fredag 8 oktober 2010

Training chinese medicine diagnostics through looking at people in an airport

Sitting here. Airport. Tired. Late; cup of coffee next to me, half-drunk. The coffee, not me.

The airport is half-lit, dusk filling it and darkness lying across the coloured pearl-bands of the concourses. Here in the restaurant, people are talking lower, everything is slower. 1930 soon. My flight is still a good while away.

Part of classical chinese medicine is to look at people. The goal is to be able to do a basic diagnosis within five-ten seconds. If it´s a patient, you then keep on with questions, pulse-taking, and checking the tounge to do a more precise diagnosis. In most Chinese hospitals, another doctor often checks the diagnosis too before treatment commences.

Once you have been taught how to read people and their systems for diagnostic clues, you often are told to sit in cafés, train-stations or airports and just look at those walking by, to get a huge number of people to practice on. Most acupuncture doctors at hospitals in China have a long bench out in the hall. This is full, all day: then they go home. There are often so many patients that the bench never really empties. This means that they get an incredible diagnostic experience, compared to most Western acupuncturists who at most often treat 8-10 people in one day.

So, I look at people. Have done, for the last decade. Lots. You learn to do it, then you learn to hate it. You can´t really turn it off. But if you practice you become very good at seeing people´s basic diagnosis and problems in a couple of seconds. If you´re going to treat them you must do more diagnostics than that, but it´s good training for diagnostic skills.

Air-planes. SAS, Polske Linie Lotnicze. Air France. Small cars that weave in and out, like soldiers around the feet of Hannibal´s army of elephants.

In old China, doctors were kept on retainer, paid for as long as the patient was healthy.

In another corridor I can see worn and bent figures walking through white neon lights. They look like a march of refugees, not eager travellers. Maybe we all have become refugees of a sort now, since the world is being taught by government propaganda to be full of terrorist danger everywhere. It has been a principle of government since Roman times: create a danger outside the group, and you will weave the group itself tighter. Create a war, a danger, threat, and you can run government with much less questions, since the threat is against all citizens, and who can argue with you protecting the citizens? If you do, might you not be siding with the terrorists?

If the patient´s health failed despite listening to the advice and treatments, the retainer was cancelled until they were healthy again.

Illness in a person can be seen on a 1-100 scale. Western medicine deals mostly with 70+ on that scale, sometimes 80+, when an illness has become serious and affects the whole system, the whole person, deeply. With some things there, it works incredibly well, with great skill and great knowledge. Chinese medicine mostly works with 1-70. It can work above that, but has less skill in it. It has, however, some incredible skills and knowledge in 1-70, often making problems never reach the 70+ scale, and keeping good health and vibrant presence in life alive, alive continually.

lördag 2 oktober 2010

Beowulf

Beowulf
the oldest manuscript
on show
in a room
in the British Library

Until one night
a burglar
gets in and
breaks up the cabinet

with dropping wet,
web-fingered hands.



 
Daniel Skyle © 2010

Nope, didn´t get student loans from Sweden

 Not unexpected, but pretty off-putting. The reason is that the university course doesn´t lead to a certification within the Swedish NHS healthcare system. To get that with a vague link to Chinese medicine, I would have to study to become a physiotherapist, and do Western acupuncture in its crudest form as one class for one semester. Instead I opt for a Masters in chinese medicine focusing on the subject for four years, and the strangest thing is that the chinese doctors need full time eight hours a day for 5-7 years for their training. I guess that some Westerners are just so much faster learners than many Westerners and most Chinese.

It truly pisses me off. It isn´t surprising that they didn´t approve the loans, but it does piss me off. There are no university degrees in acupuncture in Scandinavia. This way nothing changes: acupuncture keeps dying a slow death in Sweden and a lot of the West, and patients who could get help for so much that Western medicine is unable to treat them for would be able to get help from a higher level of quality and clinical skill. The utopia is of course the Chinese version: one hospital with two wings, one with qualified Western medicine, the other with qualified Chinese medicine. Now we have Western hospital with a small group of staff doing the very crudest acupuncture possible – the aspirin, of the tale I told earlier from Kaptchuk.

