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In a message dated 3/8/2004 9:58:50 AM Central Standard Time,

zrosenbe writes:

 

> Sounds more like 'bada bing'.

>

> Maybe I am missing the point of your post, but I can't see why one

> should replace or augment an effective, low tech therapy like

> acupuncture and herbal medicine with one that costs six times as much.

> This would seem to be the opposite of 'the doctor as medicine' concept.

>

>

>

 

Frankly, Z'ev, it was more like Cha' Ching... My practice became much more

profitable, and the patients were far more satisfied with their treatment.

 

I am not advocating this approach necessarily, however, I was responding to

the question about what to do at a health fair and the question about

chiropractors and machines that draw interest.

 

The situation I described did replace a low cost method with a higher cost

one. The strange part of the situation was that the satisfaction level of the

patients was not very high. From my point of view, given that the allopath had

told them that their condition was permanent, degenerative and would require

meds for the rest of their life, I felt that I had witnessed more than a few

miracles. Patients weren't as impressed.

 

However, my point was that in this society (My practice was a few miles from

one of 20 or so " Top Ten Medical Centers in the Country " ) the machines, the

graphs and the mystery of computer aided analysis had the same function as the

" presence " of the doctor in old China. People felt more confident in their

treatment.

 

As a practitioner of TCM, none of that stuff made much difference to me... I

still did my essential dx and tx the same old way. But what did happen was

that the patients had more confidence and they referred more of their friends

for the treatment of allergies as well as other problems. I think this was

because instead of seeming strange to their way of thinking, now the whole

course

of treatment seemed to fit into their expectations of what constituted leading

edge medicine.

 

And both top and bottom lines were improved significantly, thereby helping to

insure the stability of my practice.

 

As someone steeped in oriental philosophy and culture, I find the addition of

these trappings of technology superfluous. However, adding them enabled me to

treat many more patients than I would have without them.

 

Guy Porter

 

 

 

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, DrGRPorter@a... wrote:

 

>

> As someone steeped in oriental philosophy and culture, I find the addition of

> these trappings of technology superfluous. However, adding them enabled me

to

> treat many more patients than I would have without them.

 

 

the ethical bind of how to market medicine, a service that should ideally sell

itself. new px are under different constraints than old-timers as far as

practice building goes. we need to be flexible.

 

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In our clinic we used to have a kit with a $400 machine (which I would be

tempted to call the " Bing Machine " ) and an entire setup so that we could deploy

two docs and the clinic staff whenever we found a health fair or really even a

town event.

 

Each of these events turned into a virtual new patient factory.

 

Basically, we were able to get people talking about their problems, we then

showed them how the diagnostics might relate our treatment to their problems

and offered them a free exam if they made the appointment right there.

 

I can't count the number of people who, in 6 weeks of treatment, got

tremendous relief from problems that they had had for years or decades. All you

TCM

practitioners do this every day yourselves. Those health fairs are a great way

to share this miracle with people who would never have gotten it otherwise.

 

At a decent event you should be able to get 30 or 40 new people with just one

doc and a good assistant.

 

If someone produced a very complete kind of book that told acupuncturists

exactly the steps to follow to get 30 or 40 new patients from a " Health Fair, "

do

you think any would be interested in it? Or do you already have this kind of

knowledge throughout the acupuncture/TCM community?

 

Guy Porter

 

 

 

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I get your point, Guy. Patients are a funny group. I would be

intrested to see what they would have said if you just raised your price

without the machinery - I think some would have been also impressed just

because it cost more. Reminds me of two things.

 

1. A teacher of mine (Julian Scott) told us 'if your patients complain

that your price is too high, then raise it, and if they complain it's a

good value for the money, then lower it.' It's a funny sentence, but

since I've been in practice for a while, now I see the wisdom in it.

 

2. If you haven't read it, read the chapter on Ginseng in Unshuld's

'Forgotten traditions in Ancient CM' - this isn't the first time that

'machines that go bing' have unduly impressed patients.

 

Thanks all for the great input - I don't know where to get a good

machine that goes bing, so I think I'll try some 'FIRE CUPPING' or 'FIRE

NEEDLE' or even 'GREEN TORTISE SEARCHING FOR SEA CAVE' - maybe that'll

impress them. Of course, if I could just get stroke patients to stand

out of their wheelchairs on stage like Dr. Zhu does, I think that would

be just as / probably more effective.

 

 

Geoff

 

> __________

>

> Message: 15

> Mon, 8 Mar 2004 12:35:19 EST

> DrGRPorter

> Re: Health fair ideas/ Hi Tech

>

> In a message dated 3/8/2004 9:58:50 AM Central Standard Time,

> zrosenbe writes:

>

> > Sounds more like 'bada bing'.

> >

> > Maybe I am missing the point of your post, but I can't see why one

> > should replace or augment an effective, low tech therapy like

> > acupuncture and herbal medicine with one that costs six

> times as much.

