Live! from the AAAOM Conference

As we wrap up this 5 day seminars, I wanted to share some thoughts of the highlights and low-lights of the conference.

Pre-conference:
Classical 5-Element Acupuncture with Judy Worsley
I was excited for this seminar.  I use some of the principle in treatment, but was looking for a deeper understanding of the diagnosis and treatment applications, and who better than to learn from.  To the devotees of 5-Element, Judy is a living first degree relic of their messiah. This was also her first conference and she admitted to reluctance and lack of tech-savvy which should have given the organizers pause.  This could have been a bang-up seminar and for the 5E folks, it probably was, but I left with the same knowledge I came in with.  Well, I did learn a lot about her personal life as lover, wife, and widow of her mentor JR Worsley and about general farming practices in the English countryside.  I was hoping for something along the lines of practical application of theory I had in school, but what I got was a half an hour of education and 7.5 hours of anecdotes and on-going audience questions and testimonials that kept the lecture from getting anywhere.  I now understand why it take 4 years to graduate from a 5E acupuncture program - they just keep feeling (without trying to feel) and never get to the point.  
Ethics with Michael Taromina and Betsy Smith
Ohh there is nothing like hearing horror stories from other well-intended practitioners to make you feel maybe flipping burgers would have been a safer career choice!  In all seriousness, Michael was a passionate, knowledgeable speaker and gave a great presentation on the updated code of ethics, risk-management strategies, and overview of the disciplinary process and how to avoid it.  We all need ethics CEU hours and I would say this was the most engaging and useful one I have ever attended. 

Day One
General Session with AAAOM board and special guest Josephine Briggs
As with most of these, there is a lot of introductions, thank yous, and audience commentary.  The bulk of the session discussed herbal initiatives and the state of research, opinions, and use of CAM in the US.  All very informative, however I still think we should focus our attention on uniform national accreditation title with state licensure, as with nurses, physicians, and PT models, but I have ranted on that score so often I am getting sick of the sound of my own keystrokes.

Every Little Bit Counts: Low Back Pain with Matt Bauer
Matt gave an excellent non-cookbook formula for the treatment of back pain.  Not only did he provide great treatment protocols, he also gave us a quick way to calculate the odds of treatment success.  Despite sounding a bit systematic, he is an intuitive practitioner and is more concerned with feeling the flow of energy than hitting a textbook point.  After his workshop, I learned I need to hunker down more with Medical Qi Gong - I think I am finally old enough to handle it. 

Day Two
Insurance Billing with Sam Collins
Wow.  This was the most useful lecture of the conference and I think my practice is going to move in a new direction in the coming months. One thing I adored about his presentation style was his ability to curtail extended questions and commentary - every minute of the presentation was packed with information and he was able to keep from being de-railed.  He also stayed 45-minutes after class to answer individual questions.  I plan on attending one of his seminars in the future and may even sign-up for the consulting service.  I had been investigating adding insurance to my list of services and this makes the process look at lot less daunting. (My frined who went to the Medications to Worry About seminar reported having a lot of good knowledge - I took a miss on it because my FNP Pharmacology class had me Cytochrome P-450'd out!)

Pain & Electroacupuncture with Lixing Lao
I was torn about taking this one as there was an Healing Upper Jiao seminar at the same time, but since my friend went to it (and loved it), I figured I could use the refresher.  There was a lot of review of literature which of course, appeals to my nursing sensibilities.  He provided clear rational for why we set frequencies at certain levels depending on the condition, distal and proximal point use, and electrode placement.  This was quite low-key and an excellent refresher to reinforce knowledge and competence.

Banquet Dinner with guest speaker Serman Chon
Good dinner, but expensive ($75!) if you did not get it as part of the 4-day seminar package. The speaker talked on the history and development of acupuncture education and law in the US and has done research in this area including personal interviews with many of the pioneers.  I suppose this was supposed to be inspiring, but basically what I got out of it is the entire basis for the educational programs of acupuncture schools in this country originated from 4 hippies in a bathroom.  We also could have had a clinical doctorate as an entry to practice almost from the get-go and it was our own who basically sabotaged it because they did not want to be "like western medicine."  I cold go on about this, but I am going to keep my foot stomping, eye-rolling, and sighing to a minimum - just know I am doing it.

Day Three:
Qi Gong with Jeff Nagal
Awesome way to get the day started - he explained theory in just the right amount and gave a great, balanced practice.  I would love to do a seminar with him, especially in light of the high reviews he received from the Upper Jiao seminar.

