Warming Foods: The Good and The Ugly

Winter Sugar CravingsYang deficient patients need to eat warming foods.  We think of foods like chicken or ginger or perhaps garlic to help warm their spleen yang.  These foods help digestion.  It will warm the body and increase the energy.

I mostly eat okay.  This winter, after having a little too much extra food over the holidays I was starting back on a decent diet and limiting my intake of simple carbohydrates when we were hit by a winter storm.  At first, as it snowed outside I enjoyed watching.  I had some lunch.  I decided to treat myself to a kombucha.  As the snow continued for the next two days I found myself with the increasing urge to bake.

I grew up in a home where my mother offered baked goods on a daily basis.  They were always homemade and she used the best ingredients possible.  By best, I do not mean the most healthful, but the best ingredients that would make the best food.  At some point in my childhood she discovered that Crisco was easier than lard.  By the time I was a teenager a chocolate cake might come out of a box. I remember sitting in the kitchen watching her or at times helping with things that needed extra hands.

The snow brought that back.  After fighting the urge for most of a morning and into the late afternoon I baked some simple cookies.  And I ate.  And ate. I found that I couldn’t get enough of them.  I’m yang deficient. I was cold.  After feeling badly and wondering what was off on my hormones and how could I correct this, it occurred to me to wonder, as I shivered under covers when the power out later that I was surprised at my chill given the sugar I had eaten earlier. It then occurred to me to wonder, was the sugar craving my body’s way of trying to warm itself when there was cold outside?

This didn’t make the sugar binge okay with me, but it gave me an aha moment.  Perhaps our cultural love affair with all things sugar is really our body’s attempt to balance an imbalance. The cold, quick foods so often eaten and the heavy carbohydrates that further inhibit the spleen means that most people in my office were, to a great or lesser extent, spleen qi deficient and often spleen yang deficient.  While there are far better foods that would warm my body, sugar is a food my body has found earlier than it has found many of the other warming foods. Perhaps therein lies the craving.  Maybe my body is taking its limited knowledge of balancing and attempting to make a balance, despite the fact that sugar will cause so many other problems.

Certainly I know to avoid sugar.  Certainly I mostly do.  But sometimes something comes up with a strong craving and I give in.  This gives me another question to ask myself before giving in.  I can consider why now?  Maybe it’s the weather.  Fats are often helpful to manage sugar cravings.  Fats are also very warming.  I wonder if that’s one of the reasons they work to limit sugar cravings.  Although sometimes, fats just aren’t as good as sugar!  Oddly, my choice was peanut butter cookies, so I guess I had some of both!

Three Reasons To Hire Website Help

Bonnie Koenig, Creative WebsitesSmall business owners, such as acupuncturists often talk about doing their own website.  As someone who runs a small website business sideline, I’d like to point out several reasons not to do that.

First, will you actually create and maintain the website?  Lots of people think about making a website.  They may buy the domain name and look into hosting but never go any further.  If they do create a website, often it is a static site that they then forget to update when things at their practice change.  They may have people listed as being at their clinic who left years before.  Maintaining a website as well as creating one takes time.  Is that what you want to focus on?

Second, do you really know what you are doing?  Many people think they know what they are doing, but really no matter how good the template software that comes with some hosting companies, you can’t make it look as good as a professional.  The longer I’ve been doing websites, the more easily I can pin point those that are done by a hobbyist and those that are professionally done.

Third, if something goes wrong with your site, can you fix it? Do you want to take the time to fix it?  I was reading where one person was certain that an increase in visitors that came from his website was because he changed the name of his clinic.  A good webmaster could have made the clinic name work.  First they would have made sure all the special keyword tags and descriptions focused on the location of the clinic as that’s how someone would search.  Then the webmaster would have made sure there were sitemaps submitted to Google.  Finally, if google was still ignoring the site, they could have found out why–direct from Google.   Sites do get blacklisted.  It’s the domain that gets blacklisted and that can carry over to the new owner of the site.

