AOMA Blog

Nicole Fillion-Robin

Recent Posts

A Shiatsu Q&A with Billy Zachary, MSOM, LAc

Posted by Nicole Fillion-Robin on Sat, Jun 29, 2019 @ 04:00 AM

Faculty_Headshot_HiR_BillyZacharyBilly Zachary is a licensed acupuncturist with over ten years of experience working as a professional practitioner. Since earning his master’s degree from AOMA Graduate School of Integrative Medicine in 2004, he has completed extensive training in the Hakomi method of mindfulness-centered somatic psychotherapy. He maintains an active clinical practice in Austin, Texas where he specializes in the use of acupuncture & herbal medicine in the treatment of emotional trauma.

In his previous life, he trained and taught Kuk Sool Won, a traditional Korean martial art that emphasizes mindfulness, meditation, joint locking and pressure points, though he currently practices and volunteers at Aikido of Austin. His first forays into East Asian medicine was in Shiatsu.


How did you get started as a Shiatsu practitioner? Any favorite instructors that you follow? 
 
Pam Ferguson was my Shiatsu teacher, and feel lucky to say that I was mentored by Jaime Wu while I was in school. Both practice with a clarity of focus that shines through in their treatments and teaching, matched only by their kindness and goodwill.   

Shiatsu is like one part bodywork, one part qi gong.  As the practitioner treats the patient, they work on their own qi. Practiced correctly, at the end of a session you should feel refreshed, and relaxed. 
 
This work helped me get through the program when I was an acupuncture student (back in the days of  dialup, pagers and dinosaurs). It is the work I can turn to if I am burned out, exhausted, or not feeling at my best. 
 

Can you describe how Shiatsu is different from other types of bodywork?

It uses the meridian system, and is very compatible with the diagnostic thinking we use with acupuncture.  It give the practitioner the opportunity to treat and diagnosis through touch, and adjust their treatments accordingly. 

Are there various types within the broader style of Shiatsu? Which form do you practice?

There are a bunch of kinds. I teach Zen Shiatsu. Superficially, it looks like acupressure with the stretches from Thai Yoga massage. 

What kind of patients do you feel it works best on? Do you often combine it with acupuncture or do either/or? Is your pricing structure typically more if you do bodywork?

All kinds! And it can integrate with acupuncture, at all levels. It can be part of your diagnosis, part of warming up, or part of finishing. Or a smidge of acupuncture can be used along a full Shiatsu treatment.

I do charge more for Shiatsu time, because I cannot treat in two rooms at once.

 

How do you get certified as a practitioner? Is it through AOBTA? How do students get clinical hours as of now?

You have to complete AOBTA's requirements, just as you would with Tuina.  Most of those are already taken care of by your acupuncture training.  I believe students need to have the appropriate hours of Shiatsu class, and then hours logged in clinic. Anyone can arrange to do a Shiatsu clinic when I am on campus supervising a clinic. 

 

How long have you taught Shiatsu?

I'm new at teaching this, but I have taught martial arts for a long time (think VHS and new homes were still under $90k). The method of teaching both draws from many of the same skills.  As I continue to teach, I am fortunate to have my teacher in town, who I go to mentorship and guidance.  

Are there any videos or books you recommend for students to get a sense of what you teach on campus? I looked up Shiatsu on youtube and found this video. Please tell me we'll learn this.

That looks fun! It would be interesting to see how that method works with a patient larger than yourself, with cervical issues! So, that is not quite what I teach. 

Here is a video, low quality and old, by the founder of Zen Shiatsu. The focus is on what is happening at the point of contact, and past it, and forgoes the acrobatics for focus and meditation.  

In terms of reading, I recommend Shiatsu Theory and Practice

 

Thank you so much for your time Billy! Shiatsu 1 is offered this coming summer term for AOMA Students. 

Topics: asian bodywork therapy, tcm education, musculoskeletal health, preventative medicine, pain management, shiatsu, AOBTA

Battlefield Acupuncture - Q&A with John Howard, LAc., Dipl. Ac

Posted by Nicole Fillion-Robin on Sun, Jun 16, 2019 @ 03:02 AM

John Howard is a licensed acupuncturist who started his career in Western medicine. He trained & served with the U.S. Marine Corps, as a Combat Medic & a certified EMT.

