Office Hours: Treatment Tiers and Scheduling Strategies

Office Hours episode 25: Ellen Goldsmith

Join us in this episode as Ellen Goldsmith, acupuncturist and author, discusses the profound role of food in healing and prevention. Whether you're a practitioner or someone curious about integrating Chinese dietary principles, her insights reveal how everyday eating can be a powerful act of self-care and healing. Timestamps: 00:00 - Introduction to Ellen Goldsmith and episode overview 00:24 - Ellen’s background 01:23 - The evolution of her practice from Shiatsu to Chinese dietetics 02:19 - Teaching health self-care in art and medical schools 03:45 - Why Ellen wrote her book on Chinese food principles 04:42 - Principles of Chinese medicine and the importance of prevention 05:38 - The importance of food as medicine and creating accessible recipes 06:35 - How seasonality influences dietary choices 07:31 - Incorporating condiments and flavor in Chinese dietetics 08:38 - The “who” and “when” in seasonal eating 09:20 - Practical suggestions for spring foods, including asparagus and nettles 10:18 - Using radishes and fermented greens to break congestion 11:38 - Mouthfeel and texture’s role in food enjoyment 13:00 - Delicious ways to prepare rhubarb and emphasize food integrity 14:24 - Quick, nourishing cooking methods aligned with seasonal energy 15:45 - The sensory essence of cooking herbs and aromatics 16:15 - Practitioner dietary recommendations and building competence 17:08 - The importance of deepening one’s own understanding before advising others 18:05 - Observation, self-awareness, and personalized care 19:37 - The balance between conventional medicine and Chinese dietary wisdom 20:05 - Cultural and emotional elements influencing food choices 21:02 - The process of gradual change in nutrition practices 22:07 - Ellen’s experience working with practitioners and case studies 23:27 - The influence of mainstream medicine and culinary medicine initiatives 24:55 - Dr. David Eisenberg’s pioneering work on nutrition and Chinese medicine 26:49 - Food-based lifestyle integration in medical education 27:19 - The importance of cooking in practitioner training 28:51 - Making Chinese medicine principles approachable for everyone 29:21 - The significance of internalized knowledge and somatic learning 30:19 - How daily practices, like Qigong and cooking, deepen understanding 31:23 - The enduring power of experiential, body-based knowledge 32:11 - Basic strategies for postpartum and post-surgery recovery 33:43 - Nourishing soups, broths, and meal textures for healing 34:40 - The importance of warmth and herbal remedies in recovery 36:35 - Using footbaths and moxibustion to support healing 37:05 - The role of intuition in clinical decision-making 38:02 - Sensory perception and gentle, personalized treatment 39:02 - The power of presence, listening, and subtle cues 40:53 - Blending intuition with training in effective practice 41:07 - The impact of empathy, gentleness, and somatic awareness 42:58 - Cultivating kindness and integrating Western and Chinese approaches 43:45 - The future of culinary medicine in Chinese medical education 44:39 - Food as a joyful, integral part of health routines 45:19 - Resources for practitioners and the importance of ongoing learning Resources & Links: Pearl Natural Health Book: Nutritional Healing with Chinese Medicine Dr. David Eisenberg - Harvard Healthy Kitchens, Healthy Lives Pearl Natural Health Website Email: LNG@pearlnaturalhealth.com [LNG@pearlnaturalhealth.com] Note: This episode underscores that healthful eating is as much about mindfulness, enjoyment, and intuition as it is about science. Implementing seasonal foods and cooking practices can foster a deeper connection to your body, nature, and well-being.