Say, someone owned mysite.com and it was a spammy site with lots of things Google doesn’t like.  It might get blacklisted.  The spammer drops the site and moves on.  I come along with my clinic named mysite.  I find the domain name  mysite.com and buy it, having no idea of the history.  Google doesn’t know it’s changed hands and it’s going to take a long time and a lot of work  move up in the search engines because of that.  In fact, many people who make money on the web will change the domain name rather than put up that fight.  A good webmaster can think like that. They can advise and work with things like that.

If you’re doing acupuncture do you really want to spend the time learning this and checking it out?

My final issue is this. An acupuncturist trained as an acupuncturist.  A webmaster also studied and trained.  It becomes disrespectful to think that as a hobbyist you are going to do the same job as well as professional.  Both professions are art.  A poor website may not be life and death — or maybe if you have  a service that will save their life and the patient can’t find you, it CAN be. Hire out to people who do the work.   They have the time.  You pay them the money.   Focus on what you are passionate about.

 

Stop SOPA Now

Please check out the internet links on SOPA.  We can’t allow the United States to censor our internet.  STOP SOPA NOW.

When your Goals Conflict

When Goals ConflictI’ve often struggled with success in many areas of my life.  One idea that often comes up as I try and work with that issue is that are the conflicting commitments.  How many patients come in and want to lose weight but also want to eat the sugary carbohydrate rich diet that made them fat in the first place?  The foods taste good.  We’re committed to enjoying our food.  We may be more committed to that than to losing weight.  Recognizing the commitment inherent in overeating (it could be anything from enjoying food to emotional self soothing) and then working with that to see which is more important–the commitment to be at a healthy weight or the commitment that allows the overeating–can be the key to getting to where you want to be.

I was thinking about this again while reading the biography of Steve Jobs by Walter Isaacson.  When staring Apple, Jobs wanted to do a number of things.  He wanted to change the way people thought about computers.  He wanted to put computers on the desk of every person.   He wanted to make a computer that anyone could afford to have.  There were some other goals, but it was interesting to me that he wanted to be the computer of the masses.

I love Mac products.  I’m of an age to have been a geeky techy person when the Mac was new.  I remember being there when a friend got the first Mac and everyone gathered as he removed the cover around to look at the signatures embedded there.   The Mac is a good machine.  It is not a cheap machine.  I can get a PC with a bigger hard drive, more memory and an equally fast hardware loaded with software for about 60% of what I would pay for a new Mac.   Office software is typically $10 to $30 less on a PC than on a Mac.  Back when you purchased PC games for use on your computer, Mac games were often $20 higher and took an extra 6 months to come out.

The Mac is a good machine.  Jobs did that.  He made a great machine.  I’ve had Macs still run after 10 years of hard use.  One of the ancient Macs was at an office where I worked.

Macs, however, are not affordable for everyone.  This was one commitment that Jobs couldn’t keep.   His main commitment was in building new and innovative machines that worked and worked well.   The commitment to being a machine for every man fell by the wayside.

The question becomes, does this make him less of a success?  I doubt anyone would say it did.

As we step back from our conflicting commitments, perhaps it’s time to take a look at those we kept to ourselves and how we can make ourselves proud rather than focusing on where we failed.  I doubt Jobs ever looked twice at the fact that at one point in his life he wanted to make computers for “the masses” and instead turned out a high-end product that not everyone could afford.  He went with what was a priority to him and didn’t question when something was not aligned with what he really wanted.

 

The Story of Wind-Heat

The Story of WindThis is the first in a series of acupuncture stories that are simplified stories about health and disease from the paradigm of Traditional Chinese Medicine.  Liberties are taken for the benefit of the modern reader so these should not be used to diagnose or treat oneself, unless one is already an acupuncturist and understands the medicine at a deeper level.  These stories are meant to be enjoyed and, perhaps, to make us think of health and dis-ease in a different way.

This is the story of Wind-Heat.

