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Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered her

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

Chinese Medicine ,

wrote:

> Hi Anita, Lori and all!

>

> I have treated 3 people with Parkinson, 2 previously diagnosed and

the other

> subsequently diagnosed.

> http://www.pdrecovery.org/

>

> I predominately used these acupuncture strategies at this site for

Parkinson

> recovery. I think Anita you might find your answers to the reaction

in your

> patients here.

>

> In brief, go to the site and down load the free practitioner how to

treat

> manual, their is typically a blockage on the ST channel in the foot

from an

> unexpressed injury (ie the person hurt their foot but it never

became red,

> hot, swollen etc).

>

> The qi is said to back up the St channel and at the junction with

the large

> intestine channel the additional qi cannot flow from the finger tips

to the

> chest, and reverberates back to the fingers,... hence the tremor.

>

> Also there is now excess qi in the ST channel which on the face

jumps to the

> GB channel... and from memory there is this constant excess in the GB

> channel running in parallel to the UB channel on the scalp. This

sets up

> what I think Janice says is a capacitor effect. This jump then

leaves the

> face part of the St channel deficient and that explains the drop face

> expression. Now she explains this all in many pages. I just want

to give

> you enough that you might want to download the large manual and read it

> through. If you do, I would be keen to hear your thoughts.

>

> BTW all the patients I treated felt her approach worked with the last Px

> declaring himself cured by acupuncture...my first Px was well into

Parkinson

> and they would have continued but the 140km round trip was too much

for 70

> year olds.

>

> I wanted also to see if the use of ear points for the Substantia

Nigra could

> have brought it back on line in the brain. Her idea is that it

shuts down

> production or use (I can't recall which) of dopamine when there is

injury,

> so the person or animal can rest without being restless with the

physical

> injury. In the case of Parkinson the idea I think is this, the

unexpressed

> injury is like a scratch on the old vinyl records as the person never

> actually gets through the old injury so the dopamine levels stay low. A

> real stuckness.

>

> Another idea I came across in Craniosacral reading is the idea of energy

> cysts, can't recall if that was their term or mine. Anyway you

might think

> of the old unexpressed injury as an energy cyst blocking the channel and

> this is first removed on the foot and or other locations using a yin

tunia

> which Janice explains.

>

> Best wishes,

>

>

>

>

> Anita Binnington [abinnington@s...]

> Saturday, 5 February 2005 11:24 AM

> Chinese Medicine

> Re: Re: Arm Pain Case

>

>

> Hi Lori,Heylaurg etc,

> Putting in my 2 cents worth again. I have treated a lot of

neurological

> disorder ie motor neuron etc, and all these symptoms of both of your

> clients have a good deal of similarities, ie fatigue after short term

> use, pain in both arms and legs, left /right imbalance of pain and

> symptoms. I have used scalp acupuncture, Jiaji pts,

constitutional, moxa

> etc.

> I have not treated Parkinsons but believe that acupuncture/herbs may

> have something to offer in this case.

> This is why the diagnosis (western) is important at this point because

> that will better help determine the outcome of treatmen,and at this

> point TCM does not have diagnostic criteria to ascertain which

> neurological group it is under.

> As an aside, I have experienced some interesting side effects of

scalp

> acupuncture while treating 2 clients whom were suffering peripheral

> neuropathy. When I included scalp acupuncture on their motor area of

> arms and legs, connected to electrodes, both had severe side

effects of

> dizziness and sleeepiness where they had to go to bed and sleep for

> hours over a few days. This did not occur with motor neurone

disorder,

> and sometimes occurs with stroke paralysis. Any ideas?

> Best Wishes

> Anita

>

>

> --

>

>

> Version: 7.0.300 / Virus Database: 265.8.5 - Release 2/3/2005

>

>

>

>

> http://babel.altavista.com/

>

>

> and

adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

the group

> requires prior permission from the author.

>

> If you are a TCM academic and wish to discuss TCM with other

academics,

>

>

>

>

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Well Laura,

Janice at the Parkinson recovery use to, I suppose she still does it, a

certificate if you treat so many Parkinson diagnosed patients for free. In

this way you are gaining the experience.

 

Now outside of that, the issues sits between the two of you. If you

believed in reincarnation... maybe there is something there, if not maybe

its about letting her go. Or maybe ask her at what price would you come for

treatment?

 

I find Px's are always teaching me something about myself.

 

Hope this is of help,

Best wishes,

 

 

heylaurag [heylaurag]

Sunday, 6 February 2005 7:39 AM

Chinese Medicine

Arm Pain Case/money issues

 

 

 

Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered her

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

Chinese Medicine ,

wrote:

> Hi Anita, Lori and all!

>

> I have treated 3 people with Parkinson, 2 previously diagnosed and

the other

> subsequently diagnosed.

> http://www.pdrecovery.org/

>

> I predominately used these acupuncture strategies at this site for

Parkinson

> recovery. I think Anita you might find your answers to the reaction

in your

> patients here.

>

> In brief, go to the site and down load the free practitioner how to

treat

> manual, their is typically a blockage on the ST channel in the foot

from an

> unexpressed injury (ie the person hurt their foot but it never

became red,

> hot, swollen etc).

>

> The qi is said to back up the St channel and at the junction with

the large

> intestine channel the additional qi cannot flow from the finger tips

to the

> chest, and reverberates back to the fingers,... hence the tremor.

>

> Also there is now excess qi in the ST channel which on the face

jumps to the

> GB channel... and from memory there is this constant excess in the GB

> channel running in parallel to the UB channel on the scalp. This

sets up

> what I think Janice says is a capacitor effect. This jump then

leaves the

> face part of the St channel deficient and that explains the drop face

> expression. Now she explains this all in many pages. I just want

to give

> you enough that you might want to download the large manual and read it

> through. If you do, I would be keen to hear your thoughts.

>

> BTW all the patients I treated felt her approach worked with the last Px

> declaring himself cured by acupuncture...my first Px was well into

Parkinson

> and they would have continued but the 140km round trip was too much

for 70

> year olds.

>

> I wanted also to see if the use of ear points for the Substantia

Nigra could

> have brought it back on line in the brain. Her idea is that it

shuts down

> production or use (I can't recall which) of dopamine when there is

injury,

> so the person or animal can rest without being restless with the

physical

> injury. In the case of Parkinson the idea I think is this, the

unexpressed

> injury is like a scratch on the old vinyl records as the person never

> actually gets through the old injury so the dopamine levels stay low. A

> real stuckness.

>

> Another idea I came across in Craniosacral reading is the idea of energy

> cysts, can't recall if that was their term or mine. Anyway you

might think

> of the old unexpressed injury as an energy cyst blocking the channel and

> this is first removed on the foot and or other locations using a yin

tunia

> which Janice explains.

>

> Best wishes,

>

>

>

>

> Anita Binnington [abinnington@s...]

> Saturday, 5 February 2005 11:24 AM

> Chinese Medicine

> Re: Re: Arm Pain Case

>

>

> Hi Lori,Heylaurg etc,

> Putting in my 2 cents worth again. I have treated a lot of

neurological

> disorder ie motor neuron etc, and all these symptoms of both of your

> clients have a good deal of similarities, ie fatigue after short term

> use, pain in both arms and legs, left /right imbalance of pain and

> symptoms. I have used scalp acupuncture, Jiaji pts,

constitutional, moxa

> etc.

> I have not treated Parkinsons but believe that acupuncture/herbs may

> have something to offer in this case.

> This is why the diagnosis (western) is important at this point because

> that will better help determine the outcome of treatmen,and at this

> point TCM does not have diagnostic criteria to ascertain which

> neurological group it is under.

> As an aside, I have experienced some interesting side effects of

scalp

> acupuncture while treating 2 clients whom were suffering peripheral

> neuropathy. When I included scalp acupuncture on their motor area of

> arms and legs, connected to electrodes, both had severe side

effects of

> dizziness and sleeepiness where they had to go to bed and sleep for

> hours over a few days. This did not occur with motor neurone

disorder,

> and sometimes occurs with stroke paralysis. Any ideas?

> Best Wishes

> Anita

>

>

> --

>

>

> Version: 7.0.300 / Virus Database: 265.8.5 - Release 2/3/2005

>

>

>

>

> http://babel.altavista.com/

>

>

> and

adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

the group

> requires prior permission from the author.

>

> If you are a TCM academic and wish to discuss TCM with other

academics,

>

>

>

>

Link to comment
Share on other sites

Laura,

 

Your situation touched on an issue close to my heart. It is a question

of value, or perceived value. In this culture with health insurance,

people are disenfranchised I think. They are lead to believe that

healthcare should be free and that insurance should cover everything.

In a round about way, I believe that this actually hurts people's health

because it creates a sense of entitlement and lack of responsibility

around our health. Our health is perhaps the single most important

" thing " in our lives. Without it we can't hope to do much of anything

else with much quality. For something so important, it should be valued

as such. Cancer survivors often reach this realization when faced with

their possible death. Our health is certainly more valuable than our

house or our car which people don't blink an eye to spend way beyond

their means for. $15 for a skilled Chinese medicine treatment is

ridiculous. People paid $25 when I was a student.

 

Without knowing much at all about your situation, I suspect that part of

the woman's problem may be rooted in not valuing her health. If she

didn't feel that your services are of value than she either needs to be

educated about what you can offer her, or she needs to find someone or

something else to put her energy into. In my limited experience, those

that get the best results are those who are most invested in the

outcome. Those patients that would move heaven and earth to come and

see me are the ones that respond most quickly more often than not.

 

With all of that said, I do understand that there are people who simply

can't afford the kind of care that they need. There are situations, if

I felt where karmically balanced in some other way (like lots of paying

referrals or some other karmic trade), that I would give away my

services. Sometimes a patient just touches you, and perhaps that is

enough. However, if they came to me with a sense of entitlement and did

not show a strong willingness to work with me and were not heavily

invested in their outcome I would not accept them as a non-paying or

low-paying patient.

 

Christopher Vedeler L.Ac., C.Ht.

Oasis Acupuncture

http://www.oasisacupuncture.com

8233 N. Via Paseo del Norte

Suite D-35

Scottsdale, AZ 85258

(480) 991-3650

 

 

heylaurag [heylaurag]

Saturday, February 05, 2005 2:39 PM

Chinese Medicine

Arm Pain Case/money issues

 

 

 

Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered her

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

 

 

 

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HI Chris and Laura,

Chris I appreciate all that you have said, and would like to add that if the

practitioner is uncertain about being able to help, this also might be

factored in.

 

I know that when I do good acupuncture I have a clear internal sense of

direction and when this is lacking I suppose I must give off a confused

vibe.

 

I also realise that when I do have this certainty for want of a better word

and the person doesn't want to join me in their health pursuit... they just

may not be ready for what I have to offer or it may not be part of their

greater journey. We learn so much about ourselves when we are sick.

Best wishes,

 

 

 

Christopher Vedeler, L.Ac. [ckvedeler]

Sunday, 6 February 2005 8:46 AM

Chinese Medicine

RE: Arm Pain Case/money issues

 

 

Laura,

 

Your situation touched on an issue close to my heart. It is a question

of value, or perceived value. In this culture with health insurance,

people are disenfranchised I think. They are lead to believe that

healthcare should be free and that insurance should cover everything.

In a round about way, I believe that this actually hurts people's health

because it creates a sense of entitlement and lack of responsibility

around our health. Our health is perhaps the single most important

" thing " in our lives. Without it we can't hope to do much of anything

else with much quality. For something so important, it should be valued

as such. Cancer survivors often reach this realization when faced with

their possible death. Our health is certainly more valuable than our

house or our car which people don't blink an eye to spend way beyond

their means for. $15 for a skilled Chinese medicine treatment is

ridiculous. People paid $25 when I was a student.

 

Without knowing much at all about your situation, I suspect that part of

the woman's problem may be rooted in not valuing her health. If she

didn't feel that your services are of value than she either needs to be

educated about what you can offer her, or she needs to find someone or

something else to put her energy into. In my limited experience, those

that get the best results are those who are most invested in the

outcome. Those patients that would move heaven and earth to come and

see me are the ones that respond most quickly more often than not.

 

With all of that said, I do understand that there are people who simply

can't afford the kind of care that they need. There are situations, if

I felt where karmically balanced in some other way (like lots of paying

referrals or some other karmic trade), that I would give away my

services. Sometimes a patient just touches you, and perhaps that is

enough. However, if they came to me with a sense of entitlement and did

not show a strong willingness to work with me and were not heavily

invested in their outcome I would not accept them as a non-paying or

low-paying patient.

 

Christopher Vedeler L.Ac., C.Ht.

Oasis Acupuncture

http://www.oasisacupuncture.com

8233 N. Via Paseo del Norte

Suite D-35

Scottsdale, AZ 85258

(480) 991-3650

 

heylaurag [heylaurag]

Saturday, February 05, 2005 2:39 PM

Chinese Medicine

Arm Pain Case/money issues

 

 

 

Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered her

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

 

 

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heylaurag wrote:

>

> Hi Sharon,

>

> Wow, fascinating stuff. I will definitely look into downloading it.

