Category Archives: Live Event

Yuan Qi Acupuncture – Poney Chiang & Suzanne Robidoux

 

Hi, good afternoon. My name is Poney Chiang. I’m one of your hosts for American Acupuncture’s live Facebook podcast show today. My special guest is Suzanne Robidoux, who is joining us all the way from Nanjing China. Dr. Susan Robidoux has spent over 20 years in China sharing when, after completing her master’s degree in us and, uh, went to China to learn Chinese language and martial arts, but ended up there until today.

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

And, uh, she was holding a five different distinct lineages of Chinese medicine and martial arts. We should continues to teach and practice. Do you have a PhD in nine gene? She practiced at the neurological hospital treating diseases such as major depressive disorders and post-stroke paralysis after completing her PhD. She spent the following year. So the classical medical systems from various Chinese medical masters to learn their techniques. She combines classical acupuncture, classical moxibustion gene Fong, which is the type of classical herbal system with diet, lifestyle and internal arts and teaching. She’s also the author of three different textbooks on acupuncture, Costco, hers, and Bhagwan thank you for joining us today, Suzanne.

Thank you for having me pony.

I would like to, uh, think you have brains today about, uh, a form of, uh, acupuncture to call it UN she acupuncture that I’d been hearing here in ravey views on, um, could you tell us a little about, about it? What is it, um, how is different from our standard TCM type of acupuncture?

Hmm. Yeah, it’d be my pleasure. Um, UNC acupuncture is a, it’s a classical type of acupuncture. Uh it’s based on the teachings of [inaudible] and the teachings of [inaudible] and from these teachings and from the information of [inaudible] and send you a gig, uh, masters simply, um, and other masters in Taiwan build a system, uh, based on using the cheesy that we have the essence T that we have in our dantian and use that she, in order to balance, um, the channels in our bodies in order to remove obstacles, to increase the flow, uh, but also to increase the general, uh, health care of our body. Um, the main goal of, of the system is using 60 points, 60 very specific points. Uh, we have a very specific needling technique as well, that, um, is used on all the points and using this technique, using these very specific points, we’re able to use the essence T to balance the body now by balancing the body, we increase healthcare. Uh, we improve vision improved memory, but most importantly, of course, it’s, it’s mainly used for quick pain relief. So pain relief relief on numbness, um, blockages, and sometimes I’ve used it also for, um, lack of motility of, of limbs, like a trip for trigger finger or frozen shoulder.

Interesting. Um, are there specific type of patient demographic that would best benefit from this or, or certain types of conditions you in your mind you go, Oh, this is something that you mentioned is absolutely going to be a great for or is broadly approvable.

Yes. The, the, the best patients for this technique is patients that are suffering from chronic pain. Uh, it’s good for many things. We also use it for internal organ, um, disorders, but it’s really best to use when people are suffering from chronic pain. Uh, the best is with when people are suffering from chronic pain, that is result of either a surgery or trauma, then you do think the dantian, she will be a lot more effective, a lot quicker. And within one to three treatments, we can get a great hold on that level of pain.

Okay. Um, so I’m understanding that the system has 60 different points and I’m imagining that it’s a complete different than your quote unquote standard acupuncture points, or are they, they overlaps, okay. They’re different. Okay.

Points that overlap, uh, in terms of location. But interestingly enough is that these points are on different channels. Then what the, the classical points that we learn in TCM. So, um, they are completely different than, than our TCM points location.

Yeah. So they’re not, it’s not, uh, you have the 12 Meridian base. These are extra, like extra, extra ordinary points. They’re outside the channel system.

No, actually they are on the channel. So the, our, our system is based, uh, the, it combines the channel theory combines, um, the tendon or muscular system. And, um, the points are on the channels on the same line, but different, um, locations.

Okay. And, um, um, would you be able to share with us like a clinical story or something that’s memorable, maybe perhaps with something that wowed you when you’re first learning this, how did you first hear about this? Something that will help us, uh, appreciate from your personal experience? Um, that was really, really memorable for you?

Um, sure. Um, I think we all learn acupuncture because we like helping people and release their suffering. And, um, what’s great about the system is we’re able to, uh, get a feedback from our patient. And that’s part of the treatment protocol with the system. You, you put one needle and then you wait for the feedback of the patient and that’s what guides you actually to, uh, know how to continue the treatment protocol. And so, um, I can share maybe one, one of the, uh, first case when I first started teaching the system, I was in Denmark and, uh, one of the participants, one of the acupuncturist was there and she volunteered, uh, to receive a treatment. And she had actually gone to learn acupuncture because of her chronic pain and what had happened to her. She went hiking when she was in her teens and her friend.

Uh, she was a very small lady and her friend had fallen on her and her and her backpack crushed her upper back. And since that moment, she had been suffering from a chronic, upper back pain and tension. It, it affected everything. It affected migraines, dizziness, uh, it caused her posture to be, uh, very stiff and abnormal. And through all the treatments she got through all acupuncture school, nothing released this pain. And by, by needling her according to UN she and needling the corresponding channels that were blocked, um, we were, I was able to needle her arm and follow the pain through, and the pain really left, uh, chronologically backwards, according to how the pain evolved in her body. And after five needles on her, um, arm on her lower arm, uh, her pain was completely gone. And so I saw her the day, the next day, and two days later, and her pain was still gone. Um, and when I came back to Denmark to teach the next year, the pain was still gone. So it is always a pleasure to be able to, to practice you. And she, um, patients that are suffering so much for so many years and just release their pain just by their, their energies, balancing the channels, and also engaging that, that lower dantian that we have.

That’s a great story.

It’s a great pleasure.

Um, so I’m hearing that you’re needling, uh, uh, on the arm is UN Xi acupuncture a form of, uh, more of a distal style acupuncture. The, these points are, uh, in the extremities.

That’s right. So the 60 points are on the extremities. However, what we’re using is that she in a low, lower dantian, and so we’re by using this, the Sochi, so a need, um, points below the elbows and the knees, um, is activating the chin, the lower dantian. And if it isn’t, then we have another technique in the lower dantian to, to fortify and activate.

Hmm. Sounds like it’s kind of a very, um, uh, uh, uh, deep rooted system that draws on like the venture level to, to, uh, to enable healing, I guess usually when we need a, would probably just, um, maybe working on the year in a way, not as deep as, uh, as, uh, as the name of the system implies. Um, I think it’s great that it’s a, uh, distal based system. There are obviously certain limitations or some, um, certain patients, um, you know, may or may not be, um, may have access to the torso, right. Uh, bedridden patients or wheelchair patients, you know, and also even like people that practice more and maybe perhaps communities that acupuncture where, um, you know, uh, they are more of a seated. And so, um, access to below the elbows and knees are more practical. So I think this might, might be, uh, um, very palatable to a lot of practitioners out there that, um, that this is consistent with their style of practice. Um, I know this is a very complicated system, uh, when us coming, but it’s a sophisticated system. And, um, um, but do you think it’s possible, there’s some sort of simple things that you might be able to share with us? Uh, like maybe a simple diagnostic or simple palpation, single needling thing, if it’s possible, if it’s not let me know, um, just to maybe let our viewers, uh, experiment with it themselves or try on a patient that’s, they’re having some clinical challenges with, is that something that’s possible to share?

Well, okay. So first I agree completely with you. It’s a system, first of all, that’s very easy to use if you’re using a community acupuncture or if you’re treating, um, paralyzed patients, you’re, you have access to the Bo the limbs of the body, a lot easier than the trunk or the back of the, so it’s very easy to use, and it’s fairly easy to learn since it only takes a few hours, you know, the 60 points. Um, and, and then you’re able to, to practice, once you learn the location, you’re able to practice the depth of the points, um, what I would be able to share. Um, it’s, it’s not that I don’t want to share is just that it’s, it’s really a complete system within itself. And, um, after learning the location, you have to learn the needling technique. And then, then the treatment protocol, which is very important that if you don’t follow the steps, then you might, um, cause further blockage within the patient’s body.

And so, um, what I could learn, what I could speak about is maybe the palpation technique, um, within the system we, for, for the earth points, uh, as we use a lot of the five element points, um, the earth points are always in between, um, the wrists and elbows. And so, and there are a long, uh, the channels. However, the locations of the channel in the classical texts, uh, are really, really close to the bone. And so this needling approach will be a lot about palpating along the area of the bone and developing that sensation or that sensitivity that, that we can develop as acupuncturist, not on the chin level, but also at a, as a channel level and really feel the condition of the channel. And once we can feel the channel on the side of the bone, then we’re able to really power pate where the blockage is. And once that happens, then we know exactly the location of the point. One of the things that my, my teacher always says is if, if we’re not feeling the entrance of the needle before we need, or we can’t needle the point. So basically it, what he meant by that is he, we really need to feel the entrance, uh, within the channel. So the, the fine, um, entry point before we actually use our needles.

Okay. Um, can you talk about, um, like, just give us an example of one point and then describe how describe the technique that would be used for that point. Are there different techniques for different points or, um, or is it a similar technique applied to the 60 points?

Um, the needling technique that we applied to the points is very similar. Um, we must reach the needle tip within the channel, feel the channel cheat, and then, uh, we lift the needle very slightly, give it space. And after that, we turn counter clockwise and counterclockwise, we’ll the flow of the cheek balancing the body, um, in terms of points. Sure. Um, what, what I thought of when you asked that question, as I thought about my brother-in-law, uh, that was suffering from very chronic elbow pain. So the, uh, entrance, so the heart channel, um, at the elbow was, was hurting him so severely that nobody could even palpated. It woke him up at night. It was very severe. And this occurred after a very severe disappointment and separation in his relationship. And, uh, he tried everything to get rid of it, but nothing was, was useful.

And so if we look, um, at this channel for us, the elbow, uh, the map that I have behind me separates the body in the five elements. So our whole body is not only separated in channels. It’s also separated in, in elements. And so as, uh, the elbow is the element of water I needed to reach, uh, on the corresponding channel. Uh, so the heart channel being shalion, uh, the corresponding channel being, um, shall young. So I needed the water point of shall yang on, um, on the opposite side. Uh, and as soon as I needled this pain, he felt a shooting pain down his arm, and I just stimulated the needle. So, um, it’s very close to gallbladder 34 area, but it, it isn’t. So once we learned the location of the points, uh, you’ll know exactly where they are. And as soon as the pain was gone, then that blockage had left through, uh, the heart channel. And, uh, the pain was completely gone. Now, this was about five years ago and the pain hasn’t returned since

Hmm. That’s really useful. Um, and then it’s a great success story. And also for me, I think, I think for the other viewers too, uh, gives us a sense of how you, um, are attempting to balance the energy and the thought process does involve, uh, so that that’s, uh, I think, uh, uh, thirsty people are starting to have a better understanding of, um, the, um, the, the, the process, um, of, uh, of the strategies that acupuncture. Can you tell us, um, how will learning, does wrenches of acupuncture compliment, uh, TCM staff acupuncture, or compliment people that do more to be used to stash score, stab acupuncture would do, is it something that they can super impose? Something they, uh, um, I don’t know, like, uh, sequences, uh, how do you have any thoughts on that?

Yes. Um, this, again, she acupuncture is used, it takes about 10 to 15 minutes, uh, in terms of using these points, we only use about one to five of these points, and afterwards, of course, we can integrate any kind of TCM acupuncture treatment that we would normally do with our patients. And so this, this treatment, we usually do it in the beginning to release that, that acute type of pain or the acute excessive blockage in the body. And afterward, it just makes the TCM treatment more successful or more acceptable and peaceful for the patient. Or we could use it at the end of our treatment when, when we’ve completed our treatment, but there’s still a nagging pain somewhere in the back or, uh, in, in the neck. And then we can use one or two points release that pressure release that blockage, and then the patient goes home without any nagging pain or residual pain. So this system is very well combined with any other acupuncture techniques that, that somebody might do. I always use it with TCM points. I use it with, um, scalp acupuncture and, and even with moxa, it integrates very well. It’s a, it’s a very successful tool to have as an acupuncturist.

Yeah. Sounds, sounds like it’s very versatile. Uh, um, obviously the fact that it’s, uh, in the extremities, um, it wouldn’t, it wouldn’t interfere with, uh, you know, Microsystems on the scalp or on a year and things like that. Um, thank you very much for giving us a little bit of a introduction. Are you, and shacupuncture puncher today. Um, if we want to learn more about your end sheet, are there some resources that you can recommend, Suzanne?

Um, yes. So unfortunately there isn’t any English publication right now, but we do teach the course online regularly. Um, it’s a one weekend course, uh, uh, accredited by, um, NCC, wham. I used to teach it all over the world, but now with COVID, uh, it’s, it’s better taught online that easier for everyone. And of course, there’s these maps that you can get with the locations we spent over a year, really working hard on getting all the specifics, um, for the point location to help people really, um, cause without the point of location, then no one would get results with this system. So these maps are very useful to have in clinic. Um, and then once you, you know, the points and you’ve taken the course, it’s all about practice.

Yes. Can you give us the, uh, the, the web, the name of your website or the name of, um, some online? Um, yes. Yeah,

Yeah. Um, so my website is a Chinesemedicinetraveller.com, a traveler with two L’s and.com. And you can find everything, uh, about the courses online, about the courses in various location that we have done in the past. And of course the charts are available for you. Great. Thank you very much for spending your time with us. And, uh, we definitely look forward to learning more about your entry criteria in the future. It was very nice seeing you again, Poney and thank you for this, uh, this chat. It was very fun. And, uh, looking forward to see you again,

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You got this! Grow your practice now and in the future – Lorne Brown

 

 

Thank you again to the AAC, the American acupuncture Council for having me host To The Point. UMy segment is on practice management. My name is Lorne Brown. I’m a CPA. I’m also a doctor of traditional Chinese medicine. I practice in Canada, Vancouver, BC at Acupuncture Wellness Center. I’m the founder of healthy seminars, previous known as Prodigy seminars.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

I’m the chair of the integrated fertility symposium. And I’m also an author. I have a couple of books out there. The one on practice management is missing the point why acupuncturists fail, what they need to know to succeed. And I enjoy coming on to this segment of the show to share my practice management pearls, because I have both the clinical experience and being a CPA, the knowledge and auditing experience of what it seems to take to, uh, to succeed. Um, our topic today is on, you got this, how you’re going to grow your practice now and for the future. So what I plan to, um, talk about today are the following three things.