Scalp Acupuncture with  Xioatian Shen
This started late due to schedule misprint, but he managed to pack in a lot of great new information in a short periods of time.  Excellent case histories were presented and he was an engaging speaker.  I admit I have a personal prejudice that favors native Chinese educators since that is who I learned from.  There are defiantly some new strategies I will take home with me especially in the area of headaches.

Treating Allergies with Rong Shen Lin
Living in the Ohio valley, allergies are a year-long problem for many people.  It was only natural to sign-on for this  - review to come.

Breast Cancer Studies

It is not worth posting the numerous reports out concerning the effectiveness of acupuncture and the alleviation of side effects in the treatment of breast cancer.  Those of us who practice on patients undergoing chemo know how well it works.  So do the patients.  The interesting (well, typically disturbing) thing is, the amount of people already crying foul at the research design.

A double blind study is not possible in acupuncture research and I am sick of people like "Orac" (a self-described humble surgeon scientist that will not give a real name) calling acupuncture studies worthless because of that fact.  Oriental Medicine cannot be researched in the same way pharmaceuticals can be, but that does not mean all positive outcomes are the result of the placebo effect.  Is is so hard for these folks to conceive that for a different system of medicine there needs to be a different system of research design? 

Speaking of double blind randomized control studies,  I am especially surprised that this latest tirade comes from a surgeon.  You know what surgical techniques  you do when you are in the OR during various -ectomys or -astys or the like.  That is not double blind even though the patient selection may be randomized.  It seems we both have our shortcomings.

Such is the plight.  My latest line for people who say "aren't the results all in your head?" is "if that were case, how is it animals get better with acupuncture?"  I am also fond of pointing out that, other than amputation, everything is in your head.  That sounds more snarky than I like to be. Or should be.

Quick Personal Update

Here is the short version:

I opened my new location in August - I bought it after looking at it or over a year and I can now walk to my office!  My clients love the new space and I am already getting booked up!
I have been teaching at Bellamine all summer and will probably have a full Fall/Spring load
I have been taking a few classes for my NP at Bellarmine that are kicking my tush
I have been traveling like crazy and am going to Albuquerque next week for my husbands art show (yeah!)
I have been ignoring this blog for the 3rd time this year 

Will post something meaningful soon!

In Keeping with the Olympic Spirit

One cannot help hear of the controversies concerning censorship, human rights violations, end environmental nightmares concerning the host city for the 2008 Olympics.  At least we can find humor in some corners.

CHINESE acupuncturist stuck 205 needles into his face, head and body to celebrate Beijing hosting the Olympic games.

Wei Shengchu, attached flags to each needle to represent all the countries participating in the games.
 


He said: “We are used to seeing people with flags painted on their faces so I thought, why not just put them into your head?”
 


The self-taught doctor of traditional Chinese medicine inserted the needles one-by-one while spectators took photos and looked on in wonder.

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Yo Ho-Ho and a Bottle Bao He Wan

When I was younger, I thought working for a cruise line would be an amazing job.  I had actually considered it when I got my RN but did not want to leave my acupuncture practice.  If this becomes a continuing trend, I may have to consider a little working vacation!

LOS ANGELES, July 15 /PRNewswire/ -- Enriching its portfolio of wellness opportunities, Crystal Cruises is introducing onboard acupuncture, along with a menu of Chinese herbs revered for restoring and enhancing health, beauty and longevity. A menu of optional acupuncture treatments, launching this month on Crystal Serenity, focuses on weight loss, pain management, stress reduction, detoxification, smoking cessation, facial rejuvenation and even sea sickness.

"For many, a vacation offers the freedom to try something new," says Thomas Mazloum, senior vice president, hotel operations. "Whether one is just curious or one wants to pursue new treatments, acupuncture complements Crystal's myriad of onboard wellness activities, which have transformed guests into devotees of disciplines like yoga or reflexology or Spinning(R)."

Acupuncture is a technique of inserting and manipulating fine needles into specific points on the body to ease pain and for other therapeutic purposes. According to the World Health Organization and other reputable entities, acupuncture helps relieve aches and pains; stimulate weight loss; alleviate stress; detoxify the body; smoking cessation; seasickness; and anti-aging.

The Crystal acupuncture program includes:

-- Onboard acupuncturist - Nancy Kerastas, Crystal Serenity's licensed acupuncture physician, has been practicing the art since 2002;

-- Menus of Chinese herbs - Includes remedies that reactivate the body's fat-burning process; stabilize blood sugar metabolism; and relieve swollen or immobile joints; and

-- Shipboard seminars - Three to five classes will be held per cruise, discussing acupuncture, Chinese herbal medicine and Feng Shui practices and benefits.