>

>

> I am really concerned about this woman, and not sure what to do

> because she says that she cannot afford her $25 co-pay. I offered

> her

 

Hi Laura!

 

People don't realize what is going on. The " developed world " standard of

living started to decline with the " Arab Oil Crisis " in the early 70s

and has (adjusted for inflation) continued in a free fall ever since. We

are reaching the point where we are almost a two class society, the

small upper class very rich and the rest of us very poor, after the

third world model. There are a *lot* of people who can afford no health

care at all. If you make " good money " but everything you need costs too

much you can still afford no health care at all.

 

When a prospective patient calls me the first thing he or she asks is if

I " accept " Medicare. There has been a move to get acupuncture included

in Medicare in the US underway for 10 years, if this ever succeeds it

will help a lot of people because something like 60% of the insurance

companies only cover what Medicare covers.

 

<http://www.aomnc.com/lobbyist.html>

 

Regards,

 

Pete

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You might ask this patient to produce her bank statements or pay stub as

proof of her actual financials. This way you can determine if she is legit

or not. Seems kind of fishy. In the end, it is her loss and choice to

continue or not. This is something each of us must come to terms with at

some time. Later

Mike W. Bowser, L Ac

 

> " Christopher Vedeler, L.Ac. " <ckvedeler

>Chinese Medicine

><Chinese Medicine >

>RE: Arm Pain Case/money issues

>Sat, 5 Feb 2005 15:45:30 -0700

>

>Laura,

>

>Your situation touched on an issue close to my heart. It is a question

>of value, or perceived value. In this culture with health insurance,

>people are disenfranchised I think. They are lead to believe that

>healthcare should be free and that insurance should cover everything.

>In a round about way, I believe that this actually hurts people's health

>because it creates a sense of entitlement and lack of responsibility

>around our health. Our health is perhaps the single most important

> " thing " in our lives. Without it we can't hope to do much of anything

>else with much quality. For something so important, it should be valued

>as such. Cancer survivors often reach this realization when faced with

>their possible death. Our health is certainly more valuable than our

>house or our car which people don't blink an eye to spend way beyond

>their means for. $15 for a skilled Chinese medicine treatment is

>ridiculous. People paid $25 when I was a student.

>

>Without knowing much at all about your situation, I suspect that part of

>the woman's problem may be rooted in not valuing her health. If she

>didn't feel that your services are of value than she either needs to be

>educated about what you can offer her, or she needs to find someone or

>something else to put her energy into. In my limited experience, those

>that get the best results are those who are most invested in the

>outcome. Those patients that would move heaven and earth to come and

>see me are the ones that respond most quickly more often than not.

>

>With all of that said, I do understand that there are people who simply

>can't afford the kind of care that they need. There are situations, if

>I felt where karmically balanced in some other way (like lots of paying

>referrals or some other karmic trade), that I would give away my

>services. Sometimes a patient just touches you, and perhaps that is

>enough. However, if they came to me with a sense of entitlement and did

>not show a strong willingness to work with me and were not heavily

>invested in their outcome I would not accept them as a non-paying or

>low-paying patient.

>

>Christopher Vedeler L.Ac., C.Ht.

>Oasis Acupuncture

>http://www.oasisacupuncture.com

>8233 N. Via Paseo del Norte

>Suite D-35

>Scottsdale, AZ 85258

>(480) 991-3650

>

>

>heylaurag [heylaurag]

>Saturday, February 05, 2005 2:39 PM

>Chinese Medicine

>Arm Pain Case/money issues

>

>

>

>Hi Sharon,

>

>Wow, fascinating stuff. I will definitely look into downloading it.

>

>I am really concerned about this woman, and not sure what to do

>because she says that she cannot afford her $25 co-pay. I offered her

>sessions with a reduced co-pay of $15, but she claims that she cannot

>handle that either. I find that hard to believe...she's a school

>teacher, which I know doesn't pay a lot, but $15? Surely she could

>afford that. I think the more likely story is that 1. She expected

>instant results and since the second treatment wasn't helpful she's

>giving up faith and 2. She's underestimating the potential

>seriousness of this condition.

>

>Hard to know what to do. As it is, with the deal I am giving her I am

>paying her $10 a session to treat her because I would have no problem

>filling her slot with someone who would pay the regular insurance price.

>

>

>Anyone have any thoughts on that?

>

>Laura

>

>

>

>

>

>

>

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Christopher:

 

I agree with you. Laura, you may have to have a discussion with her

about how invested she is in her health. You may have to see her more

frequently to get results. See what you are willing to do, maybe with

an understanding that as her financial situation improves, your rates

will go up. When you turn this around - I am offereing you this for

your health, do you accept or not, you will get a commited patient or

none at all. Yes, be willing to let her go. She may have to take

" another " step in her healing journey right now.

 

Anne

 

Christopher Vedeler, L.Ac. wrote:

 

> Laura,

>

> Your situation touched on an issue close to my heart. It is a question

> of value, or perceived value. In this culture with health insurance,

> people are disenfranchised I think. They are lead to believe that

> healthcare should be free and that insurance should cover everything.

> In a round about way, I believe that this actually hurts people's health

> because it creates a sense of entitlement and lack of responsibility

> around our health. Our health is perhaps the single most important

> " thing " in our lives. Without it we can't hope to do much of anything

> else with much quality. For something so important, it should be valued

> as such. Cancer survivors often reach this realization when faced with

> their possible death. Our health is certainly more valuable than our

> house or our car which people don't blink an eye to spend way beyond

> their means for. $15 for a skilled Chinese medicine treatment is

> ridiculous. People paid $25 when I was a student.

>

> Without knowing much at all about your situation, I suspect that part of

> the woman's problem may be rooted in not valuing her health. If she

> didn't feel that your services are of value than she either needs to be

> educated about what you can offer her, or she needs to find someone or

> something else to put her energy into. In my limited experience, those

> that get the best results are those who are most invested in the

> outcome. Those patients that would move heaven and earth to come and

> see me are the ones that respond most quickly more often than not.

>

> With all of that said, I do understand that there are people who simply

> can't afford the kind of care that they need. There are situations, if

> I felt where karmically balanced in some other way (like lots of paying

> referrals or some other karmic trade), that I would give away my

> services. Sometimes a patient just touches you, and perhaps that is

> enough. However, if they came to me with a sense of entitlement and did

> not show a strong willingness to work with me and were not heavily

> invested in their outcome I would not accept them as a non-paying or

> low-paying patient.

>

> Christopher Vedeler L.Ac., C.Ht.

> Oasis Acupuncture

> http://www.oasisacupuncture.com

> 8233 N. Via Paseo del Norte

> Suite D-35

> Scottsdale, AZ 85258

> (480) 991-3650

>

>

> heylaurag [heylaurag]

> Saturday, February 05, 2005 2:39 PM

> Chinese Medicine

> Arm Pain Case/money issues

>

>

>

> Hi Sharon,

>

> Wow, fascinating stuff. I will definitely look into downloading it.

>

> I am really concerned about this woman, and not sure what to do

> because she says that she cannot afford her $25 co-pay. I offered her

> sessions with a reduced co-pay of $15, but she claims that she cannot

> handle that either. I find that hard to believe...she's a school

> teacher, which I know doesn't pay a lot, but $15? Surely she could

> afford that. I think the more likely story is that 1. She expected

> instant results and since the second treatment wasn't helpful she's

> giving up faith and 2. She's underestimating the potential

> seriousness of this condition.

>

> Hard to know what to do. As it is, with the deal I am giving her I am

> paying her $10 a session to treat her because I would have no problem

> filling her slot with someone who would pay the regular insurance price.

>

>

> Anyone have any thoughts on that?

>

> Laura

 

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Share on other sites

Sharon,

 

Yes, I agree that if I am uncertain about what to do, or how to proceed

then that can put out a confused vibe. I know that it is tough

sometimes, but I believe that one should be completely honest with

patients. If I don't know what to do, then I should simply tell the

patient something like this, " I've never treated this particular

condition before, I'm not sure this will work. However, I will do

research on it and either find someone I belive may be able to help you

better than I, or if you are willing, perhaps we can travel on a jouney

of discovery together. " If they say " yes " , more than likely you have a

patient willing to do what-ever they can to regain their health, and

someone I would be willing to reduce my fee for. If they say, " no " or

don't come back, then at least the matter is in the open and settled.

In the back of their mind they will more than likely respect you even if

they are no longer a patient. We should always have their best interest

in mind and clearly communicate that to them as much as possible. I

think there is a lot of pressure to know everything when someone is

coming to us for help. We can't know everything and can only do what we

can do. I believe that if we are truly looking out for the best

interest of our patients we need to be honest about our limitations. In

many respects this delema of having to be all knowing is the curse that

many MD's carry at the expense of their humanity and their ability to

create a truly healing relationship with their patients.

 

-Chris

 

 

>

> Sharon []

> Saturday, February 05, 2005 5:24 PM

> Chinese Medicine

> RE: Arm Pain Case/money issues

>

>

>

> HI Chris and Laura,

> Chris I appreciate all that you have said, and would like to

> add that if the practitioner is uncertain about being able to

> help, this also might be factored in.

>

> I know that when I do good acupuncture I have a clear

> internal sense of direction and when this is lacking I

> suppose I must give off a confused vibe.

>

> I also realise that when I do have this certainty for want of

> a better word and the person doesn't want to join me in their

> health pursuit... they just may not be ready for what I have

> to offer or it may not be part of their greater journey. We

> learn so much about ourselves when we are sick. Best wishes,

>

>

>

>

> Christopher Vedeler, L.Ac. [ckvedeler]

> Sunday, 6 February 2005 8:46 AM

> Chinese Medicine

> RE: Arm Pain Case/money issues

>

>

> Laura,

>

> Your situation touched on an issue close to my heart. It

> is a question

> of value, or perceived value. In this culture with health

> insurance,

> people are disenfranchised I think. They are lead to believe that

> healthcare should be free and that insurance should cover

> everything.

> In a round about way, I believe that this actually hurts

> people's health

> because it creates a sense of entitlement and lack of responsibility

> around our health. Our health is perhaps the single most important

> " thing " in our lives. Without it we can't hope to do much

> of anything

> else with much quality. For something so important, it

> should be valued

> as such. Cancer survivors often reach this realization

> when faced with

> their possible death. Our health is certainly more

> valuable than our

> house or our car which people don't blink an eye to spend way beyond

> their means for. $15 for a skilled Chinese medicine treatment is

> ridiculous. People paid $25 when I was a student.

>

> Without knowing much at all about your situation, I suspect

> that part of

> the woman's problem may be rooted in not valuing her health. If she

> didn't feel that your services are of value than she either

> needs to be

> educated about what you can offer her, or she needs to find

> someone or

> something else to put her energy into. In my limited

> experience, those

> that get the best results are those who are most invested in the

> outcome. Those patients that would move heaven and earth

> to come and

> see me are the ones that respond most quickly more often than not.

>

> With all of that said, I do understand that there are

> people who simply

> can't afford the kind of care that they need. There are

> situations, if

> I felt where karmically balanced in some other way (like

> lots of paying

> referrals or some other karmic trade), that I would give away my

> services. Sometimes a patient just touches you, and perhaps that is

> enough. However, if they came to me with a sense of

> entitlement and did

> not show a strong willingness to work with me and were not heavily

> invested in their outcome I would not accept them as a non-paying or

> low-paying patient.

>

> Christopher Vedeler L.Ac., C.Ht.

> Oasis Acupuncture

> http://www.oasisacupuncture.com

> 8233 N. Via Paseo del Norte

> Suite D-35

> Scottsdale, AZ 85258

> (480) 991-3650

>

>

> heylaurag [heylaurag]

> Saturday, February 05, 2005 2:39 PM

> Chinese Medicine

> Arm Pain Case/money issues

>

>

>

> Hi Sharon,

>

> Wow, fascinating stuff. I will definitely look into downloading it.

>

> I am really concerned about this woman, and not sure what to do

> because she says that she cannot afford her $25 co-pay. I

> offered her

> sessions with a reduced co-pay of $15, but she claims that

> she cannot

> handle that either. I find that hard to believe...she's a school

> teacher, which I know doesn't pay a lot, but $15? Surely she could

> afford that. I think the more likely story is that 1. She expected

> instant results and since the second treatment wasn't helpful she's

> giving up faith and 2. She's underestimating the potential

> seriousness of this condition.

>

> Hard to know what to do. As it is, with the deal I am

> giving her I am

> paying her $10 a session to treat her because I would have

> no problem

> filling her slot with someone who would pay the regular

> insurance price.

>

>

> Anyone have any thoughts on that?

>

> Laura

Link to comment
Share on other sites

Hi Chris,

I wish I had heard these words of yours when I first started practice over

10 yrs ago.

 

I so totally agree with them.

 

Back then I use to wish some days that patients would cancel.... that was

along time ago now.

 

I came to realise to use my fear to find out more; it was okay that I didn't

know it all, I suppose I started to de-personalise my work.

 

Part of my change came when I realised that it was a team effort between the

patient and myself.

