When Enough is No Longer Enough

So, we’ve established when enough is actually enough. But when is it not enough? When do we need to strive for something more? When do we challenge ourselves to get out of our stagnant rut and reach for change?

Enough is no longer enough when it represents old patterns that no longer serve us. It is easy to default into familiar habits out of laziness or apathy in making the changes we need to make in our lives because change takes hard work and effort. Is that something we are up to?

In the realm of health, many of us get so comfortable with what has been usual for us that we mistake it for being normal. (See my 2009 post called “Usual vs. Normal”). For example, we have had this low back pain for months now that we “just deal with.” Either we pop an Advil and go about our day, or we let it handicap us to the point of keeping us from living the life we want to live. It becomes our excuse for not engaging with joy in our lives. We let issues like these linger. And the longer they go unaddressed the harder they become to treat and the more daunting the task seems to be. Do we deserve to feel better? Does hobbling around reinforce a low self-image? Have we had enough yet?

Whether it is low back pain or something as complex as many varied forms of addiction, when we perpetuate old destructive patterns, we often do so because we are not yet ready to break out of those old routines, that albatross of old self-definition. Who would I be if I no longer drank? We become complacent enough to believe “I’ll change tomorrow.” Yet what does it take for that tomorrow to actually come? When have we had enough? When do we embody the change we deserve and need?

The answer to these questions is completely individual. My role with my patients is to see where they are at, where they wish to get to, work within those confines and at the same time challenge them with just enough of a stretch to see the task ahead as attainable and doable. It takes patience and time to change old patterns.

Let’s take another example. When I advise patients on diet and nutrition, the only goal I know I can realistically achieve is to help my patients develop awareness around their food choices. How do the foods they eat affect their health? If they have allergies and chronic sinus infections, how does dairy affect them? If they do not know or have a hard time believing me and the mountains of research pointing to the connection between the two, then I ask them to eliminate it from their diet for 3 weeks and then reintroduce it by itself. They can then tell me how it makes their sinuses feel. No amount of external preaching or research can make someone change until they experience it for themselves. Once that awareness hits, they now have an empowered choice to make: continue eating dairy despite the obvious sinus congesting effects, or realize that it is not worth it, that they have had enough. Feeling better becomes worth changing an old habit.

The arc of change is sometimes long and slow, and sometimes dramatic and sudden. What pushes someone over the edge of change, only they can determine. But one day, one bright and sunny day, they wake up and realize that enough is no longer enough—they do in fact deserve more.

Which Style is Right for You?

Someone recently asked me which style of acupuncture—Chinese, Korean, or Japanese—yields the best results. Good question.


Styles do not make results, acupuncturists do.

In general, there are a few very broad-stroke differences between Japanese, Korean and Chinese needling styles. Japanese style acupuncture tends to be non-invasive with only very mild stimulation; very outwardly gentle. Korean styles tend to be more vigorous in stimulation. They also have a unique system of hand acupuncture that I understand to be very effective. Though needling the hand can be a bit uncomfortable for patients. And Chinese styles seem to be everything in between.

What we learn in school is called “Traditional Chinese Medicine” and is an amalgam, a distilled version of the 4000 years of medical history that can vary with every geographic area in China. The Chinese government in the 1950s realized they could not care for their population using only Western physicians, so they re-introduced Chinese medicine in a pared down, well-defined and teachable program that is now taught in schools around the world. We all start with this basic foundation in the medicine, but once we graduate, many of us begin to explore the innumerable traditions in search of styles that we most resonate with and that we find most effective for our patients. Once I, as the acupuncturist, find a system that makes sense to me, then I stand a better chance of having it work for my patients.