Office Hours episode 24: Infertility and End-of-Life Care

Angelique and Toby discuss the role of acupuncture and Chinese medicine in fertility treatment, end-of-life rituals and integrating cultural practices. They present clinical case studies on autoimmune eye conditions, herpes, and more. Finally they explore channel theory including divergent and sinew channel treatment strategies. Toby just released a new book! https://a.co/d/04KI93FR [https://a.co/d/04KI93FR] This Substack has excerpts from the book: https://substack.com/@tobydaly [https://substack.com/@tobydaly] Stephanie's email for signed copies: flourishmedicine@gmail.com [flourishmedicine@gmail.com] Key Insights: The importance of addressing the whole "garden" in fertility treatments, focusing on filling gaps to promote natural conception How acupuncture can assist with end-of-life transition The application of divergent channel therapy for complex or terminal cases, exemplified by patient cases The interconnectedness of emotional, physical, and spiritual health in Chinese medicine practice Resources & Links: Tracing Our Lineage - Book https://a.co/d/04KI93FR [https://a.co/d/04KI93FR] Jeffrey Yuen - Renowned Chinese Medicine Practitioner

Office Hours episode 23: Allen Tsaur reveals the Darth Vader of Chinese Medicine

Consider watching this one on youtube. The visuals may help anchor your understanding of the historical physicians and formulas that Dr. Tsaur mentions. In this episode we explore the journey of Allen Tsaur, from childhood in Taiwan to becoming a Chinese medicine translator and practitioner. We discuss the value of classical texts, translation challenges, and how deep study informs clinical practice. In this episode: Allen Tsaur's background and how he transitioned from engineering to Chinese medicine The significance of classical texts like Zhang Jinyue and Wu Jutong's works Challenges in translating ancient Chinese medical texts: terminology, context, and clinical application The importance of commentary and historical critique in understanding formulas Allen's approach to integrating classical concepts like Yin-Yang, Qi, and the six burners into modern practice Insights on the holistic view of disease as branches and roots of constitution The influence of major figures like Ye Tianshi, Zhu Danxi, and Wu Youke on current theories Practical advice for students and practitioners on engaging with ancient texts and commentaries Timestamps: 00:00 - Introduction to Allen Tsaur's background and career shift 02:17 - Allen's early engagement with classical poetry and the Art of War 03:39 - Transition from engineering to Chinese medicine and first encounters with Chinese medical practice 04:59 - Experiences with acupuncture and curiosity about Chinese medicine 06:05 - The bone marrow drive and cultural differences in treatment perception 07:33 - Allen's deep dive into Chinese texts and translation work 09:40 - Studying the 8 Principles and origins of diagnostic frameworks 11:49 - Starting translation: from naive attempts to collaboration with Michael Brown 13:37 - The challenges of terminology and context in translation 15:49 - Allen's systematic approach and the importance of glossaries 18:53 - Collaborations with Michael Brown and foundational texts for clinical practice 22:08 - Criticism of formula modifications and historical influences 26:23 - The significance of the six conformations and the concept of the three burners from Wu Youke 28:35 - Wu Youke's influence on understanding pandemics and epidemics 32:14 - Allen's insights on formulas for heat and cold in different contexts 38:14 - The role of formulas like Huo Xiang Zheng Qi San during epidemics 43:13 - Modifications and intuitive adjustments in formula practice 44:51 - The humility and motivation behind Allen’s translation work 54:41 - Reflections on the humility and altruism of Chinese medicine masters 67:33 - The role of the Root and Branch philosophy in Chinese medicine and the critique of over-reliance on formulas 73:15 - Who is the Yoda of Chinese medicine? Insights into the foundational figures like the Huangdi Neijing author 75:15 - The importance of commentators over centuries in shaping Chinese medicine's viability Resources & Links: Zhang Jingyue https://allentsaur.com/publications [https://allentsaur.com/publications] Wu Jutong's Systematic Differentiation of Warm Diseases https://allentsaur.com/publications [https://allentsaur.com/publications] The Nei Jing - The Yellow Emperor's Classic Michael Brown - Translator & Collaborator Connect with Allen Tsaur: https://allentsaur.com/ [https://allentsaur.com/] Note: For those interested in deepening their understanding, Allen emphasizes engaging with footnotes, commentaries, and classical texts alongside modern interpretations for a comprehensive grasp of Chinese medicine.