Um, my prediction for, um, a future, what’s the future opportunity for Chinese medicine practitioners? I think that’s a lot that’s on our minds a lot. Um, how do I not only survive and, uh, more so how do I thrive now when there’s any other major events happening in life? This has been throughout life. Um, not everybody survived, so there will be what we call casualties. There will be, um, from the practice side, people that will not be practicing. And so my expectation is to help more people, um, make it way, make their way through any change in life. So any type of difficult change in life. So that’s what I’m hoping to share with you today. And not only so you can just survive and get through these challenging potentially challenging times, but also, so you can come out through it, um, thriving and better for it.

So I’m gonna talk, I’m gonna give you my prediction of what I think is happening for the future. What are the future opportunities for the Chinese medicine practitioners? Um, I’m gonna talk about, uh, how you can change just one perception just by changing one perception. You will start to see opportunities that have always been there, but you’re blinded to them. And by changing a certain perception, um, all of a sudden more opportunities will open up to you. And then I I’d like to share a mind hack, um, how to support you in being able to see those opportunities, um, that are available to you, but you’re constantly I’m missing those. So first I’m going to share my predictions. Now when it comes to entrepreneurs and guess what? You are small businesses. If you are practicing on your own or you are a contractor, regardless, you are, um, a small business.

And, um, if you’re going into succeed, we’ll call you an entrepreneur and entrepreneurs, um, tend to look for needs, where are their needs in the world that need to be filled. And then they find ways to fill them. So they look for these needs and then they fill this need by either providing a product or service. And so there is a need in our world right now as well. And my, for the future of Chinese medicine right now, I see it that if you could learn to focus on treating long haulers, um, so post COVID infection or any infection from a pandemic, but in particular long haulers, um, I think you would have a thriving practice and also, wow, what a service to the community, because there are people that ha get infections. We’ve seen this route throughout history, throughout the history of Chinese medicine and throughout our history of us living on this planet.

And now more so with COVID-19 that some people, um, get these latent pathogens in their body and they struggle to get back to normal. And right now it’s very new, but there is evidence and documentation of people. Once they’re no longer infected with the, COVID not showing up positive, they are not back to normal. And some of the symptoms they are experiencing are fatigue, joint, pain, brain fog, and mental health issues. Lots of things that we see already in our practice, that we are probably pretty equipped at supporting and Chinese medicine has an excellent way to deal with these latent pathogens on the way we’ve mapped out the body. We have, we have tools that can support people. And to let you know, I was talking to a dentist friend of mine that teaches in the dental school here in Vancouver at the university of British Columbia.

And I just said, how are dental is doing right now. Are they struggling? Because you know, people are afraid to go to dent what’s going on for your industry. He said, they are busier than ever TMJ jaw pain because of COVID and all the stress and anxiety that people are experiencing. There has been an increase in people clenching and grinding during the day and at night, which is leading to TMJ and other job pain disorders. And so, um, they are very busy treating jaw pain, and I’m apparently I think acupuncture can do a good job at TMJ as well. So, but nobody may not know this. And so this is, um, my prediction for us is post COVID long haulers. So learning to really treat well these long haulers and seeing what the main symptoms are. There is some neurological symptoms, but the most common ones are fatigue, joint pain, brain fog, and mental health issues.

And then just on his own mental health issues, um, people are experiencing and will continue to experience anxiety, feeling depressed and insomnia, um, from the uncertainty in our world. Um, and then taking your practice online, a lot of people are taking their practice more online to offer consults, supplements, verbal acupressure chigong. So having an online component, I think would be a great idea. I do want to let you know that eventually, if you are able to make it through this period of time, you can’t do acupuncture online. And so there will be a need for our service eventually because it’s something that just can’t be done online. So I just want to remind you of that. However, you have to adapt during these times, and this is the time to really, um, get this knowledge and really learn how to treat post viral infections. According to Chinese medicine principles, I would encourage you.

So my prediction is if you want to, if you have a practice that’s not booming. If you’re a new practitioner, if you don’t have a waitlist doing what you do now, um, then now’s the time to start to prepare yourself, um, and get those, um, tools and that knowledge. So you are able to help this population because there is going to be a large population needing this help. So who am I like, how do I have the credibility? Why would you want to listen to me? Do I have the knowledge and experience to share my predictions? And so far, I think I’ve been a good at predicting, um, or going into things that have turned out to be the right prediction. At the time I was told I was crazy and many of them, and I’ll share a few of those. I’m the first Canadian clinic to focus on reproductive health back and around.

I started in 2000 by around 2001. And just so you know, many of you know, that people treat fertility with acupuncture all over the world. It’s common. You see it everywhere in 2001, that wasn’t the case. Just so you know, I think if you and I was on the web with that, if you went on the web and you search, I think two people would come up mainly in the States, Mike Berkley and Randy Lewis, nobody else really had websites, um, or many websites. And definitely not just focusing on fertility, think about it back in that day, back in 2001, um, fertility and your gynecology, Chinese medicine textbooks was under miscellaneous diseases. It didn’t even get its own chapter. So it wasn’t something that you would think if I treat mainly fertility I’d have a busy practice. When I went into treating just fertility, it was a passion of mine.

I saw a need for it. Um, I was told that I’m going to starve to death and not, it’d be crazy because back then people with fertility issues, weren’t seeking out Chinese medicine acupuncture. There wasn’t that policy study that put us on the map. It hadn’t happened yet. So, um, when I decided to do this out of passion and saw a need for this and this niche, um, I was told that, um, it was practiced suicide in you. You’re not going to have a busy practice. And I ended up having to hire many associates because word got around and my practice became so busy that I actually only would treat reproductive health and, um, I couldn’t handle the volume. And so I needed other practitioners and so five or six acupuncture practitioners now and naturopathic physicians and mind massage or in my clinic and acupuncture.

So, um, that one would, I will check off saying, um, it was a good prediction. Um, I’m a CPA. Um, and so, um, I spent years auditing companies. So from that experience I’ve seen, what has, um, why some companies have been successful and why some companies are not successful and don’t survive. And so I bring that, and not only the knowledge of being a CPA, but an experience as being an auditor, I’ve seen how, um, I’ve seen what, what can happen. And I bring this to you as well. When I share this with you. Um, I pioneered online learning with, uh, for Chinese medicine back in the day, it’s around, um, 2007 ish. It was just pro D seminars was the name of the company. It’s now called healthy seminars, but it was protein. Then when I launched it and it was just us in blue poppy that were doing online learning, and I was told that this was a bad idea.

Who’s going to want to learn acupuncture online while you can see now, um, online is everywhere. And people take courses all the time doing online, their doctorate, a doctorate in Chinese medicine, et cetera. So, um, back in 2007 ish, not too long ago, um, more than a decade behind you, but back then I was told that’s not a good idea. And I made that prediction that this is where learning will go. It was feasible, no hat, no planes on have to travel, no taxi. Um, all the people in rural communities, just very easy to access people and to access these great speakers with textbooks. Um, wouldn’t it be great that we can get them online versus having to find them once or twice a year and travel to them. So I, again, it’s obvious now, but it wasn’t obvious when I started out. And again, I was told that would not work.

Um, I launched the integrated fertility supposing in 2015, um, and we sold out five years in a row, 2015, 16, 17, 18, and 19. Now, the reason that was special is the ifs was related only to fertility. So it was a condition specific conference and it was a destination conference for Americans. Now, back when I was planning this in 2014, um, a lot of American conferences were struggling that tendencies was get tendons was getting lower and to put a conference for Americans in Canada had never been done and was not considered a good idea cause they can’t even fill them in the States. And then to pigeonhole, um, fertility conference, they didn’t think it would work well. And many of you have heard of it or attended it. It did very well until 2020 when COVID I’m interrupted would we would have sold out. We were almost sold out and we chose out of health and safety to counsel the conference.

And again, predicting we counseled the conference before conferences were really being counseled or at the adventure being counseled. We did this, um, early on in February just to just, just decided to not risk people’s health and safety. And then, um, three weeks later, um, everything got shut down anyhow. And one more thing for my credibility is I wrote a book called missing the point. So I’ve taken some time to do my research and write a book. So what I would be doing and what I am doing as a practitioner, if you don’t have a waitlist, um, I would be looking into developing your knowledge and your skills. There’s lots of ways to do this. Now, online healthy seminars, we’ve put together some online classes, um, to address mental health issues like anxiety, post traumatic stress disorder. Insomnia is we’ve got lots on there. Um, plus we have some herbal courses by Sharon Weizenbaum and Hein or fruit Hoff, and many more verbal courses.

And then there’s acupuncture. There’s guash awe there’s the acupuncture of the balance method, acupuncture som uh, Korean style acupuncture. There’s many things out there that people are discussing that could help, um, these long haulers. So, um, it’s an opportunity for you now to, um, to address that. And so again, if I was an acupuncturist, starting out two things, I’d be really focusing on how to communicate to people, um, why and how I can help you. Cause you remember there’s a need, but they don’t know you exist. For example, they’re going to their dentist, they have job paying, Oh, jaw dentists. So they go to their dentists. So it’s your role to educate through communication. Some people call that marketing. It is marketing is educating. So educating the public, um, how and why you can help them, um, with the need and the need here is do you have, if you had COVID fatigue, brain fog, you know, lifts up the symptoms, educate them, educate them how Chinese medicine has a long tradition of treating pathogens and viruses where people are struggling afterwards.

So this is not new. And then I would increase my knowledge cause you want to be congruent and have that knowledge. So now it’s a time you’ve been trained to just kind of sharpen that tool and really look to reading journals, textbooks, online courses, um, finding ways that you can get your knowledge to a great level. So you can communicate clearly to your patients and constantly treat them with the tools you have acupuncture. Gwoza herbal medicine. Now I always say, I like Einstein’s quote, make everything as simple as possible, but not simpler. So it’s simple to say the prediction is there’s going to be a lot of long-haul up haulers and there’s an opportunity for the Chinese medicine profession to step in and support these people. There’s going to be there is people now with mental health issues, anxiety, um, feeling depressed and insomnia so that, that there is a need for people to support, um, in a non-pharmacological way to support these people.

But knowing is not enough. So you’re going to need to take action and up your knowledge and get the word out. So again, just hearing this going, Oh, that’s great. Not going to help you. There is effort on your part. So simple, make everything as simple as possible. I’ve given you my prediction. I gave you a little bit of my history just to let you know that I’ve been fairly good at a fairly good track record. And some of you are like, yeah, that’s obvious. Yeah, to me, it’s obvious as well. But for some people they’re still focusing on what they used to do and how they used to treat. And I’m suggesting that things have changed and now you want to adapt and a huge opportunity. If you’re flexible and willing to not do everything the way you used to do it and see that there’s another opportunity available to there is a need out there and you are set to fill that need.

The other thing I said, I want to talk about. I said there three things. I want to talk about how you can change your perception, um, and how this can shift you from living basically from lack and abundance. And it’s a simple concept again. So going with that theme make things as simple as possible, but not simpler. And so the perception is how you look at an opportunity. And so most people look at, um, when they’re going to do something, invest in themselves, they look at the cost and not what the return is, not what it’s going to bring back to them, how they’re going to benefit what we call an accounting return on investment. And of course, I like to use an example of, um, a Jane Littleton course that we offer. Um, cause it’s, it’s not, uh, it’s not the least expensive course.

Not the most expensive course either, but it’s about $500 for her course, 19 hours of continuing education credit. And a lot of people see that as a sticker price and go, Whoa, I’m not going to take that. So just by seeing that price, they’re like, I’m not, I’m not interested. That’s intimidating. Some patients are like that with your services as well, by the way, most people look at the cost. I’m saying, look at the benefit as well, actually more importantly. And so for those that treat infertility and, um, you will know that majority of your patients will come for like 24 visits, maybe 12, because as you learn in Jane Little sins course, and other fertility courses, it’s recommended to treat on average three months, um, twice a week for acupuncture. And if you can explain why and my patients, most of them come in twice a week at the beginning, and then if they need maintenance afterwards, so minimum of 12 to 24 patients.

So if you’re looking at the return on investment, how many patients do you need to see to kind of break even right? If I’m going to spend $500. So if you are charging $90 a visit, now I know some of you would charge many more in the fertility world for that. And many of you charge much less. I just chose that number. If you’re charging 90 U S or Canadian dollars and whatever it is in your currency, um, because we’re using the currency 500 a us dollar, so let’s call it 90 us dollars. How many patients do you need to see? Well, the mass says once you’ve had six visits, so one patient, because one patient will come 12 to 24 times, once six visits happen at $90, you are actually now profitable. Those six visits have now covered the cost of the course. Plus you’re profitable.

I share this as an example, because if I had to see 10,000 patients or 10,000 visits to pay for that, I may wonder whether that’s a good benefit. Is there a value there, but by taking that course and having confidence to treat infertility, know how often and how often to treat and what to do in those treatments. And I can communicate to that patients, to my patients, just seeing some six visits we’ll pay for it. So that to me is an easy, like right away, which is what I did. And now I carry the course. I went and took Jane’s course right away. It was a no brainer for me, cause I always start my perception. I don’t look at what it costs. I look at what it costs of course, but I’m more interested in what it’s going to benefit me. So for an example, to take another ridiculous example, let’s say you found a course for $25.

Now that’s not too expensive. That’s not a sticker price. That’s going to prevent you from taking a course. It’s $25 and it’s a course to teach you how to do acupuncture on astronauts on the moon. Now, even though it’s cheap, my return on benefit, the return on investment. Hmm. How likely is it that I’m going to get to the moon? Probably not going to happen. And I don’t even know if there’s astronauts hanging out on the moon on a regular basis. So I wouldn’t, even though it’s a low in cost to get into that course for 25 bucks, I probably wouldn’t take it cause that 25 bucks is gone and I’ll never make that $25 back. Cause I’m never going to go into the moon if I take another invest. And this is for anything, you invest in a piece of equipment for your clinic.

When I invested in laser therapy, these are 20, 30, $40,000 lasers. I have, I had to do the math and see how many visits it would take to cover that cost. And how long would that be? Months or years. So what I’m sharing with you is just a change in perception, your patients have the same thing. So they come in and they go, Oh, this is this much. You need to be able to communicate the benefit to your patients so they can decide whether there’s value to spend the time and money to see you to get that benefit. If they don’t get the value, how they’re going to benefit, then it may be difficult for them to part with their money. Just like you find it hard to part with your money. And so that’s why I use that example because you’re going to start to invest in, um, maybe certain products to carry, to treat the long haulers, certain supplements, certain herbal remedies or herbs.