On a warm day in early fall, when the leaves have started to turn but the air is not yet chill with the breath of winter,  the squirrels enjoy the sun while packing up the last of the harvest that will see them through the winter.  People are walking, turning their heads to the sunshine, taking of jackets to absorb as much sun as possible. Even Wind comes out at this time.

Wind wafts through the trees, into open windows and even a little ways down chimneys.  Enjoying the sunshine, it’s not angry or driven but merely playful.   Here and there it tickles the back of an exposed neck.  And here and there, exposed necks are far more exposed than they think, holding open doors for Wind to enter the body.  Like a playful kitten, sometimes Wind inadvertently closes the door behind him and is trapped.

Locked in the body with no way out, Wind hammers at the eyes and the person has a headache.  He moves more quickly through the body and after his sun warmed flight, he’s hot..  He sees the narrow passage of the throat as potential way out and runs up leaving behind a sore throat.  Alas, he is trapped there too.  He tickles the nose and although his friend dampness gets expelled, he is still trapped.

Wind sinks into farther into the body, leaving the body tired and feverish with his heat and despair.

Fortunately for Wind, there are those who know what to do to restore the balance.  The acupuncturist and herbalist offer treatments that open the body’s doors so that Wind can escape.   As he leaves, he takes away his extra warmth, so that fevers come down and throats are soothed.  The body moves into true rest rather than the fatigue of Wind’s despair.

And that is the story of Wind Heat’s Invasion of the Body

Acupuncture Lessons Learned from My Cat

The Water Type CatI have a young cat who has not done well with the two moves in three months that we went through.  He mews constantly at night.   I’ve had him to the vet, the animal communicator and a friend of a friend is doing some shamanic work with him from a distance.   The general impression is that this cat is terrified.  He is afraid to the core of his being.  He doesn’t even know what it is to feel safe, although since I have had him he has always been a safe and loved indoor only cat.  One of my other cats is very easy-going and my Siamese was more into withdrawal from him than any aggression when she was upset by his presence.

Clearly, he’s a water type cat.  I have no idea how he will come into his wisdom but I am working with him to feel safer.  It’s hard to watch him, knowing that many of his problematic behaviors stem from fears.  I’ve leaned a few things to remember in working with him.  First, he might be fear based, which suggests kidneys, a good play time workout does wonders for him for the next evening.   My husband has been doing some clicker training with him and I think this builds some self-confidence and does wonders for him.  I’d tend to think of those as more liver related but it seems to help the kidney fearfulness. Perhaps because the liver is stronger and can feed back to the kidneys the needed energies to handle what is going on.

I think we all need to remember to treat the whole body in any patient.  It’s important to remember how even the smallest changes in organs that don’t seem part of a diagnosis may change the whole picture.   Very often in diagnosis, we try so hard to only treat what is really necessary without seeing that building up another organ that may need just a little attention can be the key to healing the whole body.

The issues this young cat have are great but I have hopes that something will work for him. I am incredibly grateful to the wonderful people who have just stepped in and offered their assistance to me.

How to Keep a Customer

Familiar makes for happy customersBefore the end of the year, I wrote about three ways in which Adobe lost me as a future customer.   I want to start the New Year off with a post on how to keep a customer.  In the broadest sense, both tips have been said before in many places, but they are worth repeating.

First, exceed expectations.   Don’t think that this means you have to consider everything in the world a patient could possibly want and then give more.  That’s just not possible.  Be respectful.  Show you actually care.   Cascade Windows did this with a phone call that took the person coming to our house about 1 minute and cost him whatever 1 minute of cell phone usage costs.  They had made an appointment to be there at 10.  He was stuck in traffic and called to let me know he’d probably be 20 to 30 minutes late.  Most service people don’t do that so it was so unexpected, I’ve remembered it and told everyone.

If you have a receptionist in your office, if you’re running behind, it might be nice to call the later patients and let them know you’re running 15 to 20 minutes behind and don’t expect to be caught up by their appointment time.  Let them plan their time around your current schedule.  If they like texting, you could even have a sign up sheet to let them know.  Make sure you know how far in advance a patient would need to know so they can plan accordingly.