 

Another part came when I started finding feed back mechanisms. Something I

learnt from my study of Japanese Meridian therapy. So as I worked the

change in the pressure pain reaction of key points told me I was on track.

If it didn't change I would have to re-think what I was doing. And

crucially I knew what was and wasn't working. That allows for a great deal

of confidence!

 

Of course the more experience the less darkness and the more clarity

emerges. Here by fifth year of practice 95% of practitioners have quit. I

feel very lucky to have gotten over that hurdle and be in practice today.

Best wishes,

 

 

Christopher Vedeler, L.Ac. [ckvedeler]

Sunday, 6 February 2005 1:57 PM

Chinese Medicine

RE: Arm Pain Case/money issues

 

 

Sharon,

 

Yes, I agree that if I am uncertain about what to do, or how to proceed

then that can put out a confused vibe. I know that it is tough

sometimes, but I believe that one should be completely honest with

patients. If I don't know what to do, then I should simply tell the

patient something like this, " I've never treated this particular

condition before, I'm not sure this will work. However, I will do

research on it and either find someone I belive may be able to help you

better than I, or if you are willing, perhaps we can travel on a jouney

of discovery together. " If they say " yes " , more than likely you have a

patient willing to do what-ever they can to regain their health, and

someone I would be willing to reduce my fee for. If they say, " no " or

don't come back, then at least the matter is in the open and settled.

In the back of their mind they will more than likely respect you even if

they are no longer a patient. We should always have their best interest

in mind and clearly communicate that to them as much as possible. I

think there is a lot of pressure to know everything when someone is

coming to us for help. We can't know everything and can only do what we

can do. I believe that if we are truly looking out for the best

interest of our patients we need to be honest about our limitations. In

many respects this delema of having to be all knowing is the curse that

many MD's carry at the expense of their humanity and their ability to

create a truly healing relationship with their patients.

 

-Chris

 

 

>

> Sharon []

> Saturday, February 05, 2005 5:24 PM

> Chinese Medicine

> RE: Arm Pain Case/money issues

>

>

>

> HI Chris and Laura,

> Chris I appreciate all that you have said, and would like to

> add that if the practitioner is uncertain about being able to

> help, this also might be factored in.

>

> I know that when I do good acupuncture I have a clear

> internal sense of direction and when this is lacking I

> suppose I must give off a confused vibe.

>

> I also realise that when I do have this certainty for want of

> a better word and the person doesn't want to join me in their

> health pursuit... they just may not be ready for what I have

> to offer or it may not be part of their greater journey. We

> learn so much about ourselves when we are sick. Best wishes,

>

>

>

>

> Christopher Vedeler, L.Ac. [ckvedeler]

> Sunday, 6 February 2005 8:46 AM

> Chinese Medicine

> RE: Arm Pain Case/money issues

>

>

> Laura,

>

> Your situation touched on an issue close to my heart. It

> is a question

> of value, or perceived value. In this culture with health

> insurance,

> people are disenfranchised I think. They are lead to believe that

> healthcare should be free and that insurance should cover

> everything.

> In a round about way, I believe that this actually hurts

> people's health

> because it creates a sense of entitlement and lack of responsibility

> around our health. Our health is perhaps the single most important

> " thing " in our lives. Without it we can't hope to do much

> of anything

> else with much quality. For something so important, it

> should be valued

> as such. Cancer survivors often reach this realization

> when faced with

> their possible death. Our health is certainly more

> valuable than our

> house or our car which people don't blink an eye to spend way beyond

> their means for. $15 for a skilled Chinese medicine treatment is

> ridiculous. People paid $25 when I was a student.

>

> Without knowing much at all about your situation, I suspect

> that part of

> the woman's problem may be rooted in not valuing her health. If she

> didn't feel that your services are of value than she either

> needs to be

> educated about what you can offer her, or she needs to find

> someone or

> something else to put her energy into. In my limited

> experience, those

> that get the best results are those who are most invested in the

> outcome. Those patients that would move heaven and earth

> to come and

> see me are the ones that respond most quickly more often than not.

>

> With all of that said, I do understand that there are

> people who simply

> can't afford the kind of care that they need. There are

> situations, if

> I felt where karmically balanced in some other way (like

> lots of paying

> referrals or some other karmic trade), that I would give away my

> services. Sometimes a patient just touches you, and perhaps that is

> enough. However, if they came to me with a sense of

> entitlement and did

> not show a strong willingness to work with me and were not heavily

> invested in their outcome I would not accept them as a non-paying or

> low-paying patient.

>

> Christopher Vedeler L.Ac., C.Ht.

> Oasis Acupuncture

> http://www.oasisacupuncture.com

> 8233 N. Via Paseo del Norte

> Suite D-35

> Scottsdale, AZ 85258

> (480) 991-3650

>

>

> heylaurag [heylaurag]

> Saturday, February 05, 2005 2:39 PM

> Chinese Medicine

> Arm Pain Case/money issues

>

>

>

> Hi Sharon,

>

> Wow, fascinating stuff. I will definitely look into downloading it.

>

> I am really concerned about this woman, and not sure what to do

> because she says that she cannot afford her $25 co-pay. I

> offered her

> sessions with a reduced co-pay of $15, but she claims that

> she cannot

> handle that either. I find that hard to believe...she's a school

> teacher, which I know doesn't pay a lot, but $15? Surely she could

> afford that. I think the more likely story is that 1. She expected

> instant results and since the second treatment wasn't helpful she's

> giving up faith and 2. She's underestimating the potential

> seriousness of this condition.

>

> Hard to know what to do. As it is, with the deal I am

> giving her I am

> paying her $10 a session to treat her because I would have

> no problem

> filling her slot with someone who would pay the regular

> insurance price.

>

>

> Anyone have any thoughts on that?

>

> Laura

>

>

>

>

>

>

>

Link to comment
Share on other sites

Hi Laura,

I have found over a number of years that the people I bend over backwards

for the most wether it be with time or money,are the LEAST reliable in terms

of their own commitment with THEIR time and money.This has happened so much

over the years for example when I come in to treat them on my day off(they

often do not show up,with usually pathetic excuses later) or significantly

reducing the fee,often doesn't help at all.Of course this is not true in

EVERY case but many in my experience.I do not know what it means as I am not

a psychologist but I think people do not value what we do if we do too much

for them especially when they can do it for themselves.Often they are

spending money on alcohol or ciggarettes or in other wasteful ways BUT not

seeing what we do as equal value.They are often the most demanding and

impatient of clients.I tell them that infinate patience produces IMMEDIATE

results AND make sure they are commited or don't waste your time.This can

save you a lot of time,energy and money.

Regards Ray Ford

 

 

 

-

" heylaurag " <heylaurag

<Chinese Medicine >

Sunday, February 06, 2005 8:39 AM

Arm Pain Case/money issues

 

 

 

 

Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered herr

time.

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

Chinese Medicine ,

wrote:

> Hi Anita, Lori and all!

>

> I have treated 3 people with Parkinson, 2 previously diagnosed and

the other

> subsequently diagnosed.

> http://www.pdrecovery.org/

>

> I predominately used these acupuncture strategies at this site for

Parkinson

> recovery. I think Anita you might find your answers to the reaction

in your

> patients here.

>

> In brief, go to the site and down load the free practitioner how to

treat

> manual, their is typically a blockage on the ST channel in the foot

from an

> unexpressed injury (ie the person hurt their foot but it never

became red,

> hot, swollen etc).

>

> The qi is said to back up the St channel and at the junction with

the large

> intestine channel the additional qi cannot flow from the finger tips

to the

> chest, and reverberates back to the fingers,... hence the tremor.

>

> Also there is now excess qi in the ST channel which on the face

jumps to the

> GB channel... and from memory there is this constant excess in the GB

> channel running in parallel to the UB channel on the scalp. This

sets up

> what I think Janice says is a capacitor effect. This jump then

leaves the

> face part of the St channel deficient and that explains the drop face

> expression. Now she explains this all in many pages. I just want

to give

> you enough that you might want to download the large manual and read it

> through. If you do, I would be keen to hear your thoughts.

>

> BTW all the patients I treated felt her approach worked with the last Px

> declaring himself cured by acupuncture...my first Px was well into

Parkinson

> and they would have continued but the 140km round trip was too much

for 70

> year olds.

>

> I wanted also to see if the use of ear points for the Substantia

Nigra could

> have brought it back on line in the brain. Her idea is that it

shuts down

> production or use (I can't recall which) of dopamine when there is

injury,

> so the person or animal can rest without being restless with the

physical

> injury. In the case of Parkinson the idea I think is this, the

unexpressed

> injury is like a scratch on the old vinyl records as the person never

> actually gets through the old injury so the dopamine levels stay low. A

> real stuckness.

>

> Another idea I came across in Craniosacral reading is the idea of energy

> cysts, can't recall if that was their term or mine. Anyway you

might think

> of the old unexpressed injury as an energy cyst blocking the channel and

> this is first removed on the foot and or other locations using a yin

tunia

> which Janice explains.

>

> Best wishes,

>

>

>

>

> Anita Binnington [abinnington@s...]

> Saturday, 5 February 2005 11:24 AM

> Chinese Medicine

> Re: Re: Arm Pain Case

>

>

> Hi Lori,Heylaurg etc,

> Putting in my 2 cents worth again. I have treated a lot of

neurological

> disorder ie motor neuron etc, and all these symptoms of both of your

> clients have a good deal of similarities, ie fatigue after short term

> use, pain in both arms and legs, left /right imbalance of pain and

> symptoms. I have used scalp acupuncture, Jiaji pts,

constitutional, moxa

> etc.

> I have not treated Parkinsons but believe that acupuncture/herbs may

> have something to offer in this case.

> This is why the diagnosis (western) is important at this point because

> that will better help determine the outcome of treatmen,and at this

> point TCM does not have diagnostic criteria to ascertain which

> neurological group it is under.

> As an aside, I have experienced some interesting side effects of

scalp

> acupuncture while treating 2 clients whom were suffering peripheral

> neuropathy. When I included scalp acupuncture on their motor area of

> arms and legs, connected to electrodes, both had severe side

effects of

> dizziness and sleeepiness where they had to go to bed and sleep for

> hours over a few days. This did not occur with motor neurone

disorder,

> and sometimes occurs with stroke paralysis. Any ideas?

> Best Wishes

> Anita

>

>

> --

>

>

> Version: 7.0.300 / Virus Database: 265.8.5 - Release 2/3/2005

>

>

>

>

> http://babel.altavista.com/

>

>

> and

adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

the group

> requires prior permission from the author.

>

> If you are a TCM academic and wish to discuss TCM with other

academics,

>

>

>

>

Link to comment
Share on other sites

Hi Ray and Laura,

 

Ray, I had the same thing of seeing patients on my off days.... whilst they

turned up they seldom re-booked. I was complaining of 'putting myself out'

to a colleague who suggested that since I didn't want to treat them on my

days off, then perhaps I was the problem, as the common denominator to all

these patients.

 

Maybe sometimes, it is just us!

Best wishes,

 

 

raymond ford [rford]

Monday, 7 February 2005 1:02 PM

Chinese Medicine

Re: Arm Pain Case/money issues

 

 

Hi Laura,

I have found over a number of years that the people I bend over backwards

for the most wether it be with time or money,are the LEAST reliable in

terms

of their own commitment with THEIR time and money.This has happened so

much

over the years for example when I come in to treat them on my day off(they

often do not show up,with usually pathetic excuses later) or significantly

reducing the fee,often doesn't help at all.Of course this is not true in

EVERY case but many in my experience.I do not know what it means as I am

not

a psychologist but I think people do not value what we do if we do too

much

for them especially when they can do it for themselves.Often they are

spending money on alcohol or ciggarettes or in other wasteful ways BUT not

seeing what we do as equal value.They are often the most demanding and

impatient of clients.I tell them that infinate patience produces IMMEDIATE

results AND make sure they are commited or don't waste your time.This can

save you a lot of time,energy and money.

Regards Ray Ford

 

 

 

-

" heylaurag " <heylaurag

<Chinese Medicine >

Sunday, February 06, 2005 8:39 AM

Arm Pain Case/money issues

 

 

 

 

Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered herr

time.

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

Chinese Medicine ,

wrote:

> Hi Anita, Lori and all!

>

> I have treated 3 people with Parkinson, 2 previously diagnosed and

the other

> subsequently diagnosed.

> http://www.pdrecovery.org/

>

> I predominately used these acupuncture strategies at this site for

Parkinson

> recovery. I think Anita you might find your answers to the reaction

in your

> patients here.

>

> In brief, go to the site and down load the free practitioner how to

treat

> manual, their is typically a blockage on the ST channel in the foot

from an

> unexpressed injury (ie the person hurt their foot but it never

became red,

> hot, swollen etc).

>

> The qi is said to back up the St channel and at the junction with

the large

> intestine channel the additional qi cannot flow from the finger tips

to the

> chest, and reverberates back to the fingers,... hence the tremor.

