Understanding Acupuncture From a Physiological Lens (and Why You Shouldn’t Fear the Needles!)
Understanding Acupuncture From a Physiological Lens (and Why You Shouldn’t Fear the Needles!)
Understanding Acupuncture From a Physiological Lens (and Why You Shouldn’t Fear the Needles!)
Episode Transcript
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<!DOCTYPE html><html lang="en"><head><script nonce="rtnqYyjzGVOTlbetvDCKEw">var DOCS_timing={}; DOCS_timing['pls']=new Date().getTime();</script><meta property="og:title" content="240228_Patrick Boswell interview_transcript"><meta property="og:type" content="article"><meta property="og:site_name" content="Google Docs"><meta property="og:url" content="https://docs.google.com/document/d/1qjs82dvIn3HreddQ26VMpLCOSjca-lh5BOIBh9L22vI/edit?usp=sharing&usp=embed_facebook"><meta property="og:image" content="https://lh7-us.googleusercontent.com/docs/AHkbwyJPSbTi6yRFV4AmkF_pxHrj2miUcEPTxzoaizUg4uuIhw6X-5hcZCNFO6qpHu4DldljTduQ09DcGaMOpcP86gAM6PSo7BOL4jvfq1Sr0dshwSF8L6qV=w1200-h630-p"><meta property="og:image:width" content="1200"><meta property="og:image:height" content="630"><meta property="og:description" content="Understanding Acupuncture From a Physiological Lens (and Why You Shouldn’t Fear the Needles!) Acupuncture can help alleviate nausea, constipation, and back pain. It can encourage breech babies to flip and labor to start. But how does it work, and what does it feel like? Acupuncturist, massage th..."><meta name="google" content="notranslate"><meta name="viewport" content="width=device-width, user-scalable=no, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0"><meta http-equiv="X-UA-Compatible" content="IE=edge;"><meta name="fragment" content="!"><meta name="referrer" content="origin"><title>240228_Patrick Boswell interview_transcript - Google Docs</title><link rel="shortcut icon" href="https://ssl.gstatic.com/docs/documents/images/kix-favicon-2023q4.ico"><link rel="chrome-webstore-item" href="https://chrome.google.com/webstore/detail/apdfllckaahabafndbhieahigkjlhalf"><script nonce="rtnqYyjzGVOTlbetvDCKEw">_docs_webfonts_fontFaces = null; _docs_webfonts_iframe_fontFaces = null;DOCS_timing['wpid']=new Date().getTime();</script><style nonce="r4lLE6p0lrryb9Usf7Ahdw">.gb_ib:not(.gb_kd){font:13px/27px Roboto,Arial,sans-serif;z-index:986}@-webkit-keyframes gb__a{0%{opacity:0}50%{opacity:1}}@keyframes 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It can encourage breech babies to flip and labor to start. But how does it work, and what does it feel like? Acupuncturist, massage therapist, and birth doula Dr. Patrick Boswell talks with Adriana about how acupuncture gets to the root of the issue, with the happy result of improving more than the symptoms you came in for!\n-\nAdriana Lozada: Welcome to Birthful, Mighty Parent or Parent-To-Be! I’m Adriana Lozada and I’m delighted you are here listening today as we start getting toward the end of our series on Movement and Body Wellness in Pregnancy.\nNow, if you’ve been listening to the podcast for a while now, you certainly have heard acupuncture come up as a common tool used to help with a multitude of symptoms, including nausea, flipping breech babies, and getting labor to start. But how does acupuncture work, and what does it feel like? 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I think it would be remiss of us to not speak also of the East Asian medicine tradition of where this all really originated and what the lens that it\u0027s seen through there so that people get a full holistic view of acupuncture.\nPatrick: From a Chinese medicine perspective, what we\u0027re doing with the needles and the insertion and the stimulation, very specific and have the qi do what we want or have the body do what we want, get certain stimulation in the area. When we\u0027re talking in a Chinese medicine perspective, we are inserting the needle into a channel. I don\u0027t like meridian. I think it\u0027s a bad translation. I like \"channel,\" and channel, almost like \"river, a stream,\" because we say in Chinese medicine, qi and blood flow through the channels.\nAdriana: Qi would be— the \"bad\" translation is \"energy\"?\nPatrick: To me, \"energy\" or even \"vital energy\" and everything like that is a bad translation that comes from a Frenchman in the turn of the century who went to China and studied with some doctors and came back and thought he knew everything. He said qi equals \"energy\" but now we\u0027re taking classic Chinese into modern Chinese into French into English. There\u0027s this game of telephone where we lose a lot of the cultural understanding of what qi is.