JohnforAcufinder

He was chosen to attend the Army's Delta Special Operations School of Medicine to become a Corpsman and the Uniformed Services University of Health Sciences where he trained in field surgical techniques. At George Washington Univ. Hospital he worked as an ER Trauma Technician.and as an Asst. Adjunct Professor of Emergency Medicine teaching medical students minor trauma and suturing techniques. John Howard then completed his degree in acupuncture from the Maryland Institute of Traditional Medicine in Bethesda, Maryland in 2004, and is nationally certified by NCCAOM.

After completing his degree, Prof Howard did a five-year fellowship with the US military under the direction of Dr. Richard Niemtzow, MD, PhD. It included working with Wounded Warriors only days removed from the battlefield.

John has gone on to create protocols for PTSD used worldwide and lactation that has become a staple method used to increase lactation production in a nationally acclaimed hospital. John maintains a private practice in Germantown, Maryland specializing in pain management, musculoskeletal and neurological disorders, sports medicine and sports related injuries. John travels around the world to bring his teachings to acupuncturists nationally and internationally. He has also authored nine books and 25 articles on both Acupuncture & Auriculotherapy.



John, have you always wanted to work in medicine?

One of the first things I wanted to do was practice acupuncture. In 1990, my senior year in high school, I went out for a long run. I returned home much later than I expected and before I went to bed, I laid on my living room floor to cool down. While I was doing this, I watched a TV show on acupuncture. The show was filmed in China and they were using acupuncture for anesthesia while they performed open heart surgery on a patient. At that point I wasn't sure if what they were doing was magic or medicine, but I knew I wanted to be part of that.

Next morning when I woke, I approached my mother and told her my plan to study acupuncture. I thought she would be happy and excited because at that time I planned to become professional runner and live in the basement for the next 30 years. When I told her, she looked at me and said, “You don't even look Chinese. Eating Chinese food doesn't qualify you. Are you nuts? Please don't tell your stepfather because he'll think we're both doing drugs.” 


How did your time in the military shape you as an acupuncturist? What are unique challenges and benefits of working for the military? 

Dr. Frank Yurasek Ph.D., L. Ac and myself heading back into the PAU to observe acupunctureIt helped me out tremendously and plays a major role in how I practice acupuncture, even today. I was a Navy Corpsman who was selected for the US Army’s elite 18 Delta School for Medics. I dealt with a lot of pain in the military and a large part of my practice is dedicated to treating pain.

 

Malcolm Grove Hospital on Andrews Air Force Base in Maryland

There are many benefits to working with the military. One of those is that acupuncture is part of standard care, meaning if you want narcotics you also have to receive acupuncture, or you will not get any narcotics. Another benefit is using acupuncture in medical departments on base that are not used in their civilian counterparts. For example, when I was at Bethesda Naval Hospital some years ago, we would use acupuncture in the PAU (post anesthesia unit). These surgical patients might receive acupuncture prior to surgery or just after surgery. You don't find many hospitals using acupuncture in surgery or in the PAU. This was a unique opportunity to be a part of and witness firsthand.


Were you familiar with NADA before your fellowship with Dr. Richard Niemtzow? What differentiates Battlefield Acupuncture (BFA) to NADA? Is there any overlap? 

They have some things in common, they are both auriculotherapy protocols. Each protocol has five ear points, though with BFA I hardly ever have to use more than a total of 3 to 5 needles, whereas with NADA you always use 10 needles. With BFA you stop when the patient reaches the desired pain level. NADA and the BFA protocols use different needles. Also, the BFA protocol will use a combination of gold, stainless steel and titanium needles to achieve the ultimate desired level of decreased pain.

 

Do you prefer one protocol over the other? 

It depends on the purpose of the treatment. For example, I do prefer to use the NADA protocol if my patient is already off narcotics and experiencing no pain other than withdrawal symptoms. If my patient is still on narcotics or being weaned off narcotics and still has pain, then I use the BFA protocol. With BFA, the needles will stay in from 3 to 5 days. In France where the BFA needles are made, professionals will leave the needles in for upwards of 40 days. Here we think 3 to 5 days is enough to get the desired outcome.

Over the years working with disabled combat vets I found a good mix of using NADA and BFA simultaneously. This is mostly for patients who have mild to severe hyper vigilance. Sometimes using BFA needles will over stimulate these patients. I found that if I combined both protocols it balances them out. This is done by inserting filiform needles for the BFA points on the patient’s dominant side and the NADA protocol points on the patient’s non-dominant side.


I’ve read a pretty nasty article on Forbes about BFA, from 2011. Has that attitude towards alternative medicine changed at all in the past 8 years in your opinion?

