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While my clinic is not seeing active COVID-19 patients in person, one demographic we’ve been seeing and having a lot of success with have been COVID long haulers. A ‘COVID long hauler’, ‘long COVID’ or ‘chronic COVID’ is when symptoms persist beyond the active infection time, these symptoms can persist for weeks to months and risk for long term permanent effects seems to be likely. This presentation has been likened to Lyme’s Disease in that the precipitating factor is a viral infection followed by a chronic presentation of symptoms that range in severity from mild to severely disabling. Long COVID patients are typically burdened with shortness of breath, difficulty with exertion, dizziness, fatigue that can be extreme, continuation of loss of smell and taste, brain fog and much more. It’s a disheartening condition to watch, because of so many unknown factors there isn’t a lot of help from modern medicine and many patients are simply told to wait it out. Patients go from active healthy individuals to barely being able to get out of bed, this type of condition takes its toll not only on the body but particularly the mind, emotions and spirit. Our work with Long Haulers is to help encourage healing in the body, benefit the Qi - the vital life force of the patient and help patients find their center again in the midst of sometimes devastating circumstances. By helping bring peace and hope back into the healing process we have seen many patients make great strides in their healing. 
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Women’s health, fertility and conception are some of the concerns that my patients will come in for, I think this aspect of acupuncture and herbal medicine is actually a bit more well known, second to pain treatments, and there’s a reason for this: it works. If you were ever a fan of the HBO show Sex and the City you might remember Charlotte’s experience with Dr Mao the acupuncturist who helped her learn how to tune back into her inner peace and eventually get pregnant for the first time. This side of acupuncture often gets talked about in a kind of whimsical miraculous type of way, where people hear about one person who had success and tout acupuncture as the ‘miracle cure’ for all fertility woes. And while yes, for some people acupuncture might just be the missing link to having a healthy happy baby, it’s often a piece of a multi-pronged approach. We’ve seen through scientific study that acupuncture improves the success of IVF treatments, so it’s not just an old wives tale, it really does work. Where my work comes with fertility patients is less focused on direct hormone and menstrual cycle support, although this is definitely a part of the treatment protocol, but more focused on what we think in Chinese medicine as ‘cultivating the baby’s first home.’ The womb and the mother are essentially your baby’s first home, and we need to make this place a calm, nourishing, warm and supportive environment for the baby to thrive and develop in before birth. Part of this often revolves around cultivating new stress management practices, accessing our inner peace and learning how to truly listen to our body. If our outer world is highly stressed, our body also takes on this energy and it can make a pregnancy become difficult, particularly if we are wanting to call in an intentional pregnancy.  The Branch, Root and the Soil - A Chinese Medicine Perspective on Pandemic Denial and Anger12/3/2020 We live in a world where, for all of our lives - beauty and status have been paramount: we crave it, we seek it, we spend our extra money on attaining it, seek out jobs that can provide for it, it’s ‘necessary’ for assimilating into social culture or being ‘seen’ … It. Is. So. Important. But… is it? When we first experienced our ‘lockdown’ in the Spring I was aghast at the level of denial and flat out refusal of some people to follow safety guidelines. It made no sense… Why are people so readily willing to throw common sense out the window for a haircut? Are eyelash extensions really that important? Who benefits from outright denying this pandemic actually exists? Why is there so much hostility over a tiny piece of fabric? As time has passed the deniers and rebels against protocols became louder and more polarized, likely due to the politicization of the entire process. And while doing a little self-care to pump up our self esteem and confidence is an absolutely valid process, it always seemed like something much, much deeper was at play. In Chinese medicine one of the first diagnostic principles we learn is to differentiate the root from the branch. The branch might be the presenting symptoms a patient walks in with, knee pain, insomnia, headaches, stress, anxiety, you name it - it’s the first thing that the patient complains about when you ask what they would like to work on today. The root is that underlying cause that created the environment for the current symptoms to arise in the first place. We often think of this as a constitutional imbalance, meaning that everyone has their own predisposed weaknesses and strengths, perhaps this is passed on from our parents and ancestors, maybe a result of early childhood illness or trauma or other underlying issues. The root is often extremely complex, and can sometimes be difficult to diagnose, but once we can get to it, or pointed in the right direction we often will see transformative shifts occur in the patient. The knee pain that hardly responded to direct treatment now can begin to release because we’ve found the root of the issue in a deficiency of the Water element and Kidneys due to some repressed fear. As we begin to unpack this root cause, the physical or emotional symptoms start to give way to the healing that is present. I also like to look another step deeper, to the soil, this is the deepest layer, this unseen and usually unnameable force that sets us up to create and experience certain things in our lives, perhaps another name for this is fate or predisposition. Dr David Hawkins, PhD calls it the ‘attractor pattern’, it’s the unseeable pattern that sets up the visible and nameable string of events that eventually leads to the presentation we are looking at in our office.  