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TCM , Acupuncture or What?

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Having practiced honest, effective and diverse Acupuncture as a " Chiro-

puncturist " for 30 years, I resent the immature labeling and name

calling so rampant among some members of this group. Especially the

assumptions that allied professionals know nothing of TCM. Once one

embarks upon utilizing to help people, additional

learning follows naturally. Whether one begins with trigger point

therapy, acupressure or gensing, matters little in the overall scheme

of things. And what one calls the therapy matters only slightly more.

 

There are numerous OMD's in the US practicing " formula-puncture " with

adjunctive herbalism thrown in for effect and calling it TCM

or " Modern " . So what's the big deal?

 

Chinese medicine is becoming rapidly accepted in the West and, not

surprisingly, because People are getting well.

 

Whatever it is we're doing is working. ALL of us have contributed to

this. It's time to join forces to insure a sustainable profession, not

divest ourselves and contribute to elitism and name calling.

 

Besides, TCM and Acupuncture are not the same thing - any more than

Aspirin and Allopathy are!

 

Bill

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To be fair, Bill, you in particular stand apart from most in your

group. You treat TCM, reiki, and if I recall, homeopathy, with

respect, teach it, and speak of it with honor. In fact, despite your

letters, I didn't realize you were a chiropractor. I think the point

being made is that the " majority " not " all " have an arrogance about

it, that they can do it with a couple hours of DVD home study and one

weeked of practicum.

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So I suppose no one would mind if I took a weekend course in Chiropractic or

allopathic medicine, or maybe a 2 month course, and no one would complain if I

performed chiropractic or allopathic medicine. Perhaps I just take surgery, and

not the whole of allopathic medicine and just do that. Would that be OK?

 

Well, that's what DC's and MD's are telling us.

 

Don Snow, DAOM, MPH, L.Ac.

 

 

 

:

dokkabill: Tue, 15 Jul 2008 13:04:29 +0000TCM

, Acupuncture or What?

 

 

 

 

Having practiced honest, effective and diverse Acupuncture as a

" Chiro-puncturist " for 30 years, I resent the immature labeling and name calling

so rampant among some members of this group. Especially the assumptions that

allied professionals know nothing of TCM. Once one embarks upon utilizing

to help people, additional learning follows naturally. Whether

one begins with trigger point therapy, acupressure or gensing, matters little in

the overall scheme of things. And what one calls the therapy matters only

slightly more.There are numerous OMD's in the US practicing " formula-puncture "

with adjunctive herbalism thrown in for effect and calling it TCM or " Modern "

. So what's the big deal?Chinese medicine is becoming rapidly

accepted in the West and, not surprisingly, because People are getting

well.Whatever it is we're doing is working. ALL of us have contributed to this.

It's time to join forces to insure a sustainable profession, not divest

ourselves and contribute to elitism and name calling.Besides, TCM and

Acupuncture are not the same thing - any more than Aspirin and Allopathy are!

Bill

 

 

 

 

 

 

 

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Sorry, I'm not the Bill you think I am. But I have practiced

a " diversified " approach to healing, meaning I use all the tools I

have appropriate to the patient's condition. This includes a " bunch

of stuff " like homeopathy, Chinese Herbs, TCM and just plain

old " talk therapy " .

 

I am sorry you think a majority of allied professionals are arrogant

and have minimal training. Neither of these things are true of the

hundred or so practitioners I know. Maybe there are many jerks in

your area.

 

Quality people tend to be quiet and unseen.

 

Which is not to say there aren't those who are poorly trained, don't

continue to learn and appear to be in it just for money. Oddly, some

of these are also " traditionally " trained!

 

Throwing verbal stones at arrogance and poor skills is simply

arrogance of another sort. We need to rise above this and promote

excellence, professionalism and continued study and inquiry, which is

what I thought this site was all about.

 

Bill

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A few MDs, DOs or DCs who have gone beyond the " week-end-warrior " status are

the exception as far as education in Acupuncture and/or TCM yet the majority

are grossly under trained and ineffective.

 

Time and time again trained acupuncturists have had to correct the

ineffective treatment of those poorly trained or untrained. FACT.

 

In Florida, DCs only need the mere 100hrs and to pass a test from the

national Chiropractic Board (not the NCCAOM) whereas MDs and DOs need

absolutely NO

training. FACT.

 

The " system " wants these failures in order to turn away the public from the

real trained acupuncturists (and the very few MDs, DOs, DCs who are also well

trained).

 

In Florida many reimbursement plans are more than happy to pay for the

untrained MD/DO or poorly trained DC and NOT for the trained licensed

acupuncturist. FACT

 

At last review....even the State of Florida Government Employee Plan

discriminates against it's own licensed acupuncturists in favor of the

untrained

MD/DO or sub-par trained. FACT.

 

Richard

 

 

 

 

In a message dated 7/15/2008 4:16:47 P.M. Central Standard Time,

kuangguiyu writes:

 

Hi Bill –

 

As a licensed acupuncturist, I'm afraid I have to take exception to some of

your rather contentious points. Earlier in this thread in an attempt to

separate acupuncture and TCM you stated that " TCM and Acupuncture are not

the same thing… " You're right, they're not, and I don't know anyone who

claims that they are the same thing. However, acupuncture and TCM are

classically and inextricably linked. Acupuncture and chiropractic or

acupuncture and osteopathy are not. I believe that the TCM theories of

diagnosis and treatment utilized by licensed acupuncturists play an

important role in the efficacy or lack of efficacy in acupuncture.