First, I think that was a great opportunity to advanced BFA and acupuncture in general. Forbes magazine is a very large magazine there's a lot of subscriptions and some clout.

The article that you were referring to was written by Stephen Barrett who in 1993 was forced to give up his medical license in Pennsylvania. It is common knowledge that Stephen Barrett has been Officially Declared by the US Court System, in a published Appeals Court Decision (NCAHF v King Bio), to be "biased, and unworthy of credibility." Officially - nothing he says can be legally relied upon. The Psychiatric profession rejected Barrett; he could not pass the examinations necessary to become Board Certified.

I believe that article did more good than bad to advance the reputation of BFA. 


Have you seen any changes in interactions you have in clinic with your patients or demographics since we have nationally focused on the opioid crisis?

You might have thought I would have said yes, but here in Maryland, those who prescribe opioids have been ahead of this trend for some time now. Though I still have patients who have scripts for opioids, most are taking them on a PRN basis and others are off them completely.

I’m not seeing the abuse that other parts of the country are experiencing. Perhaps it’s because acupuncture is more accessible and accepted in the Washington, DC Metro area. Most insurance companies in the area have some form of acupuncture coverage (and pay very well), so maybe this is why I don’t see what the rest of the United States is seeing.


Do you work alongside GP for the most part? 

I'm at Walter Reed Army hospital as a volunteer where they have three different departments in the hospital that use BFA, acupuncture and homeopathy. I work alongside Dr. Steve Sharp, a pediatric neurology doctor in charge of one of the acupuncture departments. He is also a retired Air Force Colonel.

I also worked in a chiropractic office for 8 years and they would send patients to me for treatment and vice versa. I currently get referrals from local medical doctors to do acupuncture treatments on their patients. In addition, I have treated referral patients from the DuPont Hospital for Children in Wilmington, DE (I live in Germantown, MD).

 

Acupuncture, of course, is only one part of the puzzle when treating patients with PTSD. How do you work to get them connected to the care and community they need?

Currently and throughout my whole career as an acupuncturist all the patients I have treated with PTSD and even depression have been under the care of the proper medical professional. If I ever get a patient who has one of these conditions and is not seeing a professional in the field of psychiatric medicine, I have physician friends who are psychiatrists they can reach out to. It's paramount that all of these patients be under the care of the proper medical professional. If they currently are not under the care of the proper medical professionals, I would try to convince them to go to one. If I couldn't, I would not treat them with acupuncture. I currently work with and mentor disabled combat vets who have severe PTSD and all of them see their psychiatrist on a regular basis.

A few of the disabled combat vets I worked with that have PTSD. These guys are allowed in some cases to use BFA on themselves or have their wives treat them (not my rule, nor my doing). Some of them will use BFA on their caregivers to treat their pain (again, not my doing). When the wives become pain free or have very little pain, the disabled vets tell me that they feel good about themselves once again. One guy told me when he treats his wife with BFA he feels like a functional member of society again. He went on to say that the treatments he gives his wife is a big part of his therapy.

 

What has surprised you most about this career? 

Many things! For instance, I was surprised and grateful on how generous my teachers and mentors have been with their time and knowledge. In keeping with the spirit of my teachers and mentors, I to emulate them by doing the same to those who would like my time or more knowledge.

One thing that has surprised me recently is how fast some people and institutions are becoming accepting of acupuncture. I always thought that in time they would see the benefit, but not as fast as they have. These include military units, a world-renowned University teaching hospital, Indian reservations, the VA and regional health care providers for one of the biggest providers of health care in the United States other than the military.

On a not so positive note, what surprises me is the lack of training through fellowships and apprenticeships after you graduate acupuncture school. I hope to one day be able to offer anybody the opportunities that I had when I spent 5 years learning from the US military.

Coming from a Western medicine background I would prescribe some of the most powerful drugs on this planet. I was quite confident that these drugs would work all the time and very quickly. This wasn't the case every time and that would frustrate me. Now some of the acupuncture protocols I use work quicker than those drugs and last longer with no side effects. I'm surprised that more hospitals and clinics don't see what I saw when I practiced in Western medicine. I think what really surprises me is how inexpensive acupuncture is compared to Western pharmacological therapies and why these institutions are not quicker to acupuncture as an adjunct or substitute.

 

Do you have any advice for students who want to work in an emergency response capacity? Do you have any recommended links/reading/research on organizations for those who may be interested?