From the patient’s perspective, the most obvious way that they may feel a difference in style is in how vigorously their acupuncturist seeks to elicit the “Qi” (pronounced chee, which means energy) sensation—that dull, heavy achy feeling at the site of the needle. That sensation means that the point has been well-stimulated. Clarifying for the patient what they are experiencing or should expect to feel is of the utmost importance. They need to understand that the qi sensation is an okay feeling to have. But a sharp, shooting, burning sensation is not. When that occurs, it simply means that we have gotten too close to a blood vessel or nerve and we need to relocate the needle. Some patients love that qi sensation and others simply do not. I never want a patient lying on my table in a state of anxiety—it is counter-productive. I always work within my patients’ comfort level. Always. The only time I am aggressive with needling is when someone is in acute pain and I need to strongly off-set that pain. And when you find the right point, acupuncture works 100% of the time. To see the look on a patient’s face when needling a point in their foot gets rid of their migraine within seconds is priceless!!!

The bottom line is always about getting results. Liking the acupuncturist is wonderful, but if they do not get results, then you are paying them for stimulating conversation! As much as my patients may like me, if I am not addressing their chief complaints effectively enough in a timely manner, then my rapport with them can only go so far.

There are of course other reasons why one might choose one style over another, but that is where we get a bit technical. Some styles are better suited for acute issues, some are better for constitutional balancing, while others are best for more psycho-emotional issues. Chinese Medicine is an enormous world and it is as varied as the acupuncturists are who practice it.

In the end, be assured that none of us do what we do in the style we do it if it did not work most of the time. My role is to continue to be insatiable in my quest for better skills and deeper knowledge to get more reliable and consistent results. Your role is to decide whether or not you connect with me, the style I practice, and get the results you are looking for.

Usual vs. Normal

We often mistake what is usual for what is normal.

There have been times when I have asked my patients, “How is your digestion?” And they will say, “Fine.” Yet, they burp with each meal or no matter what they eat, they have gas. And upon further questioning I will find out that they will have bowel movements every other day. And that, believe it or not, they consider that “fine.” We should move our bowels with every meal… like dogs!

The other area of health I find this disconnect in is with PMS. PMS is so usual for so many women that we just right it off as normal. “Oh, it’s just PMS!” Just pop a Midol and go on with your day. But just because you and every woman you know have some form of PMS, does that make it normal?

When I sit down with my new patients to begin my thorough history and intake, there are very few areas of their health that we do not cover in great detail. From the seemingly minor and trivial, to the bothersome and acute, it is all important. What we will invariably find is that the things they have been living with for years, the things that are so usual for them, have fallen off the radar of concern and become normal. I see two reasons for this.

First, we are conditioned to only see our doctors when “something is wrong.” And given that our culture preaches that we can rest when we are dead, many of us would rather push aside those nagging health issues and soldier on, than acknowledge that anything is actually wrong. Until of course, something actually becomes wrong. Until what we are experiencing is clearly no longer usual or normal. Then it is time to “fight the disease.” And since our medical system is set up and is best suited to take up this fight, it positively reinforces this approach to health.

But today you are beginning to hear, even in mainstream areas, talk of prevention and wellness. This brings me to the second reason for mistaking usual for normal. We have had this confusion because we have been conditioned in the West to see health as the absence of disease. That we are either healthy or we are sick. That if your labs don’t show it, or it can’t be seen on an MRI, then we do not know what to treat or worse we think whatever you do ave does not exist. But any wise doctor of any discipline will tell you that health is not black or white; it is grey; that there is an entire continuum between “healthy” and “sick.” And it is in this place that usual is never considered normal.

If you have headaches during PMS, that is something to treat. If you bloat when eating fruit, that is something to treat. If you only go to the bathroom every other day, that is something to treat. You may have been living with these issues for a long time, and other people you know may have them too, but they are signs of an imbalance in your health and are not normal. Welcoming wellness and disease prevention into your life involves shifting your perspective about what is worth treating, about how much better you can feel. Is it enough to just feel “fine?” Or do you believe that you deserve to feel great? How about feeling that way all the time? Why settle for anything less?

Embrace wellness and optimal health!

Striving Toward Wellness

What role does your doctor play in your daily life?