 

You also say that, " Once one embarks upon utilizing to help

people, additional learning follows naturally. " I'm sure that's true in

your case. However, I have a current patient who came to me after receiving

ineffectual acupuncture from a DO. This practitioner utilized one of the

new computer software programs that " reads " the patient's energy channels

and provides a pretty multicolored chart. When my patient asked this person

to explain what it all meant, he was unable to do so and could only offer

that it tells him where to put the needles. In my experience, when people

come to me and say that they have tried acupuncture in the past with poor

results, more often than not the practitioner was not a licensed

acupuncturist and had no understanding of the TCM theories of diagnosis and

treatment that inform acupuncture.

 

This example was, as you say in another of your posts in this thread, " a

good source of additional income " for me. There is, however, a bigger

picture here: You claim that " Whether one begins with trigger point

therapy, acupressure or gensing (sic), matters little in the overall scheme

of things. And what one calls the therapy matters only slightly more. " I

beg to differ. What of all of the patients who receive sub-par acupuncture

treatments from practitioners with comparatively little training to licensed

acupuncturists? Do they walk away thinking that " chiropractic acupuncture "

or " allopathic acupuncture " doesn't work? I doubt it. I'm sure many of

these folks now believe that acupuncture isn't an effective modality. And

that's bad for business AND the profession as a whole. MY profession.

Nomenclature

does matter.

 

Sincerely,

 

Kim Blankenship, L.Ac.

 

On Tue, Jul 15, 2008 at 6:04 AM, William Morse, D.C., FIACA <

dokkabill wrote:

 

> Having practiced honest, effective and diverse Acupuncture as a " Chiro-

> puncturist " for 30 years, I resent the immature labeling and name

> calling so rampant among some members of this group. Especially the

> assumptions that allied professionals know nothing of TCM. Once one

> embarks upon utilizing to help people, additional

> learning follows naturally. Whether one begins with trigger point

> therapy, acupressure or gensing, matters little in the overall scheme

> of things. And what one calls the therapy matters only slightly more.

>

> There are numerous OMD's in the US practicing " formula-puncture " with

> adjunctive herbalism thrown in for effect and calling it TCM

> or " Modern " . So what's the big deal?

>

> Chinese medicine is becoming rapidly accepted in the West and, not

> surprisingly, because People are getting well.

>

> Whatever it is we're doing is working. ALL of us have contributed to

> this. It's time to join forces to insure a sustainable profession, not

> divest ourselves and contribute to elitism and name calling.

>

> Besides, TCM and Acupuncture are not the same thing - any more than

> Aspirin and Allopathy are!

>

> Bill

>

>

>

 

 

 

--

Take care -

 

Kim

 

Om Namah Shivaya

 

 

[Non-text portions of this message have been removed]

 

 

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Hi Bill –

 

As a licensed acupuncturist, I'm afraid I have to take exception to some of

your rather contentious points. Earlier in this thread in an attempt to

separate acupuncture and TCM you stated that " TCM and Acupuncture are not

the same thing… " You're right, they're not, and I don't know anyone who

claims that they are the same thing. However, acupuncture and TCM are

classically and inextricably linked. Acupuncture and chiropractic or

acupuncture and osteopathy are not. I believe that the TCM theories of

diagnosis and treatment utilized by licensed acupuncturists play an

important role in the efficacy or lack of efficacy in acupuncture.

 

You also say that, " Once one embarks upon utilizing to help

people, additional learning follows naturally. " I'm sure that's true in

your case. However, I have a current patient who came to me after receiving

ineffectual acupuncture from a DO. This practitioner utilized one of the

new computer software programs that " reads " the patient's energy channels

and provides a pretty multicolored chart. When my patient asked this person

to explain what it all meant, he was unable to do so and could only offer

that it tells him where to put the needles. In my experience, when people

come to me and say that they have tried acupuncture in the past with poor

results, more often than not the practitioner was not a licensed

acupuncturist and had no understanding of the TCM theories of diagnosis and

treatment that inform acupuncture.

 

This example was, as you say in another of your posts in this thread, " a

good source of additional income " for me. There is, however, a bigger

picture here: You claim that " Whether one begins with trigger point

therapy, acupressure or gensing (sic), matters little in the overall scheme

of things. And what one calls the therapy matters only slightly more. " I

beg to differ. What of all of the patients who receive sub-par acupuncture

treatments from practitioners with comparatively little training to licensed

acupuncturists? Do they walk away thinking that " chiropractic acupuncture "

or " allopathic acupuncture " doesn't work? I doubt it. I'm sure many of

these folks now believe that acupuncture isn't an effective modality. And

that's bad for business AND the profession as a whole. MY profession.

Nomenclature

does matter.

 

Sincerely,

 

Kim Blankenship, L.Ac.

 

On Tue, Jul 15, 2008 at 6:04 AM, William Morse, D.C., FIACA <

dokkabill wrote:

 

> Having practiced honest, effective and diverse Acupuncture as a " Chiro-

> puncturist " for 30 years, I resent the immature labeling and name

> calling so rampant among some members of this group. Especially the

> assumptions that allied professionals know nothing of TCM. Once one

> embarks upon utilizing to help people, additional

> learning follows naturally. Whether one begins with trigger point

> therapy, acupressure or gensing, matters little in the overall scheme

> of things. And what one calls the therapy matters only slightly more.

