DR. JAMES HASEGAWA

ACUPUNCTURE & TRADITIONAL CHINESE MEDICINE

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Your First Visit

The first office visit consists of the following:

  • Intake: Signs & Symptoms and Patient History
  • Assessment
  • Treatment Plan

To Download New Patient Forms, Please Click Below:

Download New Patient Forms

Overview
The first office visit to an acupuncturist may be a bit daunting to the patient, as the first impression of being needled is pain.  Rest assured that an acupuncture needle is very thin and fine, almost as thin as your hair.  In most cases, you will feel very little pain, if at all.  Sometimes you may feel just a slight prick, followed by a dull, distending sensation in the area in the area being needled.  You may also feel warmth, or even slight sensation of movement or tingling in the area.  These sensations are collectively called "Qi" sensation, meaning that Qi has arrived in the area to help correct any imbalances that may be present in these acupuncture points and the associated meridian channels.
 
Intake: Patient History and Exam
The first office visit for acupuncture consists of a comprehensive patient intake involving history and examination.  As a patient, you would fill out the history portion of the initial exam form that is somewhat similar to most forms seen in a doctor's office.  (If you'd prefer, you may download this form by clicking the download button above and fill it out at home and bring it in on your first office visit.)  For your first visit, however, it would be helpful to have a list of all medications, herbs, and supplements you are taking, as well as any laboratory and radiological reports relevant to your health issue.  If you do not have this information on the first visit, please provide us with this information on the subsequent visit.  The more information we have from you, the better we are able to formulate a more comprehensive treatment plan that's right for you.
The examination portion for acupuncture consists of examination techniques involving Western medicine as well as Chinese medicine, with emphasis shifting according to the issue at hand.  The Chinese medical exam consists of an extensive series of questions and answers not only about the immediate issue at hand, but to get a firmer understanding of the condition of your body as a whole, also called the constitution of your body.  We do this because in Chinese medicine, the acute issue may be related to or contributed by your constitutional imbalances as well, so we try to look for links between your signs and symptoms.  We also take your pulse on both wrists and take a look at your tongue, as both pulse and tongue are considered microsystems of your body in Chinese medicine.  We may also palpate and feel the problem area on your body to extract additional information.  Meanwhile, the Western medical portion of the exam may constitute of basic vital signs, and exams involving orthopedics, neurology, and muscle strength testing, as appropriate, to determine the nature of the problem. 
 
Assessment and Treatment Plan
After the examination, we'll arrive at a diagnosis and then discuss what the appropriate treatment plan would be.  We may prescribe acupuncture, electroacupuncture, customized herbal prescriptions, Tui-Na therapeutic massage therapy, cupping, heat/cold therapy, exercise, diet, and so on.  We'll also discuss whether there's any need for outside specialty referrals and additional laboratory or radiological work.  Lastly, we'll establish common treatment goals and set a course of treatments to accomplish your health care goals.


 

 

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Copyright © 2008 Yoichi Hasegawa L.Ac., Inc.
Last modified: 12/22/08