Um, you may need to bring in, um, you may need to take courses, um, to get your knowledge to a certain place. So you can confidently and effectively treat these long haulers. And so when you do this look and marketing, you may start to update your website or brochures. So when you do all this and there’s a cost outlay and you’re like, Oh, I’m already feeling lack right now. I don’t have the money to do it. So how am I going to do this? Think about the investment and how this is going to bring back tenfold to you hopefully or more. Okay. So I just wanted to share that part with you. And then the other part I wanted to share. Um, but I think because of time, I’m going to save it for another date. I’ll come back and I’ll do another day. I wanted to share with you a mind hack.

One of the things I didn’t share with you is that I’m trained to clinical hypnotherapists and I love to do mine hacks, um, basically to get into your operating system. And there’s a really cool one or two mine hacks that are, again, are really simple, that help you see opportunities that are there, but you’re missing it. You know, like there are so many things that are available to the subconscious, sees everything. And when you’re, when you get into a certain, um, whole brain state, I’m an alpha brainwaves, you start to access parts of your brain that aren’t always available to you and certain areas of creativity. They’ve done this with research, that there are certain, um, creative ideas that are there, but you’re missing it. And when you get into this place, you’re able to access them consciously and come up with these cool ideas, you know, think about when you’re the stories you’ve heard, where somebody is focused on a difficult problem.

And then they, um, um, they go decide to take a walk or take a shower or bath. And then all of a sudden the relaxing in a hot, the answer comes to them because they’ve gotten herself into a different state. Well, you can purposely do that. You don’t have to work yourself into a frustration and then leave and get, um, get access through surrender. There’s a way to mind hack that and get into that on a regular easy basis. So I’m going to save that for another session, um, where, how you get into your, how do you hack your mind? So you can see these opportunities that are always available to you, but you’re just missing them. It’s like unlocking that certain level on a video game for those who play video games, it’s there, but you have to be able to unlock it. I’m going to help you unlock that.

So what I wanted to talk about today and just a quick review is what does the future hold for acupuncture profession? I think for those that are going to survive, um, it’s really promising. One is acupuncture, still something people they need to come in person. So if you’re doing GWAS Shaw Twain on massage or acupuncture, that they’re gonna need to go online to get consultation, herbal stuff, and supplements that can be done and diet that can be DOL done online and more, more people will be doing that online, but the physical part of the medicine they need to be in person. And I think there is a need now how to support these long haulers, how to support people that are post viral infected that are experiencing the fatigue, the pain, the neurological symptoms, the brain fog, and then mental health issues from post viral infection, as well as just because you live in the, if you watch the news, if you’re on Facebook, you probably have some form of post traumatic stress disorder and are experiencing some anxiety, depression, insomnia, et cetera.

Um, and so how do you remain attractive for the public to choose you for the healthcare? Well, continue to invest in yourself. You know, there’s an express, there’s an expression. I heard that, um, um, health is not an expense. It’s an investment and the same thing. If you want to be attractive to the public, then invest in yourself and then communicate that value to them. If you don’t communicate, then they don’t know. Just like I mentioned, the job pain people go to dentists. Cause that’s what they think about. However, it’s up to us to educate people that we can treat pain really well, like jaw pain. Okay. So next week on the American acupuncture council, to the point, we’re going to have pony Chong and his normal Radian and integrative acupuncture. I will let you know that Poney Chiang has numerous courses on healthy seminars and they are fantastic.

So definitely check him out at the AAC To The Point. And if you want to study with Poney, you have that opportunity to do that online. You will be blown away. You can check his free previews on healthy summers as well. You’re really unlike them. Definitely check them out on to the point, um, next week. And I look forward to seeing you in the future. Um, you can find out more about me@ healthyseminarsdotcom and mybook is available at missingthepointbook.com. You have to put book in the, um, in the URL, missing the point book.com and the best way to either email or contact me with your questions is through healthyseminars.com. Thank you very much until next time.

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Chondromalacia and Patellofemoral Syndrome: A Jingjin Perspective

 

 

Hello, everyone. Welcome to the American Acupuncture Council podcast. My name is Matt Callison. I’m with my colleague and dear friend, Brian Lau. Hello, welcome. We’re here to talk about Chondromalacia and Patellofemoral Syndrome. A Jingjin Perspective, because this is only 30 minutes. We’re not going to have a lot of time to be extremely thorough, but hopefully the, what we’re going to be talking about in this short presentation will hope to provide content that can be used to enhance the practitioners current treatments for these conditions, and also possibly excite the practitioner to learn more.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

So why don’t we jump right into the information I want to introduce you to Brian is going to get started with, uh, with, uh, a video that we’ve been working very hard on, right? Yeah. Well, first of all, as you can see, there’s a warning screen up. Uh, this video coming up is from a recent dissection. Uh, Matt and I did a

As preparation for the Sports Medicine Acupuncture certification, uh, module three, uh, anatomy, palpation and cadaver lab is the first two days of module three. When we do the program, we usually, well, we always prepare the cadaver specimen beforehand as part of that whole two day experience. Students come in and they’re able to, um, work with the cadaver during the cadaver lab portion of that class. And then that evening we stay after prepare the cadaver for the next day, a different view, different depth, maybe from prone to supine. They come in they’re there. They’re able to see that, uh, prepared specimen the second day as part of the experience for the two day lab. So now with COVID, we’re having a transition to some of the classes being online and webinar-based based. We have an upcoming one in October. So this is one of the videos that we produced for the anatomy palpation cadaver lab coming up in October.

Uh, the experience is a little bit different in some ways I think it’s potentially better because the students get a chance to see some of the dissection, some of the process that we’re doing, but at the same time, they’re not there for the experience live, but there’s, there’s pluses and minuses. So this is a video from the upcoming class. We’re not going to be able to play the entire video, but, um, it’ll supplement the discussion of what we’re doing today, which is on Chondromalacia and Patellofemoral Syndrome. I’m going to go in and play the first part of the video. So there’s a little bit of a, uh, animation to set the stage about how the patella tracks. So you’ll see that coming up in just a moment.

Let me see. Sorry. I didn’t have the video started. It should start in just a second. Now, here it goes. So what’s, you’re seeing there’s patella is not on the bone is set up with a supine position and this is going to highlight the trochlear groove. That’s where the patella tracks, the patella should come in and just a moment, and you’ll see how it sits over this patellar groove of the femur. So the patella tracks during flection and extension along that patellar or trochlear groove, and that’s partly held in place, or at least, um, that movement is, is controlled by the guy wires of the spleen and the stomachs and new channels. And if there’s balance in those channels, well then of course, that’s going to allow the patella to track along that trochlear groove. So a common situation very frequently in clinic when people are having problems with patellar tracking, leading to pain, is the stomach send new channel, especially the lateral quadriceps, the vastus lateralis pulls accessibly and the spleen send you a channel is weak and not doing quite the, the amount of work

Or the load that’s necessary. So what happens is then the spleen fails to lift the patella. Paul’s lateral. We’ll talk more about that as we go through the presentation, I’m going to go back to that place. Let me get back to that moment. And now we’ll see that on the cadaver specimen.

There we go.

This video is showing the quadriceps three of the quadriceps. We’ll be showing the vastest intermediate in a separate video for this video. You see the rectus femoris muscle, the rectus femoris attaches to the patella blends in all the way down to the tibial tuberosity. You’ve got the vastus lateralis attaches to the lateral lip of the femur, attaches to the lateral aspect of the femur blends in with the fibers of the rectus femoris and attaches to the tibial tuberosity. Then you have the vastus medialis, here’s the longitudinal fibers of the vastus medialis and the vastus medialis has oblique fibers. As it comes down, attaches to the medial aspect of the patella blends in with the other quadriceps to attach to the two tuberosity. As we learned in the previous lectures, you have the spleen channel affecting the vastus medialis. You have the stomach channel affecting the vastus lateralis.

We need to have an even pool between these two muscles so that the patella can evenly run evenly, go through the entire trochlear groove, a common imbalance between these muscles between these channels will pull the patella lateral and superior causing condor, Malaysia and patellofemoral syndrome. In other videos, you’ll see lateral retina curriculum needling for that also surround the dragon needle technique around the patella that can help with that condition. The rectus femoris you can see as a bipartite muscle. That means it has a linear Alba. So this Linea Alba runs down the center of the patella with all right, little summary of what we’re looking at, Matt. Yeah. I just want to say something really quick. I’m not quite sure we’re having technical difficulties because on my view, it looks really, really blurred that videos is crystal clear with the resolution that we normally have that was really blurry.

Um, Brian, are you seeing the same thing as a blur on your end to look fine on my end, but it might be that I’m looking at the screen that it’s playing on. Well, maybe it’s my glasses. Let me take a look. Sorry about that. You guys, um, patellofemoral syndrome will frequently present with a lateral glide and or lateral tilting of the patella. This is what we were discussing, how the stomach send you channel that vastus lateralis pulling up on that lateral aspect of the patella and the spleen channel weekends is unable to guide that of the patella. So it starts to tilt as you can see to the lateral side. So this malposition can lead to increased pain and also deterioration of the patellar cartilage, which would be also another name for chondromalacia patella and what’s next or Brian.

So the patellar tracking injuries causing pain can lead to positive valuations, such as with using Clark’s sign. Clark sign is a very good test. It’s a test that causes pain. So you have to make sure that you’re doing it very gently. What you’re doing is you’re forcing the patella actually into that trochlear groove. And if there’s chondral Malaysia, if there’s that sand underneath that patella, then you can only imagine for those people that don’t have it, what that’s going to feel like when you’re actually trying to get that patella to grind against the bone. And that’s what Clark’s sign is. So it’s, it’s a very good test, but you have to use a lot of sensitivity with it, cause it can really hurt the patient quite a bit of that gross feeling. Yeah, it is. Yeah, it is. It’s your purpose, Brian. My take on Eli’s test toss test, uh, Eli’s test and Thomas test will utilize test specifically.

Uh, the, the patient is prone and you’re bringing their heel to their behind and you’re seeing Morris is able to fully lengthen. And if it’s shortened, then what it does is as they get into the extreme of me, flection that shortened rec fem starts to Paul acceptance excessively on the phenomena bone and it drives the nominate bone up. So it’s really simply a test to see if the rec fem is able to folly lengthen. If it’s not, then that indicates an overactive and block short rec fem part of the stomach’s in your channel. And that would be really good information that that would lead you to, um, wanting to reduce tension along the rec fem and along the stomachs and new channel Thomas test test for multiple things. Um, in this context for this lecture, it’s another test that will test for a quadricep length.

So it’s a, it gives you another way of looking at if the quadriceps is a group or overactive, uh, it does also test for so as shortness Elio. So as shortness, another channel send you another lecture, uh, potentially, um, Sartorious shortening part of the spleen sinew channel also kind of less related to the patellar tracking in this case, but it does test for other things, but in our context for today, it’s really about the quadriceps. So these are two excellent tests to test for overactivity in the quadriceps. Eli’s more specifically on the rec fem, um, places suit by patients. So I’ll take this next bullet. Um, as we know, when the leg is extended, it’s easy for the practitioner to move the patella cause it’s mobile. So in this particular test, if we go into knee flection of about 20 or 30 degrees, that adds a little bit of tension that Battelle announced a little bit tighter into that trickle your groove.

Now we can push on the patella from side to side motion. This is a kinder, gentler test and Clark sign. So you may want to use this one test first to see if that’s positive, then you won’t have to use Clark sign. Um, this, this test is actually really reliable, at least for me, uh, next assess the tightness of ladder retina and live in the knee. So place the suit by a patient in a straight leg position with a quadriceps, relax, the practitioner lifts the lateral edge of the patella away from the lateral, from Macondo, a tightness or inability to raise the lateral edge. Approximately 15 degrees indicates a tight lateral retina macula, but of course, you’re going to compare it to that, to the opposite side. So you’re going to palpate the patella and get your thumbs to start working up underneath that lateral edge of the patella, soften the tissue a little bit, take maybe 20, 30 seconds to do it, and then lift that patella. If that patella on that lateral side, doesn’t lift more than 15 degrees. That’s a positive side for that, that stomach send you channel tightening down that lateral retina macula just is a, usually a cold stagnation in that region pulling down on that area. So this is the reason why we have a needle technique going into that region, which also is a moxibustion is also applicable with that. Brian want to say anything or move to the next slide?

I’ll just add a little quick something. Uh, so these are all of course Western orthopedic tests, but since we’re looking at it from the perspective of the sinew channels, all of these to some extent are channel tests also. So, um, this test testing for the lateral retina curriculum in the video coming up, you’ll see how that lateral retina baculum is part of and continuous with the deep fascia of the thigh and how the stomach’s in new channel polling excessively through, especially the vastus lateralis can add extra tension into that lateral reticulum. So it’s part of a continuous chain from the thigh into the knee. So when you’re testing that you’re testing the stomach, as Matt mentioned, you’re testing the stomach’s in your channel. So you’re getting a little bit of a window into the stomach GI. So depending on what other signs and symptoms you found from your evaluation in this case, your TCM evaluation, you can put that information, uh, along with what you’re finding with this more palpation and the assessment of the knee. You know, maybe the person has acid reflux or some other, you know, rebellious stomach GI signs. And you’re feeling that excessive tightness on the vastus lateralis you’re lifting the Batalla, the Batalla doesn’t pull and doesn’t move away from that lateral surface. So well, so it’s pulled lateral. So that would all start to paint a picture both from a local orthopedic standpoint, but also from the whole body holistic approach from TCM. Good to put them two together.

Yeah, totally agree that that’s the lesson. I think we learned in first year of acupuncture school, how the meridians, the channels are connected to the organs and when you’re really looking for that, you can find that you’re absolutely right. Brian, a lot of that with the gallbladder channel as well. Sure. Cool. All right, well let’s keep moving. All right. So this is the needle technique using two, three inch needles going through the retina baculum, um, this is a needle technique that you want to make sure that it travels just underneath the subcutaneous fascia, the subcutaneous adipose layer, and just scraping along that lateral [inaudible] for many patients, if you start to angle oblique with this needle technique, it’s going to hurt very bad. So this is a needle technique that you want to practice on somebody that can handle needle stimulation. Don’t try this on a patient for the first time.