\nRealistically, the answer to what is qi is a two-page paper. It\u0027s a cultural concept. It\u0027s not a one-to-one translation. Qi is a word that\u0027s just used in the language. The word for weather is tiānqì or \"heavenly\" qi. It\u0027s not necessarily this vital energy. It\u0027s: What\u0027s the sky doing? What\u0027s the weather? What\u0027s the sky doing? If it has to be a one-to-one, I prefer a translation more of \"function.\" When we\u0027re referencing qi, we\u0027re referencing the function or the functioning of whatever we\u0027re associating it with.\nIf we say spleen and stomach qi deficiency, basically what we\u0027re saying is the function of the spleen stomach or even translating that into more digestive system. The digestive function is limited or it\u0027s less or it\u0027s not functioning at optimal. To me, qi equals function is a much better translation than qi equals energy. I think it\u0027s definitely one of those things where we lose a lot by translating.\nAdriana: Translation\u0027s not only in language, but also in lived experience and worldview. 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It\u0027s a whole \u0027nother topic, but cultural appropriation of Asian medicine, Ayurvedic, Chinese medicine, Japanese, Korean, all these things. Even taking these concepts out of context and going like, \"That sounds really interesting. Let me use that for something else,\" and not understanding the full context of where it came from, who wrote it, why it was written. The context is super important for all of this stuff. That\u0027s a different conversation.\nAdriana: Absolutely. I\u0027d so appreciate your lens of looking at it that way and understanding that the context is different and not just going with, \"Oh, qi, it\u0027s energy,\" we\u0027ll just translate it like that but really going deeper and trying to get as close to the original text and concepts as possible. For people who have never approached acupuncture and are maybe even afraid of the needles, can you speak to that in terms of: How tiny are these needles? And: What do people feel?\nPatrick: What I use in practice is typically somewhere between 0.2 and 0.3 millimeters wide. We\u0027re talking about the width of a human hair, except for it\u0027s just sterile stainless steel one-time use. Then all the nerve endings for, really, pain are right on that surface level. The objective is to get through that surface level, that top layer of skin, real fast— because if we can get through it real fast, your body doesn\u0027t have a chance to have a nervous system response or a pain response.\nThen once it\u0027s through there, the sensation can be— what I tell people is normal to feel is a heavy sensation, a deep sensation, sensation that moves, temperature changes, a buzzing or a tingling, and then sometimes just a weird sensation that\u0027s hard to put words to where you\u0027re like, \"This feels weird. It doesn\u0027t hurt but it just feels weird.\" That\u0027s okay. I think we live in the weird and that\u0027s totally fine for me. The other thing especially with pregnancy or an end of pregnancy is increased fetal movement.\nFeeling your baby move a lot more while you\u0027re getting acupuncture can be totally normal. Then the things we don\u0027t want are sharp pain or uncomfortable, because it\u0027s not supposed to be an uncomfortable process. It\u0027s supposed to be relaxing. You\u0027re supposed to try and get that sympathetic-parasympathetic balance back.\nAdriana: How long is the treatment?\nPatrick: From person in the door to out the door, it\u0027s usually about an hour for me. It can be different for different providers. Especially on first visit, I do a lot of talking, where we really chat about these things and dive into bigger concepts, because I\u0027m a firm believer that education is 50% of any medical treatment because you\u0027re only seeing that person for a short period of time. To me, knowing what\u0027s going on and knowing the concepts and understanding further about what your body\u0027s doing, why it\u0027s doing it, is important to truly understanding what\u0027s going on.\nYou come in, we chat about what\u0027s going on, health history, dig into some stuff. Most providers will look at your tongue and we do a diagnostic thing there where we just look and it gives us some ideas of what\u0027s going on. We\u0027ll take the pulse. We\u0027re taking the pulse, not just for how fast it\u0027s going, but the quality of the pulse and so we\u0027re assessing the quality of the pulse, and that can tell us a bunch within Chinese medicine and then asking the questions and into all different systems.