I do know that BFA has been used in Australia on national ambulance services. About 2 years ago I was contacted to help train medical doctors at a large medical school in Southern California who wanted to do a research project on using BFA for compound femur fractures. Some large teaching hospitals are interested in using BFA in their emergency rooms. Cook County Hospital in Chicago, one of the largest hospitals in the US, is one of those institutions that have contacted me to help them implement BFA into their Emergency Department protocols. On my website I have a list of articles for research on BFA. For those who want to do more research, you can also look up BFA at PubMed. 


Any advice to students regarding trauma-informed care? 

Patients' piercings and tattoos will tell you a story they cannot or are not willing to share with you or anyone else at the time. That’s right - you can somewhat diagnose your patients by observing their piercings and tattoos. You might be surprised how much you know about a patient and not even know it. In my basic BFA class I will go over these clinical clues and signs.


Have you ever suffered from burnout, and how did you take care of yourself?

No, I have never had an issue with that. I have patients I treated that I could not wait till they regained their health back. These patients would eat up my time and I would fall behind on other of my patients. The other patients would get upset with me for running late but understood. The BFA fixed that problem.

With using BFA I can treat up to 10 patients per hour. Their pain level could be 7, 8 or even 9 out of 10 on a pain scale from 0-10. Within minutes most, if not all, of their pain is reduced to zero or to a comfortable level for them. I feel that getting their pain reduced to between 0 and 3 out of 10 on the pain scale is a good objective.

I don’t advise completely eliminating pain for most patients and endurance athletes. I had a runner that I treated and told him to take it easy. The next day I saw him doing a long run because I had eliminated all his pain. He was testing the limits which can result in additional injury. You do not want this to happen, so in a case like this, I would reduce the pain but not eliminate it to remind the patient to take it easy since the pain and cause of the pain are still there.

 

What the best piece of advice you’ve gotten from a mentor? 

Wow, I'm sure I can write a book on all the great advice and clinical pearls I received over the years from my mentors. All the knowledge they’ve given to me can be summed up as always be positive and choose positive words with your patients.

I will offer a simple clinical pearl that you can apply in your clinic as soon as you read it. We all do this in our clinics, but I am going to give you a positive way to say this. When you do, watch your patient’s face and demeanor change on the spot. When a patient come into our clinics for the first time, we need some basic information about them, like their name, their age and chief complaint. When I ask their age, I look them in eye and ask, “How young are you?”  Try this and see how well your results are compared to the last new patient you just saw if you ask them how old they are.


What will participants learn in your upcoming CE opportunity at AOMA?  

I will teach one of the strongest if not the strongest protocol to reduce both acute and chronic pain in a long-lasting way. You will learn how to unite auriculotherapy and acupuncture in a synergetic way to help their patients achieve their objectives.

I'll discuss the history of BFA, auriculotherapy and acupuncture. Most individuals don’t know that acupuncture has been used in the US since (at least) 1773.

We will also go over an in-depth understanding of the principles of auriculotherapy to help each student succeed in clinical practice. By the end of the seminar students will be able to diagnosis basic pathological conditions just by observing their patients’ ears. BFA has the ability to change your practice and your patients’ lives.

Each student will receive a gift bag from our sponsors (Lhasa OMS, Boston MA and Sedatelec of Lyon, France) with a mix of different kinds of needles to use and practice with throughout the seminar. The BFA protocol uses semi-permanent needles known as ASP ear needles. And of course, participants will receive 16 NCCAOM PDAs and California Acupuncture Board CEUs if applicable.

 

Thank you so much for your time and thoughtfulness, John! We really look forward to hosting your seminar here at AOMA in July.  

Topics: NADA, tcm education, acupunture, pain management, medical volunteer, battlefield acupuncture

Alumni Spotlight: Rachelle Lambert, LAc, 2009 AOMA Graduate

Posted by Nicole Fillion-Robin on Sat, May 18, 2019 @ 01:02 AM

Rachelle Lambert, LAc is the owner and founder of RA Harmony Asian Medicine.  She is also the Unit Coordinator and Research Team Lead for the Colorado Acupuncture Medical Reserve Corps.

What was your education and experience prior to AOMA?Rachelle 2-1

I joined the 4 year MAOM program at AOMA in 2005. Pursuing acupuncture and Chinese herbs is the first career path in my life. I completed my graduation requirements for high school on the memorable date of September 11th, 2001. After high school I attended Austin Community College to receive the perquisites needed to join AOMA.

Tell us about your journey to AOMA, what led you to Acupuncture and Traditional Chinese Medicine?