If you practice this needle technique, first, if you go too deep, it’s going to cause a lot of pain. If you, if you have that needle ride between the superficial fascia and the deep fascia, just underneath the adipose and before the muscle layer and the retina and that joint capsule just slide it right along that practice. At first two needle side by side work really well and moxibustion, or electricity can work that blue.is stomach 36. So what you’re doing is you’re aiming those needles towards, so at 36, yeah. And the, uh, the two needles. Now you might’ve said this, but I didn’t hear it myself. Uh, those are three inch needles that are better, um, shown there. And you’ll see that actually in the next cadaver video. So right now you can kind of look through the skin and picture it, but pretty soon you want to have the picture and you’ll be able to see it a little bit more clearly in terms of what the target tissue is.

Right. I don’t know if you wanted to mention anything or maybe it’s just simply saying that that surgical techniques are to, to release this lateral retina macula, which is kind of an extreme version, but this is the same tissue that, uh, the needles are working with the soften and release that ladder. [inaudible] in a way that doesn’t, uh, what’s better to not have to go under the knife if you can. So this is a, uh, a really an excellent technique that would, um, kind of parallel, I guess, some of the more aggressive surgical techniques. And it’d be part of a comprehensive picture of the other needles being used in this whole treatment and myofascial work and exercises and stretching. And even guash is, it’s a tissue that is pliable. You can get it to stretch. Um, it just takes some time to be able to do it, but absolutely you can get really good results with this and the myofascial techniques and yet everything else that we do.

Alright, so surround the dragon needle technique. We’re going to be seeing this in the video, coming up on a cadaver specimen, usually seven needles. You’re just going around the patella itself. Your goal is trying to get underneath that Battelle. It’s a way of getting the retina macular tissue, that tissue all around that patella to actually communicate and loosen up as much as possible, but you can use Eastham on those needles, or you can also use moxa with it. These needles will be in addition to other spleen and stomach CGU channel dysfunction. And of course we’re treating the foot and the hip, anytime that there’s a deep problem buts that’s for a conversation for another day. Yeah, yeah. Those are one and a half inch needles. So you’re not trying to drive the needle as far as you can, under the Batalla. You’re just trying to get, uh, get the needle in the space between the patella and that the trochlear groove basically to also, you know, work on some of that fixed pain side of, of where there’s a degeneration of that, the patella cartilage, right? So we are ready to look back at the cadaver image. I’m going to cue it up to the point that we’ll take it from there. So we’ll see those needle techniques on a cadaver prepared cadaver specimen. So that’ll give us a little better view, especially the red Nakheel and you’ll be able to directly see that tissue. So again, if you’re sensitive to cadaver images, then maybe you look away for this portion. But, um, I think it’s, uh, all of us being medical professionals, it should be fine.

So let me queue it up. Give me just a moment. There we go. The lateral and medial retina baculum of the knee are part of the stomach and spleen sinew channels. Respectively here, we see an acupuncture needle inserted into the lateral retina curriculum. We teach a technique and assessment and treatment to address this target tissue. This is a surround the dragon needle technique for the patella uses for condor Malaysia, patella, we’ll be using seven needles going around the patella. The first two needles will be on the lateral side would be the first one. The second one will be on the medial side, located halfway between the superior pole and the inferior pole. The goal is to get the needle underneath the patella, as far as possible.

Each one of these needles is directed toward the underside of the patella. This needle technique is performed when the leg is, has knee extension, not a pillow underneath it all, but knee extension flat on the table, you can also apply electrical stimulation on this, or you can also do direct from ox or right onto the patella. Brian, can you freeze that for a second? Here? We can get a better before the MFR. Yeah, yeah, that’s good. Is it on the, uh, surround the dragon? Uh, I’ll get it back there. Alright. Okay guys. Um, so let me just discuss this. So the needles that you have going from, uh, the two inferior needles, I think you probably have already figured that out one is going into the medial. She on the other one is going into the lateral Sheehan or stomach 35, the needles that are on the medial and lateral side, those are inserted halfway between the superior border and the inferior border of the patella, lifting that patella up to the side and inserting the needle under you do that on medial lateral sides. The remaining three needles, two of them will be on the superior medial border. I’m sorry. One will be on the superior medial border and the other one will be on a superior lateral border. Again, the intention to go underneath the patella, the last needle at extra point, Hadeen going underneath or going through the tendon and underneath the patella there. Hopefully that was helpful.

All right. So we’ll play then and look at the myofascial techniques that can be used afterwards. These are working also directly with retina curriculum.

Okay.

Oops. Sorry about that. Hold that back. Ah, why is that? There it goes.

Alright. So we’re going to be seeing now manufacturer release technique, moving there

Better look at these fibers tissue structures with stabilize the patella, the hands are mobilizing the retina macula on each side to show their influence on the position of the patella.

So you can see how that lateral superior allowed a border. The patella is now straighter.

Now with the superficial fascia removed, we can see how these tissues connect to the deep fascia of the thigh and the respect of channels in use.

Can you see doing this myofascia release technique after you’ve done the needling because the needling is changing the tissue density and the force changing the perception, and then you physically use your fingers to move that tissue re encourage them.

Marshall will give a better view of the underlying muscles of these channels and use and their relationship to patellar balance. All right. I shot, right? Yeah. So you got to also see two different depths with the superficial fascia removed. You get a little better view of how continuous that retina macular tissue is on the medial and lateral side with the deep fascia and how the pole from the stomach and spleen channel would also, um, have something to do with, in terms of too much Paul, on the stomach’s in your channel with Paul excessively on that lateral retina baculum so reducing at the, especially the motor point of the vastus lateralis would be helpful along the stomach’s in your channel. And then if there was weakness and an inability at sort of a lessening of Paul on the spleen side, then you could use this, the vastus medialis motor point to help bring cheetah, bring a little bit of tone to that, uh, vastus medialis to compliment the treatment. So those two are working in coordination with each other when they’re imbalanced.

I brought you want to go over that short exercise?

Uh, I think, go ahead, Matt. Matt, why don’t you take that one?

All right. So here we have the, uh, just, uh, you can use a small foam roll or you can use a towel. That’s gonna be rolled up about four inches or so sometimes five or six. And it just depends on the density of that towel. Go ahead and put it underneath the knee. You want to have the patient go ahead and place their fingers over spleen 10 or extra point by Chong, low two or three fingers would be great. You have the person seated just like this and then have them focus on contracting the vastus medialis oblique fibers when they are, when they’re trying to press their knee into the pillow or into the towel. So with knee injuries and patellofemoral syndrome and lots of different knee injuries, the vastus lateralis is going to fire before the vastest media out. So bleak and that’s backward.

Let me say that again. The vastus lateralis will fire before the vastest media, so bleak and in the muscle firing sequence that’s backward. So again, it really supports that stomach gene gen Xs, spleen T deficiency here. So let’s have that have that patient do this exercise after you’ve just treated the stomach and spleen gene gin, and also did your myofascia release. And you’re giving this one exercise just that small protocol can help a lot of patients about all, obviously it depends on how the severity of the injury, but this is really giving you a good little package to be able to start working with these kinds of conditions. Again, emphasize that the patient is getting that bass as media. So bleak fibers to fire before the vastus lateralis, when they’re going into knee extension, right?

Yeah. Just for those who maybe haven’t looked at the anatomy as closely, the vastus medialis, the medial quadriceps, that kind of tear shaped muscle on the medial side of the thigh, um, is a muscle, but the, a VMO, the vastus medialis oblique are the fibers that start as there as the more inferior fibers that, that take more of an oblique direction as they sort of angle towards the patella. So when you get higher up in the muscle, the fibers are a little bit more straight up and down a little bit more longitudinal, but the lower fibers then start to angle and they’re more oblique. So that’s what the, the abbreviation BMO vastus medialis oblique is same muscle, just the oblique fibers.

Well, Brian, I think that’s our last slide on this conversation, but, um, is there anything else that you want to cover as a closing for this Brian?

Uh, no, no. I can look through some of the, uh, chats. I know there’ll be some questions. I just, again, like distress, I’ve already said it. Matt said it, but, um, you know, a lot of folks who haven’t had a lot of orthopedic, uh, experience as they start to transition more into orthopedic work, uh, for TCM practitioners, it’s very easy to sorta see it as sort of a different world. You know what I mean? It’s, it’s, uh, all of a sudden Western orthopedic tasks, we’re doing Clark sign, we’re doing, uh, Eli’s, we’re doing,

We’re talking about patellar tracking. We’re talking about a lot of very Western type concepts, but the goal, one of, one of our goals, at least in sports medicine acupuncture, is to really bridge those two, those two worlds. So when you’re looking at the, especially this Indian channel relationship, it all is very specific work that we were showing more local work, but it’s part of the big picture. Again, looking at the song, food, looking at the, if we had more time, we could talk about how the hip and the foot position relate to it. And there’s other channel relationships that’ll go with that that are better part of the big picture. So, um, it’s really just taking information you have and applying it in a, in a slightly different context, but don’t lose sight of the information you do have, cause it’s such a powerful medicine to really put together with this more orthopedic approach.

Yeah. Excuse me. I agree. So for the TCM practitioner, all of those different syndromes that have knee pain as a sign and a symptom, that’s something to look at kidney cheat efficiency, kidney inefficiency, liver, cheese stagnation, especially with peasants Ryan problems and medial, knee pain, all of those things apply. So we treat the patient with our TCM diagnosis and then we add this sports medicine on top of it. Yeah. And we’ve been doing this for a while now, so we’re getting pretty good at it. So hopefully you guys can be able to come check out our webinars. We want to thank the American Acupuncture. Do you have something else to add Matt real quick? Okay. I’ll think those guys afterwards, um, the, the surround the patellar needle technique, Matt showed the two, uh, Sean points. Um, so that’s a little bit more of a angling under the patella.

If you go to the YouTube channel for sports medicine acupuncture, there’s also a video that has the knee and much more flection and showing more of a needling more towards the [inaudible] direction to, to access the, um, uh, anterior cruciate ligament or a different direction to access the medial and lateral meniscus. So the reason I’m bringing that up, it’s not really part of this class, but just understand that these same point different needle directions are gonna specifically target different target tissues. So it might help, uh, start to bring it a little bit more into a full picture. If you wanted to check out it’s another cadaver video that you can see on our, uh, uh, YouTube channel. Yeah. And that will also be in our webinar coming up in October. Okay. Now, now you can think, yeah, we want to thank the American acupuncture council very much for having us in this sports acupuncture podcast. You guys thank you for listening. We appreciate you very, very much. Um, next week we have Laura or the American acupuncture council has Lauren Brown coming in to discuss things. So that’s going to be fantastic if you have not heard Lorne Brown speak, um, you should check it out. Lorne is a very incredible practitioner and an academic as well. It’s a really nice blend. Thanks very much. You guys. Thanks, Brian. Really appreciate you. Thank you. See everybody.

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Jing and Cancer – The TCM insights – Yair Maimon

 

 

Hello. My name is Dr. Yair Maimon. Uh, and first of all, I would like to thank the American Acupuncture Council to put up this, uh, presentation and lecture. Uh, I’ve different areas of interest in Chinese medicine. I’ve been practicing for more than 30 years. And one of them is definitely cancer. I’ve been heading also a integrative oncology unit in the biggest hospital in Israel, in the research center.

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And I’ve published many publications on the effect of especially herbal medicine and cancer. So if you have interest, you are welcome to repeat that you can go to my website here. My mother had come or just to go on the internet and search for it. So I’ve been deeply involved in cancer and understanding the [inaudible] significant effect that we find when we do integrity oncology. And when we are using Chinese medicine and this lecture will focus on one of the deepest phenomenons of cancer, which is gene and the cancer, the way we understand and perceive cancer in Chinese medicine, because in Chinese medicine, um, I would put it in a different way.

Cancer is a Western medical diagnosis and disease. So we have to go back to the roots of Chinese medicine to understand cancer. As we know it today in Chinese medicine, and gene really is one of the best way to do it because when we talk about cancer in Western medicine, we talk about something on the side cellular level. We’re talking about a cancer cell. It’s a very specific understanding of mutation of DNA in a cell, and the way cell are growing. So when you look at the Western view, it’s a very cellular view, very DNA based view. And when we look at the Chinese medicine view, we are looking from a different dynamic, and this is what I will try to unfold, kind of to give the core unfolding as far as, uh, the understanding of Chinese medicine and maybe provide those some treatments that we can give example.

So cancer in Western medicine, isn’t uncontrolled growth of abdominus abnormal cells in the body. Normally cell will grow and receive nicely here. And when the cell will be damaged, it will, [inaudible] natural cell death and cell are growing and dying and multiplying in the normal growth rate. I think the cancer, we see this phenomenon of endless a multiplication. They multiply and multiply their ability. They have the normal self to stop growing is hindered. So when we take the larger view in Chinese medicine, we always have to say, I see men being between heaven and earth. Oh, we have to see the movement of cheesy between Shannon Jake. So we also know from the substances in the body, this is three substances that Shan will be the most, and Jean will be the most team. And there is all the time change of yin and yang. And that’s the normal also growth of things.

We have a meeting of two things and then growth. We have a meeting of [inaudible]. We have a meeting of Shannon Jean in order for life to begin, we have a sperm in an oven we have in any meeting and then multiplication of cells up to a human being or any creature starting. So we need the seam, the neon meeting Shen and Jean father, and mother. And we’ll see, because when it comes to cancer, we are, we see something very strange happening at this meeting or this very unique meeting of creation of life. Eh, I’ll give another example kind of slowly put you in, in a certain frame frame, frame of mind, and also in a cell, a liver, we see cells which are very kind of, uh, like STEM cells, which can change into any cell. And we see very differentiated cells. So the less cell is differentiated, like a STEM cell.

It can change into any cell. We can say, we see more Shannon it and less jingling. The more we going to differentiate cells, we see the opposite. We see more gene cells that has a specific role and less shame as humans. Now we are, we are very differentiated from each other when we will go higher. There is less differentiation when we go to the Shen level. But when we look at the, at the gene itself, the gene itself is all the time growing, growing, growing, and slowly declining. So with gene, with time, we had this natural curve of the gene growing and growing, or a person developing, and then going slowly to all the age and dying the same happens also in the cellar level. So when we look at creation, we have to look at Shannon, Jean Green and yang meeting. When we look at development of cells, we have to look at this changes in the gene, which are bounded to one very unique thing, which is time.

