This is interesting, because my many years of clinical practice as an academic physician were devoted to the care of pediatric patients, specifically children with complex underlying medical disorders who required anesthetic and/or intensive care, or who had difficult-to-manage painful conditions. But now my office-based acupuncture practice is primarily an adult one. Some seek symptomatic relief from chronic, often painful conditions; or for help managing the side effects of the necessary medications or treatments prescribed by their primary and specialty care physicians. Additional reasons for seeking care have included immune dysfunction disorders, respiratory diseases, stress management or more emotional issues, back or joint pain, muscle or bladder spasms, gastrointestinal, neurological and/or musculoskeletal conditions. Individuals undergoing chemotherapy or other cancer treatment sometimes find acupuncture helpful as a supportive therapy to mitigate fatigue, peripheral neuropathy and/or the mental fogginess that might accompany their treatment. Others come in for general supportive care, using acupuncture as one of their balancing and health maintenance strategies. Caregivers come in for supportive care as they manage the illnesses of their loved one.