Office Hours episode: Strategies for Navigating Peaks and Valleys

In this episode, Angelique and Toby share the real-world challenges of managing a rapidly growing practice, including scheduling, client communication, and insurance strategies. The discussion provides practical tips for handling peaks and valleys in client volume while maintaining quality care and clinical efficiency. Key topics: Navigating peaks: how to allocate slots for emergent and ongoing care Strategies for managing scheduling and cancellations Transitioning to all-cash practices and insurance considerations Building a reliable referral and network system Recognizing practice peak signs and when to expand staffing Timestamps: 00:00 - Introduction: managing rapid practice growth 00:40 - Approaching full booking and scheduling challenges 01:44 - Communicating capacity limits with patients 02:41 - Recognizing whether current growth is a peak or a new normal 03:24 - The importance of leaving buffer slots for emergencies 03:54 - Strategies to control new patient intake and manage demand 04:21 - Transitioning to cash-only or insurance models and leveraging staff 05:18 - Building a referral network for urgent patient needs 05:44 - Tips for delaying new patient appointments to create breathing room 06:03 - Preparing for potential patient demands for specific treatments 06:33 - When to consider going all cash and expanding staff 07:07 - Identifying when your practice has passed the peak 07:40 - Long-term patterns of practice growth and patient re-engagement 08:13 - The impact of delivering excellent results on word-of-mouth 09:26 - Managing cancellations and patient respect for your time 10:09 - Using waitlist systems effectively 11:36 - The value of human office management vs AI automation 12:00 - Staying calm during peaks and valleys in practice volume 12:30 - The likelihood of peaks becoming the new normal 13:12 - Valuing health services and patient willingness to pay 13:41 - Comparing costs and value of biomedical treatments vs alternative care 14:10 - Closing thoughts: riding out growth cycles together Resources & Links: Jane Scheduling Software — for appointment management and waitlist features

Office Hours: A New Model for Chinese Medical Education

Join Angelique and Toby as they explore an innovative plan to reinvent Chinese medicine education, addressing its financial, operational, and societal challenges. Their discussion details a comprehensive approach to creating a sustainable, accessible, and modern Chinese medical school from the ground up, leveraging AI, new funding models, and flexible infrastructure. Key Topics The critical financial issues facing current Chinese medicine schools and the need for endowment-based models How AI and software can revolutionize administration, reducing costs and increasing efficiency The importance of crowdfunding and endowments from successful practitioners and engaged patients Developing a flexible, pop-up classroom and clinical model using community spaces and partnerships A proposed three-year, online-intensive curriculum that prepares students for licensing exams Creating a nonprofit institution with a durable endowment for institutional longevity The potential societal benefits: shifting from repetitive and unchallenging administrative tasks to fulfilling clinical work The strategic development timeline: from concept to funded reality Resources & Links Connect with Kaysie Lingo about Chicago clinic space: https://anatomyandalchemy.com/about/ [https://anatomyandalchemy.com/about/] Ryan Hoffer Substack — Thought leader on Chinese medicine education and innovation This episode offers a bold vision for the future of Chinese medicine education, emphasizing innovation in funding, technology, and flexible learning models to ensure sustainability and accessibility. Timestamps 00:00 - Introducing the office hours digital bulletin board and upcoming panel discussion 07:00 - Announcing a new Chicago office space available for Chinese medicine practitioners 09:00 - Concerns about the future of Chinese medicine education and the role of funding 11:00 - The destructive financial model of current Chinese medicine schools and the need for reform 12:30 - Conceptualizing a new endowment-funded, nonprofit Chinese medicine institution 15:00 - Automating school administration with AI to drastically cut costs 16:50 - Replacing mundane admin tasks with AI to free up practitioners for clinical work 17:46 - Addressing concerns about AI replacing human roles and emphasizing the value of fulfilling work 19:00 - Developing a flexible, pop-up clinical and classroom model for future growth 21:10 - Utilizing spaces like VRBO for low-cost, temporary classroom and clinic setups 23:40 - The vision for a three-year, online-heavy Chinese medicine program with licensure pathways 27:00 - Naming ideas and curriculum structure—aiming for a broad, accessible educational model 30:01 - Committing to documenting this transformative process and inviting early collaborations