>

> There are numerous OMD's in the US practicing " formula-puncture " with

> adjunctive herbalism thrown in for effect and calling it TCM

> or " Modern " . So what's the big deal?

>

> Chinese medicine is becoming rapidly accepted in the West and, not

> surprisingly, because People are getting well.

>

> Whatever it is we're doing is working. ALL of us have contributed to

> this. It's time to join forces to insure a sustainable profession, not

> divest ourselves and contribute to elitism and name calling.

>

> Besides, TCM and Acupuncture are not the same thing - any more than

> Aspirin and Allopathy are!

>

> Bill

>

>

>

 

 

 

--

Take care -

 

Kim

 

Om Namah Shivaya

 

 

 

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In the last few years,

we've seen this topic come up about once/ year.

Usually, a non-licensed acupuncturist gets booted off stage.

Regardless of our opinions, I hope that your voice remains, so that we get

other threads through the wire.

 

My personal opinion is that anyone practicing any medical health profession

should pass the National / State licensing tests in order to practice the

medicine.

That is a respectful and fair way to practice.

A friend of mine is an MD who is in her last semester at a TCM school. She

doesn't legally need the training to practice, but out of respect for the

medicine, decided to undergo the training so that she could practice the

medicine the way that it might have been meant to be practiced.

I give a lot of respect to her for her actions.

 

K.

 

 

 

On Tue, Jul 15, 2008 at 2:32 PM, <acudoc11 wrote:

 

> A few MDs, DOs or DCs who have gone beyond the " week-end-warrior " status

> are

> the exception as far as education in Acupuncture and/or TCM yet the

> majority

> are grossly under trained and ineffective.

>

> Time and time again trained acupuncturists have had to correct the

> ineffective treatment of those poorly trained or untrained. FACT.

>

> In Florida, DCs only need the mere 100hrs and to pass a test from the

> national Chiropractic Board (not the NCCAOM) whereas MDs and DOs need

> absolutely NO

> training. FACT.

>

> The " system " wants these failures in order to turn away the public from the

>

> real trained acupuncturists (and the very few MDs, DOs, DCs who are also

> well

> trained).

>

> In Florida many reimbursement plans are more than happy to pay for the

> untrained MD/DO or poorly trained DC and NOT for the trained licensed

> acupuncturist. FACT

>

> At last review....even the State of Florida Government Employee Plan

> discriminates against it's own licensed acupuncturists in favor of the

> untrained

> MD/DO or sub-par trained. FACT.

>

> Richard

>

>

>

>

> In a message dated 7/15/2008 4:16:47 P.M. Central Standard Time,

> kuangguiyu <kuangguiyu%40gmail.com> writes:

>

> Hi Bill –

>

> As a licensed acupuncturist, I'm afraid I have to take exception to some of

> your rather contentious points. Earlier in this thread in an attempt to

> separate acupuncture and TCM you stated that " TCM and Acupuncture are not

> the same thing… " You're right, they're not, and I don't know anyone who

> claims that they are the same thing. However, acupuncture and TCM are

> classically and inextricably linked. Acupuncture and chiropractic or

> acupuncture and osteopathy are not. I believe that the TCM theories of

> diagnosis and treatment utilized by licensed acupuncturists play an

> important role in the efficacy or lack of efficacy in acupuncture.

>

> You also say that, " Once one embarks upon utilizing to

> help

> people, additional learning follows naturally. " I'm sure that's true in

> your case. However, I have a current patient who came to me after receiving

> ineffectual acupuncture from a DO. This practitioner utilized one of the

> new computer software programs that " reads " the patient's energy channels

> and provides a pretty multicolored chart. When my patient asked this person

> to explain what it all meant, he was unable to do so and could only offer

> that it tells him where to put the needles. In my experience, when people

> come to me and say that they have tried acupuncture in the past with poor

> results, more often than not the practitioner was not a licensed

> acupuncturist and had no understanding of the TCM theories of diagnosis and

> treatment that inform acupuncture.

>

> This example was, as you say in another of your posts in this thread, " a

> good source of additional income " for me. There is, however, a bigger

> picture here: You claim that " Whether one begins with trigger point

> therapy, acupressure or gensing (sic), matters little in the overall scheme

> of things. And what one calls the therapy matters only slightly more. " I

> beg to differ. What of all of the patients who receive sub-par acupuncture

> treatments from practitioners with comparatively little training to

> licensed

> acupuncturists? Do they walk away thinking that " chiropractic acupuncture "

> or " allopathic acupuncture " doesn't work? I doubt it. I'm sure many of

> these folks now believe that acupuncture isn't an effective modality. And

> that's bad for business AND the profession as a whole. MY profession.

> Nomenclature

> does matter.

>

> Sincerely,

>

> Kim Blankenship, L.Ac.

