Presenters Bio
Yvonne Farrell
Forum Replies Created
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Hi Annette,
That is a really good question. I find the sinew channels are actually quite good for herpetic breakouts, especially in the acute phase. They help the venting process and shorten the course of the breakout. Once the skin lesions are gone and you are left with lingering nerve pain, I find them less effective. I think at that you point you need to deal with blood. So yes you could focus on the PC loop, the Luos, the Yin wei, with appropriate presentations.
If you want to impact the pc loop through the sinews, then you would indeed treat 3 arm yin. Bleed PC-9 needle GB-22 or something on the flank.
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I want to share that I am seeing patients with VA insurance. They come in with ICD-10 codes for chronic pain issues. I can peruse their EHR to see reports from the VA for medications, other providers they are seeing through the VA system, and maybe an idea of their authorization for massage or chiropractic from the other providers in my wellness center. As I related to you recently, I was checking to see who was on my upcoming schedule when I saw a system flag for “high risk of suicide” on one of my new patients. I saw this AFTER I had my initial session with him, even though the letter/note stating this was dated about three weeks before our first session. Don’t know why EHR alert wasn’t there before his appointment with me, or if the note was even in his EHR before our appointment. I did not see it if it was. Would I have treated him differently with this foreknowledge? Hi Tamra. I have read your post several times now and I also went back and reread the original email you sent me and I still can’t figure out if this is a post about what to do with “high risk” patients or your relationship to your employer. So for the sake of this post I am going to focus on the patient and not the system. I think if you really want to talk about the VA and your employer we will need more clarity and it may be a little too personal for the forum.
I do know that you like to treat what you see Yvonne, and let the patient themselves be what you work with rather than chart notes. I felt the sadness and emptiness in his HT and LU pulses.<b class=””> When I mentioned in my response to your email to “treat what you see” that was actually in relationship to how much info you didn’t have. You do not need to know everything about a patient in order to treat them. You focus on why the patient came in the first place and you gather what info you can in the moment and then you treat. I am not opposed to reading a patient’s chart notes but they are someone elses perspective and although they can be useful they can also be biased. For instance based on you original email, I thought the patient was suicidal but maybe that is not his current state or someone’s assessment several weeks ago. If you treat him as if he is suicidal and he is not then you risk treating something that isn’t there. You need to make your own diagnosis. That chart info is just a small part of it. You need to be careful because it can be like when a family member tells you something about your patient. Accurate? Biased? or perhaps they want you to focus on something that the patient isn’t interested in engaging. You need to do your own investigation. What does this patient wnat to work on rioght now? Also when we have spoken about charts in the past, it is usally about the fact that I do not look at MY charts before I see the patient because I don’t want to be predisposed. I do however check those charts before I needle.
I have questions; first what were you worried about when you saw that “high risk” after fact that you weren’t worried about when you treated him? And how are you feeling about the patient now and your ability to help him?
Pt was mid-50s and candidly told me about his combat TBI incident and subsequent medical care events. His eyes moistened when he mentioned that he was the only guy to survive. I felt those inner goosebumps that you get when really listening to a person’s pain or experience. His posture was rounded shoulders, but he had blast wounds and the chemicals from the blast seared his lung tissues. He had tinnitus and migraine headache as his chief complaints. He spoke with equanimity and I imagined that his medications had something to do with that, but he was pleasant and we laughed at times during the conversation as we became acquainted. It was “Yes, Ma’am” and very polite, very coherent introduction of himself. He spoke of a future fun family event. It doesn’t sound like he mentioned anything about having suicidal ideation. Since his chief complaints are tinnitus and migraines that is what you treat and that looks very much like a Yang Qiao issue. You mentioned he had TBI, that is also often a yang qiao issue. This may be a way to begin treating his chief complaints and his nervous system (brain) at the same time. He may be “high risk” because of his history but it doesn’t sound like that is why he is seeing you.