\nEven if you\u0027re coming in for, \"My low back hurts\" we\u0027re going to dig into menstrual cycle, we\u0027re going to dig into \"Do you feel warm or cold? How\u0027s your digestion? Do you sweat a lot?\" All these things that don\u0027t necessarily seem like they connect but within our system, we\u0027re building a larger picture of what your body\u0027s doing, instead of just going like, \"Oh, low back pain, let me put a needle in there.\"\nIt\u0027s going, \"Well, why is there low back pain?\" and \"What\u0027s contributing factors? Where\u0027s the root of the problem?\" We still will probably put needles in your back but we want to figure out the larger picture so that the body can heal, and resolve the issue as well as a bunch of other issues. Even if you come in with low back pain, and it turns out, like, \"Oh, well, I get a little acid reflux, and I get a little nausea and I\u0027ve got a rash over here. I get headaches sometimes,\" we\u0027re putting that all together and trying to treat you as a person, rather than just treat your list of symptoms. 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Rather than just your lower back pain, it might fix your insomnia as well.\nPatrick: Absolutely. A person will come in and we\u0027ll chat about all this, and then put in some needles like you\u0027ll lay down, put in some needles. Then usually, we\u0027re letting you sit for 15, 20, 30 minutes with needles in, checking on you regularly, making sure that everything\u0027s still comfortable, and giving you that chance to relax and let that tissue stretch because that\u0027s really—\nIf we\u0027re talking about that, physiologically, you\u0027re getting the stretch reflex. When was the last time you sat down and you did a single stretch of a single muscle for 20 minutes?\nAdriana: Never!\nPatrick: I don\u0027t do that. It\u0027s giving the tissue a chance to slowly unwind and relax and get the time it needs to respond.\nAdriana: I find that sitting there for 20 minutes, letting the needles do their thing, it\u0027s a beautiful opportunity for meditation and nap.\nPatrick: Yes.\nAdriana: I think 8 out of 10 times, I fall asleep.\nPatrick: Yes, a lot of people fall asleep, a lot of people go like, \"Really? It\u0027s over already? I feel like I was in here for 5 minutes,\" and it\u0027s been 30 minutes. It really gives your mind a chance to calm down. Actually, there\u0027s some really neat research that showed that— we call it acupuncture sleep, where when you fall asleep, you get into this deep meditative state during acupuncture and they show that it\u0027s very similar to meditation where 15 minutes of it, 20 minutes, almost counts as two hours of sleep.\nAdriana: Let\u0027s ground it in the pregnancy realm, say some symptoms that people may come to you for during pregnancy, what would those be?\nPatrick: Talking early pregnancy, it can be mild nausea to severe nausea— vomiting many times a day. I\u0027ve had patients that they can\u0027t keep water down to that extent where they\u0027re going in for IV—\nAdriana: Hydration?\nPatrick: Yes, twice a week and they\u0027re on all these medications that just aren\u0027t doing anything. With super severe stuff, we\u0027re trying to treat sometimes even two, three times a week, just because of that, most of the time, it\u0027s once, twice a week. I tend to do more just once a week, but for really severe chronic stuff, sometimes twice a week, especially in the beginning. Then what I tend to say about almost all modalities is, if you\u0027re not seeing a marked change within three to four visits, either the provider is missing something, or it\u0027s probably not the right thing for you or not the right provider for you.\nEspecially with acupuncture, it\u0027s what we call a \"slow\" medicine, but it\u0027s not a snail. You should be seeing changes even within a few visits. If the diagnosis is correct, if the treatment is correct, then things should change. Maybe it\u0027s \"I threw up only once every day,\" instead of three times a day. Wonderful, that\u0027s improvement!\nAdriana: We honed in on nausea, what are other early pregnancy symptoms that acupuncture can help with?\nPatrick: Sometimes the fatigue that happens. I also treat habitual miscarriage, where people have a chronic issue of miscarrying. It could be early, it could be 12, 14, 16 weeks because that\u0027s another thing that we don\u0027t talk about enough. It\u0027s way more common than we like to think, habitual miscarriage. It can be sometimes headaches— the little aches and pains. Those tend to be the most common early pregnancy-type symptoms.