>

> Also there is now excess qi in the ST channel which on the face

jumps to the

> GB channel... and from memory there is this constant excess in the GB

> channel running in parallel to the UB channel on the scalp. This

sets up

> what I think Janice says is a capacitor effect. This jump then

leaves the

> face part of the St channel deficient and that explains the drop face

> expression. Now she explains this all in many pages. I just want

to give

> you enough that you might want to download the large manual and read it

> through. If you do, I would be keen to hear your thoughts.

>

> BTW all the patients I treated felt her approach worked with the last Px

> declaring himself cured by acupuncture...my first Px was well into

Parkinson

> and they would have continued but the 140km round trip was too much

for 70

> year olds.

>

> I wanted also to see if the use of ear points for the Substantia

Nigra could

> have brought it back on line in the brain. Her idea is that it

shuts down

> production or use (I can't recall which) of dopamine when there is

injury,

> so the person or animal can rest without being restless with the

physical

> injury. In the case of Parkinson the idea I think is this, the

unexpressed

> injury is like a scratch on the old vinyl records as the person never

> actually gets through the old injury so the dopamine levels stay low. A

> real stuckness.

>

> Another idea I came across in Craniosacral reading is the idea of energy

> cysts, can't recall if that was their term or mine. Anyway you

might think

> of the old unexpressed injury as an energy cyst blocking the channel and

> this is first removed on the foot and or other locations using a yin

tunia

> which Janice explains.

>

> Best wishes,

>

>

>

>

> Anita Binnington [abinnington@s...]

> Saturday, 5 February 2005 11:24 AM

> Chinese Medicine

> Re: Re: Arm Pain Case

>

>

> Hi Lori,Heylaurg etc,

> Putting in my 2 cents worth again. I have treated a lot of

neurological

> disorder ie motor neuron etc, and all these symptoms of both of your

> clients have a good deal of similarities, ie fatigue after short term

> use, pain in both arms and legs, left /right imbalance of pain and

> symptoms. I have used scalp acupuncture, Jiaji pts,

constitutional, moxa

> etc.

> I have not treated Parkinsons but believe that acupuncture/herbs may

> have something to offer in this case.

> This is why the diagnosis (western) is important at this point because

> that will better help determine the outcome of treatmen,and at this

> point TCM does not have diagnostic criteria to ascertain which

> neurological group it is under.

> As an aside, I have experienced some interesting side effects of

scalp

> acupuncture while treating 2 clients whom were suffering peripheral

> neuropathy. When I included scalp acupuncture on their motor area of

> arms and legs, connected to electrodes, both had severe side

effects of

> dizziness and sleeepiness where they had to go to bed and sleep for

> hours over a few days. This did not occur with motor neurone

disorder,

> and sometimes occurs with stroke paralysis. Any ideas?

> Best Wishes

> Anita

>

>

> --

>

>

> Version: 7.0.300 / Virus Database: 265.8.5 - Release 2/3/2005

>

>

>

>

> http://babel.altavista.com/

>

>

> and

adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

the group

> requires prior permission from the author.

>

> If you are a TCM academic and wish to discuss TCM with other

academics,

>

>

>

>

Link to comment
Share on other sites

Hi All,

 

Wow, so many great responses! This has been really very helpful for

me to read and think about. One thing that I didn't mention (and

should have!) is that she said, " I cannot afford to pay you the $30

that I now owe you, so I will wait a month and then start coming in

twice a month " (which is usually a sign that they won't be back). I

left a message for her telling her that I would wave the $30 that she

already owed me, but that from here on out it would be $15 a session.

Then I suggested that she go ahead and make an appointment for a

month from now since she needs evenings and those times go fast....I

haven't heard from her (but its only been a few days).

 

You know, if a few things were different I would probably be more

likely to accept the $25 from her insurance as payment: first of all,

as someone suggested, I really am not confident that I can help her

signifcantly, although she did get some improvement after the first

session. If I was, I'd probably be wanting to jump on it. Also,

there's something about her attitude....for one thing, she asked if I

could wave the $25 co-pay DURING the first session, something that she

should have asked before coming, and she seemed to just expect that I

would basically accept a 50% discount. Also, the message she left in

response to my offer for $10 off her co-pay seemed almost

angry...which seemed really very entitled to me---but I could have

misinterpreted that.

 

So, anway, thanks for letting me think " out loud " (so to speak). Lots

to consider...

 

By the way, I too have found that the people I bend over backwards for

often don't follow through. I prefer to wait and see how they are

before I start bending over backwards for them, but sometimes I have

no choice by necessity--especially since I am still relatively new

with lots to learn. It can be frustrating when I've done a lot of

research and the person stops coming---but at least I've learned a

lot....as I have here. Thanks for the thoughts!

 

Laura

 

 

Chinese Medicine ,

wrote:

> Hi Ray and Laura,

>

> Ray, I had the same thing of seeing patients on my off days....

whilst they

> turned up they seldom re-booked. I was complaining of 'putting

myself out'

> to a colleague who suggested that since I didn't want to treat them

on my

> days off, then perhaps I was the problem, as the common denominator

to all

> these patients.

>

> Maybe sometimes, it is just us!

> Best wishes,

>

>

>

> raymond ford [rford@p...]

> Monday, 7 February 2005 1:02 PM

> Chinese Medicine

> Re: Arm Pain Case/money issues

>

>

> Hi Laura,

> I have found over a number of years that the people I bend over

backwards

> for the most wether it be with time or money,are the LEAST reliable in

> terms

> of their own commitment with THEIR time and money.This has happened so

> much

> over the years for example when I come in to treat them on my day

off(they

> often do not show up,with usually pathetic excuses later) or

significantly

> reducing the fee,often doesn't help at all.Of course this is not

true in

> EVERY case but many in my experience.I do not know what it means

as I am

> not

> a psychologist but I think people do not value what we do if we do too

> much

> for them especially when they can do it for themselves.Often they are

> spending money on alcohol or ciggarettes or in other wasteful ways

BUT not

> seeing what we do as equal value.They are often the most demanding and

> impatient of clients.I tell them that infinate patience produces

IMMEDIATE

> results AND make sure they are commited or don't waste your

time.This can

> save you a lot of time,energy and money.

> Regards Ray Ford

>

>

>

> -

> " heylaurag " <heylaurag@h...>

> <Chinese Medicine >

> Sunday, February 06, 2005 8:39 AM

> Arm Pain Case/money issues

>

>

>

>

> Hi Sharon,

>

> Wow, fascinating stuff. I will definitely look into downloading it.

>

> I am really concerned about this woman, and not sure what to do

> because she says that she cannot afford her $25 co-pay. I offered

herr

> time.

> sessions with a reduced co-pay of $15, but she claims that she cannot

> handle that either. I find that hard to believe...she's a school

> teacher, which I know doesn't pay a lot, but $15? Surely she could

> afford that. I think the more likely story is that 1. She expected

> instant results and since the second treatment wasn't helpful she's

> giving up faith and 2. She's underestimating the potential

> seriousness of this condition.

>

> Hard to know what to do. As it is, with the deal I am giving her I am

> paying her $10 a session to treat her because I would have no problem

> filling her slot with someone who would pay the regular insurance

price.

>

> Anyone have any thoughts on that?

>

> Laura

>

>

>

>

> Chinese Medicine ,

> wrote:

> > Hi Anita, Lori and all!

> >

> > I have treated 3 people with Parkinson, 2 previously diagnosed and

> the other

> > subsequently diagnosed.

> > http://www.pdrecovery.org/

> >

> > I predominately used these acupuncture strategies at this site for

> Parkinson

> > recovery. I think Anita you might find your answers to the reaction

> in your

> > patients here.

> >

> > In brief, go to the site and down load the free practitioner how to

> treat

> > manual, their is typically a blockage on the ST channel in the foot

> from an

> > unexpressed injury (ie the person hurt their foot but it never

> became red,

> > hot, swollen etc).

> >

> > The qi is said to back up the St channel and at the junction with

> the large

> > intestine channel the additional qi cannot flow from the finger tips

> to the

> > chest, and reverberates back to the fingers,... hence the tremor.

> >

> > Also there is now excess qi in the ST channel which on the face

> jumps to the

> > GB channel... and from memory there is this constant excess in

the GB

> > channel running in parallel to the UB channel on the scalp. This

> sets up

> > what I think Janice says is a capacitor effect. This jump then

> leaves the

> > face part of the St channel deficient and that explains the drop

face

> > expression. Now she explains this all in many pages. I just want

> to give

> > you enough that you might want to download the large manual and

read it

> > through. If you do, I would be keen to hear your thoughts.

> >

> > BTW all the patients I treated felt her approach worked with the

last Px

> > declaring himself cured by acupuncture...my first Px was well into

> Parkinson

> > and they would have continued but the 140km round trip was too much

> for 70

> > year olds.

> >

> > I wanted also to see if the use of ear points for the Substantia

> Nigra could

> > have brought it back on line in the brain. Her idea is that it

> shuts down

> > production or use (I can't recall which) of dopamine when there is

> injury,

> > so the person or animal can rest without being restless with the

> physical

> > injury. In the case of Parkinson the idea I think is this, the

> unexpressed

> > injury is like a scratch on the old vinyl records as the person

never

> > actually gets through the old injury so the dopamine levels stay

low. A

> > real stuckness.

> >

> > Another idea I came across in Craniosacral reading is the idea

of energy

> > cysts, can't recall if that was their term or mine. Anyway you

> might think

> > of the old unexpressed injury as an energy cyst blocking the

channel and

> > this is first removed on the foot and or other locations using a yin

> tunia

> > which Janice explains.

> >

> > Best wishes,

> >

> >

> >

> >

> > Anita Binnington [abinnington@s...]

> > Saturday, 5 February 2005 11:24 AM

> > Chinese Medicine

> > Re: Re: Arm Pain Case

> >

> >

> > Hi Lori,Heylaurg etc,

> > Putting in my 2 cents worth again. I have treated a lot of

> neurological

> > disorder ie motor neuron etc, and all these symptoms of both

of your

> > clients have a good deal of similarities, ie fatigue after

short term

> > use, pain in both arms and legs, left /right imbalance of pain and

> > symptoms. I have used scalp acupuncture, Jiaji pts,

> constitutional, moxa

> > etc.

> > I have not treated Parkinsons but believe that

acupuncture/herbs may

> > have something to offer in this case.

> > This is why the diagnosis (western) is important at this point

because

> > that will better help determine the outcome of treatmen,and

at this

> > point TCM does not have diagnostic criteria to ascertain which

> > neurological group it is under.

> > As an aside, I have experienced some interesting side effects of

> scalp

> > acupuncture while treating 2 clients whom were suffering

peripheral

> > neuropathy. When I included scalp acupuncture on their motor

area of

> > arms and legs, connected to electrodes, both had severe side

> effects of

> > dizziness and sleeepiness where they had to go to bed and

sleep for

> > hours over a few days. This did not occur with motor neurone

> disorder,

> > and sometimes occurs with stroke paralysis. Any ideas?

> > Best Wishes

> > Anita

> >

> >

> > --

> >

> >

> > Version: 7.0.300 / Virus Database: 265.8.5 - Release Date:

2/3/2005

> >

> >

> >

> > To translate this message, copy and paste it into this web

link page,

> > http://babel.altavista.com/

> >

> >

> > and

> adjust

> > accordingly.

> >

> > Messages are the property of the author. Any duplication outside

> the group

> > requires prior permission from the author.

> >

> > If you are a TCM academic and wish to discuss TCM with other

> academics,

> >

> >

> >

> >

Link to comment
Share on other sites

Hi Sharon,

I understand what you are saying and agree to the extent that it is " us " for

not recognising the " pattern of behaviour that is usually obvious " and it is

part of THEIR pattern not mine.

Regards

Ray Ford

-

<>

<Chinese Medicine >

Monday, February 07, 2005 2:19 PM

RE: Arm Pain Case/money issues

 

 

 

Hi Ray and Laura,

 

Ray, I had the same thing of seeing patients on my off days.... whilst they

turned up they seldom re-booked. I was complaining of 'putting myself out'

to a colleague who suggested that since I didn't want to treat them on my

days off, then perhaps I was the problem, as the common denominator to all

these patients.

 

Maybe sometimes, it is just us!

Best wishes,

 

 

raymond ford [rford]

Monday, 7 February 2005 1:02 PM

Chinese Medicine

Re: Arm Pain Case/money issues

 

 

Hi Laura,

I have found over a number of years that the people I bend over backwards

for the most wether it be with time or money,are the LEAST reliable in

terms

of their own commitment with THEIR time and money.This has happened so

much

over the years for example when I come in to treat them on my day off(they

often do not show up,with usually pathetic excuses later) or significantly

reducing the fee,often doesn't help at all.Of course this is not true in

EVERY case but many in my experience.I do not know what it means as I am

not

a psychologist but I think people do not value what we do if we do too

much

for them especially when they can do it for themselves.Often they are

spending money on alcohol or ciggarettes or in other wasteful ways BUT not

seeing what we do as equal value.They are often the most demanding and

impatient of clients.I tell them that infinate patience produces IMMEDIATE

results AND make sure they are commited or don't waste your time.This can

save you a lot of time,energy and money.