So the gene is bounded naturally into time, and then it goes through a natural cycle. So normally we see cell growth and cell death, which are in the same rate. So we see the gene growing and declining, growing and declining, and that’s the normal cell growth in the body. So cell growth and cell death that like in an equilibrium, in an yang is working well. The G having his own natural movement, right? It starts with the Shan, then go through a growth and decline. But when we look at the cancer cells, when we look at the basic idea of, of, uh, of carcinogenic, we see that cell growth is very big comparing to cell. This cell thump something on the gene level is going wrong. Like the cell is multiplying and multiplying and multiplying, and it doesn’t go through its natural cause was time of growing and dying.

And that’s an another thing it knows even to avoid death like normal cells, especially when it’s damaged. It goes into apoptosis, natural Dells and the cancer cells when no one knows how to avoid this process of ptosis. And then it goes into uncontrolled growth. So it avoids the natural cycle of gene. So you see gene here involved in all the level when we are talking about Western medicine, about the way cell multiplies, the way cell growing decline naturally. So in Chinese medicine, we can easily and, and we should be focused on, on the gene level. When we look at it, five substances of the body. So we know Shen is the most young. Then we achieved body fluids, blood, and gene is the most team and cancer in this respect is the most in disease. It’s under depth, also on the cell, it’s on the DMA.

And if we talking DMA deeply, when people are exposed to Western medicine, especially chemotherapy, but also biological medicine and others. And when we look at that, eh, Western medicine and we want to compare it to Chinese medicine, I think the easiest is to look at chemo and chemotherapy because chemotherapy really affects the gene and the mechanism of chemotherapy it’s works on this core DNA, the death of the cell. And it works on the DNA, eh, proliferation. So it really affects the cell, stops it from growing any cell and especially cells in the bone marrow multiplied fast. It affects therefore the book we use, the bone marrow, creating fatigue, early aging, all this sounds a bit like Jane, the longterm effect. Again, it’s chemo. We’ll look at the formation of marrow and you will understand why the facts and patient chemobrain is a phenomenon that patient sometimes for very long time will say that, you know, they can’t concentrate.

The mind is foggy. Their cognitive ability has been reduced. There’s hair loss. Again, especially head hair relates to the kidney fatigue, deep fatigue, affecting fertility and gain the gene and aging, as we said before, and there is a very deep relation to a constitution, okay, because it’s will affect people differently. According to their original gene. When I see different patient coming in, even before chemo, Western medicine, I can many times predict how deep will be the effect of the chemo. And well, we’ll be the recovery and taking into account this preexisting condition. And as we see on a settler lever, the chemotherapy works on the DNA on the very deepest, deepest, the most [inaudible] as we talk about gene of the cell. And we already said before that the chemotherapy reduces the DJing and mostly effect a lot of also biological and other drugs, which are using cancer will affect.

And we can the gene. And that’s why we see this reduction in white and red blood cells and all the other, um, things that we mentioned all will relate to this gene weakness. And, um, another deep aspect in cancer is that we see that cancer is coming up showing more at the times where the gene is changing. So again, it will be around ages, you know, 40 to 49, 50 or, or later. But if you look at the patient’s history, you will see that it relates to changes in Jake. And it has many ramifications, uh, but it’s very interesting to observe it and definitely hormonal changes and cancers that relates to hormones like breast cancer, prostate cancer, because they’re all home or monitor or biological clock relates to gene. And when, eh, and you can see also that a lot of the treatments relates to hormones and eventually will affect extra Marina, like Chong, my rent, which relates to the gym and later, and we want also to help people to recover from, from treatments.

Then we want to replenish life, replenish the gene, replenish the bone marrow. So as you see, the more we are going deeper into understanding the side effects and effects of cancer. The more the gene is, is the key things to discuss. When we look at the marrow in Chinese medicine, marrow suede is a very specific, uh, substance. It relates to the gene, it’s already his gene. It then now wishes and build the bone marrow, the spine and the brain. And, um, the bones are the Fu organ of the mirror that’s already in so and 17. So there is a close relationship between marrow in bones, and it’s quite amazing. The Chinese already more than 2000 years ago, see the relationship between kidney bone marrow production of blood things that actually in Western science, just our recent discovery. And, uh, as you know, the bone marrow produces a different type of STEM cells.

Uh, and while the bone marrow STEM cells will produce either white blood cells or red blood cells or platelets, but they’re all coming from a very deep understanding of STEM cell. So, so bone marrow in Chinese medicine relates very much to the kidney and kidney, gene and kidney gene is, as I said before, the root of our discussion here, when we are a going into understanding the gene, we will talk about extra meridians in Chinese medicine, the teaching by my, the teaching, by my, our, the root of, uh, the body and the body development. So, uh, looking at the level of the development of life, we are going to understanding and unfolding the extreme regions. And as we know, the three meridians that are starting in life are they do the rent and the Chong, they’re all starting in the kidney and the merging from the kidney and building the basic foundation of the body.

And also in Chinese medicine are very much related to do my will treat it many times in brain cancers. The ran my eye, many gynecological in recovery from the deep effect of cancer and the Chung by, and others will relate to replenishing bone marrow. This is by the way now, the way that we use extra Meridian and their function in a indifferent cancer condition, like for, uh, treating brain and, and, and, and brain problems, we’ll use the Dumas, the [inaudible] for the uterus. We can use more chunk rent or die for marrow Chung, buy and rent. And for bone and bone problems, we’ll use the Chong rain, or in way, it’s all unfolded the deeper we understand cancer and this extra Meridian. And later I’ll try to give an example of how I use it in the clinic. So some regions are very much related to a development of life and later to cancer that is related to embryological development and the changes of seven and eight years.

As I say that a lot of time can be when cancer will come up, they relate to fertility and growth. And that’s why, as I say before, a lot of time, we need to, when patients are recovering from chemo, we need to support the gene and aid the coming back of the old fertility and, uh, and the very basic vitality of the body. And they’re serving as a reservoir and in cancer and cancer treatments, this reservoir gets empty. So you want to go back to the deepest, vital places in the body and help recover. And they’re related to kidney and Ranchi, and this is how we treat and extra meridians overall are very much to do with creation, regulation, and protection. This is very deep three aspects that are important in the treatment and recovery of cancer. And I would like kind of to maybe end or, or go to the last part, then give a case from the clinic and see how it all applies in the clinic.

This is a patient of mine. She’s a 50 years old female. Uh, she married with two children. She has for many years with metastatic breast cancer. I’ve been following her up for about 15 years. Uh, she’s undergoing anti hormonal treatments. She has night sweats for just one minute. Somebody Israel is under lockdown and I’m, I’ve been, uh, doing this from another place. So I’ll try to finish up early cause I need to leave this place. So she is a anti hormonal treatment and she has night sweat, and therefore she’s treated, I treated her with the rabbi and the different points together with the rent, my in order to help her. And this gives you the idea of how we treat this patient, uh, and how we combine different points. And last point, I wanted to say something about logic this time 10 and large intestine 10 is a point I use a lot to tonify patient.

It’s the Susan, the point of the, so it can be utilized to strengthen the Angie and, uh, it’s on the young men Meridian. Very good there. A combination is the three lead points, the large intestine, 10 Ren 11, and stomach 36. Again, if you want to read more and understand more, uh, I had few lectures that the same Academy on that topic and there in order to learn about cancer in a, in a more kind of deeper way, I always say it’s combination of Western medicine, understanding Chinese medicine. And we have now a lot of research to support us. So to kind of finish up it’s to do with, uh, life generally and cancer, uh, to do with, uh, the combination of gene and Shen of fire and water gene more relates to the G and the wisdom and the transformation of prenatal life and growing and Shen more to the communication and inspiration.

And this is eventually how we also promote learning in Chinese medicine. So gene relates more to wisdom and personnel transformation. And when we talk about chin, we relates more to inspiration, healing, communication, and connection. So I think when we listen more to the gene, we hear the story of life and transformation. When we listen to the shame, we hear more, the love and inspiration that we need both to keep us on our true path of life. So in this very strange time, when everything is going around, not in the regular way, I wish you all the best of health from Shanta Shan. Thank you. And thank you for watching it all the very best and keep safe.

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The Role of Biofilms in the Induction and Maintenance of Latency (伏)

 

Hi, I’m Virginia Doran hosting another episode for, to the point, generously hosts, hosted and produced by the American Acupuncture Council. Today. My guest is Brandon Horn. He’s going to speak on the role of biofilms in the induction and maintenance of latency and, uh, being that I live in a very chick ridden area.

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I’ve come to learn a lot about biofilms and, uh, certainly they influence other diseases, but I think it will be valuable for you across a host of different conditions that you might be treating. So, uh, Brandon is a real Renaissance man, and, uh, I can’t even really, uh, get into all his, um, bio, but you could go and see that low to center.com. Um, he’s been a senior student of Jeffrey UN for years. He’s has a doctorate of philosophy in classical Chinese medicine, uh, from American university of complimentary medicine in Los Angeles.

Uh, he’s been a licensed acupuncturist since 2000 and, uh, he has many specialties in fertility, rheumatology, pediatrics, uh, he’s published, um, in books and in articles, um, many times and various subjects. And I think it’d be very interesting for you if he has a healthy seminars, uh, course on, uh, optimizing ovarian reserve. And there’s really just so many, uh, things as he’s done, I’d be talking for quite a long time to tell you all that. So without further ado, I would like to introduce Brandon and if I left something important out brand the pizza, let me know. Um, but otherwise I’ll hand it over to you, Brian. Brandon. Okay. You hear me okay? Yes. Okay, great. Um, so thank you, Virginia. Uh, and, uh, just more thank you and the AAC for inviting me to, um, to speak with you today. Um, so, uh, I originally, as you noted, wanted to present some information on code for you guys, but I’m not allowed to, because I was told that Facebook has decided to pull down people’s accounts. If they’re disseminating information about Coda, that’s not from an official source. Uh, at any rate I’ve been presenting a series on latency, uh, at international,

Uh, integrative Chinese medicine conference in Australia. Um, and this, um, uh, these talks are now available@aucm.online, if you want to pursue today’s lecture further. So, um, I’ll get into as much detail as we have time for. Um, but there is a resource available if you want more. So, um, we’re going to talk about biofilms today, which is apparently not on Facebook sensor list, uh, yet, uh, but biofilms are quite fascinating. And really when you begin to study microbiology, I, you start to understand the details of what the, uh, the ancient doctors were observing and what they’ve been describing for millennia.

So, all right. Um, uh, I’m taking slides straight out of, uh, one of the talks that I gave called managing microbial resistance. And again, this is available in full@acm.online, uh, for those who want to hear the full lecture, because biofilms is only one part of the lecture and I had to cut it down a bit to fit within a half an hour. Um, so in that lecture, we’re talking about latency or lurking pathogens as some people call them. Uh, and this is more from the perspective of bacteria in this particular lecture because different pathogens have very different ways in which they form and maintain latency. And also our weight. She responds very differently as well. So from a big picture, bacterial latency perspective, we have, uh, three major players, uh, here. Um, these are the persisters, the persister organisms, the biofilms and the in time microbial resistant organisms.

So these groups of organisms are all on a spectrum of latency, uh, that we’ll look at in the net. But, um, first I’d like to briefly review the origins of latency in Chinese medicine, for those of you who are not necessarily familiar with the concept. Um, so in Chinese, uh, the term we use for latency or for lurking is cool, uh, and this has been popularized or revived in some ways, uh, in TCM from the, uh, from the one thing school, right? But the origins of this concept of latency are much older than that. Uh, the earliest mentions go all the way back to the majoring and chapters three and five of the N, which States that when one is harmed by cold in the winter, one will suffer a warm disease in the spring.

So what that’s saying is that, yeah,

But you really get cold in the winter and then you’ll end up with a one being in the spring. It’s really giving us this concept that, uh, infection and disease are not the same thing, meaning that you can be infected asymptomatically. Um, but that asymptomatic infection does not mean that you’re off the hook, right? So this is important. Uh, it has very important ramifications with disease etiology, and particularly with how we approach diseases. So for example, in another topic that Facebook loves to sensor, we find that these vaccines are designed to induce latency either immediately, which is in the case of live vaccines or upon contact with a pathogen as is the case with most of the other vaccines that we have. And we know for example, that vaccinating, uh, if you take, for example, for testis, uh, that prevents you, assuming that it works, it prevents you from becoming symptomatic with, for testis, but it does not prevent infection with four to tele pertussis.

However, uh, what the nagging is telling us is that you can contract the pathogen asymptomatically, but later on, you’re going to manifest the disease in a different way, right? So pharmaceutical companies, uh, they don’t like to look up for that kind of problem because it rains in on their profit parade. Uh, but fortunately there are a few researchers that have noticed these kinds of problems and published about them, but bad things tend to happen to their careers, uh, at any rate, as they say, trust science, uh, but not necessarily scientists. Alright, I’m done with politics. Uh, the second, the second thing,

An example of that, you know, uh, could you give an example of the, uh, of this latency?

Uh, yeah. I’m going to give you lots of examples. Yeah. So the, you know, we’re going to talk about a whole spectrum of latency in a minute. I have some slides on, so, okay. So, um, anyway, the second thing, uh, that it’s telling us is that, uh, environment is primarily responsible for this change in packaging, from being asymptomatic to transforming into a disease, right? They say, it said, one thing happens in winter. The next thing happens in the spring. This is environment. Um, there are other things here as well in terms of discussing people’s constitution, uh, and things like that. But that’s a little more involved in the uptime for right now. Sorry about that. Uh, the main point here is that Chinese medicine has understood this idea of a hidden pathogen or asymptomatic infection, uh, or subclinical infection, if you want to call it for millennia.

And so in Chinese medicine school refers to any kind of infection that can hide or take on a dormant state, uh, or that can resist being expelled by the body. Now. So this gets to your question here a little bit, or well now from then aging, how we can differentiate different kinds of latencies. There’s latent, cold, latent heat, latent down and Layton wind. And then the one being school added really latent fire. But for this particular lecture, the most important are latent cold, latent heat and latent dam. Um, really latent fire and wind are all under latent heat for young faculty, right. Um, so at any rate to give you some idea of how this is important, uh, within microbiology have a kind of a spectrum of what Chinese medicine really calls a fool. And these are again from Leighton close to Laden heat. And of course in between cold and heat is damn right. We’re yin and yang meat, uh, is damp now, uh, what the spectrum is describing is both phenotypical alterations of the organisms. So this would be a cold pathogen transforming you to like heat pathogen, for example, or it could be describing the environment that the pathogen is in, and these concepts are related, but when we’re discussing biofilms themselves, we’re talking both about the environment of the biofilm, as well as the pathogen mix. Uh, so biofilms as the earth element, uh, contain the entire spectrum from cold, uh, to eat.