>

> On Tue, Jul 15, 2008 at 6:04 AM, William Morse, D.C., FIACA <

> dokkabill <dokkabill%40mindspring.com>> wrote:

>

> > Having practiced honest, effective and diverse Acupuncture as a " Chiro-

> > puncturist " for 30 years, I resent the immature labeling and name

> > calling so rampant among some members of this group. Especially the

> > assumptions that allied professionals know nothing of TCM. Once one

> > embarks upon utilizing to help people, additional

> > learning follows naturally. Whether one begins with trigger point

> > therapy, acupressure or gensing, matters little in the overall scheme

> > of things. And what one calls the therapy matters only slightly more.

> >

> > There are numerous OMD's in the US practicing " formula-puncture " with

> > adjunctive herbalism thrown in for effect and calling it TCM

> > or " Modern " . So what's the big deal?

> >

> > Chinese medicine is becoming rapidly accepted in the West and, not

> > surprisingly, because People are getting well.

> >

> > Whatever it is we're doing is working. ALL of us have contributed to

> > this. It's time to join forces to insure a sustainable profession, not

> > divest ourselves and contribute to elitism and name calling.

> >

> > Besides, TCM and Acupuncture are not the same thing - any more than

> > Aspirin and Allopathy are!

> >

> > Bill

> >

> >

> >

>

> --

> Take care -

>

> Kim

>

> Om Namah Shivaya

>

>

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Hi Kim:

 

You are well spoken and make your points, especially as regards

Professionalism and the profession, all of which I am in agreement

with. And if I offended you or your profession, I apologize.

 

However, you lapse into " horror stories " regarding failures of

treatment by sup-par practitioners. I am sure no profession could

appear in a good light when failures are the sole source of opinions

and examples.

 

What I have objected to in this thread (not necessarily your

comments) are two things: One - the biased judgments based not on

factual information, but rather personal anecdotes, and two - the

supposition that minimal courses (usually 100 credit hours) given to

MD's, DC's, DO's and the like are " weekend courses " and qualify as

insufficient education. How much training did Barefoot Doctors

receive? How much good work did they do?

 

My intended message, if perhaps I did not express it well, is that

Acupuncture, TCM and the practice of is in a

precarious growth period and a quest for public and professional

acceptance. All qualified practitioners of this science and art are

important and have a role to play. So called " poorly trained " MD's

are doing some very fine and effective research in Acupuncture. The

very sort of practitioners slammed herein are helping to move the

profession forward. It seems odd to me that no one appears to see

the irony in that.

 

That there are poor and perhaps dangerous practitioners out there is

a valid concern and must be dealt with, but not by biased and blanket

judgments. The apparent " My education is more valid than yours " sort

of thinking is arrogant, inaccurate and ultimately a disservice to

the profession.

 

I would prefer to see a " Take a lousy Acupuncturist out to lunch "

sort of approach. Not many practitioners are expert from the get

go. Skills take time, diligence, practice and learning to develop.

To help these poor souls and protect the public at large seems like a

more humane approach to me.

 

The profession does have to protect itself, but not by name calling

and innuendo. Rather by heightened standards, education and

assistance to less gifted practitioners. And the dangerous ones

should be allowed to find some other form of income - forced to, if

need be.

 

So please look for good allied practitioners and support them.

Enlist them to encourage the bad ones to find something else to do.

 

 

Bill

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Come on Richard, take your anger out on something constructive. While

I recognize there are bad apples in every barrel, I doubt you can

support your suppositions with any facts.

 

100 hours training on top of 8 years of a medical education is not

insignificant, nor is it steller. Neither is 2 to 4 years of TCM

education.

 

Skills develop over time. Some practitioners will never go

beyond " cookbook " formulas, but people will get well. That's what's

really important.

 

Now, getting rid of bad practitioners is a real and valid problem. I

can only say that licensure, education and peer pressure are our only

tools to combat this.

 

Bill

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I am another chiro-puncturist who has gone well beyond the usual training

and respects TCM principles. I know what the LAc's are talking about. I

would say about 80% of DC's doing acupuncture can do pattern work (cookbook

style) or reflex work just fine and without harming people, but do not

understand and utilize TCM principles to the degree an Lac does.

 

 

 

I think the issue with labels, laws, professional organizations, etc. is

two-fold:

 

 

 

1. To make sure people are not practicing who could potentially harm

a patient. It seems that professions like DCs, PTs, LMTs and LAcs were at

one time not regulated but slowly each developed a professional licensing

board to protect the public from being harmed by a person not fully trained.

 

a. Example: DCs were worried that PTs adjusting people's necks could

potentially harm the patient if the PT did not have sufficient training in

the biomechanics and neurology of the cervical spine.

 

 

 

2. Professional licensing boards also have a mission to keep their

profession strong. This means people that are doing some DIFFERENT should

not be able to call themselves licensed in that profession.

 

a. Example: DCs seem to be the only profession that diagnoses and

treats spinal subluxations. If PTs and MDs start adjusting necks, the

public may see no need to see a DC.

 

b. Example: LAcs are the only profession to understand, utilize and

treat the general health of people using TCM principles, and acupuncture is

one form of treatment. If a patient goes to a DC who uses a reflex computer

program and inserts needles and calls it acupuncture the public will soon

think that is acupuncture and may not need to go to a Lac. This could

eventually dilute the power of the profession and the theories behind it.

 

 

 

I personally am troubled because I am a DC who understands quite a bit about

TCM principles and utilizes acupuncture much like an Lac but I am forbidden

to get that license without going back to 4 years of school. I am already

trained in anatomy, physiology, etc. and know a lot about humans and health.