Regards Ray Ford

 

 

 

-

" heylaurag " <heylaurag

<Chinese Medicine >

Sunday, February 06, 2005 8:39 AM

Arm Pain Case/money issues

 

 

 

 

Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered herr

time.

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

Chinese Medicine ,

wrote:

> Hi Anita, Lori and all!

>

> I have treated 3 people with Parkinson, 2 previously diagnosed and

the other

> subsequently diagnosed.

> http://www.pdrecovery.org/

>

> I predominately used these acupuncture strategies at this site for

Parkinson

> recovery. I think Anita you might find your answers to the reaction

in your

> patients here.

>

> In brief, go to the site and down load the free practitioner how to

treat

> manual, their is typically a blockage on the ST channel in the foot

from an

> unexpressed injury (ie the person hurt their foot but it never

became red,

> hot, swollen etc).

>

> The qi is said to back up the St channel and at the junction with

the large

> intestine channel the additional qi cannot flow from the finger tips

to the

> chest, and reverberates back to the fingers,... hence the tremor.

>

> Also there is now excess qi in the ST channel which on the face

jumps to the

> GB channel... and from memory there is this constant excess in the GB

> channel running in parallel to the UB channel on the scalp. This

sets up

> what I think Janice says is a capacitor effect. This jump then

leaves the

> face part of the St channel deficient and that explains the drop face

> expression. Now she explains this all in many pages. I just want

to give

> you enough that you might want to download the large manual and read it

> through. If you do, I would be keen to hear your thoughts.

>

> BTW all the patients I treated felt her approach worked with the last Px

> declaring himself cured by acupuncture...my first Px was well into

Parkinson

> and they would have continued but the 140km round trip was too much

for 70

> year olds.

>

> I wanted also to see if the use of ear points for the Substantia

Nigra could

> have brought it back on line in the brain. Her idea is that it

shuts down

> production or use (I can't recall which) of dopamine when there is

injury,

> so the person or animal can rest without being restless with the

physical

> injury. In the case of Parkinson the idea I think is this, the

unexpressed

> injury is like a scratch on the old vinyl records as the person never

> actually gets through the old injury so the dopamine levels stay low. A

> real stuckness.

>

> Another idea I came across in Craniosacral reading is the idea of energy

> cysts, can't recall if that was their term or mine. Anyway you

might think

> of the old unexpressed injury as an energy cyst blocking the channel and

> this is first removed on the foot and or other locations using a yin

tunia

> which Janice explains.

>

> Best wishes,

>

>

>

>

> Anita Binnington [abinnington@s...]

> Saturday, 5 February 2005 11:24 AM

> Chinese Medicine

> Re: Re: Arm Pain Case

>

>

> Hi Lori,Heylaurg etc,

> Putting in my 2 cents worth again. I have treated a lot of

neurological

> disorder ie motor neuron etc, and all these symptoms of both of your

> clients have a good deal of similarities, ie fatigue after short term

> use, pain in both arms and legs, left /right imbalance of pain and

> symptoms. I have used scalp acupuncture, Jiaji pts,

constitutional, moxa

> etc.

> I have not treated Parkinsons but believe that acupuncture/herbs may

> have something to offer in this case.

> This is why the diagnosis (western) is important at this point because

> that will better help determine the outcome of treatmen,and at this

> point TCM does not have diagnostic criteria to ascertain which

> neurological group it is under.

> As an aside, I have experienced some interesting side effects of

scalp

> acupuncture while treating 2 clients whom were suffering peripheral

> neuropathy. When I included scalp acupuncture on their motor area of

> arms and legs, connected to electrodes, both had severe side

effects of

> dizziness and sleeepiness where they had to go to bed and sleep for

> hours over a few days. This did not occur with motor neurone

disorder,

> and sometimes occurs with stroke paralysis. Any ideas?

> Best Wishes

> Anita

>

>

> --

>

>

> Version: 7.0.300 / Virus Database: 265.8.5 - Release 2/3/2005

>

>

>

>

> http://babel.altavista.com/

>

>

> and

adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

the group

> requires prior permission from the author.

>

> If you are a TCM academic and wish to discuss TCM with other

academics,

>

>

>

>

Link to comment
Share on other sites

Hi Ray,

These things operate on so many levels, so I suppose we get out of it what

we do each time we make the encounter.

 

I suppose for me it is that we even are aware of these things and

contemplate them at all.

Best wishes,

 

 

 

raymond ford [rford]

Monday, 7 February 2005 2:54 PM

Chinese Medicine

Re: Arm Pain Case/money issues

 

 

Hi Sharon,

I understand what you are saying and agree to the extent that it is

" us " for

not recognising the " pattern of behaviour that is usually obvious " and it

is

part of THEIR pattern not mine.

Regards

Ray Ford

-

<>

<Chinese Medicine >

Monday, February 07, 2005 2:19 PM

RE: Arm Pain Case/money issues

 

 

 

Hi Ray and Laura,

 

Ray, I had the same thing of seeing patients on my off days.... whilst

they

turned up they seldom re-booked. I was complaining of 'putting myself

out'

to a colleague who suggested that since I didn't want to treat them on my

days off, then perhaps I was the problem, as the common denominator to all

these patients.

 

Maybe sometimes, it is just us!

Best wishes,

 

raymond ford [rford]

Monday, 7 February 2005 1:02 PM

Chinese Medicine

Re: Arm Pain Case/money issues

 

 

Hi Laura,

I have found over a number of years that the people I bend over

backwards

for the most wether it be with time or money,are the LEAST reliable in

terms

of their own commitment with THEIR time and money.This has happened so

much

over the years for example when I come in to treat them on my day

off(they

often do not show up,with usually pathetic excuses later) or

significantly

reducing the fee,often doesn't help at all.Of course this is not true in

EVERY case but many in my experience.I do not know what it means as I am

not

a psychologist but I think people do not value what we do if we do too

much

for them especially when they can do it for themselves.Often they are

spending money on alcohol or ciggarettes or in other wasteful ways BUT

not

seeing what we do as equal value.They are often the most demanding and

impatient of clients.I tell them that infinate patience produces

IMMEDIATE

results AND make sure they are commited or don't waste your time.This

can

save you a lot of time,energy and money.

Regards Ray Ford

 

 

 

-

" heylaurag " <heylaurag

<Chinese Medicine >

Sunday, February 06, 2005 8:39 AM

Arm Pain Case/money issues

 

 

 

 

Hi Sharon,

 

Wow, fascinating stuff. I will definitely look into downloading it.

 

I am really concerned about this woman, and not sure what to do

because she says that she cannot afford her $25 co-pay. I offered herr

time.

sessions with a reduced co-pay of $15, but she claims that she cannot

handle that either. I find that hard to believe...she's a school

teacher, which I know doesn't pay a lot, but $15? Surely she could

afford that. I think the more likely story is that 1. She expected

instant results and since the second treatment wasn't helpful she's

giving up faith and 2. She's underestimating the potential

seriousness of this condition.

 

Hard to know what to do. As it is, with the deal I am giving her I am

paying her $10 a session to treat her because I would have no problem

filling her slot with someone who would pay the regular insurance price.

 

Anyone have any thoughts on that?

 

Laura

 

 

 

 

Chinese Medicine ,

wrote:

> Hi Anita, Lori and all!

>

> I have treated 3 people with Parkinson, 2 previously diagnosed and

the other

> subsequently diagnosed.

> http://www.pdrecovery.org/

>

> I predominately used these acupuncture strategies at this site for

Parkinson

> recovery. I think Anita you might find your answers to the reaction

in your

> patients here.

>

> In brief, go to the site and down load the free practitioner how to

treat

> manual, their is typically a blockage on the ST channel in the foot

from an

> unexpressed injury (ie the person hurt their foot but it never

became red,

> hot, swollen etc).

>

> The qi is said to back up the St channel and at the junction with

the large

> intestine channel the additional qi cannot flow from the finger tips

to the

> chest, and reverberates back to the fingers,... hence the tremor.

>

> Also there is now excess qi in the ST channel which on the face

jumps to the

> GB channel... and from memory there is this constant excess in the GB

> channel running in parallel to the UB channel on the scalp. This

sets up

> what I think Janice says is a capacitor effect. This jump then

leaves the

> face part of the St channel deficient and that explains the drop face

> expression. Now she explains this all in many pages. I just want

to give

> you enough that you might want to download the large manual and read

it

> through. If you do, I would be keen to hear your thoughts.

>

> BTW all the patients I treated felt her approach worked with the last

Px

> declaring himself cured by acupuncture...my first Px was well into

Parkinson

> and they would have continued but the 140km round trip was too much

for 70

> year olds.

>

> I wanted also to see if the use of ear points for the Substantia

Nigra could

> have brought it back on line in the brain. Her idea is that it

shuts down

> production or use (I can't recall which) of dopamine when there is

injury,

> so the person or animal can rest without being restless with the

physical

> injury. In the case of Parkinson the idea I think is this, the

unexpressed

> injury is like a scratch on the old vinyl records as the person never

> actually gets through the old injury so the dopamine levels stay low.

A

> real stuckness.

>

> Another idea I came across in Craniosacral reading is the idea of

energy

> cysts, can't recall if that was their term or mine. Anyway you

might think

> of the old unexpressed injury as an energy cyst blocking the channel

and

> this is first removed on the foot and or other locations using a yin

tunia

> which Janice explains.

>

> Best wishes,

>

>

>

>

> Anita Binnington [abinnington@s...]

> Saturday, 5 February 2005 11:24 AM

> Chinese Medicine

> Re: Re: Arm Pain Case

>

>

> Hi Lori,Heylaurg etc,

> Putting in my 2 cents worth again. I have treated a lot of

neurological

> disorder ie motor neuron etc, and all these symptoms of both of your

> clients have a good deal of similarities, ie fatigue after short

term

> use, pain in both arms and legs, left /right imbalance of pain and

> symptoms. I have used scalp acupuncture, Jiaji pts,

constitutional, moxa

> etc.

> I have not treated Parkinsons but believe that acupuncture/herbs may

> have something to offer in this case.

> This is why the diagnosis (western) is important at this point

because

> that will better help determine the outcome of treatmen,and at this

> point TCM does not have diagnostic criteria to ascertain which

> neurological group it is under.

> As an aside, I have experienced some interesting side effects of

scalp

> acupuncture while treating 2 clients whom were suffering peripheral

> neuropathy. When I included scalp acupuncture on their motor area of

> arms and legs, connected to electrodes, both had severe side

effects of

> dizziness and sleeepiness where they had to go to bed and sleep for

> hours over a few days. This did not occur with motor neurone

disorder,

> and sometimes occurs with stroke paralysis. Any ideas?

> Best Wishes

> Anita

>

>

> --

>

>

> Version: 7.0.300 / Virus Database: 265.8.5 - Release 2/3/2005

>

>

>

> To translate this message, copy and paste it into this web link

page,

> http://babel.altavista.com/

>

>

> and

adjust

> accordingly.

>

> Messages are the property of the author. Any duplication outside

the group

> requires prior permission from the author.

>

> If you are a TCM academic and wish to discuss TCM with other

academics,

>

>

>

>

Link to comment
Share on other sites

One thing I wanted to add about this case--she said that at one point

her symptoms suddenly went away, but they came back. Also, this all

came on after a great deal of stress.

 

I think that if she doesn't call and make an appointment I will call

her and ask her what she can afford.

 

Thanks for all the input!

 

Laura

 

 

 

Chinese Medicine , " heylaurag "

<heylaurag@h...> wrote:

>

> Hi All,

>

> Wow, so many great responses! This has been really very helpful for

> me to read and think about. One thing that I didn't mention (and

> should have!) is that she said, " I cannot afford to pay you the $30

> that I now owe you, so I will wait a month and then start coming in

> twice a month " (which is usually a sign that they won't be back). I

> left a message for her telling her that I would wave the $30 that she

> already owed me, but that from here on out it would be $15 a session.

> Then I suggested that she go ahead and make an appointment for a

> month from now since she needs evenings and those times go fast....I

> haven't heard from her (but its only been a few days).

>

> You know, if a few things were different I would probably be more

> likely to accept the $25 from her insurance as payment: first of all,

> as someone suggested, I really am not confident that I can help her

> signifcantly, although she did get some improvement after the first

> session. If I was, I'd probably be wanting to jump on it. Also,

> there's something about her attitude....for one thing, she asked if I

> could wave the $25 co-pay DURING the first session, something that she

> should have asked before coming, and she seemed to just expect that I

> would basically accept a 50% discount. Also, the message she left in

> response to my offer for $10 off her co-pay seemed almost

> angry...which seemed really very entitled to me---but I could have

> misinterpreted that.

>

> So, anway, thanks for letting me think " out loud " (so to speak). Lots

> to consider...

>

> By the way, I too have found that the people I bend over backwards for

> often don't follow through. I prefer to wait and see how they are

> before I start bending over backwards for them, but sometimes I have

> no choice by necessity--especially since I am still relatively new

> with lots to learn. It can be frustrating when I've done a lot of

> research and the person stops coming---but at least I've learned a

> lot....as I have here. Thanks for the thoughts!

