Facebook and Your Practice

There are a lot of acupuncturists using Facebook.  There are acupuncture groups where acupuncturists can join in discussions about cases, insurance questions and case-law.  My school has both a general Facebook group and an alumni group that is closed to all but approved people.  I see lots of practitioners with their own Facebook pages.

I find it interesting when practitioners want to share their page with other practitioners.  It’s not that it’s a bad thing but is this really the best use of the page?

A Facebook page can be a quick and easy way for patients for find you.  You can offer quick tips about what’s happening at your local practice.  You can keep updates about the weather. What is happening in your community.  It’s probably far more effective for patients for the practitioner to share with local businesses than with acupuncturists from across the country.

I do follow lots of practitioners. I’m looking for acupuncture news.  I want to find news that’s unique to practitioners and see who is doing something novel. Unfortunately all this following means that everyone seems to be doing the same thing.  I find it ironic given that most practitioners strive to be unique.  While many articles are for the general public and talk about acupuncture, often these kinds of articles get tiresome for patients.  Patients want something that touches their lives.  Finding local news can be a way to engage them and get conversation going.  Conversation on the page can be very helpful in the long run, especially if the practitioner can monitor it.

Moving beyond Facebook to other social media is important only if you, as a practitioner enjoy that.  The best social media advice I ever got was to do only those things that I liked and forget about the others.

 

 

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!

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.

 

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.