I also could pass any NCCAOM licensing exam. I feel I would not harm people

and I feel I have nearly as much knowledge as many new LAcs. But they

cannot make individual exceptions. The line has to be drawn somewhere, I am

just unfortunately right near the line.

 

 

 

 

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Richard i wander if you can document these FACTS

thanks

 

 

 

400 29th St. Suite 419

Oakland Ca 94609

 

 

 

alonmarcus

 

 

 

 

 

 

 

 

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Alon

 

Which facts.........as there are many?

 

You are welcome to come to Florida and peruse three circuit court cases,

three Appellate court cases, one " nut-judge pleading " (Extraordinary Writ of

Prohibition).

 

As further background there is my Federal lawsuit against the State of

Florida and Dr. Paul Reinhardt's law suit in State and Federal court (against

Florida) regarding naturopathic medicine and a separate Mandamus by Dr. Paul

Reinhardt against Miami-Dade College and the Florida Dept of Health for

apparently running programs for foreign graduates (not necessarily medical

graduates)

to take a 4 week course in physician assistant education to sit a

non-existent Florida PA exam resulting in PA licenses " given " without the

statutory

background.

 

As to the MD from New Jersey.....all one need do is review the Florida Board

of Acupuncture minutes from 2004 and the Board attorney (AG's) chiding the

board for violating statute for their issuing him an acupuncture license. The

primary individual who drove that issue has recently been ousted from the

Board by not receiving re-appointment by Governor Crist.

 

As to the State of Florida's Employee Health Plan all you need to do is

review the Plan explanation booklet and Plan documents and one can clearly see

how MDs, DOs, DCs get reimbursed with a lower deductible for the patient and a

higher reimbursement. The last checked it was.... $750 annual deductible for

MDs, DOs, DCs administering acupuncture with reimbursement at 80% while for

the duly licensed Florida acupuncturist the deductible was $1,500. annual and

reimbursement at 60%. Sound like a fair plan? Proof enough?

 

The Florida Board of Acupuncture members have been, during the past twelve

months, attempting to biomedicalize Chinese medicine as practiced in Florida. I

won't quote names from another net-group but here is an excerpt taken by

one of the respected teachers and elders of the TCM profession. " I've also

worked in hospital settings in the past, and I agree we have a lot to offer

within that system as well. I am more concerned with a wholesale integration

of

our profession into biomedical health care settings and insurance/HMO

protocols. "

 

Read the Board of Acupuncture minutes (available on line) and my

Administrative Review Request to the lawyers serving the Florida Senate & House

(Joint

Administrative Procedures Committee) regarding the Board's attempt to

normalize the " giving " of acupuncture licenses to foreigners who don't qualify

according to the present statutes. The Florida Board of Acupuncture CANNOT

waive

statutes at their " whim and fancy " yet they have done so and continue to do so

and someone's prodding and agenda.

 

After 28 years of hiding their " giving " of licenses to foreigners now they

(DOH et al) are attempting to use a credentialing service (one of the DOH's

comrades) instead of using the IERF (an independent service) - International

Educational Research Foundation is the premiere credentialing organization

since 1969 used by at the New York Board of Regents and the whole New York

University system.

 

As to other licensees being " given " licenses..........all their files are

available under Public Record requests.

 

It's a journey during the past eight years amassing probably over 10,000

pages of documentation.

 

Richard

 

cc: Dr. Paul J. Reinhardt, MD, OMD

 

 

 

In a message dated 7/16/2008 12:51:44 A.M. Eastern Daylight Time,

alonmarcus writes:

 

Richard i wander if you can document these FACTS

thanks

 

Alon Marcus DOM

 

 

 

 

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Barefoot doctors treated more people in 30 days than most American

practitioners treat in ten years.

 

Richard

 

 

In a message dated 7/16/2008 5:30:45 P.M. Eastern Daylight Time,

kuangguiyu writes:

 

BTW most Barefoot Doctors underwent three to six months of intensive

training and some studied for over a year. And six months of intensive

training in China covered a lot of ground, especially considering that most

of it was clinical training.

 

 

 

 

 

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Alon

 

What you say is only in part true.

 

Board's are ONLY allowed to promulgate rules where the legislature has given

them specific legislative authority to make a rule.

 

So it all depends on not only each state's healthcare statutes in general

but more specifically each healthcare practice act.

 

I stated a challenge to the MDs statute in Florida for nowhere in the

statute do they have the authority to make a rule that they can even

adjunctively

USE acupuncture needles. The Florida Board of medicine spewed forth propaganda

that MDs are G-d-like and they can do anything they want.

 

After being involved in multiple Florida lawsuits and seeing first hand how

crooked and rigged the courts are....I did not waste my time suing them. Keep

in mind that every healthcare association in Florida is run by an attorney.

And the Board's are also controlled by Dept of Health attorneys.

 

Often we think these private associations are run by the profession but the

reality is they are controlled by the Bar.

 

Richard

 

 

 

 

 

 

In a message dated 7/16/2008 6:35:49 P.M. Eastern Daylight Time,

alonmarcus writes:

 

John

Each profession has its own boards, so MDs and DCs may set there own

standards of what " acupuncture " practice is. Its understandable that we as a

profession are protective and defensive. But until we can show that one we get

better results and two we are safer (and i am not talking about the kind

anecdotal

opinions we hear on lists such as this) we really do not have anything to

stand on. It all comes back to the same issues.