>

> Laura

>

>

> Chinese Medicine ,

> wrote:

> > Hi Ray and Laura,

> >

> > Ray, I had the same thing of seeing patients on my off days....

> whilst they

> > turned up they seldom re-booked. I was complaining of 'putting

> myself out'

> > to a colleague who suggested that since I didn't want to treat them

> on my

> > days off, then perhaps I was the problem, as the common denominator

> to all

> > these patients.

> >

> > Maybe sometimes, it is just us!

> > Best wishes,

> >

> >

> >

> > raymond ford [rford@p...]

> > Monday, 7 February 2005 1:02 PM

> > Chinese Medicine

> > Re: Arm Pain Case/money issues

> >

> >

> > Hi Laura,

> > I have found over a number of years that the people I bend over

> backwards

> > for the most wether it be with time or money,are the LEAST

reliable in

> > terms

> > of their own commitment with THEIR time and money.This has

happened so

> > much

> > over the years for example when I come in to treat them on my day

> off(they

> > often do not show up,with usually pathetic excuses later) or

> significantly

> > reducing the fee,often doesn't help at all.Of course this is not

> true in

> > EVERY case but many in my experience.I do not know what it means

> as I am

> > not

> > a psychologist but I think people do not value what we do if we

do too

> > much

> > for them especially when they can do it for themselves.Often

they are

> > spending money on alcohol or ciggarettes or in other wasteful ways

> BUT not

> > seeing what we do as equal value.They are often the most

demanding and

> > impatient of clients.I tell them that infinate patience produces

> IMMEDIATE

> > results AND make sure they are commited or don't waste your

> time.This can

> > save you a lot of time,energy and money.

> > Regards Ray Ford

> >

> >

> >

> > -

> > " heylaurag " <heylaurag@h...>

> > <Chinese Medicine >

> > Sunday, February 06, 2005 8:39 AM

> > Arm Pain Case/money issues

> >

> >

> >

> >

> > Hi Sharon,

> >

> > Wow, fascinating stuff. I will definitely look into downloading it.

> >

> > I am really concerned about this woman, and not sure what to do

> > because she says that she cannot afford her $25 co-pay. I offered

> herr

> > time.

> > sessions with a reduced co-pay of $15, but she claims that she

cannot

> > handle that either. I find that hard to believe...she's a school

> > teacher, which I know doesn't pay a lot, but $15? Surely she could

> > afford that. I think the more likely story is that 1. She expected

> > instant results and since the second treatment wasn't helpful she's

> > giving up faith and 2. She's underestimating the potential

> > seriousness of this condition.

> >

> > Hard to know what to do. As it is, with the deal I am giving

her I am

> > paying her $10 a session to treat her because I would have no

problem

> > filling her slot with someone who would pay the regular insurance

> price.

> >

> > Anyone have any thoughts on that?

> >

> > Laura

> >

> >

> >

> >

> > Chinese Medicine ,

> > wrote:

> > > Hi Anita, Lori and all!

> > >

> > > I have treated 3 people with Parkinson, 2 previously diagnosed and

> > the other

> > > subsequently diagnosed.

> > > http://www.pdrecovery.org/

> > >

> > > I predominately used these acupuncture strategies at this site for

> > Parkinson

> > > recovery. I think Anita you might find your answers to the

reaction

> > in your

> > > patients here.

> > >

> > > In brief, go to the site and down load the free practitioner

how to

> > treat

> > > manual, their is typically a blockage on the ST channel in the

foot

> > from an

> > > unexpressed injury (ie the person hurt their foot but it never

> > became red,

> > > hot, swollen etc).

> > >

> > > The qi is said to back up the St channel and at the junction with

> > the large

> > > intestine channel the additional qi cannot flow from the

finger tips

> > to the

> > > chest, and reverberates back to the fingers,... hence the tremor.

> > >

> > > Also there is now excess qi in the ST channel which on the face

> > jumps to the

> > > GB channel... and from memory there is this constant excess in

> the GB

> > > channel running in parallel to the UB channel on the scalp. This

> > sets up

> > > what I think Janice says is a capacitor effect. This jump then

> > leaves the

> > > face part of the St channel deficient and that explains the drop

> face

> > > expression. Now she explains this all in many pages. I just want

> > to give

> > > you enough that you might want to download the large manual and

> read it

> > > through. If you do, I would be keen to hear your thoughts.

> > >

> > > BTW all the patients I treated felt her approach worked with the

> last Px

> > > declaring himself cured by acupuncture...my first Px was well into

> > Parkinson

> > > and they would have continued but the 140km round trip was too

much

> > for 70

> > > year olds.

> > >

> > > I wanted also to see if the use of ear points for the Substantia

> > Nigra could

> > > have brought it back on line in the brain. Her idea is that it

> > shuts down

> > > production or use (I can't recall which) of dopamine when there is

> > injury,

> > > so the person or animal can rest without being restless with the

> > physical

> > > injury. In the case of Parkinson the idea I think is this, the

> > unexpressed

> > > injury is like a scratch on the old vinyl records as the person

> never

> > > actually gets through the old injury so the dopamine levels stay

> low. A

> > > real stuckness.

> > >

> > > Another idea I came across in Craniosacral reading is the idea

> of energy

> > > cysts, can't recall if that was their term or mine. Anyway you

> > might think

> > > of the old unexpressed injury as an energy cyst blocking the

> channel and

> > > this is first removed on the foot and or other locations using

a yin

> > tunia

> > > which Janice explains.

> > >

> > > Best wishes,

> > >

> > >

> > >

> > >

> > > Anita Binnington [abinnington@s...]

> > > Saturday, 5 February 2005 11:24 AM

> > > Chinese Medicine

> > > Re: Re: Arm Pain Case

> > >

> > >

> > > Hi Lori,Heylaurg etc,

> > > Putting in my 2 cents worth again. I have treated a lot of

> > neurological

> > > disorder ie motor neuron etc, and all these symptoms of both

> of your

> > > clients have a good deal of similarities, ie fatigue after

> short term

> > > use, pain in both arms and legs, left /right imbalance of

pain and

> > > symptoms. I have used scalp acupuncture, Jiaji pts,

> > constitutional, moxa

> > > etc.

> > > I have not treated Parkinsons but believe that

> acupuncture/herbs may

> > > have something to offer in this case.

> > > This is why the diagnosis (western) is important at this point

> because

> > > that will better help determine the outcome of treatmen,and

> at this

> > > point TCM does not have diagnostic criteria to ascertain which

> > > neurological group it is under.

> > > As an aside, I have experienced some interesting side

effects of

> > scalp

> > > acupuncture while treating 2 clients whom were suffering

> peripheral

> > > neuropathy. When I included scalp acupuncture on their motor

> area of

> > > arms and legs, connected to electrodes, both had severe side

> > effects of

> > > dizziness and sleeepiness where they had to go to bed and

> sleep for

> > > hours over a few days. This did not occur with motor neurone

> > disorder,

> > > and sometimes occurs with stroke paralysis. Any ideas?

> > > Best Wishes

> > > Anita

> > >

> > >

> > > --

> > >

> > >

> > > Version: 7.0.300 / Virus Database: 265.8.5 - Release Date:

> 2/3/2005

> > >

> > >

> > >

> > > To translate this message, copy and paste it into this web

> link page,

> > > http://babel.altavista.com/

> > >

> > >

> > >

and

> > adjust

> > > accordingly.

> > >

> > > Messages are the property of the author. Any duplication outside

> > the group

> > > requires prior permission from the author.

> > >

> > > If you are a TCM academic and wish to discuss TCM with other

> > academics,

> > >

> > >

> > >

> > >

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Share on other sites

Let us know how you make out Laura.

 

 

 

heylaurag [heylaurag]

Monday, 7 February 2005 6:31 PM

Chinese Medicine

Re: Arm Pain Case/money issues

 

 

 

One thing I wanted to add about this case--she said that at one point

her symptoms suddenly went away, but they came back. Also, this all

came on after a great deal of stress.

 

I think that if she doesn't call and make an appointment I will call

her and ask her what she can afford.

 

Thanks for all the input!

 

Laura

 

 

 

Chinese Medicine , " heylaurag "

<heylaurag@h...> wrote:

>

> Hi All,

>

> Wow, so many great responses! This has been really very helpful for

> me to read and think about. One thing that I didn't mention (and

> should have!) is that she said, " I cannot afford to pay you the $30

> that I now owe you, so I will wait a month and then start coming in

> twice a month " (which is usually a sign that they won't be back). I

> left a message for her telling her that I would wave the $30 that she

> already owed me, but that from here on out it would be $15 a session.

> Then I suggested that she go ahead and make an appointment for a

> month from now since she needs evenings and those times go fast....I

> haven't heard from her (but its only been a few days).

>

> You know, if a few things were different I would probably be more

> likely to accept the $25 from her insurance as payment: first of all,

> as someone suggested, I really am not confident that I can help her

> signifcantly, although she did get some improvement after the first

> session. If I was, I'd probably be wanting to jump on it. Also,

> there's something about her attitude....for one thing, she asked if I

> could wave the $25 co-pay DURING the first session, something that she

> should have asked before coming, and she seemed to just expect that I

> would basically accept a 50% discount. Also, the message she left in

> response to my offer for $10 off her co-pay seemed almost

> angry...which seemed really very entitled to me---but I could have

> misinterpreted that.

>

> So, anway, thanks for letting me think " out loud " (so to speak). Lots

> to consider...

>

> By the way, I too have found that the people I bend over backwards for

> often don't follow through. I prefer to wait and see how they are

> before I start bending over backwards for them, but sometimes I have

> no choice by necessity--especially since I am still relatively new

> with lots to learn. It can be frustrating when I've done a lot of

> research and the person stops coming---but at least I've learned a

> lot....as I have here. Thanks for the thoughts!

>

> Laura

>

>

> Chinese Medicine ,

> wrote:

> > Hi Ray and Laura,

> >

> > Ray, I had the same thing of seeing patients on my off days....

> whilst they

> > turned up they seldom re-booked. I was complaining of 'putting

> myself out'

> > to a colleague who suggested that since I didn't want to treat them

> on my

> > days off, then perhaps I was the problem, as the common denominator

> to all

> > these patients.

> >

> > Maybe sometimes, it is just us!

> > Best wishes,

> >

> >

> >

> > raymond ford [rford@p...]

> > Monday, 7 February 2005 1:02 PM

> > Chinese Medicine

> > Re: Arm Pain Case/money issues

> >

> >

> > Hi Laura,

> > I have found over a number of years that the people I bend over

> backwards

> > for the most wether it be with time or money,are the LEAST

reliable in

> > terms

> > of their own commitment with THEIR time and money.This has

happened so

> > much

> > over the years for example when I come in to treat them on my day

> off(they

> > often do not show up,with usually pathetic excuses later) or

> significantly

> > reducing the fee,often doesn't help at all.Of course this is not

> true in

> > EVERY case but many in my experience.I do not know what it means

> as I am

> > not

> > a psychologist but I think people do not value what we do if we

do too

> > much

> > for them especially when they can do it for themselves.Often

they are

> > spending money on alcohol or ciggarettes or in other wasteful ways

> BUT not

> > seeing what we do as equal value.They are often the most

demanding and

> > impatient of clients.I tell them that infinate patience produces

> IMMEDIATE

> > results AND make sure they are commited or don't waste your

> time.This can

> > save you a lot of time,energy and money.

> > Regards Ray Ford

> >

> >

> >

> > -

> > " heylaurag " <heylaurag@h...>

> > <Chinese Medicine >

> > Sunday, February 06, 2005 8:39 AM

> > Arm Pain Case/money issues

> >

> >

> >

> >

> > Hi Sharon,

> >

> > Wow, fascinating stuff. I will definitely look into downloading it.

> >

> > I am really concerned about this woman, and not sure what to do

> > because she says that she cannot afford her $25 co-pay. I offered

> herr

> > time.

> > sessions with a reduced co-pay of $15, but she claims that she

cannot

> > handle that either. I find that hard to believe...she's a school

> > teacher, which I know doesn't pay a lot, but $15? Surely she could

> > afford that. I think the more likely story is that 1. She expected

> > instant results and since the second treatment wasn't helpful she's

> > giving up faith and 2. She's underestimating the potential

> > seriousness of this condition.

> >

> > Hard to know what to do. As it is, with the deal I am giving

her I am

> > paying her $10 a session to treat her because I would have no

problem

> > filling her slot with someone who would pay the regular insurance

> price.

> >

> > Anyone have any thoughts on that?

> >

> > Laura

> >

> >

> >

> >

> > Chinese Medicine ,

> > wrote:

> > > Hi Anita, Lori and all!

> > >

> > > I have treated 3 people with Parkinson, 2 previously diagnosed and

> > the other

> > > subsequently diagnosed.

> > > http://www.pdrecovery.org/

> > >

> > > I predominately used these acupuncture strategies at this site for

> > Parkinson

> > > recovery. I think Anita you might find your answers to the

reaction

> > in your

> > > patients here.