\nThen moving forward, second trimester tends to be a lot smoother and so oftentimes, I\u0027ll tell people like, \"Come in every four-six weeks,\" something like that, or, \"Just come in if something\u0027s bothering you. Come in and we\u0027ll see what we can do.\" That can be the list of pains that can happen, that can be insomnia, that can be hemorrhoids, it can be strong Braxton-Hicks. Braxton-Hicks very early or cramping throughout. 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Then we\u0027re moving into breech, treating non-vertex presentations. Then moving more into getting the body ready to transition from holding baby in to getting baby out.\nAdriana: That\u0027s a really interesting conversation, in that that can get us into the \"forbidden point\" of acupuncture because as we\u0027re talking about all the benefits of acupuncture, is there any [contraindication]? Is there anything that should be avoided? I find that the research is spotty, and you\u0027ve got people on all camps so it\u0027s really hard to figure out for anybody, for me, for people who go to do acupuncture. Should I do it or should I not?\nPatrick: Honestly, it\u0027s true for a lot of acupuncturists too. I have a bunch of colleagues that when they\u0027re treating pregnant people because they\u0027re just not used to it, they\u0027ll contact me and be like, \"Is it okay to do this? What does this mean to you? What should I do in this case?\" The idea of these contraindicated \"forbidden points,\" to me, is basically just a boards question.\nWhen you\u0027re taking your licensing test, you need to say like, \"These are forbidden during pregnancy because they can induce labor,\" but in practical sense, if it was easy to induce labor with acupuncture, there would be an acupuncturist in every single maternity ward in the entire country because it\u0027s not the case. Even when I\u0027m trying— in a hospital, trying to get somebody into labor, or trying to get somebody\u0027s body there, or move them closer, it\u0027s hard.\nThis medicine is a medicine of the individual and so every patient is different. A point that we say regulates contractions in somebody. If you\u0027re not having contractions, what are we regulating? Nothing. Maybe we don\u0027t want to do strong stimulation when somebody is 20 weeks pregnant on some of these points just because but it\u0027s not like brushing past these points are going to cause anything bad to happen. I think a lot of this comes from context, of: Who wrote it? Why it was written. When was it written? What were the other factors involved in that? A lot of that we don\u0027t know because a lot of these things are thousands of years old.\nAdriana: What I\u0027m hearing is that, circling back to it being really important to have a provider, an acupuncturist, who has the experience with pregnant people, and also is really good at understanding the individuality of the situation.\nPatrick: Absolutely.\nAdriana: It\u0027s a toolkit. You might have a hammer and a screwdriver there. I could use the screwdriver, using it on the back if I need to hammer something, but truthfully, I need— this hammer would be better.\nPatrick: Yes, absolutely. Just me as a person, I\u0027m not really afraid of the pregnant body. I don\u0027t think there\u0027s anything extra to be afraid of. I think there\u0027s so much fear associated with everything and that\u0027s part of the reason why our healthcare involved in pregnancy and postpartum is what it is, it\u0027s because we\u0027re afraid. Why should we be afraid? If we understand the body, we understand the physiologic mechanisms, we understand what we\u0027re doing, then we should be confident in our ability to do it and not cause problems.\nAdriana: As you mentioned before, you\u0027re very much a person of giving the person you\u0027re treating knowledge and understanding of what you\u0027re doing. It\u0027s not like, \"Oh, I\u0027m just going to go ahead and needle all these points for you.\" I\u0027m guessing there\u0027s a conversation that you have with them.\nPatrick: There is a conversation that\u0027s— you let me know what you\u0027re feeling. If you feel something weird even tomorrow let me know because, oh, maybe that was a little too strong, or maybe that wasn\u0027t strong enough, or maybe we shouldn\u0027t do this, or we should do this instead. I think understanding physiology is a huge part that I think a lot of acupuncturists miss, in my opinion. That comes from my massage background. That comes from, honestly, my doula background— is learning about the pregnant body, birth, postpartum. Physiologically, what is it doing? What\u0027s happening throughout the body, structurally, hormonally, 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DOCS_modelChunkLoadStart = new Date().getTime(); _getTimingInstance().incrementTime('mp', DOCS_modelChunkLoadStart - DOCS_modelChunkParseStart); DOCS_warmStartDocumentLoader.loadModelChunk(DOCS_modelChunk); DOCS_modelChunk = undefined;</script><script nonce="rtnqYyjzGVOTlbetvDCKEw">DOCS_modelChunkParseStart = new Date().getTime();</script><script nonce="rtnqYyjzGVOTlbetvDCKEw">DOCS_modelChunk = [{"ty":"is","ibi":21324,"s":"Then feeding that through the lens of Chinese medicine helps you understand more of what you\u0027re capable of and what you\u0027re not capable of within the medical system that you\u0027re using. It\u0027s just a toolbox, like you were saying. The body is the body. We won\u0027t get too much into it but acupuncture is not a unique thing to China. People were putting needles in their body or doing medicinal tattooing, and all of these kinds of things all over the world. Even the Iceman Ötzi, the one from— where did they find him? They found him in the Alps and he was a 4,000-year-old frozen dude. He had all these tattoos all over his body.\nThey figured out that 75 or 80% of the tattoos aligned with acupuncture points. That guy didn\u0027t go to China! The body is the body. You can only see it so many ways. To me, the channels are the nervous system, they are the blood vessels. They are the muscular channels. It\u0027s all of this combined. You\u0027re interacting with all of this tissue because you can\u0027t not. That\u0027s just how the body works. You can\u0027t do something to just one system in the body. It doesn\u0027t work that way. We\u0027re very complex beings.\nAdriana: You mentioned a thing about people being so cautious with pregnant bodies. When I look at the research, even ACOG had a statement. I can\u0027t remember. It was 2008, I\u0027ve got to look up the year. ACOG had a statement where it was saying, \"We need more research. We\u0027ve been so afraid of the pregnant body that then we don\u0027t know what works and what doesn\u0027t. While keeping being ethically responsible while not putting people in danger, we need to actually have some good research.\" Since then, more and more research has been done relating to acupuncture and I\u0027m sure to all modalities, but specifically to the perinatal period.\nWhat I kept coming upon, was there, that fear of— for example, some might say definite conclusions about its effectiveness cannot be reached, and further research is justified, or there is a need for more research, or further randomized clinical trials are needed to investigate this further. There\u0027s something there… but we can\u0027t completely say just yet.\nPatrick: I think one of the things that people miss is that that\u0027s pretty true across all medicine. We tend to think of— they\u0027ll call it CAM or \"complementary alternative medicines,\" things like that. We\u0027ll go like, \"Oh, well, there\u0027s just not enough research.\" There are things that happen every single day in every single medical office that are not evidence-based, that are just some things somebody came up with 100 years ago. They go like, \"Well, that\u0027s just how it\u0027s always been done.\" Stuff happens every day, that happens with medication, it happens with procedures, it happens with all of these things. I think part of the thing is, we\u0027re holding this other stuff to a standard that doesn\u0027t exist for everything else.\nWe go, \"Oh, okay, well, we really don\u0027t know why it works. We see that it does something but we don\u0027t really know why it works.\" There are infinite things in medicine where we have no idea why it works. That\u0027s where off-label prescriptions even come from. They go like, \"Okay, well, we\u0027re going to do all this research on this very specific medication that\u0027s supposed to do this very specific thing.\" Oh, and then we notice it does this other thing but we don\u0027t really know why.\nAdriana: For this other population, like misoprostol?\nPatrick: Yes, misoprostol. \"We don\u0027t really know why… but we can theorize… so we\u0027ll just make it up.\"\nAdriana: Huge, important thing for people to understand that one of the most widely used medicines for cervical ripening in an induction is having an off-label use.\nPatrick: It\u0027s an ulcer medication.\nAdriana: I think it\u0027s important for people to view all this through their critical lenses and whatever standards they want from any of their care, it needs to be applied to all of their care.\nPatrick: Absolutely. I wholeheartedly agree. 