Alon

 

 

 

 

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Hi Bill –

 

Thanks for the apology, but it's really not necessary. I wouldn't

characterize my recent example of one of my patient's disappointing

experience with acupuncture as a " horror story " at all. She wasn't injured

and her health was not further compromised by her encounter; she did,

however, spend a considerable amount of money for 'acupuncture' and received

no benefit. What disturbs me is the way she informed me that she had " tried

acupuncture " and said it hadn't helped her condition at all. She gave me

the computer-generated diagnosis and treatment plan that her 'acupuncturist'

had given her. The practitioner's name was on the handout and it indicated

that this person is a licensed DO. She considered this guy to be an

'acupuncturist' and was clearly disturbed that he was unable to discuss or

explain his 'acupuncture'.

 

Regarding your first objection concerning " biased judgments based not on

factual information, but rather personal anecdotes " , you are correct in

saying that I, as a licensed acupuncturist, am biased. However, it is a

fact, in my experience, that by far most of the patients who have come to my

clinic complaining of ineffectual acupuncture did not receive same from a

L.Ac. And anecdotally speaking, my experience mirrors what I hear from my

colleagues. Although I can't quote black and white statistics from a study

to back up my point, neither can you provide something similar showing the

high percentage of stellar results obtained by allopathic acupuncturists or

chiro-puncturists. Anecdotal evidence is far from worthless and is all any

of us have to go on at this point on this subject.

 

And concerning your contention/supposition that 100 hours is sufficient

training in a modality that traditionally encompasses thousands of hours of

study, I hardly know where to start. You stated, " The apparent " My

education is more valid than yours " sort 
of thinking is arrogant,

inaccurate and ultimately a disservice to 
the profession. " It is not

arrogant or inaccurate – just common sense – to point out the obvious value

of having two or three thousand hours of didactic and clinical training as

opposed to two or three hundred hours of training in the same discipline. I

feel it is much more arrogant to claim that one-tenth of the training in

anything is equivalent to pursuing the full course of study. (You might

have a point if the 100 hours were being taught by Hua Tuo or Bian Que,

however…) And the disservice to the profession, my profession, occurs when

undertrained " allied professionals " deliver ineffectual acupuncture and

their patients then have the idea that acupuncture " doesn't work " .

 

Granted, I know some excellent " allied professional " acupuncturists, but

most of these folks, even though their primary treatment modality is

something other than acupuncture, have taken the full complement of

coursework or well more than 100 - 200 hours. And there are admittedly

L.Ac.s out there who are delivering sub-par treatments; I know this is

unfortunately true in all professions. Educational standards of TCM schools

have been widely discussed on this forum before and are certainly worthy of

further discussion, but this thread is specifically concerned with the

education required of " allied professionals " in order to practice my

profession.

 

Your suggestion to mentor struggling practitioners is admirable and

common-sensical, but if I were to take the 'lousy chiro-puncturist' who

served as the basis for this discussion out to lunch, we would apparently

have so little in common educationally that it would be difficult to

maintain a conversation for long. And that's my point and concern:

practitioners who have no training in acupuncture theory/diagnostics and

only know where to 'put the needles' based on reflex-point theory and

anatomy or are relying on a machine they don't even comprehend to diagnose

are not practicing my profession, acupuncture. As Richard suggested a few

days ago in that same initial thread, call it medi-puncture or

chiro-puncture or allo-puncture, anything but acupuncture. To call these

newly created disciplines acupuncture is grossly disrespectful and

inaccurate – and a disservice to MY profession.

 

BTW most Barefoot Doctors underwent three to six months of intensive

training and some studied for over a year. And six months of intensive

training in China covered a lot of ground, especially considering that most

of it was clinical training.

 

Sincerely,

 

Kim Blankenship, L.Ac.

 

On Tue, Jul 15, 2008 at 6:08 PM, William Morse, D.C., FIACA <

dokkabill wrote:

 

> Hi Kim:

>

> You are well spoken and make your points, especially as regards

> Professionalism and the profession, all of which I am in agreement

> with. And if I offended you or your profession, I apologize.

>

> However, you lapse into " horror stories " regarding failures of

> treatment by sup-par practitioners. I am sure no profession could

> appear in a good light when failures are the sole source of opinions

> and examples.

>

> What I have objected to in this thread (not necessarily your

> comments) are two things: One - the biased judgments based not on

> factual information, but rather personal anecdotes, and two - the

> supposition that minimal courses (usually 100 credit hours) given to

> MD's, DC's, DO's and the like are " weekend courses " and qualify as

> insufficient education. How much training did Barefoot Doctors

> receive? How much good work did they do?

>

> My intended message, if perhaps I did not express it well, is that

> Acupuncture, TCM and the practice of is in a

> precarious growth period and a quest for public and professional

> acceptance. All qualified practitioners of this science and art are

> important and have a role to play. So called " poorly trained " MD's

> are doing some very fine and effective research in Acupuncture. The

> very sort of practitioners slammed herein are helping to move the

> profession forward. It seems odd to me that no one appears to see

> the irony in that.

