One of the hardest things in clinical practice is the bridging the gap between what you learn and real-life clinical application. There are dozens of practitioners now moving through Dr. Ginsberg's Strategic Herbology program and will, in the coming months be applying herbal medicine clinically for the first time. One of the huge advantages of learning CHM in school is that you have supervised clinic rotations which help ease the transition between book learning and the real world after school. Jason and I have been talking over the past couple of months and we are super excited to soon offer a limited number of seats in a virtual preceptorship program to compliment the herbology program. We are discussing the details of how this will work but essentially Dr. Ginsberg will make himself available to help evaluate your patients and guide you with formula Rx and modifications as you begin practicing herbal medicine in your clinics. This will be a powerful addition to the program and for the serious student/practitioner, an indispensable asset to confidently prescribing. More coming soon. If you are currently enrolled in the program and are interested please leave your name in the comments.
Here's a snippet from the workshop I held last weekend at the Successful Practice Summit.
The difference between Burnout vs. Overwhelm and why it's important to distinguish the two.
Setting Patient Expectations: Menstrual Disorders
I'm enjoying making these little videos and I hope they are helpful to you in your clinics. Today I thought it would be fun to take a case and show how I set expectations with the patient involving 2 menstrual complaints along with several other additional complaints. To be fair, there are some things that can't be taught in school but even in our time in clinic at school, the teachers never did what I do in this video. I suspect they simply didn't have the experience and/or confidence to put themselves out there. Understand that setting expectations is not giving guarantees, it's creating confidence in you as a practitioner in the eyes of your patients. Here's another thing, it's ok to screw up and to be wrong. There's no way around that except through so get over that shit right away. Borrow from your mentors until you get the wins under your belt.
Things I Wish They Taught in TCM School: Part One
Setting Patient Expectations
I am doing a small series addressing some things that I wish I knew as a new practitioner and hoping that the advice I offer will save some time and suffering for any 1st and 2nd year practitioners to help build your confidence with your patients.
I hope this resonates with you.
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@chrisvolesky
Hello
I would appreciate some input in approaching this patient.
Male 58 years old, with the diagnosis of type 2 Diabetes mellitus, diagnosed 15 years ago and over the course of his condition he developed diabetic retinopathy for what he is getting local injections; also developed bilateral carpal tunnel syndrome and according to his physician due to of that, atrophy of the left thenar eminence.
His main complains when he came to our office were lack of endurance on his lower extremities, very weak knees and legs preventing him from doing much of his regular and normal activities and needing to walk with a cane; very poor balance and a marked, recalcitrant bilateral pitting edema from his ankles up to mid legs. Also, a weak lower back that feels sore and cold, sometimes liking urine and low libido, no drive at all.
During his visits he has always denied any digestive issues, but a mild constipation with most BM daily, but sometimes every other day, with no changes in the ...
@Michael_Peluso @chrisvolesky
Please can I have some help with this case.
Gentleman has been suffering anal pain since a haemorroidectomy 2 years ago. Pain is like a migraine (intense ache & heaviness) that is worse for passing a stool, sitting, standing, through the day.
There is also a constant feeling of heat and tenesmus (feeling of needing to pass a stool). These are not pleasant but can handle compared to the pain. He has had physiology testing which shows all functioning. Coccyx and ganglion nerve blocks had no effect.
He has had two previous heart attacks and is on medication for these. (Ace inhibitor, beta blocker, statin & aspirin)
Pulse is wiry with irregular irregular beat.
He is very cold … included hand photo. He has no spider veins in the sacral area or on the back/ BL40 area. Only around ankles .. photos included.
I have treated with acupuncture, no bleeding, with no change in 4 weeks.
Can you help with herbal suggestions?
Thanks
