good to discover how you experience this so you don’t spend your time trying to manufacture an experience based on what you think it should be like, rather than what is. And then you may miss what is true, second guessing it as ‘not as advertised’.

Much about meditation is still shrouded in mystery, thought to be some obscure, unattainable goal. I will try to give a few simple tips to help start this journey. Most important is to start out with a great deal of compassion for yourself. This is infinitely more important than what position you sit in or how you pose your hands. For that, just get comfortable and settle in. Seriously, nothing more complicated needed. The practices that utilize certain physical movements or positions to activate the engineering marvel that is our electro-magnetic body are real and profound but not necessary to start out. better to keep it simple and get in the habit first. building blocks, k?

In the moments before we reach a quiet space in our minds, all the uncooked/undigested thoughts and feelings we’ve been busy ducking float into view. This can cause anxiety at first. The temptation is to either stop and start engaging with these thoughts and feelings or run from them entirely. They are often uncomfortable and feel urgent. Unless one of them is telling you that you left the stove on and the house is going to burn, don’t let them derail your goal! Using whatever form/sense works for you, gently swish them to the side to deal with later from a centered and wise place. There is time, and all decisions are better served by coming to them calm.

Using a repetitive sound or mantra is often used to keep the brain busy so you are free to meditate. It is good to keep your focus situated in a given area (the energy centers known as the chakras are helpful here), staying focused on the third eye (the space between the eyes, directly in front of the pineal gland) for example. And breathe. Slowly and deeply breathe. Keeping this up for a gradually expanding length of time does wonders in itself. Ten minutes, 15, 20, 30 minutes. Just like any muscle. you get tired and need to build up the ability to retain a deep level of focus and internal quiet for any length of time. In the beginning, much of the time is going to be spent bouncing thoughts back to their corner and returning to the chosen focal point. Again and again. Don’t get frustrated, I swear it does get easier! After some time, keeping the mind quiet has become familiar and easier and you can move your focus deeper into,”no-thought” and beyond. The next step is in bringing this expansive internal space into your daily life and allowing your internal wisdom to inform your choices and relationships. Far reaching effect, I promise.

CommuniChi at 10 months – Winter Update

Wednesday, November 28th, 2007

Winter is here. Old man winter is at the door and windows, blowing cold air around and stripping autumn’s glory from the trees. His daughters, the snow fairies, are again playing in the mountain hills, weaving a white blanket of tranquility over the forest world.

Room Rennovation this Thursday. And just in the nick of time, CommuniChi is finally having our ancient windows replaced with new double-pane ones! Yahoooo! That’s scheduled to happen tomorrow  – Thursday, November 29. This Friday’s treatments will be conducted in our waiting area as workers will still be wrapping up their renovations to our main treatment room. We’ll move a few recliners around and rearrange things to maximize your comfort and rest.

Apologies to anyone who had cold toes in the past few months. We are working hard to continually create a warm, vibrant community healing space at an affordable price.  With the installation of the new windows, we expect the heat situation to dramatically improve.

Expanded Clinic Hours. In order to serve you even more effectively, beginning December 1, we will be open for appointments 6 days a week as follows:

Mondays: 9-6
Tuesdays: 2-6
Wednesdays: 2-6
Thursdays: 2-6
Fridays: 9-6
Saturdays: 10-2

Thank you to everyone who has spread the word about our clinic, enabling us to grow and serve the community while supporting our families. Note: In order to see the current schedule, you may need to refresh your web browser.

Holiday Hours. We will be posting our holiday hours by mid-December.  Keep checking this blog for further updates.

New Volunteers in the Clinic. Not surprisingly, there is great interest on the part of acupuncture students who would like to learn about community acupuncture. Beginning in January, we plan to expand our clinic observation program with Bastyr University to allow more students to participate. Serena and I are delighted to give back to our profession in this way. We feel that Geanna and Brooke have added greatly to the pool of positive energy in our clinic, while offering us much practical assistance in facilitating the flow of patients. Thank you Geanna and Brooke!

Suggestion Box. We’ve added a suggestion box next to the invisible receptionist at our front desk. We want to hear from you if there is something you think we could be doing better. You can write us a note anonymously. Of course, feel free to talk to us, or send us an email if that works just as well for you.

Healing Ideas. Consider stepping off the consumer merry go-round this Christmas. Give the gift of love. Give to your favorite charity. Serve soup at a homeless shelter. Make something by hand for your family and friends – a simple drawing from crayons or pencils, a batch of cookies. Offer a prayer for the healing of the planet that provides us with air, water, warmth, food, and shelter.  May all beings be healthy and happy.

CommuniChi’s Privacy Policy

Tuesday, October 16th, 2007

CommuniChi

Notice of Privacy Practices

This notice is effective February 1, 2007

This notice tells you:

How CommuniChi may use or disclose your medical information

About your Privacy Rights

About CommuniChi’s commitment and obligation to protect those rights

How to contact us if you have questions or concerns

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

CommuniChi respects your privacy and understands that medical information about you and your health is personal and sensitive. Generally, we are required by law to ensure that medical information that identifies you is kept private.

This notice describes the ways we may use and disclose medical and other personal information about you. It also describes our legal duties and privacy practices with respect to medical information about you and we are required to follow the terms of the notice that are currently in effect.

CommuniChi must follow both federal and state law when using and disclosing your medical information. In cases where both federal and state law give similar protection, CommuniChi generally follows the law that gives greater protection of your rights, or privacy of your medical information. Some examples are laws that provide special protections for medical information about mental health, alcohol and drug abuse, HIV/AIDS, and Sexually Transmitted Disease.

Your medical information may be used or disclosed for:

Treatment. CommuniChi and it associated independent providers may use medical information about you to provide you with medical treatment or services. We may share medical information about you with acupuncture students, or other authorized personnel who are involved in your health care.

