by Dr. Talia Marcheggiani, ND | Mar 2, 2015 | Clinic, Community, Creativity, Finding yourself, Gratitude, Health, Patients, Private Practice
I wrote this post a few months ago while beginning my private practice. When I first wrote this post, the next week an incredibly good-fit-of-a-patient walked in my door! A month later, another booked in! I have been blessed from the start with a roster of wonderful people who have found their way into my practice. I’m posting this blog post to celebrate that and keep morale high.
No, I don’t have her yet (edit: there are a few potentials, though!). Instead, I began practice with a few individuals who reflected back my insecurities, made payment awkward (likely more about me than about them) or who threaten to complain about me to the regulatory board (long story) and keep forgetting to follow their treatment plans.
Naturopathic doctors have the second largest scope of practice in Ontario besides medical doctors. We are primary care providers. We are highly trained. If I wanted to get filthy rich I’d have done something else, anything else. I am 29 and I wear sweaters from the Salvation Army and live with my parents—I just want to help people.
I digress. My perfect patient does not yet exist, but in a marketing workshop I took in November, they told us to imagine our ideal patient—where does he or she live, work, drink his or her coffee? I decided to create a blog out of it, killing a few birds (free range turkeys) with a single (humane) stone. That being said, if you read to the bottom of this post and find out that you are, in fact, the perfect patient, or know one that is, then please message me and I will get back to you as soon as I can.
The Perfect Patient
The perfect patient has extended health benefits. However, she understands that health is worth paying for and is willing to go beyond her benefits in order to feel better.
She has faith in naturopathic medicine and in my doctoring skills. She understands the work and education it took to get to where I am. She respects that and recognizes that my opinion is far more informed than that of a health show host, blog poster or supplement store employee.
The perfect patient knows me. She’s heard of me, or read my professional blog, or been to a talk. She jives with my spirit as a doctor and therefore is already sold on me and naturopathic medicine before she comes into the office.
She is compliant. She understands what education and training is behind the treatment recommendations that are prescribed to her. She follows them, determined to make positive changes to her health. And, because she does this, she gets better. She takes an active role in her own health and doesn’t hesitate to help me understand what treatments are feasible and appropriate for her.
She tells all her friends and family about me and how I’ve helped her. She refers them all to me. Like 10-20 people are direct referrals from her.
These referrals begin to refer as well. It’s a great practice because they all connect with my philosophy and follow my recommendations and are willing to pay for my services and don’t cancel their appointments without giving 24 hours’ notice.
They are all respectful of my time. They don’t overstay their visits or bombard me with emails, unless they are genuinely confused about something or they have a legitimate concern and they understand that, if it requires more than 15 minutes of my time then we need to book a follow-up in person or a phone consultation and they know that requires payment. After all, I am a professional.
They all follow my blog and recommend it to friends. One of their friends is a big-deal editor and signs me on for a book deal. I sell a lot of books and this generates even more patients who are in line with my beliefs and the medicine I practice.
Everything flows, naturally and easily. I learn a lot. These patients are introspective and interested in growing. They know that health is the foundation of a good life. They want to make the most out of life, to challenge themselves in interesting ways and embrace love and creativity and spirituality. We have great conversations that allow us to benefit and look at life a little differently. My clinic becomes a place of healing and spiritual growth.
“I feel better just by spending time in the waiting room.” Say the new patients these days.
I start a Alternative Healing Collective with my current clinic owner, an MD/Homeopath. We employ different healthcare providers and pay them salaries. The patients pay a yearly rate and then are charged a smaller fee for a visit. Practitioners and patients form boards and vote on changes and practices of the clinic. It becomes a place of progressive private healthcare.
Students come from around the world to learn from our methods and copy our model of providing accessible, effective healthcare.
We dedicate our time to helping those who can’t pay for the services but are in line with our principles and would benefit from our care. We travel to countries and set up clinics there. We give talks, workshops and classes. We do community acupuncture.
Our clinic becomes a community centre for healing, where patients can drop by, have a tea, listen to a talk or take a class, see a practitioner, meditate, take out books on health or just sit and converse with like-minded individuals. We are closely connected with the arts, especially the visual arts and have non-toxic art studios for health-conscious people who believe in expression and beauty.
Our clinic becomes a model throughout Canada, then throughout the world. We revolutionize the healing professions.