So what exactly are biofilms? Well, um, biofilms are basically these kinds of small fortresses. Uh, if you want to think about them, that pathogens build to protect themselves from our way T and to allow them to persist in our bodies without having to worry about the immune system. So basically they are one of the main methods of latency within our bodies. Uh, and in my opinion, this is why sensimilla thought slam was a major part of disease. And he was right. It turns out that up to 60% of all human infections are believed to be caused by biofilms. That’s all human infections. And 80% of bacterial diseases are believed to be caused by biofilms. And when we look at the chemistry of biofilms, how we see that they’re essentially what they are. Is there a matrix of biopolymers that are, as I say, highly hydrated.

So in other words, they’re full of water, right? So polymers are just like, uh, they’re technical, they’re repeating chain of molecules. So it’s kind of like if you take Legos and you just use the Legos to build, you know, the same size and the same pieces to build the kind of more complicated structure, um, that’s essentially what you have. And they’re also again, highly hydrated. And so you see that from a chemistry perspective, these bio polymers that make up the outer coating of the biofilms R and D data, right. But polymers of course, can be very tough substances. So like plantain. So we think of like, so if you think of some polymers, things like PVC is a poem, right? Or even natural polymers, like rubber or hemp and so forth. So they can be very difficult to break down. And one more point here that I want to make is that biofilms are made of our sessile organisms.

And that means that these are organisms that are attached to the biofilm. So when the organisms are swimming around, we call them planktonic. But, um, these are just different phenotypes that the same organism can become and organisms that are in this particular phenotype that we call a sessile state respond very differently to antibiotics and to the immune system, then planktonic organisms do. Um, however, almost all of the literature that you read about with earth, they matter, or this antibiotic or whatever, killing XYZ bacteria, these are done when they’re in new planktonic state and not when they’re in necessitate state. So these may actually have no effect on the organism when it’s expressing assessable phenotype. So for example, in a biofilm, and this is another reason why it’s really hard to kill a biofilm organisms for a candidate.

Okay. So here you have a couple of images of what a biofilms look like a close up, and you can see it, it really is plenty, uh, in some ways. So I like these images because it’s similar to what you can feel impulses, uh, or when you palpate. Right? So a lot of what Jeffrey UN for example, refers to as bands or some of these phlegm modulations that aren’t obviously lymph nodes or something, uh, or these calcification type things, or what Kiko Matsumoto, if any of you follow her cause gummies or crunchies, these are really a lot of times, these are the effects of biofilms on tissue and both Jeffrey and Kiko. I’ll break these down. And they’d like to use moxibustion as well, which we have a slide on the minute Jeffrey, like salsa using WashDOT go doesn’t really use croissant to my knowledge.

Um, so, uh, so we saw that the photograph of the surface of a biofilm, but inside the biofilm, it’s a little different. So inside of a biofilm, we basically have three layers under the surface. So you can think of it as kind of like a three story house or something, right. In some ways. So at the top layer, you have the, uh, it’s full of and blood kind of like, you know, like young men, right. Uh, and then you have the next layer that is high in substrate and low in oxygen. So that’s the shallow young layer. That’s where Dan pathogens that have to use fermentation for energy, right? Because it’s low in oxygen, that’s where there’s a live right in that layer. And then finally you have the third layer, which is low and substrate and low in oxygen. Uh, and this is where you have the persister cells or the, what we call in Chinese medicine, these cold pathogens.

Right. Um, so what you see here is that, uh, w um, you get sort of multiple phenotypically the States within one biofilm. And what that means once again, is that it’s really tough to kill, right? So even if you remove the surface and you expose the bacteria to the immune system or to antibiotics, then the persister cells are still going to survive, and eventually they’re going to become planktonic again, and then they can reinfect you again. And this is why we need to think longterm, you can’t just treat symptomatically. And once the symptomatic, the symptoms are gone, then you stop treating because the pathogen is going to remain latent, and it’s going to pop up somewhere else as a different kind of disease, or it can pop up in the same place as well. So you get rid of, let’s say, you get rid of the person’s knee pain or whatever, but really you just, you know, release pathogen.

And then six months later, it’s growing on the person’s neck or their spine. And then you end up with another kind of disease that you don’t necessarily correlate with that this is really a micro biological reality of divergent channel theory. If you have any of you follow jeopardy, uh, you might have some of the other teachers teaching at divergent channels. Um, so to treat biofilms, uh, we should perse take a look at how they’re formed. Uh, and then we’re going to discuss a little bit of some of the approaches we can use to treat them. So, um, the, with the formation of biofilms, of course, it’s going to first start with, uh, adhesion right at first has to, uh, adhere to a surface. And, um, so, uh, once that happens, then it’s going to attach, uh, and then grow the biofilm on it. So this first stage is really in the CI level, uh, because the initial adhesion is done through electrostatic or vendor walls, uh, interactions, which if you’re not familiar with the band or walls forces, they’re basically like what, you know, geckos use the stick to the ceiling or, or to the wall or something like that.

Um, but yeah, that’s what they use. So at any rate, because this is the cheat level, we can use cheese to prevent adhesion. And so we can really look at things like cheese gong, or like using East them, if you’re not, you know, if you think she goes to esoteric for you use East them, or you can alter the pH various pH altering strategies work, uh, hydration is also very helpful. Uh, all of this can disrupt biofilms from forming. I also have a list of herbs here as well. So things like green tea, which of course they, you know, they use in Chinese restaurants to clean the grease off the glass tables, uh, you know, cause it’s really good at breaking down, uh, you know, dampness, right. Uh, it’s also, um, uh, there’s cranberry, which is popular for preventing UTIs and it also helps prevent the formation of biofilms as well. Um, and also keep in mind, there are different methods that different bacteria use to form biofilms. So these herbs aren’t going to necessarily work on all biofilms, but certainly they do help with many different times.

Okay. So then after, uh, after we have the initial sort of, uh, adhesion then attachment, so once they’re together, then they have to start, uh, binding. Right. So then we start, uh, physically binding, right. Um, so, uh, at any rate, once that happens, then that’s what we consider to be more at the blood level, right? So we need to use herbs because it’s something more structural, more physical. So we need to use herbs that break up blood stagnation or blood spaces to prevent formation at this state or to break things down at this stage. So I just put up, you know, herbs with studies here, but of course you can use the regular wounds. You know, now not applying is, is particularly effective for this space, by the way. Um, but you should be careful with that. Not all finances is actually quite strong.

Um, okay. So once it’s anchored, uh, then the start to collect on it so they can call, uh, we basically call that swarming, right? Everything just starts swarming towards it. And there are some herds listed here that we can use to inhibit the sort of swarming function. Uh, and then as they’re swarming and gathering into a community, uh, then they need to communicate. So this is done towards, uh, by something called forum sensing, which I discuss in detail in the main lecture, but I, here are a list of herbs that interfere with that process. So quorum sensing is also very important when we’re dealing with antibiotic resistant organisms, which are different than biofilms, and these require different strategies than just, you know, dealing with biofilms. So then we have that the, uh, outer coating the EPS, uh, so inhibition of the formation of EPS. So these are some strategies for, uh, breaking down the biopolymer or the phlegm, uh, as we discussed. So again, I know all of, you know, which herbs treat land in Chinese medicine. So I only listed herbs here that has studies on them directly inhibiting, uh, the EPS formation. Uh, but of course you can use other herbs that, you know, uh, deal with phlegm as well.

And finally, after the biofilm is formed, uh, it eventually gets too crowded. And at some point, uh, at bursts open and we call that the dispersal stage. Uh, so it can be stimulated also by environmental factors like extreme temperatures, uh, pH extremes, dietary changes, and so forth. So of course, you know, saunas can cause dispersal as can dietary supplements, uh, and of course verbal medicines can as well. Uh, and so this is one of the prime causes of the so-called, you know, healing crisis, uh, where all of a sudden these latent pathogens get released, and then you need to deal with them. They’re no longer latent. They’re spreading. Again, this is divergent channel theory, where if you’ve studied with Jeffery yang, he talks about how you have two or maybe three approaches when you’re dealing with chronic pathogens. And one is the maintenance, uh, I mean the general approaches one is to maintain latency or induce latency.

And the other is to stimulate the pathogen to come out of latency and then expel it from the body. Now, of course, it’s very difficult to permanently rid yourself of the pathogen, but it can help to reduce the pathogenic load on the body if it’s using too many resources to maintain latency. So you only have so many, uh, you know, jail cells, so to speak. And if you don’t clear out your jail cells, there’s not going to be any room, a room for new criminals that are coming, right. So, you know, I mean, that’s really kind of how it is. So here’s some herbs and so forth here that I’ve listed that can help inhibit dispersal. And some of these actually are counterintuitive because traditionally we’ve used cold to maintain latency, but hearing you see garlic and onions and cinnamon bark, uh, those can inhibit biofilm dispersal.

Of course, you know, these studies keep in mind, these are usually done in vitro, meaning in a test tube or in a Petri dish or something. And, you know, it can behave very differently when it’s in vivo or when it’s in the body. Right? So for me, when I’m trying to inhibit dispersal, which may be, if I know my patient is going into some extreme conditions, or if they are going through something really stressful, or maybe they’re having a current healing crisis, then I don’t use garlic. I’m, you know, I’m recommending things that are cooling and cold. So from here, you can see things like cactus and apples and leafy greens and so forth, things like that. Of course, you know, cinnamon bark you can use in small doses to actually pull things back into latency, but that’s, you know, that’s another discussion in general as a general concept, cooling and cold is what I use. Like [inaudible] soup for those of you who’ve studied some of the classical medicine. Yeah.

Recommend the patient, do things to kind of open the detoxification pathways, something like glutathione or something so that their detoxification of this, of whatever they have, um, makes it easier, a smoother, less cathartic list, you know, uh, Herxheimer reaction at all.

Yeah. So I actually, uh, I don’t go there right away. So this will be sort of an individual thing for each patient, but as a general proposition, it’s, it’s not actually a lot of people like to detoxify. Um, but that’s really, usually not the, in my opinion, that’s not the correct strategy to start with the correct strategy to start with is to make sure that all of your exits are open, right? So you want to make sure that the person’s vowels are moving well. You want to make sure that their urination is going well. They’re able to sweat, you know, these types of things, because you can do as much, you know, detoxification as you want. And that’s just like taking a bathtub and trying to clean it without much water. You know, you just got one without the drain being open, even if you have water, right.

You’re just going to switch it around and it’s not really going to do much. So you first have to make sure that all the exits are going smoothly. So if the person’s constipated or they have dry stools or, you know, these types of things and you need to correct, I recommend correcting that first, anytime you’re doing any of this stuff, um, and then you can get in, or a person needs glue to buy on, or a person needs, whatever. You know, I, I am actually as much as I talk about all this Western stuff, you know, I am at part a on herbalist and acupuncturist first, and that’s always my go to initially and I do functional medicine types of things and types of testing. I do it frequently, but these are things that I do for people where they’re, it’s more remote oftentimes. So I don’t have to check their pulses necessarily, or I can use it also as a, you know, if what I’m doing in the herbal medicine, isn’t working well enough for the person sensitive. So that’s kind of,

I think we’re actually saying the same thing. Yeah. The Goodwill line just opens up the liver so that it can detoxify more smoothly, um, as you know, but anyway, yeah. It’s just interesting to hear your approach.

Yeah, exactly. So you, you can open up the liver, but, but it still has to get out of the body. Right. So that’s all I’m saying is that I would agree to, you know, that this is, you know, you’re assuming step one is done. So, um, so for treatment then biofilms, since that’s this, this slide, we can talk about that a little bit. Um, the approach then. So this is just kind of a general idea of where you first ensure that the body strong enough to handle the breakdown of biofilms and this release of latency, and then next you attack the matrix, right? So after the person’s strong enough, then you go after the matrix of the biofilms and you can use some of the strategies that we talked about that caused biochem this first. So like saunas or jumping into a frozen Lake, or getting beaten by a tree branch.

These are the kind of Russian methods, but at least there’s a sauna at the end. So that’s good. And then finally you need to sort of clear the pathogen out and then loop back to step one until you no longer get symptomatic after step two. So you’re going to keep going through the cycle that as soon as the symptoms over time, they’re going to be less and less as you’re clearing things out. Um, so let’s take a look at the different stages. We’re actually not going to talk much about the first stage because that’s just standard TCM. Pretty much everyone is trained and you know, how you, uh, strengthen the body and blood and made sure that they’re strong enough for this. Um, so then the second thing is that, uh, we’re going to attack the matrix. So other than the, uh, environmental manipulations that I just mentioned, uh, we work primarily with the aid extra channels on this eye and the low channels for this stage.

And really if you’re looking at biofilms, low channels are the primary way to treat these because biofilms, again, as we mentioned, they’re, um, most oftentimes, uh, present as phlegm and his blood stagnation and the channel system that deals with phlegm and blood stagnation on the low channels, right? So you can use a guash Shaw on the bandit areas, or you can use needles and moxa to break that down. Uh, those are also very effective from the, uh, eight extra channel perspective. Uh, we work with young way Maya as the primary channel, and then secondarily, then we can work with [inaudible] ciao. And I guess you need some of that extra power or whatever, then possibly you’ll tap into Duma as well, but it’s more the diet and Yung chow for this. So now, as, as I mentioned moxibustion before, um, so here’s a slide on that.

It’s very useful for breaking down biofilms and there has been research in this area in terms of temperatures, not in terms of moxibustion directly, but in terms of temperatures that biofilms begin to break down with. So then we can look at what temperature the moxa gets up to, right? And this of course is going to also depend on the blend that you’re burning. So you can check the temperatures if you want with those laser thermometers, if you’re a metal type and you need to have those exact numbers, but basically you want the area of the tissue that you’re trying to break down to hit 50 degrees centigrade, which is about 122 degrees Fahrenheit. Um, but for me, I use centigrade for this not to be fancy, but just because it’s easier to remember. Uh, so I use that. So 50 is your target for biofilm breakdown, uh, and 60 is where your skin burns.