> > This would seem to be the opposite of 'the doctor as

> medicine' concept.

> >

> >

> >

>

> Frankly, Z'ev, it was more like Cha' Ching... My practice

> became much more

> profitable, and the patients were far more satisfied with

> their treatment.

>

> I am not advocating this approach necessarily, however, I was

> responding to

> the question about what to do at a health fair and the question about

> chiropractors and machines that draw interest.

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Doug:

 

I can't lay my hands on it just now, but it was a $400 machine that measured

resistance at the Ting points, combined with a $250 program we installed on a

laptop that printed out " Meridian Graphs " showing high and low " energy

levels. " Some of the symptoms associated with the meridian functions were

viewable on

the laptop.

 

Alon and Z'ev: BEFORE YOU GET UPSET... we used this as a guideline that

enabled us to talk about the symptoms they were having and what was going on in

their lives with stress and all. Then we talked a little about what TCM and

chiropractic (tui na?) could do to help them.

 

While we didn't consider that this was the entirety of the diagnosis, the

patients who were accustomed to getting treated by allopaths did put much more

stock in the computer print outs than in me palpating their wrists and looking

at their tongue. I did not feel it necessary to confront this non-issue with

them at any point in the doctor patient relationship.

 

Finally, we offered them the opportunity to get an exam at the clinic.

 

Beth: We found someone who actually had experience with talking to crowds and

had no problem stepping out into the throng to bring in curious people. I

just sat in the back of the booth and talked to people who were interested in

talking about their health. It was quite relaxing and pleasant once we got the

routine down.

 

As for the entire procedure, there are about three effective ways to do this

and thousands of ways to do it wrong and waste your time.

 

Guy

 

 

 

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Just one word of caution with health fairs. Check your state's

laws. Needling demonstrations on people at fairs most likely

requires that you have charting and consent forms filled out, etc.

 

Ross

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Which " bing/ka ching machine " do you have?

doug

 

, DrGRPorter@a... wrote:

> In our clinic we used to have a kit with a $400 machine (which I would be

> tempted to call the " Bing Machine " ) and an entire setup so that we could

deploy

> two docs and the clinic staff whenever we found a health fair or really even a

> town event.

 

>

> Guy Porter

>

>

>

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I've seen similar machines at chiro offices - the 'infrared' scanner on

wheels that runs down the sides of the spine and charts it out. There

was a seminar I went to that had another machine that measured

resistance on certain points and also graphed it out - but I don't

remember what they were called. I'm sure if you pick up a chiropractic

newsletter / chiropractic today - you'll see them full of ads for these

kinds of bing / I ching ka ching type of gizmos. I think you're right -

the key is to get the patients to start asking questions. When I would

needle one of the MD's at the hospital - all the others would start

asking questions.

 

I'm thinking I can be the bing machine by doing pulse diagnosis and then

asking questions. I think it should have the same effect as a print out

if you can name a couple of complaints just by looking at the complexion

and pulse. They'll get more interested as they start talking. I'll

just need to find a comfortable / portable way to situate patients to

check the pulse.

 

Geoff

 

> __________

>

> Message: 19

> Mon, 8 Mar 2004 20:32:32 EST

> DrGRPorter

> Re: RE: Health fair ideas/ Hi Tech

>

> Doug:

>

> I can't lay my hands on it just now, but it was a $400

> machine that measured

> resistance at the Ting points, combined with a $250 program

> we installed on a

> laptop that printed out " Meridian Graphs " showing high and

> low " energy

> levels. " Some of the symptoms associated with the meridian

> functions were viewable on

> the laptop.

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Alon and Z'ev: BEFORE YOU GET UPSET...

>>>I would not get upset but would point out that due to many technical problems

these systems can not be accurate unless they are extremely expensive.

Alon

 

 

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Guy,

 

I think this would be very well-received and valuable. I'd want one!

 

 

 

 

If someone produced a very complete kind of book that told acupuncturists

exactly the steps to follow to get 30 or 40 new patients from a " Health Fair, "

do

you think any would be interested in it? Or do you already have this kind of

knowledge throughout the acupuncture/TCM community?

 

Guy Porter

 

 

 

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Geoff,

Michael Broffman and the Pine Street Foundation organize a yearly

Chinese medicine health screening in Marin County that is very

successful, exposing a large number of people to booths for pulse,

tongue, palpation and questioning diagnosis. I think this is one way

to promote Chinese medicine in an undiluted fashion. Check out

pinestreetfoundation.org for more information, including photos and a

poster of last year's event.

 

 

On Mar 9, 2004, at 7:38 AM, Geoffrey Hudson wrote:

 

> I'm thinking I can be the bing machine by doing pulse diagnosis and

> then

> asking questions. I think it should have the same effect as a print

> out

> if you can name a couple of complaints just by looking at the

> complexion

> and pulse. They'll get more interested as they start talking. I'll

> just need to find a comfortable / portable way to situate patients to

> check the pulse.

>

> Geoff

 

 

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