Hello!

Kate Thomas, LAc

A bit about me...

I'm an acupuncturist and the owner of Fireweed Acupuncture in Des Moines, Iowa. I help neurodivergent and chronically ill practitioners build the kind of practice that doesn't run them into the ground: efficient, right-sized, and built around how their brains and bodies actually work. I also teach neurodivergent-affirming care to fellow practitioners, because everyone deserves care that meets them where they are.

Welcome!

With A Well-Tended Practice, I help neurodivergent and chronically ill practitioners build practices that truly fit them: efficient, sustainable, and right-sized, without the busywork, the hustle, or the pressure to grow past their own capacity.

Traditional advice on how to build my practice never quite fit me, my brain and body, or where I practice. So, I worked out my own way of doing things - usually with a lot of trial and error! - and now I am sharing what I’ve learned. I hope A Well-Tended Practice helps save you time and energy - and helps you realize you’re not alone in building a different kind of business.

My Background

I’m trained in Chinese medicine, and I run my own solo practice, so I understand clinical work from the inside. I’ve navigated, usually alone, the things nobody teaches you: finding clinic space in a new city, designing an office build-out, building up retail, subletting to a stranger, creating memberships, building a patient load somewhere I didn’t know a single person, and figuring out policies on the fly - all while managing my own unpredictable health.

My undergrad degree is in Rhetoric, Communications, and Gender Studies, which is why I notice what a lot of practitioners miss: everything a clinic does is communicating something. Your forms, your policies, your website, the way you frame a treatment plan, all of it is sending a message, and a lot of practice problems are communication problems in disguise.

In classic neurodivergent style, I have also had a variety of earlier jobs, from customer service to warehouse and purchasing to being an insurance claims adjuster. These jobs left me comfortable with the tricky, unglamorous business situations nobody trains you for, and well-versed in delivering bad news and handling uncomfortable situations.

I’m also neurodivergent and chronically ill, and I have had to learn how to design a resilient practice that doesn’t require perfect memory, endless capacity, or a full (or any!) support staff. I think in systems and thrive on helping others develop ways to adapt their practice to their lives (and not the other way around!).

I built my practice from the ground up in the Midwest, a region most business advice tends to overlook. We’re often working in a market that’s never heard of this medicine, with little or no insurance billing, and educating patients before we can serve them. If the standard guidebook doesn’t fit where you practice, that’s exactly the terrain I know.

What I offer comes down to the things I do well:

  • Advice on building systems that cut the busywork and work with how your brain actually operates.

  • Clear, usable answers on the policies and procedures in the day-to-day clinic life that our training skipped.

  • Help designing a practice that works for your life and doesn't rely on gimmicks or shady tactics.

  • Practical ways to make your practice more neurodivergent-affirming without leaning on stereotypes or outdated information.

When I'm not with patients or writing, you'll usually find me drinking tea, reading, journaling, and keeping one eye on my bird feeder.

My credentials:

  • Master of Acupuncture (MAc)

  • Licensed Acupuncturist (LAc), Iowa

  • Dipl. Ac. (NCBAHM)

  • Bachelor of Arts, Rhetoric, Communication, and Gender Studies

  • Precision Nutrition Level 1 (PN1-NC)

What I offer...

The Almanac

A growing library of resources for solo practice owners, from guides on setting policies, choosing a clinic space, and writing your own forms, to templates you can use immediately.

Website Clarity & Accessibility Audits

A second set of eyes on what you've built, with concrete, low-overwhelm suggestions you can actually act on.

Mentorship

One-on-one help thinking through the parts of your practice that school never covered, at whatever pace fits your brain.

Courses

Practical coursework for practitioners on neurodivergent-affirming care and the parts of running a practice our business classes skipped. (Coming soon!)

Let's keep in touch!

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