So the sweet spot is between 50 and 60 degrees Celsius. And as you can see here, a moxibustion can get you there. Um, but keep in mind that the temperature at the surface of the skin is not the same as the subacute temperature, subcutaneous temperature. Um, so what I find to be the most effective personally is using Chico style of doing direct moxibustion on the needle itself, you know, meaning, meaning that you, you insert the needle and then you’re putting the moxibustion at the border of the needle, uh, and the skin, uh, right. And you put a little burn cream on there for those of you who aren’t familiar with that. And then you do the small rice grain boxes on top and keep going. Um, if you use needle moxa, what happens is it typically is going to cool off too much, uh, by the time it gets to the biofilm, uh, unless you’re using a particularly hot mocks that formula you’re burning it for a particularly long time, then you might be able to get enough there.

Um, so, uh, I’m not going to discuss during the pathogen so much because that’s, you know, there are many ways to do that. I tend to use low channels a lot in these that really the most for clearing and verbally, once these things are active, you can use your standard things. Your Shanghai online formulas are one big strategies, depending on what your, you know, what you’re trying to do at that point. Um, so, uh, here in this slide, um, I just wanted to bring up this a caution that when you release late, I can see it can spread and it can cause widespread problems that can be serious. And as you see here, it can disseminate into the blood, which means that it could cause sepsis, right? If the patient isn’t strong enough to clear it out. So, uh, again, my recommendation is to go slowly, but sometimes, you know, we don’t have a choice because someone gets sick, someone gets a fever and then bang, it starts to pause, disperse a little biofilms.

And these are where you get a lot of secondary bacterial infections to a primary viral infection, like say a cold or flu, or that other thing that shall not be named that some people are taking as it for my son. Uh, so if you’re aware of this, we can employ some of the acupuncture and herbal strategies as a prophylaxis. Um, now, uh, some of the practitioners, particularly natural paths or some functional medicine, practitioners love to use a lot of anti biofilm substances. And I would really caution against being overly aggressive with those, because unless you know how to monitor pulses again, you’re only going to know something is happening otherwise, if the patient’s symptomatic, but these things can spread asymptomatically as well. And then they can go places that are less than ideal, right? Your body put them in a particular place, perhaps on purpose.

And then we, you know, then they can start spreading the places your body didn’t want. So if you check pulses, then you’re much less likely to run into a problem, but if you don’t check pulses, then I think it’s best, uh, personally to err on the side of just moving slower, uh, to release the, uh, latency. So again, these are all, uh, citations to, uh, articles and, uh, uh, in the NCBI. So you can follow up that, yes, fever, induced, biofilms do release a new Macaca. Uh, and this has been shown to result in bacterial dissemination and sepsis, for example. So this is not just Chinese medicine docking. This is also, you know, what’s been confirmed in medical research. I mean, non Chinese medicine, medical research, I personally relied more on Chinese medicine. Vertical research is much more, um, uh, much more accurate, but that’s a whole nother discussion.

So lastly, um, I just want to mention that biofilms are everywhere in our environment or they’re on your showers. They’re already here, they’re all over the place everywhere. I, and also everywhere in our bodies and some of them are actually beneficial. So just like if we take too many phlegm resolving herbs, we can damage our yen. If we remove biofilms too aggressively, we can end up compromising our health rather than helping. Um, so here’s one example of biofilm syrup, the lower jaw that protect the body from other pathogens. So here you see that lactobacillus form may fit protective layer. Uh, the biofilm basically in the email, you’re a genital system that provides protection against bacterial infections and the vaginal cells are completely covered with, uh, healthy biofilms. And that’s a good thing. So I think that’s pretty much it. Uh what’s that, that’s great. Yeah. Okay. Yeah. And so I just want people to know that they can, the full presentation is available talking about the persister organisms, a little more detail on biofilms, but I’m also talking about the antibiotic resistant organisms themselves and how to approach those. Um, that’s available at AUC, um, dot, uh, online, uh, and it’s only three hours, so it’s not like you have to watch it for two years, um, by some of my other ones.

Okay. Well, I want to thank you all for tuning in and next week, the guests will be [inaudible] and, uh, he’s always interesting. And, uh, again, thanks to the American Acupuncture Council, um, Virginia Doran of luminousbeauty.com. And we’ll see again, soon all right. Thank you. Thank you, Brandon.

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3 Key Ways to Drive Patients to your Practice in the New Normal

 

Thank you once again, to the American Acupuncture Council for having me host, the Look to the Point series.

Now my name’s Lorne Brown and I’m a doctor of traditional Chinese medicine in Vancouver, British Columbia, Canada. And I’m also a CPA and that’s how come, I guess I get to wear two hats and, um, be your practice management, uh, support.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

I’ve written a book missing the point why acupuncturists fail and what they need to know to succeed. And, um, today I have, I’m very fortunate today because rather than you get to listen to me, you get to listen to somebody who’s really a force in the field of success. Her name is Tanya Chernova. She is an international speaker. Um, she is the author of undermine an excellent book. I’m removing those subconscious limiting beliefs to your success. The world wellness weekend, Canadian ambassador of the UN to their initiative of creating sustainability. And she is a visionary.

She offers coaching workshops, lectures like today, and she helps companies, practitioners, teams break through their limiting beliefs so they can reach their peak, potential great success, not only help healing their own minds and the minds of their teams, but the minds of the planet. And today I have Tanya in very short notice, would you be willing to come on and share this with my colleagues, my group, and she’s put together a presentation today called three ways to grow your practice in the new normal Tanya, welcome to the, to the point series. And I’m really looking forward to hearing what you have to share with my group.

Thanks so much, Lorne. It’s a pleasure to be here and thanks so much for everyone for tuning in this is such an important time in our lives, not just personally, but of course, professionally, and especially the people that are in the wellness industry. All of us in the wellness industry right now have an opportunity to really redefine who we are for others. So this is the time to really grow your business more than ever. Your business is the one that has to thrive. So if you want, I can just get to the point, right, and start the presentation. So I’ve put together a little bit of information for you. Now, normally we could talk about overcoming your limiting beliefs and things like that, but I do believe in being really practical. So my goal is for everyone to take away at least one significant action item that they’re going to put into practice as soon as they get off this call and see the results rather dramatically.

Okay, it’s really important. Kind of like an acupuncture session. I intend that off the tee, once you get off the table or off the zoom call, you’ll get something that’s really practical and important to the lifeblood of your business. Okay. So three ways to grow revenue in the new normal. The first thing I want to do of course is take a deep breath together so that we can harmonize and get into a place where you’re really receptive and not that subconscious place of resisting because you think, Oh, I just want to do the treatment and not worry about the business, but the business allows you to, it’s really the stage that you perform on. So let’s take a nice deep breath in through your nose and like hello to vibrate your Vegas nerve and release some of that oxytocin. Let’s take another deep breath in through your nose was like, we’re starting summer and there’s no allergies and you’re moving into a fresh field of breath, a great breath of fresh air.

Okay. So now that you’re going to take a deep breath. What I’m going to do is have you continue to do the deep breathing as you cross through the threshold of your comfort zone. Now I, what I love about this time that we’re in and I mean, I don’t have to tell you that with crisis brings opportunity. That’s such a big Maxim that people are talking about right now, but I’ve had the luxury quite frankly, to be in positions of, you know, crisis management consulting. So in 2008, it was my first crisis management, you know, mission that I went to Romania to Russia, to the Ukraine. And L’Oreal actually sent me on that big expedition for their, you know, hair and skin salons out, you know, in the area of beauty and wellness. And what was so dramatic at the time is that we were going through the oil and gas crisis and we saw the wave coming to Eastern Europe.

Who’d already been really thriving in the area of beauty and wellness because that’s such a European based core value. Is that above all else? Health is wealth out there. And what was really important to understand is that that’s when people’s spending and their income just plummeted. And yet still the people that went through my crisis management training out there didn’t only come out, but they came out as market leaders in their industry. And then in 2011, when we had that big real estate crisis in the U S that was so huge. Again, I went out as crisis management consulting all the way through the United States for four straight years, helping them rebuild and reinvent in preparation, not just for what the crisis brought, but for the wave of growth that comes thereafter. And that’s the thing I really want everyone to take away from today.

It’s like, yeah, we are really seeing a change in the way that people are spending. And we’re going to look at that a little bit more, but we have to understand that for every wave that goes through us, there is another aspect of the undertow that can actually take you higher if you can ride it. Okay. So I’m going to show you some ways to do that. Now. I just want to let you know that I’ve been on both ends of the spectrum as a practitioner in the area of wellness, and also having created my own brand of products. There was 11 different products that I created with my mother actually, who is a dermatologist from Russia. She used to create, um, creams that healed gangrene without amputation back then, I mean, she’s just an amazing human being. And, you know, she was the one that really taught me when we were working in the clinic, that it is your absolute obligation and solemn duty to give people what she called home Borg, you know, the things that you’re supposed to do at home once you leave the treatment and the treatment for her was really just the beginning of what was ultimately going to become their better self.

So you’ll look at this thing she’s wrapped in this big face bra and believe it or not, I actually went on the shopping channels around the world. And I grew my business to a million dollars in revenue my very first year. So it’s, it’s important for you to know that I’m, I’m not just speaking literally because I’m passionate about this subject and because I’m so excited for you to grow and succeed and that, because I believe that wellness is the most important thing that we can invest in, but I too have been where you are, and it’s not an easy place when you’re on the inside. And as Lorne mentioned, you know, I’m really passionate about neuroscience and specifically about overcoming self sabotage, having battled it in myself every single day as an entrepreneur. I know exactly what it feels like when you’re just, you know, ladened with procrastination, for the things that you don’t want to do.

And that’s usually because there’s some mindset behind it or a belief that’s driving it. You know, when we look at our business today and what COVID has given us, I mean, I don’t know about you Lorne, but for us, it’s, it’s really a gift. I think for everyone, if you can be in a place where you can receive everything that happens in life as sort of this gift that you unwrap and discover, you know, crisis doesn’t have to break a business, but it does reveal the cracks. That’s really what I’ve learned over all of this crisis management. And, you know, to understand like what those cracks are. It ultimately is in three specific categories that we need to innovate. Okay. And you know, even before I just explained this, I will say one thing. When, when we look back at this whole crisis, doesn’t have to break a business.

And I wanted to show you this, you know, my tank of guppies, I have this tank of guppies that’s here. My son is six years old and we bought this tank of guppies and I had to change the water. And as I started fishing out, all of these guppies, I know this is ridiculous, but, you know, I had to like go from one thing to the other from one tank to the other, cause we were transferring them. And by the morning, two guppies had died. Now, I don’t know if you have children, but that is not a good thing for me. I’m not like mom of the year for killing guppies. And when I looked at this Guppy in small detail, I’m going to tell you honestly, that the most profound quote that I truly live my life on, whether it’s business or personal came straight to the forefront, and I want to share it with you out of all the places I’ve traveled around the world.

And there’s been, you know, humbly over 60 countries where I’ve worked with businesses to help them grow and succeed, as well as these guppies. It’s taught me this, that when Darwin published his work in the origin of species, that it’s his bottom line was this is that in the survival, right? In the survival. It is not the strongest nor the most intelligent that survive, but the ones most adaptive to change. Now, I really want you to take that home because to be honest with you, I’m going to share some things with you. And you’re probably going to be like, Oh yeah, these are great ideas, but you really need to try to embody at least one of them, because I don’t want to see you floating to the top of the tank, like the guppies, right? You people that are on this call right now want to succeed, you’re investing in yourself.

So the least you can do is do the thing that, you know, you need to do, and it will call you forward as I present this information. Okay. So B happy, just keep swimming as Dory says it, right? So the three aspects of business success are mindset. First of all, how do we adapt? So what do we have to adapt inside of the mindset in order for us to grow and succeed? What new skills do we have to embody and what new systems do we need to bring in in order to automate a lot of what is necessary and what’s going to be necessary from us moving forward. Now, one thing I want to share with you is that, you know, we are a human touch business and I’m writing a new book actually now called, um, high touch in a touchless world. So it really examines all of the different businesses that are, that require a high trust, physical touch in a touchless world, because what happens again, if we have this whole people have to, you know, quarantine, et cetera, but not only that people are used to now staying home.

So we have to figure out how to inspire them out of their homes and get back on the table, get back into treatment and get back into life, full living. So it’s really important for us to understand that we can’t just go back to business as usual because the client consumption journey has changed now, just so that I, for sure, don’t forget to give this to you and I’m sure I’ll email it out or post it somewhere. But if you go to Tanya genova.com forward slash COVID-19, I’ve got like a rise and reinvent kit. So it’s for beauty and wellness businesses. And it’s a resource guide that talks about a lot of the tools that you’re going to need, like digital tools and other types of tools in order to make this sort of leap forward. Okay. So this makes things a little bit easier for you.

And I’ll bring this up again at the end. So as we jump into the actual specific points, I want to cover, I’d like you to take a minute and write down and Lorne you to write down a revenue number that you wish to achieve. However, you measure revenue for you and your business, whether it’s per day, per week, per month, per hour, whatever that is. I mean, per month is easier. So I’d like to, I’d like you to write down a, whether it’s top line or bottom line, that’s completely up to you. And even if you could divide it up into new business or new patients and existing patients, okay. New patients and existing patients. Now, if for any reason you ever get to a point where you say, I can’t take on any more patients, because I’m, I’m up to here. That’s when you know, you’re absolutely in a state of flood where you’re like spilling over. And if you don’t actually force the doors to grow, that’s when your business starts to recede and you’re gonna, you know, move into that place. Like they say, you’re not, you’re either growing or kind of shrinking. So we definitely want to continue growing. If you feel like you have no more room for your practice, you can email me and I’ll give you a different set of information, but write down a revenue number that you wish to achieve.

Okay, good circle that number three times. Okay. And then just add a zero to that number. And now you’ll know what I, you know, at least minimum what I want for you. Okay. That’s just like the minimum that I’m challenging you to grow, you know, this year, because you can take advantage of this opportunity now in order to understand where you are coming from. Okay. Where are we coming from when I’m, when I’m looking at someone as a wellness practitioner, as an acupuncturist like you are, first of all, we have to understand that today client spend is, I mean, it has been all of our lives. It’s driven by social values. What do we deem important? And up until now, we deemed important our kids’ education, which we still do. But look at how things have changed. We deemed a lot of, most people will tell you that they will put premium gas in their car, but for some reason, they won’t put premium food on their table.