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That can get into Spinning Babies trainings that I\u0027ve done, and more physiological understanding, and structural. Really taking into account why the baby\u0027s breech and looking at it from not just a strictly Chinese medicine perspective. The research is pretty good on it actually. It shows that especially before 36 weeks, it\u0027s right around 60% of people turn with a combination of acupuncture and moxibustion, versus the 45%, which is typical. It bumps it up some for sure. Every day for ten days is a course of moxa, is what we say.\nAdriana: If a person has their baby in a non-optimal position, whether it be breech or posterior, then the idea is, especially for breech, the sooner the better—\nPatrick: The sooner the better.\nAdriana: —to start getting treatment?\nPatrick: There\u0027s more space. Frankly, there\u0027s more space for a baby to turn earlier. We\u0027re adding on to that. There\u0027s a good chance your baby turns without doing anything. 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I see that sometimes in really long labors where the uterus is getting crampy and tired and things are getting a little sloggy and somebody gets an epidural.\nPatrick: Oh yes. Then it just changes.\nAdriana: It can be a really good tool for that.\nPatrick: I see that with epidurals too, where oftentimes it\u0027s that person that craves control and for some reason, their brain just will not shut off. It\u0027s not their fault, it\u0027s just what it is. That physical mind, body break, that epidural goes like, \"You can\u0027t control this anymore.\" The body could just allow the physiologic function to happen without the frontal lobe interfering.\nAdriana: We know that we need to get to Laborland, we need to get to a deeper brainwave, we need to shut off that thinking brain. If that thinking brain is so strong that it won\u0027t shut off, then it\u0027s really difficult to create some labor, which then brings us back to another benefit of acupuncture. 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DOCS_modelChunkLoadStart = new Date().getTime(); _getTimingInstance().incrementTime('mp', DOCS_modelChunkLoadStart - DOCS_modelChunkParseStart); DOCS_warmStartDocumentLoader.loadModelChunk(DOCS_modelChunk); DOCS_modelChunk = undefined;</script><script nonce="rtnqYyjzGVOTlbetvDCKEw">DOCS_modelChunkParseStart = new Date().getTime();</script><script nonce="rtnqYyjzGVOTlbetvDCKEw">DOCS_modelChunk = [{"ty":"is","ibi":34361,"s":"Adriana: I really appreciate how it can do that, while at the same time checking the mental box of I did something for this.\nPatrick: Absolutely. When was it? Maybe a year ago or something, but I got called in, she was a patient of mine ahead of time, went in, getting a lot of back pain, a lot of sacral pain. I walked in that room and within three minutes I was like, \"Oh, this baby is just OP.\" The contraction pattern, the pain, the sensation, everything was just screaming OP to me. I was like, \"Okay, we\u0027ll do some of this stuff that I do for turning OP and some body work and trying to get the baby to turn.\" She was in a better spot. I left, because she had a doula.\nMy place in the birth as an acupuncturist is when there\u0027s something going on that needs to be corrected, I come in hour, two hours, sometimes three or four, but usually, it\u0027s an hour or two, try and address the problem, fix it, get it to a better spot and then turn it back over to your birth team. I left and I was like, \"If you need anything else, just let me know.\" I got a call again, probably another four hours, five hours, or something. They were like, \"Oh, she really just wants you to come back in.\" I came back in and she was laying on her side sleeping between contractions and waking up to just go like, \"Oh,\" and then go back to sleep.\nI looked at the doula and I just mouthed, \"Why am I here?\" She was like, \"She just was like, \u0027I need Patrick to come in.\u0027\" That was when I went like, \"Oh!\" There\u0027s literally nothing pathologic going on right now. It was that mental block. She needed me to come in so that she could feel like she could do it or that she could move to the next step. I literally just did some hip rocking and some doula stuff and I just let her doula take a nap for an hour and then she woke up and I left. It was that mental block, it had nothing to do with acupuncture, it had nothing to do with— it was just that.\nAdriana: It\u0027s so complex.\nPatrick: It\u0027s so complex. The body is infinitely complicated and we\u0027ll never truly understand it fully.\nAdriana: Talk to me about induction because I feel like… Is that the thing you get called in for most?