Like hitting black ice, suddenly all sense of traction and stability evaporate into a gut wrenching vertigo. Adverse reactions of our patients to acupuncture can trigger this kind of disorientation. And this is when we have an opportunity to learn something that we didn’t previous know. Adverse reactions could be due to a botched treatment, we were thinking one thing, but did another. Or our diagnosis was off. Or maybe it was on, spot on but the patient’s processing of the treatment gives rise to a frightening amount of discomfort and sends them scurrying for a quick pharmaceutical fix to calm their fear and anxiety. It requires a certain amount of maturity the part of the practitioner to hold steady in a moment of deep uncertainty. And degree of personal development on the part of both patient and practitioner to not let unforeseen reactions stop what might be an important turn in a patients healing process.In today’s conversation we consider adverse reactions to acupuncture, how to tell the difference between an uncomfortable healing process and an unskilled treatment, and how uncertainty is part of the game when practicing medicine.