After receiving your support and support from another practitioner, I have a clearer vision of how to treat him, should he return for his next appointment. I was alarmed that since the alert appeared after our treatment day, that something that happened because of my treatment. He has managed to survive his pain for those three weeks since the alert was issued, by the suicide care team with the VA or his psychiatrist. I hope that our next session(s) help to walk this patient back from the edge if possible, but let me ask you some technical questions:
Is it appropriate for me to reach out to the VA team and ask for a provider update on this alert? If I was a solo practitioner, I can make my own policies, but I am a 1099 employee; I don’t know if my employer has any objections since the VA is his bread and butter. When I called the VA scheduling team within the center, they said this was the first alert they have received, and they had notified the office manager. When, I don’t know. She actually gave notice so she wasn’t in the office this week, but I treated him last week. I have funneled all questions for the owner through her. She would reach him by phone as needed to answer any questions that I had. The wellness owner (my boss) has told me that the patients are his patients, not mine. I had to take some time off work recently, and wanted to assure that my patients were not going to feel abandoned by my absence, so I asked if I could write or call “my” patients. My license requires this of me, but he said that all of my patients were offered options to see other providers within the center. So continuity of care was offered to “his” patients. He then instructed me that he doesn’t want providers (i.e. me) making calls to his patients. Perhaps he also doesn’t want me calling the VA about this. I likely need to try to have him call me (most of our communication is via gmail, which as we all know, is not that secure.) I have found proton.me that a friend recommended for better encryption and less email snooping, but I don’t know if the EHR platform (Chirofusionlive) allows for HIPAA communication between providers. He is a chiropractor. This whole thing is something we should talk about at a separate time. I have questions. What I can say for sure is if he was referred to you for acupuncture by the VA then you entitled to his history.
I am going to send my boss a “call me” email now, as I think through this as I write. Just imagining that any new practitioners might benefit from this post.
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Thrilled to hear this and I am looking forward to your participation.
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Hi Daryl (she/her),
We will do our very best to help you to feel safe and confortable. I recognise that people join the mentorship with varying degrees of experience and and they all have different expectations . You can be sure that you will never be judged for whatever level of participation you bring. I have many people who rarely ask questions but learn from the questions of others and just as many who are willing/able to share their deepest challenges. All are welcome.
I have no expectations that participants will have prior knowledge or expertise. I love when we have a good mix of clinical experience. The newbees often ask questions that change the perspective of seasoned practitioners and vice versa.
I have a pretty broad teaching history so I am open to exploring anything from the basic knowledge of our first training to the deeper and more esoteric thoughts this medicine can address. Just so you know, this medicine is so vast that there will be times when I cannot answer a question but even then we will ponder the possibilities.
Welcome.
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Please send me the class details.
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Hi Lindsey. Thanks for jumping on board. We will be talking a lot about trauma from many different perspectives so it should be interesting for you. I have in the last 5-10 years begun to think about these vessels as a blueprint for living and when we are struggling to live well we manifest pathology that tells us exactly how to get back into the flow.
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Hi Adam. Welcome. I am so excited about the mix we have. I look forward to getting to know you.
We have a very eclectic mix of practitoners so it will be fun and hopefully informative.
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Hi Lila. Welcome back.
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Just ordered the current edition. Please do let me know if you do the updates.
I have loved ones with EDS so I look forward to reading this version and also getting to know you better.
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Hey Tank,
They/them it is. Welcome. I am very excited to have you on board. Your willingness to share both your diagnosis and trauma history is a gift to us all. Hopefully we can all learn something from your curriculum. There is not a lot of support out there for hEDS so we will be lucky to learn from your experience.
Where can I find your book?
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Hi Isabel. Welcome. I look forward to having many interesting discussions about autpo-immunity.
Fascinating and deeply relevant topic.
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Welcome Heather. I love nurse/acus. The seem to have a very focused perspective on patient suffering. Glad to have you on Board.
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Welcome Akari. I hope that we can make a good environment for your continued growth. Kintsugi is a wonderful practice and very much in alignment with the process of becoming. I look forward to many discussions that ponder the connections between channel theory and all the other things we do to become more human.
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Welcome Matthew! So glad you could join us and I look forward to meeting you in person at Breitenbush!
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Welcome Micah. I am very excited that you have such a diverse background. Can’t wait to hear your perspective on many things.