I was born and raised in Austin, TX. My entire life I wanted to be an archaeologist, but one day I had some friends talk about acupuncture treatments at a local acupuncture college (AOMA) and it dawned on me that was the career path I was meant to pursue. Of course, once I started internship during the program it was super rewarding to use ancient medicine to help people feel better. Even though I never became an archaeologist, becoming an acupuncturist allowed me plenty of opportunities to enjoy archaeology!

What did you learn at AOMA that you use everyday in The Real World?

The training I received at AOMA is invaluable. Patients in Colorado tell me all the time how unique and comprehensive my training is. Working in the field I find it valuable to have skills in various styles of acupuncture, pulse diagnosis, and having knowledge of scalp and auricular acupuncture.

In everyday life, I forget to practice my qi gong and tai chi on a regular basis, but when I am in the field of emergency management I use it everyday. It helps me stay my best for the people I am supporting. When I am at FEMA training at the Emergency Management Institute in Maryland, often times the class has had me guide the class in tai chi warm-ups and qi gong meditation exercises. Everyone wants to learn it when they see me doing it, and I find it hysterical that I am teaching mind-body techniques to groups of emergency managers at FEMA. It helps to remind them to take time for self-care. And during my deployment to Puerto Rico this was a great tool to teach the community to support their resilience.

Your work in emergency response is outstanding, how did you get involved in this work?

I have always dreamed of offering acupuncture to global communities did not have the opportunity to experience acupuncture. I feel my love of emergency management started during my time working on cruise ships as an acupuncturist where I learned extensively about the US Coast Guard laws and regulations. They are thorough and very strict the procedures intended to save lives. No matter your position, as a ship crew member you are required to train and drill weekly so all hands-on deck would be available during an emergency. As an acupuncturist, I learned how to fight fires with a fire hose, close water tight doors, stabilize frantic passengers, lower life boats and jump down a chute into a life boat, and help pull others from the sea into a lifeboat, to ensure survival. It was incredible to me that regardless of your background anyone can be trained to make a difference and save lives. In addition, I learned the valuable skill of speaking/communicating in a way that even non-English speakers can understand.

What would you like everyone to know about you, your interests, passions, hobbies, etc?

Since I was 3 years old, I have practiced origami and it became a valuable skill during deployment to support both Hurricane Irma and Maria in Puerto Rico in 2017. Knowing qi gong and tai chi also became valuable. These tools have saved my body and mind during all of my emergency deployments both domestic and international. They stabilize me as an emergency responder and allow me the chance to re-boot and remain 100% so I can be my best for the communities I support. They also are skills easily taught to others, providing them the ability to cope with extremely stressful situations.


Rachelle 2

Please share anything else you would like about yourself and your work.

I moved to Colorado in 2014 during the first year of creation of the Colorado Acupuncture Medical Reserve Corps. Today if you want to be integrated into a disaster response in a professional way, a responder must be trained in Incident Command System (ICS) and National Incident Management System(NIMS) to speak a common language and offer a structure for response that is evidence based.

Captain Rob Tossato created the Medical Response Corps (MRC) program to vet and train volunteers before a disaster occurs. This includes; verifying credentials, background checks, and ensuring a smooth system to organize volunteers and ensure safety for everyone involved. This reduces the chaos that comes with disaster situations. With the Medical Reserve Corps, program volunteers have the opportunity to train and drill with a team, are included in networking opportunities and exercises with many agencies involved in emergency response, practice skills ahead of time, establish critical relationships, allow for official request for deployment, and participate in healthcare coalitions.

I became the volunteer leader of the Colorado Acupuncture MRC in 2016 and have worked hard with my team to create buy-in from the leaders of all national MRC teams. We have led by example, and our work recognized and published. We authored the Acupuncture Mission Ready Package, and created the first pilot research study exploring the feasibility and acceptability of acupuncture in emergency management (funded by a grant I authored with the National Association of City and County Health Officials).

For the last three years, the work we have done has created buy-in with many leaders throughout the nation and allowed acupuncturists to join these teams on a nation-wide scale for the first time. My goal is to make our profession a paid deployable position with FEMA. I plan to infiltrate the system and continue extensive training to continue in my second career as an emergency manager with FEMA.

What agencies do you work with? Is it typically a paid contractor gig or volunteer work? 