I love chocolate, I just… love it; it’s delicious, it’s gorgeous, it’s fun to work with and create from, it makes you feel good, what’s not to love? As an artist I also love working with chocolate as a medium - there is so much more than just the visual nature of it - there’s the art of flavors and combinations of textures, it’s a full spectrum sensory experience if you ask me, and this is just a part of why I love it. As an Acupuncturist and Doctor of Acupuncture and Chinese Medicine I also know that chocolate isn’t only a love affair for the senses either, it actually has some medicinal and therapeutic qualities that can help balance and nourish the body and mind. In Chinese Medicine we think of all food as medicine, all foods have certain properties and qualities that affect the body in specific ways, when we bring more awareness to these properties we can turn our entire diet into a nourishing experience directed at what parts of us need direct healing. It’s this love affair with chocolate and Chinese medicine that brought me to the intersection of combining the two - making high quality chocolates that are flavored to work with the spirit, elements and organs of the body.  What is TeleHealth?Telehealth, or remote healing sessions are simply sessions that are conducted via phone or online. You can receive healing, coaching and consultations from anywhere in the World with Dr. Kim, so you won't have to break your consistency with treatments during travel, or if you're not local to Marin County you can still work with Dr. Kim! We serve patients from all over the World! Read below for more information on specific offerings for telehealth visits.  Acupuncture Effectively Treats Overactive Bladder without Surgery, Medication or Side Effects2/17/2020 I hear it often from my patients: ‘sometimes I pee a little when I laugh,’ ‘I wouldn’t dare try to do jumping jacks or it would be a mess,’ and ‘I just know that I have to use the bathroom before I leave to go anywhere or I might pee my pants.’ Overactive bladder, leakage and incontinence aren’t anything new, but in my practice I’ve gotten the impression that patients think that having these conditions is just a part of getting older, from giving birth or prostate enlargement and it’s something you just have to live with. Treatments for overactive bladder (OAB) leave a lot to be desired, patients don’t want to undergo invasive surgery, but medications have high rates of undesirable side effects which leaves most patients thinking there isn’t a viable treatment option and that urinary leakage is just something they’ll tolerate. While kegel exercises may provide some relief and help for many patients, not everyone notices a difference with doing them, pressing the point home again that OAB is just something we live with, untreated. Overactive bladder (OAB) is a condition that affects adults and children worldwide and can be caused by numerous underlying factors or traumas like childbirth, prostate enlargement, poor pelvic floor muscle control, bladder prolapse and more. It goes without saying that this condition can create a significant psychological burden on patients and symptoms range from urinary urgency to incontinence, while this condition can be incredibly bothersome, surgery often seems a drastic approach and medications may have limited effect and side effects (de Wall, L. L., & Heesakkers, J. P. (2017.) So what’s the good news? Acupuncture is actually an incredibly effective treatment for OAB, working better than most medications with fewer side effects, it is so effective in fact, that medical doctors use acupuncture and electrostimulation in order to address the tibial nerve and improve its functionality which addresses the innervation of the bladder and helps with OAB, they call it Percutaneous Tibial Nerve Stimulation (PTNS). Studies on PTNS have shown improvement in bladder symptoms of over 50% improvement and up to 80% improvement in quality of life studies, this therapy is also minimally invasive and does not pose traditional risks or side effects associated with medications and surgeries (de Wall, L. L., & Heesakkers, J. P., 2017). In my acupuncture practice in San Rafael, California I provide patients PTNS treatments with acupuncture for with overactive bladder it is a simple adjusted acupuncture treatment to address the innervation of the bladder and improve the regulation of information from the brain to the bladder called Percutaneous Tibial Nerve Stimulation and Sacral Nerve Stimulation. While for some patients, the cause of OAB lies in the musculature of the pelvic floor, for many it can be an issue with the nerves that bring information from the bladder to the brain and vice versa, and no amount of kegel exercises will provide relief, for most it’s a combination of both! In addition to treating the issues of the bladder directly, as an Acupuncturist my aim is to always get to the root of an issue, and that doesn’t mean just what’s going on in the body as a cause of an issue, it also means the bigger picture in the body - mind - spirit connection. Acupuncture treatments for OAB will consist of a direct treatment to address the symptoms of overactive bladder and leakage, but also addressing the patient as a unique individual and their constitution so that they can embody more strength and health throughout all aspects of their life, not just the symptoms at hand.  