When I retire I become a mentor, an elder. I still see patients and teach classes and write books. Sometimes I write fiction. Sometimes I paint. I feel like a part of the community. I feel I have given back, traveled and grown and lived and loved.
Then I die peacefully, surrounded by family, friends and community and love.
And it all started with the Perfect Patient.
Here’s hoping.
by Dr. Talia Marcheggiani, ND | Feb 16, 2015 | Culture, Emotions, Empathy, Gratitude, Love, Meditation, Mental Health, Mind Body Medicine, Mindfulness, Philosophy, Relationships, Self-care
I was in an emotional crisis. My partner and I were fighting. It was my fault and the anxiety I endured from the confrontation was compounded by a deep sense of guilt and shame. I felt powerless as I waited for him to reach out to me so we could fix the problem while at the same time dreading the future confrontation we’d have. I felt isolated. My nerves were shot.
I texted the problem to my friend, A, the psychotherapist, while sitting on the couch in my pyjamas. At the time I remember wanting to include others in my misery, so that people would ask me about it and tell me everything would be alright, that it happens to all of us—it wasn’t that bad—and that I’d get through this thing.
A tells me, “There is nothing you can do now but wait. Waiting takes courage. So, while you’re waiting, don’t forget to self care.”
Self-care: the illusive term we’d often hear tossed around in naturopathic medical school. The hyphenated compound noun referred to anything from applying castor oil packs to getting enough sleep. In my mind, it brings up images of spa-like indulgences: bubble baths, candles, a junky novel—guilty pleasures. True self-care, however, is far from simple self-indulgences. Audre Lorde owns the most powerful definition of self-care I’ve heard, which is this:
“Caring for myself is not self-indulgence, it is self-preservation. And that is an act of political warfare.”
Rather than being a commercial phenomenon—involving trips to the spa, chocolate binge-eating and shopping sprees—self-care is political. Self-care challenges the inequality and oppression of race, gender, class and sexual orientation in society, by providing us with a means to improve our strength and ensure our survival.
When I read Lorde’s quote, I think of my Italian grandmother Nonna. Barely sitting down to enjoy the dinner she had prepared, she dedicated herself to the service of her family’s well-being. Like many other women, especially Italian Catholic women from her generation, she had been taught that any care for herself was selfishness—a symbol of the highest level of vanity and self-obsession. Nonna, like other women of various colours, religions and socioeconomic statuses, was taught to live a life of self-sacrifice. Any attention paid to her own well-being was regarded as an indulgent after-thought. Women are denied a societal sense of self-worth, which is then paradoxically medicated by advertisers telling us to “treat ourselves” to expensive perks because we’ve “earned it”. We are taught not to love ourselves and then instructed how to remedy this lack of self-love with expensive gifts.
Self-care is about finding ways to cultivate and feel deserving of self-love.
True self-care is essential for moving us forward. Because it prioritizes the health and well-being of a person, it affirms self-worth. This has the power to challenge the oppressive forces of racism, misogyny, classism, homophobia and other prejudices. Self-care helps with trauma recovery. It helps heal.
Self-care builds resilience.
We commonly fall into the thought-trap of regarding self-care inaccessible to certain populations; we assume it requires time, money and energy that not all of us have. Katherine from “I Am Begging My Mother Not to Read This Blog” accurately expresses the sentiment with an ironic twist:
“Make time for yourself. After you’ve run that 5K, started a load of laundry, harvested your organic vegetable garden, run to the bank, paid the bills, dazzled everyone with recipes that are cost-effective, healthy, and delicious, thought of something witty and clever to share with your social networking site, caught up on current events and politics, and cleaned all of the house, that special hour set aside just for you is so critical to your well-being.”
While she certainly has a point, something essential is missed in the definition of self-care. Self-care isn’t about shutting out the sound of your screaming children while you pour yourself a martini and fill the tub with hot water. Self-care is about intention, balance, mindfulness, self-awareness and, above all self-love. It is about taking responsibility for one’s own health and well-being. It is about recognizing your physical, mental and emotional needs and ensuring that those needs are met. Self-care is about reducing stress levels. If a pile of dirty laundry is stressing you out, then mindfully washing those clothes while watching the stress leave your body is self-care.