Calling may not work for everyone.  What else can you do?  Think about those companies that make you feel  like they went the extra mile.  Think about how that can apply to your practice.  Many of those little things are actually easy to do and take very little time.

Second, be familiar.  There’s a reason there are so many conglomerate stores that all look the same from city to city across the nation. People are comfortable with the familiar although they may fight against it.  You don’t have to look like every other office in the area, but try not to be too different.  Offer familiar touch stones in your office.  If you have a primarily Asian themed office and your patients are not familiar with the culture, make sure the magazines there are of general interest.   Have a stethoscope and blood pressure cuff prominently displayed in the treatment room.   You don’t have to use it, but patients should see it.

It’s good to be different and set yourself apart, but it’s also important to create bridges into the world of acupuncture.  It’s helpful to have a clear sense of who your patients are so you can do that.  If you focus on athletes, for instance, you’ll want magazines that they would be interested in.  Likewise, if you treat mostly elderly people for their ailments, find magazines that make them comfortable.  Find chairs that are easy to get in and out of.  They should be comfortable but you don’t want them to sink too far in!  Consider what your patients need in your office.  Consider what is familiar to them and offer touch stones so they feel they belong in your office.

Resolutions

Acupuncturist's Resolutions.Sometimes it’s good to put your resolutions in writing so you can go back and find them again at the end of the year.  Sharing online means you have a reason to stick with them as well.  It creates accountability.

My resolutions and goals for 2012 are:

  • To settle in and make my new house a home (hopefully this will be a fun and easy goal to keep!)
  • To finish up at least three books and get at least two of them self published.  My long-term goal is to write four a year but this is my first year, so I’ll start there.
  • To finish up a picture book I’ve been working on.
  • To grow my Art of Acupuncture Business and make it a presence online with acupuncturists.

My resolutions are in no particular order.   I’ll have to remember to go back and see how I did in December of next year.  What are your resolutions?

How to Lose a Customer: 4 Tips from Adobe

I’ve been using Photoshop elements on my iMac on the Windows side for several years. I think the first version I purchased was Elements 6 and I now have 9.   The other day the editor stopped opening files.   After my experience with Adobe’s customer support, I’ll probably be changing my photo editing software to Corel.  Why is that?

First, it was tough to get any answers from their website.   As acupuncturists, you don’t need to have pages of frequently asked questions and troubleshooting tips like Adobe should have, but did not.  However, you should have a phone number that’s easy to find. If you like emails, then make sure you have a contact form or an easy to find email form for patients as well.    You should also have invites for your patients and potential patients to contact you with any questions no matter how small.

Second, make sure that the contact information doesn’t work correctly.  Adobe’s support line is supposed to call you back when a technician is ready.  I was hung up on twice.  Chances are a small acupuncture office doesn’t have that sort of automatic response.  However, make sure your receptionists know how to use the phone system and get numbers to minimize problems with dropped calls.  Not everyone will call back.  Keep potential patients (and current patients) phone wait times to a minimum.  If you know it’s going to be awhile, ask for a number to call back.

Third, make sure your office staff is knowledgeable about what you do.  Adobe had a big fail on this for several reasons.  They didn’t ask me  to perform obvious problem solving tips (that when I realized I hadn’t done then did indeed solve the problem.  This could also have been on their website) and later on their technician wasn’t familiar with something and gave me patently wrong information about my system.

Office staff in an acupuncturist’s office should always know what acupuncture can treat and understand the specialties of the practitioners.  If they aren’t comfortable explaining something, then having the practitioner call someone back is important.  Anyone answering the phone should be confident that sometimes uncomfortable things happen with acupuncture (a flare up of new symptoms for instance) and should be able to immediately reassure the patient that their process is normal.  They can then be referred to the practitioner for a call back if the patient needs more. Sometimes someone just wants to know if it’s normal and they aren’t worried.   Good front office people can assess that.  However, it is always better to have a call back when none is needed than not have one.