>

> That there are poor and perhaps dangerous practitioners out there is

> a valid concern and must be dealt with, but not by biased and blanket

> judgments. The apparent " My education is more valid than yours " sort

> of thinking is arrogant, inaccurate and ultimately a disservice to

> the profession.

>

> I would prefer to see a " Take a lousy Acupuncturist out to lunch "

> sort of approach. Not many practitioners are expert from the get

> go. Skills take time, diligence, practice and learning to develop.

> To help these poor souls and protect the public at large seems like a

> more humane approach to me.

>

> The profession does have to protect itself, but not by name calling

> and innuendo. Rather by heightened standards, education and

> assistance to less gifted practitioners. And the dangerous ones

> should be allowed to find some other form of income - forced to, if

> need be.

>

> So please look for good allied practitioners and support them.

> Enlist them to encourage the bad ones to find something else to do.

>

>

> Bill

>

>

>

 

 

 

--

Take care -

 

Kim

 

Om Namah Shivaya

 

 

 

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Looks to me like this doctor has pretty good documentation and should give some

folks cause for " lock jaw. " There is more to this. For instance, one may get a

4 or 6 year medical degree from overseas (ie. China, Europe, and South America)

and come here and challenge the M.D. licensing exam and actually be licensed as

an MD here in the states.

 

Also, to qualify to medical school here in the U.S. the requirement is an

associate degree, although most to have a B.S. in pre-med, though it's not

required. Many Chiros I know only have 3,600 hours post-grad and an associate

degree. Do not be mis-led by inflated and false educational requirements.

 

I think we should be able to challenge the M.D. exam and if we can pass,

shouldn't we be able to practice too?

 

Donald J. Snow, DAOM, MPH, L.Ac.

 

 

 

: habeas_1:

acudoc11: Wed, 16 Jul 2008 07:30:39 -0400Re: Re: TCM

, Acupuncture or What?

 

 

 

 

AlonWhich facts.........as there are many?You are welcome to come to Florida and

peruse three circuit court cases, three Appellate court cases, one " nut-judge

pleading " (Extraordinary Writ of Prohibition).As further background there is my

Federal lawsuit against the State of Florida and Dr. Paul Reinhardt's law suit

in State and Federal court (against Florida) regarding naturopathic medicine and

a separate Mandamus by Dr. Paul Reinhardt against Miami-Dade College and the

Florida Dept of Health for apparently running programs for foreign graduates

(not necessarily medical graduates) to take a 4 week course in physician

assistant education to sit a non-existent Florida PA exam resulting in PA

licenses " given " without the statutory background.As to the MD from New

Jersey.....all one need do is review the Florida Board of Acupuncture minutes

from 2004 and the Board attorney (AG's) chiding the board for violating statute

for their issuing him an acupuncture license. The primary individual who drove

that issue has recently been ousted from the Board by not receiving

re-appointment by Governor Crist.As to the State of Florida's Employee Health

Plan all you need to do is review the Plan explanation booklet and Plan

documents and one can clearly see how MDs, DOs, DCs get reimbursed with a lower

deductible for the patient and a higher reimbursement. The last checked it

was.... $750 annual deductible for MDs, DOs, DCs administering acupuncture with

reimbursement at 80% while for the duly licensed Florida acupuncturist the

deductible was $1,500. annual and reimbursement at 60%. Sound like a fair plan?

Proof enough?The Florida Board of Acupuncture members have been, during the past

twelve months, attempting to biomedicalize Chinese medicine as practiced in

Florida. I won't quote names from another net-group but here is an excerpt taken

by one of the respected teachers and elders of the TCM profession. " I've also

worked in hospital settings in the past, and I agree we have a lot to offer

within that system as well. I am more concerned with a wholesale integration of

our profession into biomedical health care settings and insurance/HMO

protocols. " Read the Board of Acupuncture minutes (available on line) and my

Administrative Review Request to the lawyers serving the Florida Senate & House

(Joint Administrative Procedures Committee) regarding the Board's attempt to

normalize the " giving " of acupuncture licenses to foreigners who don't qualify

according to the present statutes. The Florida Board of Acupuncture CANNOT waive

statutes at their " whim and fancy " yet they have done so and continue to do so

and someone's prodding and agenda.After 28 years of hiding their " giving " of

licenses to foreigners now they (DOH et al) are attempting to use a

credentialing service (one of the DOH's comrades) instead of using the IERF (an

independent service) - International Educational Research Foundation is the

premiere credentialing organization since 1969 used by at the New York Board of

Regents and the whole New York University system.As to other licensees being

" given " licenses..........all their files are available under Public Record

requests. It's a journey during the past eight years amassing probably over

10,000 pages of documentation. Richardcc: Dr. Paul J. Reinhardt, MD, OMDIn a

message dated 7/16/2008 12:51:44 A.M. Eastern Daylight Time, alonmarcus

writes:Richard i wander if you can document these FACTSthanksAlon Marcus

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John

Each profession has its own boards, so MDs and DCs may set there own standards

of what " acupuncture " practice is. Its understandable that we as a profession

are protective and defensive. But until we can show that one we get better

results and two we are safer (and i am not talking about the kind anecdotal

opinions we hear on lists such as this) we really do not have anything to stand

on. It all comes back to the same issues.