Self-care is an attitude. You can wash your dirty laundry with the frenzy of a thousand cortisol molecules and your mind on the massive list of other things yet to get done, or you can savour the positive feelings of achievement that comes from checking an item off the to-do list. You can breathe the scent of fabric softener, feel the warmth of the clothes that are coming out of the dryer and acknowledge that you are caring for yourself by ensuring you have clean clothes to wear the next day. It’s perspective and intention that creates self-care. That being said, laundry doesn’t necessarily have to be your thing either.
I have a patient who works 6-day weeks. When I asked her what she does for self-care, she looked at me, puzzled. “You know, self-care—how do you take care of yourself?” I tried to clarify. There was still no dawning of realization on her face. I silently chided myself for asking such an insensitive question.
And yet, my patient was taking care of herself. She was drinking more water, eating more vegetables and exercising. She was coming to see a naturopathic doctor and investing in her health. She was doing plenty of self-care; she just didn’t know it.
The SCaR Foundation outlines the BACE method of self-care, which helps us draw awareness to the simple acts we can engage in to care for ourselves.
Body Care involves exercising regularly, eating healthy food, taking medications and herbal supplements as prescribed. It also encompasses getting up to stretch while sitting at a desk, drinking water, getting enough sleep.
Achievement consists of finishing the daily tasks you have on your to-do list, laundry among them. It also includes working towards goals, like studying for a test or doing your work.
Connecting with Others includes spending time with friends, family, or a pet. Social connection is one of the reasons why we’re alive. Being able to reach out to others for help is one of the strongest manifestations of courage and resilience.
Enjoyment encompasses hobbies, favourite pass-times and indulgences. What activities bring joy and happiness to your life?
Self-care should not be pre-determined. When it becomes someone else’s prescription, it is no longer self-care.
Self-care is not always pleasurable. Sometimes it can be quite uncomfortable, such as making the decision to change careers, end a relationship or get in shape. It can be transformative, such as standing up for yourself. Self-love is a revolutionary act and revolutions aren’t always won peacefully. However, learning to listen to the body allows us to determine which decisions are coming from a place of self-love and not anger, hatred or fear.
My particular self-care story ended well. The very act of reaching out to a friend had already begun the process of self-caring (connection). After talking to A, I got up, changed out of my bathrobe, exercised, showered, and put on a homemade face mask of yogurt, honey and avocado (body care). I read fiction on the couch with a hot mug of cinnamon tea (enjoyment). I did yoga, meditated (body care) and went to a friend’s house for lunch, then another friend’s for dinner (connection). I took a course on a subject I love and met other healthcare practitioners while developing a new counselling skill (achievement). A part of me craved isolation, but I intuited that wouldn’t be a restorative act for me at that time and so I forced myself to move on with my activities, knowing that they would improve my positivity and resilience. In the end, because I took care of myself, I was able to face the situation from a place of strength and compassion for both me and my partner. Self-care helped me move past the shame and connect to the most powerful and loving version of myself.
That was my approach to self-care, because it was what I needed. At that time, I needed to feel healthy, strong and social. I needed to be reminded of who I was. Others in similar situations may decide that they need to grieve alone while watching When Harry Met Sally and devouring wine and popcorn, their faces stained with tears. Self-care is about knowing yourself and recognizing and honouring your needs.
Contrary to what we’ve been told, self-care isn’t selfish. It is the highest expression of connectedness. We can’t take care of others if we are not healthy. And we can’t be healthy without taking care of ourselves.
Self-Care Resources:
Methods-of-Self-Care : Free Ebook
Caring About Self-care : Article
Also, check out this Self-Care Journal, by Rachelle Abellar. It has sections for personal affirmations and action plans for when you’re feeling low. You can buy a copy at lulu.com.
by Dr. Talia Marcheggiani, ND | Jan 3, 2015 | Gratitude, Health, Holidays, Medicine, Mindfulness, NPLEX, Professional Development, Relationships, Volunteering
2014 has been a year of beginnings and endings. I ended two major relationships: one with the school I went to for 4 years and another with a long-term boyfriend, and began two new ones: I embarked on my own career as a naturopathic doctor and started a new relationship. The past year for me represents the tail end of several important life-cycles and the promise of exciting new beginnings.
It was the year I turned 28, starting a new 7-year karmic cycle. I broke up with my now ex-boyfriend of 5 years and finished my studies at the Canadian College of Naturopathic Medicine. I dedicated a large portion of my time to social activities, self-expansion and personal growth. I got out into the world and made new friends while strengthening old friendships. I became a little more daring and a lot more open. These changes helped groom me into a better doctor.