\nPatrick: Yes. When I get called inpatient, it\u0027s mostly to assist with an induction. It\u0027s one of those things where we\u0027re not supposed to say, \"Acupuncture induces labor,\" which it really doesn\u0027t. That\u0027s not the goal, especially for me. I\u0027m not a fan of trying to take a sledgehammer to break open a door, when we could just try and unlock it and turn the handle because then at that point, what am I trying to do? I\u0027m trying to be Pitocin or something.\nI don\u0027t want to be Pitocin. Pitocin has its functions and it can be great, but that\u0027s not me. I\u0027m not Pitocin. I\u0027m not trying to force the body to do something that it doesn\u0027t want to do. That\u0027s not within my capability. It\u0027s about taking down the roadblocks, so to speak. Whether that\u0027s mental or physical or position or hormonal or whatever, to get the body to progress organically to what it\u0027s supposed to do.\nWhen I\u0027m in the hospital, it\u0027s a little different story because as soon as you enter the hospital, now you\u0027re on a timeline, which means I would like you to meet that timeline and so that means now I\u0027m on a timeline. Now, I need to try and get a physical noticeable change as quickly as possible, which tends to mean that intensity and strength of the treatment goes way up. People that have had acupuncture before, I\u0027m saying, \"This is probably going to be a lot more than what you\u0027re used to,\" and people that have never had acupuncture, I go, \"This is not what a normal treatment is like.\"\nAdriana: What makes that difference?\nPatrick: It\u0027s just the intensity, it\u0027s just the sensation that we\u0027re attempting to get is a lot more. Those heavy sensations, those weird sensations, the sensations moving up or down a limb or just heavy, achy, baby moving weird, all of these numb, sometimes even numb sensations. We\u0027re really working to get those sensations, because it\u0027s an indication that we\u0027re affecting the nervous system right now. 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You\u0027re going to get 1,000 videos of somebody talking about where they are and showing you and doing demonstrations and all that kind of stuff. YouTube is a great resource.\nAdriana: It\u0027s a great… the internet is such a great resource. In terms of symptoms that can also be helped with acupuncture during pregnancy, or during labor, what are some things that we left out?\nPatrick: I think what we left out was hemorrhoids, which especially postpartum, and herbally and moxa and all these techniques will help with that. Then even in the same realm, varicose veins (which a hemorrhoid is basically just a varicose vein). We\u0027re helping with that circulatory system, getting toned back in the circulatory system, and then gestational diabetes, it\u0027s a blood sugar issue. Regulating that blood sugar, regulating those hormonal systems can be really helpful.\nThen preeclampsia and high blood pressure. 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Keeping that stress response in the body under control, widening that threshold of what gets you because that\u0027s what people will say too. When I\u0027m treating anxiety, depression, mood disorders, it\u0027s not that it\u0027s gone necessarily because the stressors won\u0027t go away.\nFor the most part, we live in a constant state of stress and it\u0027s just the world we\u0027ve created. It\u0027s not our fault. We can\u0027t avoid it, it just happens. We can\u0027t really have a stress-free life— it doesn\u0027t exist! What we can do is we can have our bodies cope with the stress better. It\u0027s people saying, \"This thing happened to me, and typically, I would have exploded.\" I was like, \"Oh okay, that\u0027s fine.\" You know what I mean? They just felt like they could take a second, think about it, respond appropriately, rather than just \"instinctual stress response\" responding to things.\nAdriana: A little more capacity and tolerance.\nPatrick: Correct. 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From The Podcast
Birthful
On Birthful, working doula and former journalist Adriana Lozada talks pregnancy, birth and postpartum with top experts and new parents. Every episode distills the overload of pregnancy information down to the most relevant and useful stuff. Adriana Lozada is a mom, author, speaker, birth doula, postpartum educator, and healthy-sleep consultant. Visit Birthful.com.Please note: Adriana has years of experience but she's not a doctor, and does not expect anyone to treat the show like medical advice. Please always consult with your care provider. This show does not dispense medical advice.Join Podchaser to...
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