Payment. We may use and share medical information about you so that we can collect payment from you for the treatment and services you receive at CommuniChi.

Appointment Reminders. We may contact you by email or phone to remind you that you have an appointment for treatment or medical care with CommuniChi.

Treatment Alternatives. We may tell you about or recommend possible treatment options or alternatives that may be of interest to you.

Health-Related Benefits and Services. We may tell you about health-related benefits, services, or healthcare education classes or health fairs that may be of interest to you.

Individuals Involved in Your Care or Payment for Your Care. We may release or disclose medical information about you to a friend or family member who is involved in your health care, or to someone who helps pay for your care.

As Required By Law. We will disclose medical information about you when required to do so by federal, state or local laws or regulations.

To Avert a Serious Threat to Health or Safety. We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat from materializing.

Military and Veterans. If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.

Workers’ Compensation. We may release medical information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.

Public Health and Safety. We may disclose medical information about you for public health activities. These activities generally include the following:

To prevent or control disease, injury or disability;

To report vital statistics such as births or deaths;

To report suspected abuse, neglect or domestic violence to the appropriate government authority;

To report reactions to medications or problems with products;

To notify people of recalls of products they may be using;

To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.

Health Oversight Activities. We may disclose medical information to a health oversight agency for activities authorized by law such as audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the healthcare system, government programs, and compliance with civil rights laws.

Legal Proceedings. We may disclose medical information about you in the course of any legal proceeding in response to an order of a court or administrative agency and, in certain cases, in response to a subpoena, discovery request, or other lawful process.

Law Enforcement. We may release medical information in certain situations if asked to do so by a law enforcement official:

In response to a court order, subpoena, warrant, summons, or similar process;

To identify or locate a suspect, fugitive, material witness, or missing person;

About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement;

About a death we believe may be the result of criminal conduct;

About criminal conduct which may involve CommuniChi or one of its associated independent providers; and

In emergency circumstances to report a crime; the location of the crime; or the identity, description, and/or location of the victim or person who may have committed the crime.

Your Health Information Rights:

You have the right to:

Request restrictions by asking that we limit the way we use or disclose your medical information for treatment, payment, or healthcare operations. You may also ask that we limit the information we give to someone who is involved in your care, such as a family member or friend. We are not required to agree to your request. If we do agree, we will honor your restriction unless it is an emergency. We ask that you make your request in writing.

Ask that we communicate with you by another means to preserve confidentiality. For example, if you want us to communicate with you at a different address or telephone number, we can usually accommodate your request if it is reasonable. We ask that you make your request in writing.

Request access to, or a copy of, your health information. We will ask that you make your request specific and in writing. We may charge a reasonable fee for the cost of producing and mailing the copies. In certain situations, we may deny your request and will tell you why we are denying it, such as with psychotherapy notes. You may have the right to ask for a review of our denial.

Ask us to amend your health information in our records that you believe is incorrect or incomplete. Your request for amendment must be in writing and provide the reason for your request. In certain cases, we may deny your request. If so, we will notify you in writing. You may respond by filing a written statement of disagreement with us and ask that the statement be included with your health information.

Seek an accounting of who we have shared your information with by asking us in writing for a list. We do not account for disclosures made for treatment, payment, healthcare operations, information provided to you, government functions, and disclosures made prior to February 1, 2007. You may receive one list per year at no charge. If you request another list during the same year, we may charge you a reasonable fee.

Receive a paper copy of this notice. We will offer you a copy of the notice the first time you register or present for treatment or healthcare services at CommuniChi and its associated independent providers. You may request a copy of this notice at any time.

Other Uses of Medical Information:

Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time.

If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission prior to a revocation and that in any event we are required to retain our records of the care that we provided to you.

Changes To This Notice:

We reserve the right to change the terms of this notice at any time. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice at patient registration areas at CommuniChi and on our web site. The notice will contain the effective date at the top of the first page.

Questions or Complaints:

If you have any questions about this notice or your privacy rights, or you wish to file a complaint with CommuniChi, please contact our HIPAA Privacy Officer at 206-860-5009 or write to:

CommuniChi

Attn: Privacy Officer

2524 16th Ave. S. Suite 301

Seattle, WA 98144

If we cannot resolve your concern, you may file a complaint with the Secretary of the Department of Health and Human Services (DHHS). You will not be penalized for filing a complaint.

setting down roots

Wednesday, May 9th, 2007

Hello friends,

I just went to my first Beacon Hill Chamber of Commerce meeting and met a few of the people who have been actively involved in the Beacon Hill business community. I actually got to meet one of the founders (back in 1984!) of the group and learn a bit about its original intent. I was surprised that it was not started as a business building venture alone but intended as further support for the neighborhood. The police had just successfully launched the Neighborhood Watch program and thought it would be good if the businesses also got together and learned to watch each others’ back, work in support and coordination with each other. And to do this, they must know each other. They have been involved in graffiti clean-up, library building and other community enriching projects. While not particularly active at present, they are a conduit to the community and its members. It is exciting to be getting involved in this community at such a critical juncture. Before the rail station is up and running (‘09 projected completion), there is a tension in the air about all the changes coming and how they will impact the community. I want Communichi to be part of nourishing and strengthening this diverse and complex community. I hope that our arrival 2years before the rail is active allows us to be a part of softening and supporting this transition.

I heard many stories about South China, the Chinese restaurant that for 40 years was an anchor for the neighborhood, a community gathering point. It sounds like there is a thirst here for such a place, and maybe in some small way, we can take some of this need on. We won’t serve beer! but we can provide a warm and inclusive place for people to come together and be a part of something positive.