I spent the summer working, dating and studying for NPLEX II. I embraced new opportunities and made many new friends with co-workers, ex-classmates and complete strangers. I became more artistic.
I went to India in August and September after finishing NPLEX II. After 4 years of constantly doing, it felt wonderful to relax into the chaos of India and become an observer for a month. Simply being felt foreign and very uncomfortable at times, but also balancing. I relished the long train rides, the heat and the variety of cultures, smells and colours – especially the food. India contains a furious energy about it. It was a wonderful experience and a brilliant way to open myself up further to new experiences while exploring a different corner of the world.
When I arrived home from India I was ecstatic to find that I had passed NPLEX II and my Ontario board exams. I applied for my naturopathic licence and began looking for clinic spaces. When I met Heather Osler at the Bloor West Homeopathic & Wellness Clinic, I immediately knew that the space was an excellent fit. So far, I’ve been right. The calming, healing energy of the space and the wonderful staff have been amazing. I have been blessed with a practice that has been slowly and steadily building from my first week. I am grateful for the wonderful patients that have booked with me in 2014. I have learned a lot from them and have had the opportunity to help them feel better, something that I love to do.
2015 brings with it the promise of more successes in private practice as I grow my existing patient base and eventually add more practice days to my week. I look forward to connecting with my ex-classmates and new colleagues, to giving talks and writing blogs and connecting with the community. I will be taking a course in Motivational Interviewing (MI) at OISE at the University of Toronto this January and February. I also hope to take more courses in psychological methods to strengthen my ability to treat mental health conditions; I plan to find ways to bring my love for art and writing to the therapeutic experience.
I have the opportunity to volunteer 1-2 days a month at the Yonge Street Mission health clinic and am looking forward to spreading naturopathic medicine to the community, a passion of mine. Between my private practice and volunteer work, I hope to quickly expand the number of people I help with naturopathic medicine.
2015 will bring with it creativity, in the form of exciting new writing projects and an effort on my part to make time for painting and consuming art.
I hope 2015 will be a year of love, bringing with it more fulfilling relationships and the opportunity to strengthen my existing ones with friends, my significant other, my family and, of course, my Colombian yorkie, Coco. I learn so much from my relationships and they remain the most important part of my life. They encourage me to grow and continue to challenge me to become a better person, writer and doctor. I hope to find mentors both inside and outside my profession that challenge me to continue to grow and provide me with needed guidance on my journey.
I plan to travel in 2015, to Puerto Rico, to visit the home of a dear friend and his growing family and back to Guatemala, to see my best friend in her tiny, bohemian village. I would also love to do a silent meditation retreat this year, finding more centring and balance.
I also know that 2015 will be about my own personal health. I have resolved to cut out sugar, drink more water and dedicate myself to becoming physically fitter by engaging in more yoga and strength training. I also resolve to strengthen my mindfulness practice and meditate more regularly, which I believe will help me become more conscious and present, both as a human and as a healthcare practitioner.
Most of all, I hope that 2015 will be about gratitude. As I become older, time seems to pass all the more quickly and I find this to be an alarmingly unpleasant realization. As a lifelong student and now a professional running her own business, I often find myself consumed by future goals, wants and needs, which interferes with my ability to live in the present moment, be reflective of and grateful for all the blessings I have been given in my life and currently enjoy. Dedicating myself to counting these blessings helps to anchor me to the present moment and feel happier with the wonderful life I’ve been given and the wonderful people who surround me.
2014 was an amazing year of transformation and growth. While Back to the Future II promised us a 2015 of flying cars and 80’s-style sneakers that automatically lace themselves, I believe the real 2015 will be an even better year filled with strength, opportunities for further growth and development and love. I hope to build more confidence and wisdom this year, develop more confidence in myself and add more stability to my life. 2015 will be about building strength and foundation.
I wish all of you the best this 2015. What are your reflections, hopes and resolutions for the coming year?
by Dr. Talia Marcheggiani, ND | Jun 8, 2014 | Gratitude, Healing Stories, Meditation, Mental Health, Mind Body Medicine, Mindfulness, Psychology
im grateful for long flowing skirts that blow in the summer breeze
and weather that’s appropriate for wearing them.
im grateful for the spanish language and the smiling people who speak it
and the songs sung in it with deep, crooning voices.
im grateful for playlists i didnt create and friday nights
where city lights dance on the water.