The first thing I want to express with the acupuncture profession as a whole is that this is volunteer work. We need to spearhead the movement of volunteer culture in the acupuncture profession, as I see it flowing in other healthcare professions. It is hard work, but so rewarding, and someone has to do it. As far as I know there are no paid acupuncture positions in the world of emergency management... yet! We have to start somewhere and volunteering to get the resource out there in the world is the best way to educate the global population in this valuable resource.

Remember, the acupuncture profession just got an occupational code, we have just started our work in national and global recognition. So far the VA is the only organization I know of that pays acupuncturists as part of government.

In my personal opinion, we can make a huge influence by joining federal and state approved teams. Remember: infiltrate the system! These teams are the most influential during an emergency response, they are the ones who are officially requested, and they follow guidelines of preventing self-deployment (meaning you don't show up to a disaster unless you are called upon by an authority). 

Which organizations do you recommend students look into if they are thinking of doing this kind of work?

If considering this line of work in your future, please stay professional and understand the world of emergency management - never show up to an incident unless you have been officially requested (this is known as self-deploying and can be damaging to trust in the acupuncture profession). There are so many things happening in an emergency, it is not the time to start your education and networking as an acupuncturist. People coordinating the disaster have lives to save, and are going through a lot of stress themselves.

The best time to do your networking and education on the resource is when a disaster is not happening. Make your connections and build your teams ahead of time. You can make a lot of influence if you can participate in drills, have networking events such as provide treatments to fire departments, public health departments, offices of emergency management, and participate in local healthcare coalitions. If you know a person ahead of time, you trust them, and you know what they are capable of doing, you will be called into the field during a disaster and make the most influence.

Teams I have found as a good place to start would be the Medical Reserve Corps (MRC), Team Rubicon, and the American Red Cross. I am currently a registered volunteer with the Colorado Acupuncture MRC, Colorado STAR MRC, MRC of Puerto Rico, Team Rubicon, and the American Red Cross.

When were you last called to serve as an acupuncturist? How long did you stay for?

First of all, I volunteer throughout the year. My work is either in deployment or non-deployment times. For example, once a month I lead a team to offer treatments at the Nederland Fire Station, and once a month I lead a team to offer treatments at the Four Mile Canyon Fire Station. I made these relationships during deployments when I was called to respond, as well as making relationships during FEMA training. I have been supporting these teams for three years now. In April I lead a team to participate during a functional exercise and drill with the Boulder County Emergency Operations Center, and that was a half-day exercise.

My last deployment was a half-day deployment during the Sunshine Canyon Fire response in 2017, but they were able to manage the disaster fairly quickly so it was a short deployment. The most memorable experience and longest time I was deployed as an acupuncturist was during the Cold Springs Fire in 2016. The response phase was 10 days long, then we transitioned into the recovery phase which lasted for several months. During the response phase I sent teams to the firefighters basecamp, the emergency operations center coordinating the boots on the ground, and the incident command post with the incident command staff.

What is your most memorable experience as an EMR Acupuncturist?

In 2017 hurricanes Harvey, Irma, and Maria rocked our nation. The Emergency Management Assistance Compact (EMAC) requested a disaster behavioral health team to deploy to Puerto Rico. To our knowledge, this was the first time a behavioral health team was requested through this system (and does not mean this is the last).

The State of Colorado won the bid to provide this team and the request came through for volunteers with our state volunteer registry for people who spoke some level of Spanish and were trained/certified in Psychological First Aid. Due to the fact I trained ahead of time, was a registered volunteer with Colorado, and was trained in disaster response, I made the team. My travel, meals, and accommodations were all paid for, and I was paid acupuncturist wages for every hour I worked. This is the first time I have ever been paid to be part of a deployment.

The deployment was for three weeks and we supported local behavioral health teams in Puerto Rico. Our mission was psychological first aid, and we traveled to about 30 refugios (shelters) to provide assistance in healing and emotional recovery. Even though our mission was not to provide acupuncture, I was able to share my skills as an acupuncturist and provide the local community group Qi Gong exercises, Tai Ji stretching, and share different acupressure points and lifestyle choices that can support resilience and recovery. At the end of the day I provided acupuncture treatments to my team keeping them at their best, as well as several branches of the military, FEMA, and other supporting agencies we housed with.

This deployment helped me create new partnerships, and I have since worked on a year-long project partnering with the Medical Reserve Corps of Puerto Rico to train their unit in ways they can use the acupuncture resource. I joined the unit as a volunteer, so next time a disaster occurs, the team not only has ways to use immediately use acupuncture through the Acupuncture Mission Ready Package Training, but now I have a chance to support the team and offer acupuncture to Puerto Ricans.