Published in Acupuncture Today February 2020 Vol 21, Issue 2 What do we think of when we hear the word ‘healing’? For many, the first conclusion is that healing means to get better, or to heal from a disease. But what if this belief and concept about healing isn’t the whole picture? If healing doesn’t just mean to get better, then what does it mean? And how can this help us help our patients? Merriam Webster’s dictionary defines healing as: heal - transitive verb 1a: to make free from injury or disease : to make sound or whole // heal a wound B: to make well again : to restore to health // heal the sick 2a: to cause (an undesirable condition) to be overcome // MEND the troubles … had not been forgotten, but they had been healed — William Power b: to patch up or correct (a breach or division) // heal a breach between friends 3: to restore to original purity or integrity // healed of sin Our approach in healthcare focuses on the first 3-4 aspects of this definition - to heal a wound, the sick or overcome an undesirable situation. While it is important to help our patients find recovery from the ailments that bring them into our office, in some cases, this isn’t always possible. Chronic disease, terminal illness or life situations that are permanent are not so simply overcome in the sense that we can erase them from reality entirely. It’s in this case where we have to focus on the last definition of the world healing - to restore to original purity or integrity. And while the sample of being ‘healed of sin’ takes on a different tone, what I believe this definition to point to is simply: to return to our original intention.  Bath bombs have become all the rage, from glittery explosions of sweet scents to ones with goodies stashed inside, we love a good and fun bath time! The obsession with these bath time treats has always perplexed me, while I love to take some time out to chill and treat myself, it seemed to me like we had a real missed opportunity on our hands. A fun colored bath is one thing, but as a trained herbalist I am also aware of the power of the herbal bath, that by using herbs we can treat hundreds of conditions and have been for thousands of years. I wanted to take this self care ritual of a decadent bath to the next level, with quality ingredients in an amount that could actually produce a therapeutic effect. In Chinese Medicine we have been using the herbal bath for thousands of years, but in our modern day sourcing these herbs - in the right amounts, is time consuming and can cause some gunking up of the tub, in short it’s not very convenient at all. This is where my Chinese Medicinal Herbal Fizzing Bath Salts come into play!  Gorgeous skin is a quality that’s been envied for the ages; blemish free, invisible pores and a smooth complexion free of wrinkles, it’s something many people strive for and something a multi billion dollar industry was built from. I always remind my patients that beauty starts on the inside, and this is true of our spirit and heart as well as the health of our body. The first step to True beauty lies in loving and cherishing our bodies just as they are, and part of this self love can be the act of taking care of our bodies and our skin with nutrition, herbs, mindfulness and skincare routines that nourish us from the inside out. Getting Botox, fillers and cosmetic surgery can be drastic and dramatic treatments that might be great for some people, but not for everyone, especially someone who’s wanting to do things a bit more naturally. In my acupuncture clinic in San Rafael, CA I see a number of women and men for Cosmetic Acupuncture treatments - it’s an amazing way to address the signs of aging naturally and safely. A cosmetic acupuncture treatment alone may help many patients see the results they desire, and truly works from the inside out, but some may need an extra boost or are more committed to making lasting changes and an herbal prescription and supplement protocol can be implemented. For others, cosmetic facial acupuncture may not be a possibility or even an interest, in which case being able to implement dietary, lifestyle and herbal changes are great steps in a holistic beauty regimen. These 7 herbs and supplements are some of my go-to products for great looking skin from the inside out, they help improve the integrity of the skin and it’s appearance through a variety of factors, perhaps one or two might be right for you!  Looking our best can come with a high price tag in today’s society, we have tons of choices; from topical care infused with gold and diamonds, to medical treatments and surgery, holistic treatments and any one of thousands of facials, for some these are the Holy Grail of anti-aging skincare and looking great, but for others treatments fall short time and time again. I see this in my clinic in San Rafael, some patients respond very well to their Cosmetic Facial Acupuncture treatments whereas some might not see results or the results are too little. Some patients come in complaining that anything and everything they've tried hasn't worked, so helping my patients gauge whether the treatment will work for them is part of my intake process, so that I can help decode what might be going on that could hinder the results, it's why holistic skincare is so important! The skin is the largest organ in our body, and as many are aware by now: what goes in and what’s going on in our body becomes our body, and this includes the skin. Anything from stress to digestion can have an effect on the appearance of our skin, and this also plays a role in why and how our skincare routines work, or don’t. Here are 5 common reasons your skincare isn’t producing a satisfying result, and what you can do to solve it!  |
AuthorDr. Kim Peirano, DACM, LAc is the Owner and Acupuncturist at Lion's Heart Wellness, the San Francisco Bay Area and Marin's #1 Cosmetic Acupuncturist and #1 Holistic Healer. Archives
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