Guests receive pre-session consultations to discuss their conditions and medical histories. Cost is $150 for a 60-minute session and can be booked through Crystal's Feng Shui-designed spa.

Crystal also offers complimentary yoga, Pilates and newly introduced "Tour de Spin" cycling classes, and an exclusive Walk on Water(R) program utilizing weighted vests to increase resistance. The line continues its partnership with the esteemed Cleveland Clinic to feature onboard lectures and seminars with leading medical experts.

In December 2008, and in 2009 both Crystal Symphony and Crystal Serenity host Mind, Body & Spirit theme cruises, focusing on general wellness through classes and discussions with guest instructors in Tai Chi, yoga, Pilates and general fitness.

For additional information and Crystal reservations, please contact a travel agent or call 888-799-4625. Visit the luxury line's website, crystalcruises.com.

CONTACT: Mimi Weisband 310-203-4302

publicrelations@crystalcruises.com

Crystal Cruises

Web site: http://www.crystalcruises.com/

A little acupuncture humor

From The Daily Mash (UK)

ACUPUNCTURE GOOD FOR COVERING BODY IN TINY HOLES, SAYS STUDY

ACUPUNCTURE is extremely effective at making tiny holes all over the body, the biggest ever study of the ancient Chinese remedy has revealed. 

Researchers commissioned by the Acupuncture Society tested the needle-based complementary therapy on 2,000 patients, all of whom reported small holes in their skin after treatment.



The Institute for Studies then gave a control group of 2,000 different patients no acupuncture at all, after which they were examined and found to be entirely hole free.



Report author Henry Brubaker said: "If even one patient given the needle treatment had come back without a hole I might have had my doubts, but this shows that acupuncture works.



"As you can see, when the needle is pushed into the patient’s skin it breaks through the outer layer and so creates a tiny hole. But even after you remove it, the hole remains. Still think it's all in the mind?"

Julian Cook, president of the Acupuncture Society, welcomed the report as a major piece of scientific research and excellent value for money.



He said: "A report came out last week that said acupuncture is no help whatsoever if you are trying to get up the duff. Call that science? What about China?

"Those guys are pumping them out so fast they have laws against it. Ever tried counting them? All you need to do is show a Chinese woman a needle and she’s pregnant. You don’t even need sperm."

Who needs the PDR?

Only a few lines in this piece are about acupuncture, but I thought it was worth posting for the subject matter alone.  The thing they do not mention is that the PDR does not include drugs that are off patent, so it is basically a sales rep disguised as an important looking book.

8 drugs doctors wouldn't take
If your physician would skip these medicines, maybe you should, too
By Morgan Lord

With 3,480 pages of fine print, the Physicians' Desk Reference (a.k.a. PDR) is not a quick read. That's because it contains every iota of information on more than 4,000 prescription medications. Heck, the PDR is medication — a humongous sleeping pill. 

Doctors count on this compendium to help them make smart prescribing decisions — in other words, to choose drugs that will solve their patients' medical problems without creating new ones. Unfortunately, it seems some doctors rarely pull the PDR off the shelf. Or if they do crack it open, they don't stay versed on emerging research that may suddenly make a once-trusted treatment one to avoid. Worst case: You swallow something that has no business being inside your body. 

Of course, plenty of M.D.'s do know which prescription and over-the-counter drugs are duds, dangers, or both. So we asked them, "Which medications would you skip?" Their list is your second opinion. If you're on any of these meds, talk to your doctor. Maybe he or she will finally open that big red book with all the dust on it.

Celebrex 
Once nicknamed "super aspirin," Celebrex is now better known for its side effects than for its pain-relieving prowess. The drug has been linked to increased risks of stomach bleeding, kidney trouble, and liver damage. But according to a 2005 New England Journal of Medicine study, the biggest threat is to your heart: People taking 200 mg of Celebrex twice a day more than doubled their risk of dying of cardiovascular disease. Those on 400 mg twice a day more than tripled their risk, compared with people taking a placebo.

Your new strategy: What you don't want to do is stop swallowing Celebrex and begin knocking back ibuprofen, because regular use of high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) can lead to gastrointestinal bleeding. A safer swap is acupuncture. A German study found that for people suffering from chronic lower-back pain, twice-weekly acupuncture sessions were twice as effective as conventional treatments with drugs, physical therapy, and exercise. The strategic needling may stimulate central-nervous-system pathways to release the body's own painkillers, including endorphins and enkephalins, says Duke University anesthesiologist Tong-Joo Gan, M.D.

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