279 Not what I Thought, An Investigation of Adverse Reactions • Karina Smith

The principles behind our medicine are relatively simple. The idea is to restore balance to a body that is in disharmony. To detect the patterns and ripples in the system. To facilitate the unimpeded flow of qi as a river does.

Yet applying these theories in the practice of actual patient care is more complex. Learning in school or from mentors is one thing; cultivating the wisdom to apply this knowledge in the wild, it’s not always straightforward. Sometimes things don’t go how we expect. And all too often, we find ourselves in unchartered territory feeling our way through the unexpected.

The knotty question then becomes: How do you navigate an unfamiliar terrain? How do you deal with the uncertainties that accompany the practice of medicine?

In this conversation with Karina Smith, we discuss the difficulties of attending to complicated cases in our practice based on one of her student clinic experiences. We dig into the issues of competence, the role of intention, the irrationality of Chinese medicine, and concerns around overtreatment. And as both a Yin Yoga teacher and Chinese medicine practitioner, Karina also touches on how these two worlds seep into each other.

Listen into this discussion on the enduring lessons from difficult experiences in the clinic, including navigating adverse reactions and mediating a truce between warring organs.