Right? Most people will tell you that they’re willing to renovate their home, but they’re certainly not willing to renovate their body. Right. It’s up until now. We’ve really taken our health for granted in the North American landscape. Wellness has definitely been on the rise, but where, you know, status at one point was coveted as the most important thing that, you know, status. It’s like, Oh, what’s your job or the car you drive now nobody’s driving. It doesn’t matter. Take Uber. You know what I mean? So now everything’s really changed, but we used to believe that status and status symbols defined our success. Then eventually we moved into a new frame of reference, which was happiness. Like how happy are you? You know, five, seven years ago, an explosion of happiness books went on the market. And even the book that I wrote now, measures success in your JPM or your joy per minute.

But now we’re moving into a new quadrant of status, which is like, what is the definition of what do people envy? What do people look for? What do people say, wow, good for you. I wish I had that. And the number one answer to that is vitality. They are looking at people who are vital. They are vibrant, they are living life. They have the energy to get up, to get out, to cycle, to golf, to whatever it is that they’re doing. And they’re not just having that vitality today. They’re literally banking that vitality into the future and the younger generations, like the, you know, the younger generations now, whether it’s millennials or gen Zed, gen Zed, is even pushing their parents to make better decisions, to take better care of themselves. So now that we even see that vitality is what’s envied, when somebody looks good, like, wow, you are like radiant that I’m telling you, you cannot buy that.

You need to earn that. And that is where we come in. We are the people that are here to help people understand what the journey is for their personal wellness. And one of the things I’ll show you in a minute is something that I talk about called patient leadership or client leadership, depending on what quadrant you’re in. So I just want to talk to you a little bit about what prevents us from moving forward. This is before COVID. Now this isn’t every wellness industry. It doesn’t matter. It’s like, it’s like, we’re born with healer DNA. If you’re a person that wants to go out and help people, sometimes you might fall into this trap or your professionals that work with you. So one of the problems that we have when it comes to helping people make better choices, which means not just seeing them on the table, when they’re reactive to reacting to a pain like, Oh my gosh, my neck hurts.

I need to go see my acupuncturist. I go to see an acupuncturist for my pain too. Right. But it’s like, I wait till I don’t feel well. And then I go to fix it. But in the world of wellness, one of the mind shifts I want you to consider is that we are now moving into a much more proactive society society. And I’m letting you know this. Now. I want you to go out there and look for proof that’s. So I want you to start telling people, people are going to say, so what have you noticed? What have you noticed in your business? I want you to say to them, you know what? I’m noticing that people are taking a much more proactive approach to their health and wellness and they’re coming in well before anything bad happens so that they can align their body and be ready for their best life.

Now, like you need to be the person out there sharing that good news. Okay. So what prevents us from doing that is number one, often professionals in the healing industry, fear being seen as salespeople. It’s like, but I don’t want to sell you anything. You know, come in, you know, what’s good for you. I’ve got all these wonderful things and all these extra things. And if you don’t have extra things to sell them, this is a really important time for you to start thinking about what are the things that you personally rely on to make yourself well every day and what new revenue mix do you need to have on your shelves. But if you fear being seen as a sales person, that is a natural obstacle because you, what sales really is. And Lorne and I talked about this before, is that sales, what’s the active with the act of a purchase, the activist sale and a purchase together is the transfer of trust and enthusiasm.

Yeah. Like the act of I’m buying it, it’s trust and enthusiasm. And you need to know that if they’re already naked on your table, letting needles go into their neck, they trust you. And all you need to do though, is you need to be enthusiastic. But the problem is that whenever you have fear, you just choke right up because it literally just closes your throat. So we were doing that Oxy breathing before, ah, like really relaxing your vocal chords so that you get that oxytocin so that you, it doesn’t even really matter what you’re producing in there. You just have to realize something unless you’re enthusiastic and passionate, don’t wait for them to catch it. It’s gotta be contagious. Right? So spread that. But professionals in our industry often fierce, you know, being seen as salespeople because they don’t want to be untrustworthy, know that everything you’re recommending is for their best interest, not just today, not just to solve a current problem, but so that they can build their body of tomorrow.

And it can house the spirit that will last forever. Okay. So leading the sale is what’s necessary. That’s the next sort of thing. But that’s one of the obstacles we face. Another one is many clinics, especially now offering the same services and brands that are now also sold online, right? With all of these different services available. And it sounds the same, even though you’re very unique and I know you’re unique, the problem is that it, you know, it doesn’t really, people don’t really understand what the actual languages or how to differentiate you. So how to differentiate yourself. That’s a really big obstacle I feel, and that’s easier for you to do because if the first antidote, if the antidote to the first thing was understanding that all sales is, is a transfer of trust and enthusiasm. Once you’ve gained trust, you simply transfer enthusiasm and give them a new value to embody.

Number two is that it’s harder to differentiate your brand and your clinic as a destination. So you need to really dig into what is my wellness philosophy. You know, what is it that I believe in that’s so unique to us as a holistic way of living and offer holistic way of living and a path to vitality and not just services. Okay. And number three, with clinics, offering discounts, that’s, you know, you can’t control it. It becomes harder to attract and retain new patients without falling into that same discount trap. And let’s face it when somebody is in pain in front of you, they’re usually off of work. They’re usually a whole bunch of other stuff is happening at the same time. So it’s definitely very easy to say, look, why don’t you just take everything for free and I’ll help you. And then karma will bless me.

I wish I wish that was abs I’m listen. I’m sure you have a really full karma bank, but really it’s really important that you know, that when a person is struggling, that’s when they need to make that commitment to themselves, quite frankly, and invest the time and the money necessary to make themselves a priority. And if they don’t, their life will continue to speak louder into their life because we know more than anyone, that pain is a messenger. It’s not just a happening. It’s not just an accident. If you’re already connected to the higher source of everything, that’s guiding you in the world. If that’s you then you’ll know that these are, you know, we listen with love to our body’s messages. So it’s really important that we become people who are willing to share that passion and help other people understand and help our patients understand what it really means to listen with love to their body’s messages and prioritize their health now. So what do you think so far, Lorne, do you want to give me a thumbs up? If we’re in a good place,

We’re, we’re in a good place we have about, I think, five minutes, um, before we, we can wrap up and I can chat with you, but I want to reiterate again for everybody listening here is this idea of sales that, you know, you’re not really selling. You’re, you’re transferring trust and enthusiasm. It’s a form of education. And just to remind my colleagues, cause that slide about the fear around looking salesy. Um, this is, you know, you’re not selling them on toxic chemicals, um, things that you don’t have swamp land, you’re selling them, you’re providing them something that’s going to benefit them. There is value there. And now your job is to educate them about the value rather than like you said, premium gas versus premium food is changing the priority. Um, they can have that vitality now. So, uh, I really appreciate what you’re sharing here and please continue on.

Awesome. Thank you so much for sharing that. Okay. So the mindset shift is thinking, okay, I’m not just a service provider, but I’m also a wellness advisor and that’s really necessary because you’re going to start doing more things online as well as on site. And one of the things that, you know, I talk about a lot is embracing client or patient leadership, where you take them by the hand and guide them through, guide them through their path to vitality, to health, wellness, and vitality. So since we’ve got a few minutes left, I’m really excited to say that now that you’re not so worried about sales, I want to give you some psychology behind how sales happens for your consumer, your future patients and your current means. Okay. So there’s three different types of sales that I want you to consider. And then take one thing that you’re going to do away from just this next section.

Okay. So the simplest form of sales is transactional sales. Okay. That’s when your patient or your future, like your basically your future patient knows their need, right? They have a problem. They have a pain, they have poor circulation. They want to get pregnant. They know, they know that they have a need and they’re like, you know what? Acupuncture is where I want to go. The question you have to answer now in terms of your actions is how do you make yourself visible? How do you make yourself accessible? And top of mind, so is your, like how can you make your social media super targeted to the, whatever it is that you are very, very, very good at offering, especially when they know their need. How can you be top of mind? What can you do to be like absolutely there when they need you so that they think of you right away as if it’s like a law of attraction.

And then even if it’s on Instagram or Facebook, the ability to book an appointment, like honestly, the companies right now that have a human being, picking up the phone to say hello, instead of a giant recording, because we’re unlimited staffer COVID um, you will pick up 100% of the patients that hang up the phone on other people. Like you have got to make sure that you are 100% right there when they’re willing to spend the money. The second sale is a little bit longer process. It’s called solution sale. That’s when your patient knows their problem, but they don’t know what they need. Right. They can’t say, Oh, you know what? I love, I need acupuncture. I’ve said that before, because I know what I need. But now somebody might say, Oh, my hips are really sore. My back is really hurting me. My liver I’ve had way too much, you know, wine over the summer break.

I don’t know how to detox. Like they have a problem. Something hurts. Something’s bothering them, but they don’t know that you’re the solution. So now this is all about how well can you articulate the problem that they’re facing? Like, how good are you at saying, you know, are you feeling these pains and aches? You know, and that type of thing, or like that are related to detox. Are you finding yourself with headaches, et cetera. So the more they can go, wow, this person, this professional, this business understands me. And you can share the solution in a very concise way with a clear offer. Then they’ll want to buy it from you. Don’t be mistaking yourself by actually considering helping them consider an offer. But not saying, and from me, it’s like, yeah, you guys, can you take this vitamin? Or you guys can go and do this, or you guys can do it.

No, like from me, you need to take responsibility and get them on the journey and embrace those people yours. Okay. And then consultation of sales. Now that’s the third one. That’s a little bit longer, but this is when your patient doesn’t know their need. They don’t know their problem, but they know their goal. I love these kinds of people there say, you know what? I don’t really know what’s going on with me right now. But what I know is I want to be 65 and you know, touch my toes, climb, Mount Kilimanjaro, whatever the goal is. And that’s why I really always encourage your social media and your marketing and your website to have aspirational photos of people doing great things, because it’s not about just solving a problem. It’s about the aspirational goal of what health gives you. So your ability to uncover this is the key now with your questioning, their most pressing goals.

So it’s not about, where’s your problem. Where’s your pain. It’s about, where’s your goal. At what age do you want to look like, feel like X and let’s put together a treatment plan, a strategy to achieve it, which is why I’m going to recommend that you take at least one half day of your week and start booking consultations or product routine reviews with your patients over Skype or zoom and be goal oriented. Start to transition some of your reactive patients. The ones that have been loyal from reactive. Only when I need to basis into a proactive, I’m going to make a treatment plan. I’m going to prioritize myself because everybody I talked to this year and into the future will say, I want to take better care of myself, but they don’t know where to start. Even that offer to say, let’s get on a zoom call, get your consultation process nailed and have it done.

And the final thing, which you don’t have to necessarily remember, but this is when you’re able to inspire your clients with all of it. Like it’s insight selling. And you have, what’s called an ecosystem, which is what I envisioned for. You. Don’t go, don’t freak out. But normally we have like an onsite visit where they come in and they check in and they go to the treatment. They go to the amenity, they go to the washroom. But I want you to think about the fact that there’s an online journey. So when you think about having a clue, like that’s why it’s, like I said to Lorne, what are they called? They’re called patients, but they’re not going to be patients forever because you’re going to also see them when they’re healthy. So why don’t we give them something else? Why don’t we reinvent the name just a little bit so that we can see that we have a, basically a person that we’re going to take care of from, you know, in a, in an infinite loyalty loop. So from cradle to grave, as we say, right from fertility all the way through, and we really, you know, we really hope that you understand that who you are is so deeply important and that all the work that you do just fuels humanity to be its best because a person who’s in alignment and who’s feeling in harmony with themselves is a person who adds just the most beautiful music to the world. So I want to thank you so much

And yeah, thank you very much. And for those that want to go deeper, um, I have been chatting with Tanya and we’ve had her create a course. So if you want to go and do deeper, um, checkout for her course to release on healthy seminars.com, check out, um, Tonya terranova.com, her website as well for her coaching and speaking, um, her book. And, um, you can also check out, I offer workshops on a regular basis, Lorne brown.com. So lots of resources for you guys. Um, and the take home message here. There’s so many that you shared with us, Tanya, and, and just to remind everybody is there’s a change happening and there’s always change. We can always give it a name, but there’s always something going on in the world that seems, and at a more rapid pace that we’re having these times of uncertainty and the key here is to pivot.

If you want everything to stay the same, then I don’t know. I don’t have great advice for you. It’s kind of like, if you remember blockbusters, we don’t exist anymore. So if you see the environment changing, it does require you to pivot. So there is an opportunity keyword here’s opportunity when things are changing, they may look difficult. We do that deep breath, and then she talked about getting some skills. So there may be things you’re going to add to your repertoire as an acupuncturist that you can do. And there are so many things outside the box that you can do that you can continue to be of service and a value to your community, and therefore you can get paid well to make other people’s lives better for it. And so it can become an enjoyable process. And that was the idea of introducing, introducing new Tanja to the group is to let them know there’s ways to do this.

Um, yes, we’re in change, but guess what? We’re now always in change teams. And it’s our opportunity to pivot, take that deep breath, and this can be a playful, enjoyable process. And it’s really, that’s why I love your book. I’m about changing how you’re going to perceive, interpret what’s happening. And it’s an opportunity. And I see it, many people in our profession are stepping up and doing things for their community and for their colleagues, um, to improve their lives. And so we’re hoping you will step up and do this as well. You the listeners. So I wanted to thank you Tanya again for, for putting this together. And I look forward to your comprehensive course again on healthy seminars.com. If you’re looking for my manifestation workshop, that’s on Lorne brown.com. That’s also where you can access my book, missing the point. Here’s a great book to read. And, um, if you have any last words, I will wrap it up. But do you have any, anything, any last words you want to share with the group?

I mean, I do, first of all, thank you so much for everything that you do and what you’ve contributed to the entire industry. You’re exceptional

And I’m always in awe, the next steps that you’re taking in your life. But I want to share also with everyone, you know what we can call it, change. We can call it disruption. We can call it a lot of things. What it really is, is evolution. This is what the world looks like when it’s working. We are moving forward folks. And the most important thing is to get out of isolation, to get into conversation, to, you know, understand that this is the time where you poke your head out and start listening to all the different tools that are around you, you know, and really think to yourself. What’s the one thing I can do and start with the first small step and then the next small step. And it is like, you mentioned the evolution. It can be uncomfortable. It can be scary. It can be anxiety driven and yet the tools, and then you get to breathe and do these things to make the shifts. All right. I want to thank again, the American Acupuncture Council on for having me host to the point. And I want to remind you to tune in next week because we got your host Virginia drawn back on the AAC to the point. Thank you very much. [].

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