Front office people should never ever give out information that might be incorrect.  People are talking about their health. As a healthcare provider, they need to trust that your information is accurate.  Make sure you staff appreciates that.

Finally, make sure that all office staff are on the same page.   Adobe’s technical support told me Adobe didn’t support Elements on Bootcamp on a Mac.  Adobe Sales insists they do and had never heard such a thing. Why would I trust Adobe sales if they assure me that it runs but Technical support won’t assist me when it stops?  If one person in the office says something, make sure that they understand that it was a mistake.  If a patient is told the wrong thing, making sure they get the correct information and understand the steps taken to avoid the miscommunication again can go a long way toward fostering trust.

I may be a small user of Adobe now, but I was considering upgrading to Lightshop as well and perhaps at some point even Creative Suite.  I doubt that will be happening at this point in time.  I’ll be using the free software by Gimp that does much the same.  To open RAW files, I’ll use other free ware and Corel Paintshop, which has come a long way and uses a better organizer for an interface.   Yes, it’s more work but it does what I want.  I like the organization techniques better and I don’t have to deal with a company that doesn’t care about their customers.

3 Tips for Effective Acupuncture Websites

Everyone says you need a website.  Now they’re telling you how to get noticed.  They’re telling you to blog.  They’re telling you you can make money online with advertising.  Web marketing isn’t your business. It shouldn’t have to be.  Here are three things to consider when creating, adding or updating a website.

First, who is your website target market.  Use the language people will use to look for you throughout your website.  If I live in “Somewhere, USA” then my audience will look for me under “Somewhere acupuncture” or “Somewhere acupuncturist”.  I should use those terms in my site on headlines, titles and in the content.  My name and my business name are likely to draw people who already know about me from a referral or who have seen me before.  I should use those terms so they can find the site for contact information but when it comes to new patients, the local area and the words “acupuncture” and “acupuncturist” are important.

Local area terms don’t need to just be your city.  I live in the Seattle area.  The broadest area is East King County. I also work in the Snoqualmie Valley.  The first general term is probably too broad as East King County covers a lot of area (and a lot of acupuncturists) but the second term is appropriate for patients as many of the cities in the Snoqualmie Valley are small and potential patients may search that term for someone nearby.

Second, if you’ve decided that writing a regular blog is important, who do you want to read your posts?   Web masters talk about keywords all the time.  They’ll give you places to go to see what terms are being searched and suggest you write articles that incorporate those ideas (for instance, “acupuncture and weight loss”).  The problem with this approach is that it’s too broad.  Keyword searches typically search larger areas than most acupuncturists will use.  You don’t want to write for Google search, either, because a search engine is a piece of software and unlikely to use your clinic for help.   Talk to people at any local gathering places. Find out the concerns of your local area.

I live in an area that floods.  Perhaps I can write about the types of health problems that flooding can cause.  Or I can take an energetic approach and talk about dampness.  If I live in an area with high winds, that’s an excellent time to talk about Wind as a pathogen.  Your posts will be timely and targeted towards the people you want to bring in.

Third, your website is there to bring in new patients and create added value to existing patients.  Throwing up google ads on your site defeats the purpose.  Your existing patients are likely to find the advertising annoying.  Potential new patients may see an ad that takes them off the site to another site that offers them something instead of an acupuncture treatment. You might get .03 cents for such a click but you’ve lost the income from that potential patient.  Advertising has a place.   Finding targeted information your potential patients and existing patients want can be very effective.

Patients often want to know more about acupuncture.  Reviewing a few acupuncture books for lay people on Amazon and using affiliate links to those products can be a way to make some extra money.  Other ideas are to advertise products you already promote, if that seems appropriate.  Some practitioners love the biomat.  You can promote the sales of the biomat on your site.  Several acupuncture website practitioners have e-books and items of interest that you can use on your website to bring in some extra income.  In all cases, these items are designed to supplement what you do and offer an added value (as well as some passive income) rather than just letting people click off your site without ever coming back.  Consider your advertising carefully.