> > >

> > > In brief, go to the site and down load the free practitioner

how to

> > treat

> > > manual, their is typically a blockage on the ST channel in the

foot

> > from an

> > > unexpressed injury (ie the person hurt their foot but it never

> > became red,

> > > hot, swollen etc).

> > >

> > > The qi is said to back up the St channel and at the junction with

> > the large

> > > intestine channel the additional qi cannot flow from the

finger tips

> > to the

> > > chest, and reverberates back to the fingers,... hence the tremor.

> > >

> > > Also there is now excess qi in the ST channel which on the face

> > jumps to the

> > > GB channel... and from memory there is this constant excess in

> the GB

> > > channel running in parallel to the UB channel on the scalp. This

> > sets up

> > > what I think Janice says is a capacitor effect. This jump then

> > leaves the

> > > face part of the St channel deficient and that explains the drop

> face

> > > expression. Now she explains this all in many pages. I just want

> > to give

> > > you enough that you might want to download the large manual and

> read it

> > > through. If you do, I would be keen to hear your thoughts.

> > >

> > > BTW all the patients I treated felt her approach worked with the

> last Px

> > > declaring himself cured by acupuncture...my first Px was well into

> > Parkinson

> > > and they would have continued but the 140km round trip was too

much

> > for 70

> > > year olds.

> > >

> > > I wanted also to see if the use of ear points for the Substantia

> > Nigra could

> > > have brought it back on line in the brain. Her idea is that it

> > shuts down

> > > production or use (I can't recall which) of dopamine when there is

> > injury,

> > > so the person or animal can rest without being restless with the

> > physical

> > > injury. In the case of Parkinson the idea I think is this, the

> > unexpressed

> > > injury is like a scratch on the old vinyl records as the person

> never

> > > actually gets through the old injury so the dopamine levels stay

> low. A

> > > real stuckness.

> > >

> > > Another idea I came across in Craniosacral reading is the idea

> of energy

> > > cysts, can't recall if that was their term or mine. Anyway you

> > might think

> > > of the old unexpressed injury as an energy cyst blocking the

> channel and

> > > this is first removed on the foot and or other locations using

a yin

> > tunia

> > > which Janice explains.

> > >

> > > Best wishes,

> > >

> > >

> > >

> > >

> > > Anita Binnington [abinnington@s...]

> > > Saturday, 5 February 2005 11:24 AM

> > > Chinese Medicine

> > > Re: Re: Arm Pain Case

> > >

> > >

> > > Hi Lori,Heylaurg etc,

> > > Putting in my 2 cents worth again. I have treated a lot of

> > neurological

> > > disorder ie motor neuron etc, and all these symptoms of both

> of your

> > > clients have a good deal of similarities, ie fatigue after

> short term

> > > use, pain in both arms and legs, left /right imbalance of

pain and

> > > symptoms. I have used scalp acupuncture, Jiaji pts,

> > constitutional, moxa

> > > etc.

> > > I have not treated Parkinsons but believe that

> acupuncture/herbs may

> > > have something to offer in this case.

> > > This is why the diagnosis (western) is important at this point

> because

> > > that will better help determine the outcome of treatmen,and

> at this

> > > point TCM does not have diagnostic criteria to ascertain which

> > > neurological group it is under.

> > > As an aside, I have experienced some interesting side

effects of

> > scalp

> > > acupuncture while treating 2 clients whom were suffering

> peripheral

> > > neuropathy. When I included scalp acupuncture on their motor

> area of

> > > arms and legs, connected to electrodes, both had severe side

> > effects of

> > > dizziness and sleeepiness where they had to go to bed and

> sleep for

> > > hours over a few days. This did not occur with motor neurone

> > disorder,

> > > and sometimes occurs with stroke paralysis. Any ideas?

> > > Best Wishes

> > > Anita

> > >

> > >

> > > --

> > >

> > >

> > > Version: 7.0.300 / Virus Database: 265.8.5 - Release Date:

> 2/3/2005

> > >

> > >

> > >

> > > To translate this message, copy and paste it into this web

> link page,

> > > http://babel.altavista.com/

> > >

> > >

> > >

and

> > adjust

> > > accordingly.

> > >

> > > Messages are the property of the author. Any duplication outside

> > the group

> > > requires prior permission from the author.

> > >

> > > If you are a TCM academic and wish to discuss TCM with other

> > academics,

> > >

> > >

> > >

> > >

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Share on other sites

Laura:

 

I have been following this and may have forgotten a few details. It

seems that you take insurance and are willing to accept the $25 up

front, bill and wait for payment later. This is a very reasonable fee.

This lady has some blocks to being helped right now, and my first

impression is Let Her Go.

 

As to whether we feel wobley on if we can help. I think this happens

alot to new as well as experienced practitioners. We all have to treat

the condition for the first time, otherwise there is no second time.

Even if we know a tx has worked for 10 people, it may not work on the 11th.

 

We all have to go in knowing we are giving our best healing and our

intention is strong to heal. This is were the wobble is - just knowing

that what you " are " doing is with the greatest healing intention. You

are also learning and asking questions here, doing research, this is in

conjunction with this great healing intention.

 

I agree with Sharon. If you don't have the space empty in your mind -

people don't show or come. This is a lesson that she is reminding me of.

 

Continue your great healing, Laura.

 

Anne

 

heylaurag wrote:

 

>

> Hi All,

>

> Wow, so many great responses! This has been really very helpful for

> me to read and think about. One thing that I didn't mention (and

> should have!) is that she said, " I cannot afford to pay you the $30

> that I now owe you, so I will wait a month and then start coming in

> twice a month " (which is usually a sign that they won't be back). I

> left a message for her telling her that I would wave the $30 that she

> already owed me, but that from here on out it would be $15 a session.

> Then I suggested that she go ahead and make an appointment for a

> month from now since she needs evenings and those times go fast....I

> haven't heard from her (but its only been a few days).

>

> You know, if a few things were different I would probably be more

> likely to accept the $25 from her insurance as payment: first of all,

> as someone suggested, I really am not confident that I can help her

> signifcantly, although she did get some improvement after the first

> session. If I was, I'd probably be wanting to jump on it. Also,

> there's something about her attitude....for one thing, she asked if I

> could wave the $25 co-pay DURING the first session, something that she

> should have asked before coming, and she seemed to just expect that I

> would basically accept a 50% discount. Also, the message she left in

> response to my offer for $10 off her co-pay seemed almost

> angry...which seemed really very entitled to me---but I could have

> misinterpreted that.

>

> So, anway, thanks for letting me think " out loud " (so to speak). Lots

> to consider...

>

> By the way, I too have found that the people I bend over backwards for

> often don't follow through. I prefer to wait and see how they are

> before I start bending over backwards for them, but sometimes I have

> no choice by necessity--especially since I am still relatively new

> with lots to learn. It can be frustrating when I've done a lot of

> research and the person stops coming---but at least I've learned a

> lot....as I have here. Thanks for the thoughts!

>

> Laura

>

>

> Chinese Medicine ,

> wrote:

> > Hi Ray and Laura,

> >

> > Ray, I had the same thing of seeing patients on my off days....

> whilst they

> > turned up they seldom re-booked. I was complaining of 'putting

> myself out'

> > to a colleague who suggested that since I didn't want to treat them

> on my

> > days off, then perhaps I was the problem, as the common denominator

> to all

> > these patients.

> >

> > Maybe sometimes, it is just us!

> > Best wishes,

> >

> >

> >

> > raymond ford [rford@p...]

> > Monday, 7 February 2005 1:02 PM

> > Chinese Medicine

> > Re: Arm Pain Case/money issues

> >

> >

> > Hi Laura,

> > I have found over a number of years that the people I bend over

> backwards

> > for the most wether it be with time or money,are the LEAST reliable in

> > terms

> > of their own commitment with THEIR time and money.This has happened so

> > much

> > over the years for example when I come in to treat them on my day

> off(they

> > often do not show up,with usually pathetic excuses later) or

> significantly

> > reducing the fee,often doesn't help at all.Of course this is not

> true in

> > EVERY case but many in my experience.I do not know what it means

> as I am

> > not

> > a psychologist but I think people do not value what we do if we do too

> > much

> > for them especially when they can do it for themselves.Often they are

> > spending money on alcohol or ciggarettes or in other wasteful ways

> BUT not

> > seeing what we do as equal value.They are often the most demanding and

> > impatient of clients.I tell them that infinate patience produces

> IMMEDIATE

> > results AND make sure they are commited or don't waste your

> time.This can

> > save you a lot of time,energy and money.

> > Regards Ray Ford

> >

> >

> >

> > -

> > " heylaurag " <heylaurag@h...>

> > <Chinese Medicine >

> > Sunday, February 06, 2005 8:39 AM

> > Arm Pain Case/money issues

> >

> >

> >

> >

> > Hi Sharon,

> >

> > Wow, fascinating stuff. I will definitely look into downloading it.

> >

> > I am really concerned about this woman, and not sure what to do

> > because she says that she cannot afford her $25 co-pay. I offered

> herr

> > time.

> > sessions with a reduced co-pay of $15, but she claims that she cannot

> > handle that either. I find that hard to believe...she's a school

> > teacher, which I know doesn't pay a lot, but $15? Surely she could

> > afford that. I think the more likely story is that 1. She expected

> > instant results and since the second treatment wasn't helpful she's

> > giving up faith and 2. She's underestimating the potential

> > seriousness of this condition.

> >

> > Hard to know what to do. As it is, with the deal I am giving her I am

> > paying her $10 a session to treat her because I would have no problem

> > filling her slot with someone who would pay the regular insurance

> price.

> >

> > Anyone have any thoughts on that?

> >

> > Laura

> >

> >

> >

> >

> > Chinese Medicine ,

> > wrote:

> > > Hi Anita, Lori and all!

> > >

> > > I have treated 3 people with Parkinson, 2 previously diagnosed and

> > the other

> > > subsequently diagnosed.

> > > http://www.pdrecovery.org/

> > >

> > > I predominately used these acupuncture strategies at this site for

> > Parkinson

> > > recovery. I think Anita you might find your answers to the reaction

> > in your

> > > patients here.

> > >

> > > In brief, go to the site and down load the free practitioner how to

> > treat

> > > manual, their is typically a blockage on the ST channel in the foot

> > from an

> > > unexpressed injury (ie the person hurt their foot but it never

> > became red,

> > > hot, swollen etc).

> > >

> > > The qi is said to back up the St channel and at the junction with

> > the large

> > > intestine channel the additional qi cannot flow from the finger tips

> > to the

> > > chest, and reverberates back to the fingers,... hence the tremor.

> > >

> > > Also there is now excess qi in the ST channel which on the face

> > jumps to the

> > > GB channel... and from memory there is this constant excess in

> the GB

> > > channel running in parallel to the UB channel on the scalp. This

> > sets up

> > > what I think Janice says is a capacitor effect. This jump then

> > leaves the

> > > face part of the St channel deficient and that explains the drop

> face

> > > expression. Now she explains this all in many pages. I just want

> > to give

> > > you enough that you might want to download the large manual and

> read it

> > > through. If you do, I would be keen to hear your thoughts.

> > >

> > > BTW all the patients I treated felt her approach worked with the

> last Px

> > > declaring himself cured by acupuncture...my first Px was well into

> > Parkinson

> > > and they would have continued but the 140km round trip was too much

> > for 70

> > > year olds.

> > >

> > > I wanted also to see if the use of ear points for the Substantia

> > Nigra could

> > > have brought it back on line in the brain. Her idea is that it

> > shuts down

> > > production or use (I can't recall which) of dopamine when there is

> > injury,

> > > so the person or animal can rest without being restless with the

> > physical

> > > injury. In the case of Parkinson the idea I think is this, the

> > unexpressed

> > > injury is like a scratch on the old vinyl records as the person

> never

> > > actually gets through the old injury so the dopamine levels stay

> low. A

> > > real stuckness.

> > >

> > > Another idea I came across in Craniosacral reading is the idea

> of energy

> > > cysts, can't recall if that was their term or mine. Anyway you

> > might think

> > > of the old unexpressed injury as an energy cyst blocking the

> channel and

> > > this is first removed on the foot and or other locations using a yin

> > tunia

> > > which Janice explains.

> > >

> > > Best wishes,

> > >

> > >

> > >

> > >

> > > Anita Binnington [abinnington@s...]

> > > Saturday, 5 February 2005 11:24 AM

> > > Chinese Medicine

> > > Re: Re: Arm Pain Case

> > >

> > >

> > > Hi Lori,Heylaurg etc,

> > > Putting in my 2 cents worth again. I have treated a lot of

> > neurological

> > > disorder ie motor neuron etc, and all these symptoms of both

> of your

> > > clients have a good deal of similarities, ie fatigue after

> short term

> > > use, pain in both arms and legs, left /right imbalance of pain and

> > > symptoms. I have used scalp acupuncture, Jiaji pts,

> > constitutional, moxa

> > > etc.

