Struggle and Ease

As I work on my art business I am finding that I struggle with the acupuncture side of things more.   There seem to be fewer opportunities for me and those that are there seem like so much more work.  I believe in my art as a vehicle for expanding the reach of acupuncturists.  I believe that what I have to say has value but it is a struggle.

I have other artwork that just seems so much easier to work on and I have more reach.  However, there are more people doing that sort of work so although I have more reach, I also have more competition.  It also doesn’t seem quite as important.

So it is something I have to ask myself.  How important is the ease of work? Is it easy because I love it more? Maybe.  I don’t have all the answers.  As I reflect on this internal struggle and uncertainty, it feels rather universal.  How often to do we think we are led to something because it feels so easy?  Is that really the sign that we are led? Is it really easy or does it feel that way?  Are there always questions along a path.  How do we know what we need to focus on?  What I do know is that this isn’t an either or proposition.  It’s merely the question of what gets focused on today. There will be other things to focus on later.   There may be some of the same choices or there will be new ones.  It’s just a matter of what is happening in the universe.

Why Do I Feel like Acupuncture has to be Serious?

Heart CenteredI’m working with Mark Silver’s Heart of Business year long course this year.  Last week our coaching call was with Jason Stein, who works as a coach with Mark as well as working with Oregon College of Oriental Medicine’s alumni.   Jason started the call with a full minute of laughter.  As I giggled quietly in the background I kept thinking that I really needed to improve my heart qi because I was quite jealous of those could laugh loudly throughout the full minute.  When I tired of my quiet giggle they made me laugh more because of the sheer joy that came from the sound of laughter.

Something else came up for me in that call.  I work on artwork for acupuncturists and I started the class thinking I wanted to focus on that. After that call I realized that this blog and this work is harder for me than the writing I do on my cat blog.  A big part of the reason was because this isn’t as fun.  I feel like I have to be serious when I talk about acupuncture.  I don’t know why.  I feel like in writing something valuable for acupuncturists I have to have some thought provoking and useful post.  I can’t just post the latest Frank and Ernest cartoon that shows them looking at a picture of someone lying face down with needles in their back saying how much back stabbing when on in that school.

Part of that is the fear that such jokes offend people.  The other part is that it feels like it’s not appropriate as a way of offering information.   On the other hand, I am a huge believer that if you can’t laugh at something there’s a problem.  Yes I do laugh at acupuncture but not often among acupuncturists.  When I have patients who were really worried and nervous and it seems appropriate my approach would be to say if it hurt was to “Scream loudly so everyone will know.”  It was such an unexpected response to the fears that they were usually too busy laughing to feel the first insertion, at which point I’d chide them for not screaming loudly.  Most patients were surprised that I had done anything.

Fact it, acupuncture is an energetic medicine that current science can’t quantify in the way the people of the US likes things quantified.  So it’s this strange medicine where people who are already in pain have a bunch of needles poked into them (doesn’t that hurt more?) to get out of pain.  And no one really knows how it works. Acupuncturists do but they can’t put it into terms that Westerners get, usually.  That lack of understanding and that fear of being thought foolish is another reason there is so little humor around acupuncture.   Acupuncturists aren’t out making jokes about their profession.  They want to be taken seriously.

Oddly, the most serious place I worked, an animal hospital, where we were helping people make life and death decisions had more joking around than any place else I’ve ever worked. There was no humor too black or too ironic for the veterinary clinic.  In fact, we had a staff holiday party in a restaurant once.  We were asked not to do it again as everyone seated around us left and many complained about our inappropriate dinner conversation.    We even thought that was funny, if a bit embarrassing.

Why did that staff laugh at things that shouldn’t be laughed at?  Because what else do you do?  As Kurt Vonnegut famously said, if you don’t laugh at it, you’ll cry.  Maybe I need to start realizing that the best way to be taken seriously is to let my hair down long enough to laugh at what I do as an acupuncture practitioner.  How can I be “heart centered” if I don’t laugh? The challenge, of course, is how to lighten the tone of an acupuncture blog like this one.

I guess that’s something we’ll all find out, won’t we?

Delight

Delighted CatI tend to think of delight as joy.  How often do we allow ourselves to just do something we really love and take delight in that moment?  How much do we really delight ourselves?

I tend to get caught up in work and in worrying that it is easy to forget to find something that is just delightful and fun.  It exists and it is there.   Remember that the more delight you have in your life, the more that will carry over into your business.  Customers will see that and take their own delight in the small things you do.

Valuing Your Work

I’ve been working on pricing some items.  I know I undervalue what I do.  It seems like that’s a common theme for those in the helping professions.

Consider that if you are self-employed, you need to be making a certain amount to survive with your overhead.  Certainly insurance companies have been slow to keep up with cost of living but that doesn’t mean that acupuncture rates don’t need to go up.  It doesn’t mean you can’t ask for what you are worth.  Ultimately each practitioner can figure out what they can agree on as far as the amount they need to make per patient.  Someone seeing several patients per hour can leverage their time such they can charge a lower rate per patient than the practitioner who sees only one person per hour.

The fact that the second practitioner sees fewer patients may be a selling point as to why they charge higher rates.

If you, as a practitioner, honestly feel you are worth the money people will come in and pay you no matter what you ask.  It helps to be clear about exactly how much you think you deserve. If you don’t think you can charge enough to live on, it might help to consider why you don’t value your time.  Sometimes that discomfort is about issues around personal value that may not even be realized.

Choices: Is it Too Little or Too Much

Making choices in your acupuncture practiceI’m thinking about a number of things in my life.  In growing my business I had some resistance to doing some stuff suggested–adding products and the comment was that it sounds like you’re afraid this could get to big.  And yes, that is true. I have other things I want to spend time on too.

On the other hand, I realized as I was slow to find space in my new larger home that I have a lot of space and that creates its own indecision.  No longer to have to stuff what I can where I can in the closest to the most useful place, but I can plan where I want things to be organized. I can plan how I want to use the space.  It’s an unusual feeling.  This means that I have so many decisions to make about those small things, like extra light bulbs and batteries (which my husband purchases at Costco regularly) that my house still is not quite home.  But it’s getting there.

I don’t have to have things done perfectly.  There are places that will need to be re-arranged.  There are things that I might swap out at a later time when I re-organize and know where I’ll be using things most.  This is far easier to work with than the fear of something being too much.

Again there are decisions about where do I want to focus my energy.  What is it exactly that I want to do.  In an acupuncture practice it seems like we take on all of it without choice because there isn’t enough money to not do it all.  Some people find others who will work as contractors for percentages, like insurance billers.  Others hire employees.  It’s important to set up your business so that you are doing that which you love most of the time.  There will always be tasks that need to be done by you that aren’t as fun, aren’t as enjoyable.  However, really get in touch with those tasks that you dislike the most and get someone to help you with those.

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!

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.

 

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.

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.