(more…)
by Dr. Talia Marcheggiani, ND | May 17, 2014 | Breath, Emotions, Empathy, Fiction, Gratitude, Healing Stories, Health, Meditation, Mental Health, Mind Body Medicine, Mindfulness, Psychology, Self-esteem
I woke up in the middle of the night to find the dragon lying in my bed. Snoring politely, he looked very small, about the size of a beagle. He was staying on his side of the bed, so I tried to get back to sleep. I’d met this beast before and knew he often brought with him ominous feelings of death and despair, but sometimes he would show up at night only to be gone in the morning. Maybe this time I wouldn’t need to worry.
The next morning, though, the dragon was still there. It rolled over and looked at me with its yellow lizard eyes. Its grey, shiny scales were smooth and glistening. I felt a sharp shiver of fear run through me. I wondered if this time he was here to stay. I worried about what he might do.
(more…)
by Dr. Talia Marcheggiani, ND | Jan 13, 2014 | Gratitude, Happiness, Health, Letting Go, Love, Mental Health, Mindfulness, Psychology
Losses and pivotal life changes can make us feel as if our world of comforts and familiarity is crumbling away beneath us, leaving us with a sense of emptiness and shaken emotional instability. However awful these times may seem, they can also offer us the gift of intimately knowing ourselves, and the opportunity to grow and learn. We are at our most vulnerable, our most creative and, in a sense, our most awake and alive during times of emotional duress. Our sensitivity is heightened, and although many of these feelings are extremely painful, our ability to experience this pain also leaves us open to the possibility of truly feeling everything the world has to offer: excruciating suffering but also the promise of immense joy.
When we think of healing we often think of taking medications, receiving treatments or long courses of therapy. We often overlook the importance of the little, comforting things we can do to help nurture ourselves through painful times. These rituals and small comforts are powerful healing facilitators; we only need the courage to turn to them and to trust that we are on the right path.
(more…)
by Dr. Talia Marcheggiani, ND | Jan 25, 2013 | Balance, Community, Family, Finding yourself, Gratitude, Happiness, Health, Mindfulness, Philosophy, Relationships
I’ve been reading a book I recommend to all of you: The Consolations of Philosophy by Alain de Botton. This book is, in one, a Western philosophy refresher course and self-help book, outlining a guide for living as dictated to us by 6 great philosophers. One of my favourite chapters examines the life and philosophy of Greek philosopher Epicurus and distills the lessons he shared with us about finding true happiness and fulfillment in our lives, while still living modestly.
(more…)
by Dr. Talia Marcheggiani, ND | Aug 3, 2012 | Book, Canadian College of Naturopathic Medicine, Culture, Docere, Education, Exams, Gratitude, Mental Health, Motivation, NPLEX, Stress, Student, Summer, Toronto, Urban Living
It occurred to me during a lazy, yet productive, day at the Toronto Reference Library, among stacks of deliciously old-smelling books – this ain’t so bad. Although I’ve taken to whining about it in previous posts, summer studying doesn’t really have to be that terrible. Here are 7 ways to find beauty in sacrificing some our best months of the year for the sake of education:
(more…)
by Dr. Talia Marcheggiani, ND | Apr 22, 2012 | Art, Balance, Blog Awards, Gratitude, Liebster Award, Recognition
So I’m suprised and happy to say that if tomorrow’s OSCE II goes horribly awry at least I can consider blog writing as a second career choice! I have been given my first blog award: The Liebster Award!
(more…)
by Dr. Talia Marcheggiani, ND | Mar 29, 2012 | Addiction, Balance, Canadian College of Naturopathic Medicine, Emotions, Finding yourself, Gratitude, Naturopathic Philosophy, Self-care, Stress, Student
I’ve been struggling lately. The weather has gone back to its windy, cold and moody self, after playing mind games with us for a week or so. I’m back to taking my vitamin D, since the sun isn’t offering it up for free anymore. Maybe that’s why I feel cheated. It could very well be that we’re presented with so many flow charts it’s like I’ve died and gone to Flow Chart Hell – a special kind of hell where things break down into a series of isolated steps that are easier to understand, for some.
(more…)
I wrote this post a few months ago while beginning my private practice. When I first wrote this post, the next week an incredibly good-fit-of-a-patient walked in my door! A month later, another booked in! I have been blessed from the start with a roster of wonderful people who have found their way into my practice. I’m posting this blog post to celebrate that and keep morale high. 