Do you see them only when “something is wrong?”

Is it time for a new perspective?

This is an exciting time! With healthcare as a hot topic in the news today, people at all levels of society are asking similar questions. And, thankfully, here in this modern city of Los Angeles, we are blessed with a wide array of health care choices. You can build quite a diverse team of experts who span the full spectrum of disciplines from the East to the West, from clinical to spiritual, to support you and your health. At the root of this freedom of choice comes the primary question to ask yourself: “What role do I want my doctors to play in my health care?” And as an Acupuncturist interested in being part of the larger discussion, I ask myself “What role do I wish to play in the care of my patients?”

Let’s explore the answers to these questions in three progressive stages of health care:

1. Curative

Here, you have something you need treated: a cough, headaches, pain, indigestion, etc. We have all been in this category and will most likely be here again at some point in our lives. And because of this very real-world need, we have been conditioned to regard our doctors as people we see ONLY when we are sick. And-- chicken or the egg?-- Western medicine is well-suited in its tools to be a reactive style of medicine. When a patient’s condition can be clearly identified with a pathogen to fight or a diagnosable condition to treat through medication, surgery or other western therapies, it can be efficient and effective. How far we have come in such a short period of time is staggering to consider. But when there is no definitive diagnosis or no proven course of treatment, if these big guns are used, they are done so at a price. As more and more of you, the patient and healthcare consumer, express dissatisfaction with the side effects of medication or the, at times, extreme response of surgery, you begin to look for other approaches to address your every day health concerns.

Eastern medicine, and Chinese medicine in particular, have proven over the more than 3000 years of medical history that it too can be effective in treating most every health condition that can commonly arise in a population. It is in this place that I see most every patient that walks in my door. They come for a chief complaint, something that they need treated or “fixed.” If the issue is recent and acute in nature, resolution can be found quickly and effectively. If the issue has been chronic or has lingered, then I need to balance treating the condition with treating the underlying internal imbalance that supports the continuation of the condition. This can take a bit longer to address as we begin to explore the reasons why the body has not yet corrected itself. Once we can have such clarity, we can progress to the next stage of treatment.

2. Preventive

It is here that a new type of relationship can be forged with patients. This is where Chinese medicine excels even more. It sees connections and relationships between the various body systems and organs that allow that patient to understand how their lifestyle and food choices, their posture and emotional state of mind, can contribute to the recurrence of their chief complaint. What changes must they make to keep their condition from returning? In answering such a question, the patient learns to fish. The goal here is to see your condition return with less and less frequency and severity coupled with a growing self-awareness around the triggers that invite the condition to return. Perhaps you know, after all your experience tuning into your own body through your acupuncture treatments, when you are in the early stages of imbalance and wish to head things off at the pass. I want to empower you to make better choices in your life, to understand that you are indeed your own best physician. If I need to see you weekly forever, then clearly I am not doing my job. The further away you get from that initial chief complaint, the closer we get to the ultimate stage of treatment.

3. Wellness

By now, your chief complaint is long gone. You have made and embraced those necessary lifestyle changes to ensure that it will not return. The next question I routinely get is: “So why do I need to keep coming? I feel well.” I respond somewhat tongue-in-cheek with “Well, can’t we always feel even better?” The means of diagnosis in Chinese medicine are so subtle that we can pick up even the slightest degree of imbalance. Perhaps you come in once a month or even just seasonally for a “tune-up.” This is about a commitment you make to yourself to see health not just as the absence of disease, but health as a dynamic state of being. One in which you have control. In many ways, this is the pinnacle of all treatment. To achieve Wellness, you have welcomed a new type of relationship with your doctor, they have responded to your desires for greater vitality, and you have worked together to not only successfully address your health concerns but to thrive and live a more optimal and engaged life, recognizing that if you don’t take care of your body, mind and spirit, where will you live.

May you be happy.

May you be healthy.

And may you live with ease.