Do you qualify for any loan forgiveness benefits as a corps member (asking for a friend)?  

Since this is only volunteer work, and not a salary based position, there are no loan forgiveness benefits with the Medical Reserve Corps. In order to qualify for loan forgiveness you must have 50% or more of your salary coming from a government organization or 501c3 for 10 years. That is why we need to create a movement in the acupuncture profession to volunteer, you have to start the work somewhere.

My hopes are that we can create paid positions in emergency response. It is all about the experience you have and not your educational training. Those with real-life experience in deployments will be considered higher up for the interview process and will be the first considered for those paid positions. My biggest suggestion is to get your experience now so when paid opportunities do come around then you can have a better chance on nabbing one of those positions.

For those interested in loan forgiveness I would suggest becoming employed with a 501c3 or with the VA as an acupuncturist.

Do you have your own practice or work for another clinic? If so, how do you balance emergency response work with your regular clinic patients?

It all depends on how busy your practice is and how many hours you can volunteer. When I first moved to Colorado and was growing my practice I had the time to donate 10-25 hours a week to be in a leadership position. Now that my practice has grown and I am seeking employment as an emergency manager, I have stepped down from a leadership role and volunteer about 4 hours twice a month.

My patients know my passion to volunteer and participate in deployments so when an emergency does occur they are understanding when I call to reschedule them so I can close my practice for a day or more and help out the local community. My patients love the fact I do this work, and volunteering has even helped my practice grow. They know that supporting me financially allows me the chance to volunteer and indirectly supports the community. 

What opportunities does your upcoming training at AOMA open up for participants?

This training will provide the basics you need to join many federally and state approved teams, such as the Medical Reserve Corps and Team Rubicon. Every team is different and training requirements may differ, but with my work in creating and growing the Acupuncture Mission Ready Package every class participant will have skills on how to modify the acupuncture resource in your specific community and your unit needs.

We will also train everyone with basic FEMA required training, such as ICS 100 and 700. We will also have an introduction to psychological first aid so people can have an understanding on how to use this in the field and in their practice, and I will guide everyone on how to get their certification.

We will talk about local volunteer opportunities, such as joining the University of Texas at Austin Medical Reserve Corps and the Williamson County Medical Reserve Corps. In addition, I will be talking in detail about the pilot study in which I was the principal investigator, partnered with the University of Colorado at Boulder Psychology department, and funded by a grant with the National Association of City and County Health Officials (NACCHO). Information provided about this pilot study can be used to help you with education and networking with the the acupuncture resource as a volunteer.

Any advice to students in school right now and students about to graduate?

Start training now! Start volunteering now! The more experience you have in the world of disasters and emergency management the more it will benefit you personally, benefit your practice, and benefit your local and global community. There are plenty of volunteer opportunities available right now, and so many rewarding ways in which you can volunteer even if you don't use needles. Remember, acupuncture is just one tool in the fast world of Traditional Chinese Medicine. We have to start somewhere, help me grow the movement on volunteering in the acupuncture profession!

 

Thank you so much for your time and all the work you do, Rachelle! Here are some links for those interested in learning more about Medical Response Teams:

Medical Reserve Corps

Team Rubicon Disaster Response

The American Red Cross

FEMA training Materials

About Psychological First Aid

 

Don't forget to check out our upcoming CEU and training opportunity with Rachelle:

https://www.eventbrite.com/e/acupuncture-emergency-response-and-medical-reserve-corps-volunteer-training-tickets-58664871209

 

Topics: alumni, alumni spotlight, masters program, grad school, aoma, tcm education, acupunture, disaster relief, medical volunteer

The National Opioid Debate: Policy Changes and Acupuncture's Role

Posted by Nicole Fillion-Robin on Wed, Apr 24, 2019 @ 01:00 AM

Pain mgmt and acu

The average person in Austin knows a friend, a neighbor, a family member, or acquaintance who has tried acupuncture. Many of these first-time clients come in for pain-related conditions, as acupuncture is known to be very effective at treating pain. It is a relatively non-invasive and affordable option when compared to surgery, and patients don’t run the risk chemical dependency as they do with opioids.