Or I could be an NHS midwife and become qualified to needle pregnant women after two weekends. In China, this terrifies doctors when you mention it. They often think you are kidding them and shake their heads. Surely the Westerner is joking? They do have a strange sense of humour... It is very specific which points you use when during a pregnancy, and during which trimesters. Using the wrong ones can cause a premature birth or problems for the mother and child. Not that this is stopping the midwives. I have talked to OR staff (surgery) who many times had recieved patients for sudden c-sections (kejsarnsnitt, in Swedish) and simply taped all the needles down to the side of the skin during the surgery, because the midwife never removed them. There are specific ways needles should be removed too, but Western acupuncture doesn´t know them and never asks.

CSN – the student loan department in Sweden – could of course not care less about the skill-level of acupuncture. But it would be nice if we lived in a world where they did.

Not much to do about the student loans. I will have to pay for the entire Masters myself, which will cost me a lot of money to get that quality.

Oh, and I will never do a free lecture for the NHS or Western staff again. I need to get my money back somehow.

First class on anatomy: gentleness

The anatomy-classes of the course have a very specific intent: allowing students to work on living bodies all the time so they get a tactile understanding of how to touch and work with living human beings. But that is just one important part – the other is to understand how anatomy works when it´s alive.

The two teachers have focused on how to create a safe atmosphere for this, and spent a lot of time in being specific on how to make students comfortable with partially undressing in front of others, and having them learn how a body works through working on and feeling yours.

There is one male and one female teacher, both very good. Especially the female teacher has a great and solid gentleness that is truly marvelous to see. You don´t meet many people with that level of heart. Very impressive.

They taught towel-technique, that is how you use towels to maintain a patient´s modesty during body-work, especially during class when you might have a whole room full of people who might see you...something that most students had issues with, it turned out.

Next week the course in Physiology starts: they are on alternate weeks. I have already started brushing up my knowledge about cell-structures. Great.

fredag 1 oktober 2010

London, and the Thames

All big cities are something like this. Labyrinths, shale, organic mosaics. In the really big cities you get liminal spaces, but these are for another time and other stories. London: the first settlement here was probably about 3000 years ago, settlers who found the Thames and started living by its ready source of water and food.

The Thames is still here: I feel sorry for it, every time I cross it. It is bound in chains of iron. Shackled, fettered, double-crossed. A mighty river that ends up feeding the sea, and London. And during its journey, the Thames is polluted and taken for granted, driven through by rapid boats and spat on and shat on by tourist and native alike. It has been, for a very long time.

The Thames is still here: I wish it well, every time I cross it.

These small blessings

In a really big city, you see so many faces all the time. So many people, so many souls, most of which you will never meet again, let alone ever talk to.

All big cities have their character. London is still a very polite place. The mood has changed, it is getting harder, but slowly, thank god, slowly. Heading into London – a capital city, arguably the capital of Europe today – in rush hour, in the morning, people are still more polite than on the commuter trains in the south of Sweden. Much, much more polite, and there is a feeling of respect in the air.

Sometimes you have these small moments of intense compassion and humanity in the midst of crowds. Someone on the bus is obviously genuinely sorry for bumping in to you, or having their bag overspill even a little into your space; a stranger might flash you a brief smile and let you go first through a door, a cab-driver lets you cross on a busy street. There is warmth, here, in these small diamonds of humanity. They´re not there all the time, there are hard ones too, but the blessings are surprisingly many.

People in London are much more polite than even in general in Sweden. This troubles me. We have lost something. I am afraid we will never get it back.

The most read

book on commuter trains in London?

Stieg Larsson´s The Girl who Played with Fire.