Alon

 

 

 

 

 

 

 

 

 

 

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I think what this recent discussion truly illustrates are a couple of

fundamental issues:

 

As long as we view and represent ourselves as Acupuncturists rather

than Oriental (or Asian, Chinese,..) medicine practitioners it is

much easier to reduce this powerful medicine to a mere technique that

can be learned, at least to an entry level proficiency, in a few

weekends. Anyone who has taken the time to study our medicine from

the ground up knows that it is a very complex and complete medical

system, and learning how to stick needles into patients is one of the

easiest things to learn. Without a solid foundation in zhang fu,

meridian pathways, tongue, pulse, and other symptomatic diagnostics

however, that is all you are doing: sticking needles into people.

I personally don't have any problems with MDs , Chiros, NDs, DOs

sticking needles into people- just don't call it Acupuncture unless

you have studied the medical system that it is part of.

Unfortunately the comments of the two chiros participating in this

discussion illustrate perfectly how many view our medicine.

A good friend of mine, who is a chiropractor, told me that he could

teach me most adjustments in a weekend. So by the logic applied ,

should I encounter a patient of mine who I think would benefit from

an adjustment in addition to one of my treatments, I should just

study the adjustment technique and adjust him/her. And hey, if I am

not that good at it, just keep doing it and I'll get better. Maybe I

can even take out a local chiropractor for tea and pick up some tips

Because I view Chiropractic medicine as a medical system (and really

want to keep my license) however, what I will do instead is to refer

that patient to a chiropractor for an adjustment.

If I really felt inclined to do adjustments, I would go to a

chiropractic college (hopefully getting credit for the Anatomy,

Physiology, Pathology,… courses that were part of my education) study

the medicine , pass the boards and give my patients adjustments.

 

And as much as I appreciate that other health care professionals are

intrigued by the amazing results delivered by Oriental Medicine, what

is wrong with referring patients to a licensed provider in that

medicine?

Or, if really interested in practicing our medicine go back to

school, study it, pass the boards and practice it?

What do think would happen if MDs suggested that they should be

allowed to practice Dentistry after taking a 300 hour course. The 32

teeth and the mouth were all covered in Anatomy and Physiology

anyway, and they could call themselves " Medical Dentists. "

While this might sound like hyperbole it isn't that far fetched , and

yet you know the dental profession would never let that happen.

 

This brings me to my second point. I think our profession really is

at a cross roads. With medical costs rising at a speed matching that

of gasoline prices, and people increasingly losing faith in

allopathic medicine, Oriental medicine offer a potent and cost

effective option.

But unless we as a profession coalesce and stand up for our rights I

believe the momentum moving in our direction will not propel us

forward , but present a " low hanging fruits " opportunity to other,

more organized medical professions. And yet membership in State and

National organizations is low, and intra disciplinary squabbling

sometimes reaches a level bordering on childish.

Other professions (Chiros, NDs, and even PTs) have understood that a

doctoral degree is a must to advance their respective disciplines to

a higher level of professionalism, and yet we continue silly and

misinformed infighting without any progress.

 

I think most of us who took the time to get schooled in this

wonderful and amazing medicine have a pretty good grasp on the

healing, or Yin, aspect of this medicine, but as a profession we are

severely Yang deficient.

 

There is a new day dawning for our medicine, but we must seize it or

others will do it for us.

 

Jens Maassen L.Ac.

 

 

Chinese Medicine , acudoc11

wrote:

>

> Alon

>

> What you say is only in part true.

>

> Board's are ONLY allowed to promulgate rules where the legislature

has given

> them specific legislative authority to make a rule.

>

> So it all depends on not only each state's healthcare statutes in

general

> but more specifically each healthcare practice act.

>

> I stated a challenge to the MDs statute in Florida for nowhere in

the

> statute do they have the authority to make a rule that they can

even adjunctively

> USE acupuncture needles. The Florida Board of medicine spewed

forth propaganda

> that MDs are G-d-like and they can do anything they want.

>

> After being involved in multiple Florida lawsuits and seeing first

hand how

> crooked and rigged the courts are....I did not waste my time suing

them. Keep

> in mind that every healthcare association in Florida is run by an

attorney.

> And the Board's are also controlled by Dept of Health attorneys.

>

> Often we think these private associations are run by the profession

but the

> reality is they are controlled by the Bar.

>

> Richard

>

>

>

>

>

>

>

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Here's a fact for you. Only 22% of all of allopathic medical practices have

undergone rigorous double-blind placebo controlled studies. The other 78+% of

medical practice is called " standard accepted medical practice. " That's right.

They want 100% of our medicine proven by research, yet they exempt their own

medicine.

 

Don Snow, DAOM, MPH, LAc

 

 

 

: alonmarcus:

Wed, 16 Jul 2008 15:35:13 -0700Re: TCM , Acupuncture or What?

 

 

 

 

JohnEach profession has its own boards, so MDs and DCs may set there own

standards of what " acupuncture " practice is. Its understandable that we as a

profession are protective and defensive. But until we can show that one we get

better results and two we are safer (and i am not talking about the kind

anecdotal opinions we hear on lists such as this) we really do not have anything

to stand on. It all comes back to the same issues.Alon400 29th

St. #419[Non-text

portions of this message have been removed]

 

 

 

 

 

 

 

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