Here are a couple of exciting policy changes and research regarding the treatment and medication of pain in the US:

  1. May 2017: proposed changes on educating providers about treating pain from the Food and Drug Administration (FDA). They recommend that doctors “get information about chiropractic care and acupuncture as therapies that might help patients avoid prescription opioids."
  2. Starting in 2019: Blue Cross Blue Shield Tennessee made changes to its opioid coverage. They now cover a week of short-term opioid prescriptions and instead added acupuncture as a covered alternative pain therapy for clients.
  3. New Research for Acute Pain: Emergency departments are starting to look away from the use of opioids as a first line of treatment, and studying how acupuncture can be used in this setting. The Journal of Pain released a study in their April 2019 publication on how acupuncture was received in an emergency room setting. In 2017, 706 emergency department patients were approached and 379 of those agreed to try acupuncture (53.7%). Those who chose to receive opioids did not show improvement during their time at the clinic (self reported, 0-10 scale). Acupuncture “significantly decreased pain regardless of whether a patient received opioids during their [...] visit.”

We know that acupuncture works for pain already, but it was interesting to see that most people in the study were willing to try it as a solution for acute pain. As the national debate on the use of opioids continues, it’s encouraging to see patients who chose more natural options as a first-line therapy for pain management. 


Current research on acupuncture’s effects on pain are vital to change the way patients, doctors and policymakers make decisions on and recommendations for pain management. Are you interested in participating in a Doctoral survey study on pain? Doctoral candidate Zhenni Jin is looking for 15-20 participants for a survey.

This study might be a good fit for you if:

  • You are at least 18 years old.
  • You have had persistent pain longer than 12 weeks
  • You have not had acupuncture in the last 3 months

Your responsibilities by participating:

  • Complete survey before initial treatment
  • Complete survey after third treatment
  • Complete survey after fifth treatment

Contact Zhenni Jin directly at 737-203-7138 if interested in participating!

Topics: herbal medicine, acupuncture research, tcm health, preventative medicine, acupunture, pain management

ROUNDUP: an excuse to watch Netflix and more 💃

Posted by Nicole Fillion-Robin on Fri, Apr 19, 2019 @ 01:46 PM

ROUNDUP

Hi There!

If you're in Austin, we hope you're enjoying this beautiful spring weather 🌱🌸. Allergies got you down? It might be time to take care of them by booking an acupuncture appointment

Today's Roundup: 

  • What we're watching: Have you checked out the Netflix series Chef’s Table? Sean Brock talks about his autoimmune diagnosis, sobriety, and how stress and overwork almost killed him. Also, a very cool scene of him receiving tuina and acupuncture as part of his wellness routine 💆(season 6, episode 4). 
  • CNN featuring acupuncture: Watch Dr. Sanjay Gupta try out acupuncture with a practitioner who happens to be blind.
  • Touching story from this year's Special Olympics: "I realized that so many things had happened while I was locked away.  And while some things die, other things are being created.
  • What we're reading: new research results for acupuncture's effect on menopause symptoms.
  • Wise advice: “Finish every day and be done with it. You have done what you could. Some blunders and absurdities crept in. Forget them as soon as you can. Tomorrow is a new day; you should begin it serenely and with too high a spirit to be encumbered with your old nonsense.” (Ralph Waldo Emerson)
  • Solid TCM content to regram: baby with yintang, thinking deep baby thoughts & Master Tung points, Michelangelo style (PS: you can still register for Fordyce's seminar).
  • What we're listening to: Spotify Cosmic Playlists (!!!).   
DxJL45KWkAALMml

 

Stay Healthy Out There,

 

Your AOMA News Crew 


PS: opt-into ROUNDUP emails here. Only 2-3 emails per month 👍. 

Topics: menopause, Austin acupuncture, acupunture, social media, acunews, Tuina

Introducing ROUNDUP (the blog version)

Posted by Nicole Fillion-Robin on Wed, Mar 27, 2019 @ 01:01 AM

ROUNDUP

Welcome to AOMA’s ROUNDUP - a collection of stories and links about acupuncture In Real Life, small business stuff, ATX events and other oddities we think you may enjoy.

Have an article or story you think we may be interested in? Email ce@aoma.edu (we take feedback, too). 

Today's Roundup: 

spaceman

 

Stay Healthy Out There,

 

Your AOMA News Crew 


PS: the only thing better than 30 Rock = comments! Love something, hate something, or have anything to say about what you read today? Comment here to keep the discussion alive 💪👻. 

 

PPS: we also make emails! Opt-into ROUNDUP emails here

Topics: Austin acupuncture, acupunture, social media, acunews

Stay in touch

Get our blog in your inbox!

Subscribe below to receive instant, weekly, or monthly blog updates directly to your email inbox.

Subscribe to Email Updates

Recent Posts

Posts by Topic

see all