> > > I have not treated Parkinsons but believe that

> acupuncture/herbs may

> > > have something to offer in this case.

> > > This is why the diagnosis (western) is important at this point

> because

> > > that will better help determine the outcome of treatmen,and

> at this

> > > point TCM does not have diagnostic criteria to ascertain which

> > > neurological group it is under.

> > > As an aside, I have experienced some interesting side effects of

> > scalp

> > > acupuncture while treating 2 clients whom were suffering

> peripheral

> > > neuropathy. When I included scalp acupuncture on their motor

> area of

> > > arms and legs, connected to electrodes, both had severe side

> > effects of

> > > dizziness and sleeepiness where they had to go to bed and

> sleep for

> > > hours over a few days. This did not occur with motor neurone

> > disorder,

> > > and sometimes occurs with stroke paralysis. Any ideas?

> > > Best Wishes

> > > Anita

> > >

> > >

> > > --

> > >

> > >

> > > Version: 7.0.300 / Virus Database: 265.8.5 - Release Date:

> 2/3/2005

> > >

> > >

> > >

> > > To translate this message, copy and paste it into this web

> link page,

> > > http://babel.altavista.com/

> > >

> > >

> > > and

> > adjust

> > > accordingly.

> > >

> > > Messages are the property of the author. Any duplication outside

> > the group

> > > requires prior permission from the author.

> > >

> > > If you are a TCM academic and wish to discuss TCM with other

> > academics,

> > >

> > >

> > >

> > >

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Hi Anne, Thanks for the positive words and support. This lady has

insurance that pays $25, and her co-pay is $25. I gave her $10 off

her co-pay, and she said she still couldn't afford to come until next

month, and then only twice a month. Since I only have one treatment

room at this point, and she wants an evening appointment (which is

always easy to fill), I would basically be paying her to treat her.

Given the fact that at this early point in my career I probably make

less money than she does as a school teacher, I am reluctant to reduce

her co-pay even more than I already have. Anyway, that's the summary.

It seems like someone else who isn't just barely getting by

financially and has more than one treatment room would be better

equipped to help her.

 

I especially appreciate what you said about treating things for the

first time. I need to remember that.

 

Laura

 

Chinese Medicine , Anne Crowley

<blazing.valley@v...> wrote:

> Laura:

>

> I have been following this and may have forgotten a few details. It

> seems that you take insurance and are willing to accept the $25 up

> front, bill and wait for payment later. This is a very reasonable

fee.

> This lady has some blocks to being helped right now, and my first

> impression is Let Her Go.

>

> As to whether we feel wobley on if we can help. I think this happens

> alot to new as well as experienced practitioners. We all have to treat

> the condition for the first time, otherwise there is no second time.

> Even if we know a tx has worked for 10 people, it may not work on

the 11th.

>

> We all have to go in knowing we are giving our best healing and our

> intention is strong to heal. This is were the wobble is - just knowing

> that what you " are " doing is with the greatest healing intention. You

> are also learning and asking questions here, doing research, this is in

> conjunction with this great healing intention.

>

> I agree with Sharon. If you don't have the space empty in your mind -

> people don't show or come. This is a lesson that she is reminding

me of.

>

> Continue your great healing, Laura.

>

> Anne

>

> heylaurag wrote:

>

> >

> > Hi All,

> >

> > Wow, so many great responses! This has been really very helpful for

> > me to read and think about. One thing that I didn't mention (and

> > should have!) is that she said, " I cannot afford to pay you the $30

> > that I now owe you, so I will wait a month and then start coming in

> > twice a month " (which is usually a sign that they won't be back). I

> > left a message for her telling her that I would wave the $30 that she

> > already owed me, but that from here on out it would be $15 a session.

> > Then I suggested that she go ahead and make an appointment for a

> > month from now since she needs evenings and those times go fast....I

> > haven't heard from her (but its only been a few days).

> >

> > You know, if a few things were different I would probably be more

> > likely to accept the $25 from her insurance as payment: first of all,

> > as someone suggested, I really am not confident that I can help her

> > signifcantly, although she did get some improvement after the first

> > session. If I was, I'd probably be wanting to jump on it. Also,

> > there's something about her attitude....for one thing, she asked if I

> > could wave the $25 co-pay DURING the first session, something that she

> > should have asked before coming, and she seemed to just expect that I

> > would basically accept a 50% discount. Also, the message she left in

> > response to my offer for $10 off her co-pay seemed almost

> > angry...which seemed really very entitled to me---but I could have

> > misinterpreted that.

> >

> > So, anway, thanks for letting me think " out loud " (so to speak). Lots

> > to consider...

> >

> > By the way, I too have found that the people I bend over backwards for

> > often don't follow through. I prefer to wait and see how they are

> > before I start bending over backwards for them, but sometimes I have

> > no choice by necessity--especially since I am still relatively new

> > with lots to learn. It can be frustrating when I've done a lot of

> > research and the person stops coming---but at least I've learned a

> > lot....as I have here. Thanks for the thoughts!

> >

> > Laura

> >

> >

> > Chinese Medicine ,

> > wrote:

> > > Hi Ray and Laura,

> > >

> > > Ray, I had the same thing of seeing patients on my off days....

> > whilst they

> > > turned up they seldom re-booked. I was complaining of 'putting

> > myself out'

> > > to a colleague who suggested that since I didn't want to treat them

> > on my

> > > days off, then perhaps I was the problem, as the common denominator

> > to all

> > > these patients.

> > >

> > > Maybe sometimes, it is just us!

> > > Best wishes,

> > >

> > >

> > >

> > > raymond ford [rford@p...]

> > > Monday, 7 February 2005 1:02 PM

> > > Chinese Medicine

> > > Re: Arm Pain Case/money issues

> > >

> > >

> > > Hi Laura,

> > > I have found over a number of years that the people I bend over

> > backwards

> > > for the most wether it be with time or money,are the LEAST

reliable in

> > > terms

> > > of their own commitment with THEIR time and money.This has

happened so

> > > much

> > > over the years for example when I come in to treat them on my day

> > off(they

> > > often do not show up,with usually pathetic excuses later) or

> > significantly

> > > reducing the fee,often doesn't help at all.Of course this is not

> > true in

> > > EVERY case but many in my experience.I do not know what it means

> > as I am

> > > not

> > > a psychologist but I think people do not value what we do if

we do too

> > > much

> > > for them especially when they can do it for themselves.Often

they are

> > > spending money on alcohol or ciggarettes or in other wasteful ways

> > BUT not

> > > seeing what we do as equal value.They are often the most

demanding and

> > > impatient of clients.I tell them that infinate patience produces

> > IMMEDIATE

> > > results AND make sure they are commited or don't waste your

> > time.This can

> > > save you a lot of time,energy and money.

> > > Regards Ray Ford

> > >

> > >

> > >

> > > -

> > > " heylaurag " <heylaurag@h...>

> > > <Chinese Medicine >

> > > Sunday, February 06, 2005 8:39 AM

> > > Arm Pain Case/money issues

> > >

> > >

> > >

> > >

> > > Hi Sharon,

> > >

> > > Wow, fascinating stuff. I will definitely look into

downloading it.

> > >

> > > I am really concerned about this woman, and not sure what to do

> > > because she says that she cannot afford her $25 co-pay. I offered

> > herr

> > > time.

> > > sessions with a reduced co-pay of $15, but she claims that she

cannot

> > > handle that either. I find that hard to believe...she's a school

> > > teacher, which I know doesn't pay a lot, but $15? Surely she

could

> > > afford that. I think the more likely story is that 1. She

expected

> > > instant results and since the second treatment wasn't helpful

she's

> > > giving up faith and 2. She's underestimating the potential

> > > seriousness of this condition.

> > >

> > > Hard to know what to do. As it is, with the deal I am giving

her I am

> > > paying her $10 a session to treat her because I would have no

problem

> > > filling her slot with someone who would pay the regular insurance

> > price.

> > >

> > > Anyone have any thoughts on that?

> > >

> > > Laura

> > >

> > >

> > >

> > >

> > > Chinese Medicine ,

> > > wrote:

> > > > Hi Anita, Lori and all!

> > > >

> > > > I have treated 3 people with Parkinson, 2 previously

diagnosed and

> > > the other

> > > > subsequently diagnosed.

> > > > http://www.pdrecovery.org/

> > > >

> > > > I predominately used these acupuncture strategies at this

site for

> > > Parkinson

> > > > recovery. I think Anita you might find your answers to the

reaction

> > > in your

> > > > patients here.

> > > >

> > > > In brief, go to the site and down load the free practitioner

how to

> > > treat

> > > > manual, their is typically a blockage on the ST channel in

the foot

> > > from an

> > > > unexpressed injury (ie the person hurt their foot but it never

> > > became red,

> > > > hot, swollen etc).

> > > >

> > > > The qi is said to back up the St channel and at the junction

with

> > > the large

> > > > intestine channel the additional qi cannot flow from the

finger tips

> > > to the

> > > > chest, and reverberates back to the fingers,... hence the

tremor.

> > > >

> > > > Also there is now excess qi in the ST channel which on the face

> > > jumps to the

> > > > GB channel... and from memory there is this constant excess in

> > the GB

> > > > channel running in parallel to the UB channel on the scalp.

This

> > > sets up

> > > > what I think Janice says is a capacitor effect. This jump then

> > > leaves the

> > > > face part of the St channel deficient and that explains the drop

> > face

> > > > expression. Now she explains this all in many pages. I

just want

> > > to give

> > > > you enough that you might want to download the large manual and

> > read it

> > > > through. If you do, I would be keen to hear your thoughts.

> > > >

> > > > BTW all the patients I treated felt her approach worked with the

> > last Px

> > > > declaring himself cured by acupuncture...my first Px was

well into

> > > Parkinson

> > > > and they would have continued but the 140km round trip was

too much

> > > for 70

> > > > year olds.

> > > >

> > > > I wanted also to see if the use of ear points for the Substantia

> > > Nigra could

> > > > have brought it back on line in the brain. Her idea is that it

> > > shuts down

> > > > production or use (I can't recall which) of dopamine when

there is

> > > injury,

> > > > so the person or animal can rest without being restless with the

> > > physical

> > > > injury. In the case of Parkinson the idea I think is this, the

> > > unexpressed

> > > > injury is like a scratch on the old vinyl records as the person

> > never

> > > > actually gets through the old injury so the dopamine levels stay

> > low. A

> > > > real stuckness.

> > > >

> > > > Another idea I came across in Craniosacral reading is the idea

> > of energy

> > > > cysts, can't recall if that was their term or mine. Anyway you

> > > might think

> > > > of the old unexpressed injury as an energy cyst blocking the

> > channel and

> > > > this is first removed on the foot and or other locations

using a yin

> > > tunia

> > > > which Janice explains.

> > > >

> > > > Best wishes,

> > > >

> > > >

> > > >

> > > >

> > > > Anita Binnington [abinnington@s...]

> > > > Saturday, 5 February 2005 11:24 AM

> > > > Chinese Medicine

> > > > Re: Re: Arm Pain Case

> > > >

> > > >

> > > > Hi Lori,Heylaurg etc,

> > > > Putting in my 2 cents worth again. I have treated a lot of

> > > neurological

> > > > disorder ie motor neuron etc, and all these symptoms of both

> > of your

> > > > clients have a good deal of similarities, ie fatigue after

> > short term

> > > > use, pain in both arms and legs, left /right imbalance of

pain and

> > > > symptoms. I have used scalp acupuncture, Jiaji pts,

> > > constitutional, moxa

> > > > etc.

> > > > I have not treated Parkinsons but believe that

> > acupuncture/herbs may

> > > > have something to offer in this case.

> > > > This is why the diagnosis (western) is important at this point

> > because

> > > > that will better help determine the outcome of treatmen,and

> > at this

> > > > point TCM does not have diagnostic criteria to ascertain which

> > > > neurological group it is under.

> > > > As an aside, I have experienced some interesting side

effects of

> > > scalp

> > > > acupuncture while treating 2 clients whom were suffering

> > peripheral

> > > > neuropathy. When I included scalp acupuncture on their motor

> > area of

> > > > arms and legs, connected to electrodes, both had severe side

> > > effects of

> > > > dizziness and sleeepiness where they had to go to bed and

> > sleep for

> > > > hours over a few days. This did not occur with motor neurone

> > > disorder,

> > > > and sometimes occurs with stroke paralysis. Any ideas?

> > > > Best Wishes

> > > > Anita

> > > >

> > > >

> > > > --

> > > >

> > > >

> > > > Version: 7.0.300 / Virus Database: 265.8.5 - Release Date:

> > 2/3/2005

> > > >

> > > >

> > > >

> > > > To translate this message, copy and paste it into this web

> > link page,

> > > > http://babel.altavista.com/

> > > >

> > > >

> > > >

and

> > > adjust

> > > > accordingly.

> > > >

> > > > Messages are the property of the author. Any duplication

outside

> > > the group

> > > > requires prior permission from the author.

> > > >

> > > > If you are a TCM academic and wish to discuss TCM with other

> > > academics,

> > > >

> > > >

> > > >

> > > >

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