8.10.2019
Board exam 1
The test was difficult. It was mostly what I'd prepared for, except different diagnostics thrown all together for answer possibilities, and more "treatment plan" type questions than straight "diagnosis" questions.
I cancelled all work and social engagements the week before the test, cycling through old quiz questions on TCMreview.com and reviewing flashcards, honing in on weak spots. Two days before the exam, I took two full-length mock exams on TCMtests.com. The day before the exam, I took a self-constructed mock-exam at the same time as I'd perform the next day, relaxed (surf, hike, do a few more flashcards to ease my mind), ate a delicious nutritious macrobiotic supper, took a walk, took a bath, slept, then woke at 5:30 AM to perform--- and succeed.
I take a break at the half-way mark (50 questions down, 1 hour in) to pee, take some power-poses in the bathroom mirror, and devour a chocolate bar. The two hours fly by. Every time I start sweating or feeling anxious, I stop, take "chin" mudra (connecting my thumb and forefinger), breathe deeply, then proceed. The computer doesn't allow me to cross out answers or highlight important points, so I fill my scratch- paper with small bullets, key points, and doodles. I draw symptoms for complex cases onto a doughy-sticky-figure human body. I draw out complex tongue and pulse diagnoses. I knock off wrong answers on my bullet-points.
My feelings at the end of the test, as I put a hand on my heart, still my breath, then click "next" to complete the exam--- are complex. The screen flashes "pass" and I hold back tears in the quietly clicking testing room. I am beyond words, and still am.
This is the first of five tests, and an auspicious beginning. I am grateful to everyone who made this focus possible, and my studying-process joyful, meaningful:
Ben, for your playfulness, delicious meals, and adventure partnership. My yoga community, who keeps me responsible, sane, and life filled with purposeful sacred embodied play. Cynthia, for reminding me that this testing process is an opportunity for presence, and to enjoy it while I'm here, while honoring Body Wisdom. The Ocean, for cleansing my body, heart, mind, and sinuses. The mountains for grounding and magic. David, Geoff, and Justin for sharing parallel TCM experiences, and continual inspiration and inquiry. Geoff, for reminding me to "keep swimming." My grandpa from six generations ago, who wrote our family poem that inspires this journey, informs my name and spirit, and infuses my life with love, meaning, excellence, and dedication to lineage. To all my family and friends, and seen and unseen forces. To all my relations.
Taking the test itself feels like a very solo adventure, like traveling to a new country where I've never been, and know no one, with a mission to "get the treasure--- and bring it home." I've prepared intensely for the mission, but upon landing, it's still a whole new planet. I'm grateful for my large community of support at home. It's nice to be able to leave--- and come back. Next time, the testing process will hopefully be easier, more familiar. Continued dedication (with strategic restful play) until then.
Next tests: September, October, February, May. Thanks for joining my journey.
Big Love.
Deep bow.
(from a journal entry after the NCCAOM Foundations exam, written in the Sespe Wilderness. I went for a short 24-hour backpacking journey the day that I completed the exam.)
7.19.2019
Foundation Training
We're into week 2 of practicing Foundation Training daily (during the middle of morning yoga asana practice). We finish each 15 minute practice sweating, shaking, and grinning. The whole body-mind is engaged during these active isometric contractions. It eases lower back pain and chronic injury by engaging supporting muscles, while improving posture and optimizing movement. Dr Eric Goodman has some excellent free resources on Youtube below. See the main site for more detailed information, or to get a subscription to stream more videos.
7.08.2019
surf
take a moment
between the waves
to
g u l p
in
some air
and
s p i t
out
some sea water
find the
spaces
between the swelling tides
to
swim towards the horizon
then
when it's time
back towards shore
keep
swimming
6.15.2019
6.09.2019
Clinical gaze
"'Clinical gaze'... to look at something seemingly very complex, and see simplicity within it... that's the challenge and goal in every clinical interaction. To find the elegant simplicity that underlies all the things that are happening."
- Phil Settels LAc, from Qiological podcast #Qi084 ("Following the Process: Classical Thought in the Modern World")
(listen to 41:20 for how open-close-pivot (開闔樞) relates to the Six Conformations (六經) of Chinese medicine, from the Shang Han Lun 傷寒論 perspective)
Qiological is my favorite Chinese medicine podcast in English. I think it's our best podcast for Chinese medicine practitioners in the USA. It might be a bit much for the lay person, but still very interesting. Give a listen!
Podcasts - qiological
Becoming a Qiologician helps us at Qiological to bring you the weekly conversations you love. It also gives you access to some special content that is exclusively for those who help to support the podcast. Check out the Qiologician page for more details!
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Pictured: "Owl shaped pottery jars with ash glaze" from the National Palace Museum in Taipei, Taiwan. From the Han dynasty (206 BCE- 220 CE)
6.07.2019
6.04.2019
Kaptchuk, Placebo, and Acupuncture
Ted Kaptchuk wrote "The Web That Has No Weaver," one of the first books about Chinese medicine in the USA. He's been doing research about the placebo effect, and its relationship with Chinese medicine. Fascinating. Two studies (described here) show that acupuncture is almost twice as effective as optimal mainstream care in treating chronic lower back pain. However, acupuncture and sham acupuncture achieve similar clinical effects... but work in the body in different ways.
"... while both genuine and sham acupuncture equally reduced noxious stimuli, needle stimulation inhibited incoming noxious stimuli with a peripheral-central bottom up somatosensory modulation, while sham acupuncture activated a top-down modulation of pain and worked through the brain's emotional circuitry." (1)
Read the whole article, here:
http://media.virbcdn.com/files/59/FileItem-112513-KaptchukCJIMRESPONSES2010.pdf
See more of Kaptchuk's research, here:
http://tedkaptchuk.com/selected-publications
References
(1) Kaptchuk TJ, Chen Ke-Ji, Song Jun. Recent Clinical Trials of Acupuncture in the West: Responses from the Practitioners. Chin J Integr Med 2010 Jun;16(3):197-203
from
Kong J, Kaptchuk TJ, Polich G, Kirsch I, Vangel M, Zyloney C, et al. An fMRI study on the interaction and dissociation betwen expectation of pain relief and acupuncture treatment. NeuroImage 2009;47:1066-1076.
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