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Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
December, 2003, Vol. 03, Issue 12
Formerly Conjoined Twins Successfully Separated, Doctors Remain Hopeful
By Rebecca J. Razo
Last fall, Massage Today reported that conjoined Egyptian twins, Ahmed and Mohamed Ibrahim, were being evaluated by the Children's Medical Center in Dallas to ascertain whether they were candidates for separation surgery.During the process, Dr. Kenneth Sayler, one of the twins' surgeons and founder of the World Craniofacial Foundation, referred the boys to John Upledger, DO, OMM, and a team of therapists from the Upledger Institute for several rounds of CranioSacral Therapy (CST) to help their brains begin to function independently (www.massagetoday.com/archives/2002/10/01.html).
"We got a lot of independent functioning between the two children [following CST treatment], all the way from brain function to bowel movements," said Dr. Upledger. "When they first came here, it seemed that one twin was performing much of the physiological functioning for both of them. And I thought [that] if these kids were separated, the child whose systems aren't working as strongly may well die. So, we worked on bringing about as much independent functioning of their body systems as possible, and encouraged their bodies to begin a subtle separation where the brain vessels were shared."1
On Oct. 12, 2003, a team of 10 surgeons, nine anesthesiologists, and dozens of nurses, medical technicians and other support staff participated in the 34-hour surgery at Dallas Children's Medical Center, which resulted in the successful separation of the boys. Immediately following surgery, the boys were placed in medically induced comas to minimize the risk of brain swelling. Several days later, the comas were lifted, and on Oct. 24, the boys visited each other for the first time.2,3,4
"They play a lot with a tambourine and their stuffed toys, and there's a lot of giggling and laughing going on," said Dr. James Thomas, chief of critical care services at Children's. "The medical team continues to be pleased with their progress."4
Each day, the boys receive several therapy sessions, including physical therapy, speech therapy, and play and music therapy. They usually nap between sessions and are also sleeping through the night. Doctors continue to monitor the boys' brains for increased fluid pressure, but so far, none has shown any danger signs.4,5
Although the twins are making daily progress, they are still listed as "guarded" by doctors,* and there has been no speculation of when they might be able to return to Egypt; however, once the boys do return home, they are likely to travel to the States for additional therapy and reconstructive surgeries that could take several years to complete.2
"Once they're out of the woods, they'll probably come back for more CranioSacral Therapy," said Dr. Upledger. "I think we can help clear up a lot of residual tissue trauma to give them a reasonably good chance of [living] normal [lives]. I feel very good about it."1
Editor's note: As of November 14, the twins conditions were listed as "good." They have been transferred from Children's Medical Center to Medical City Dallas where they will continue their rehabilitatation and undergo craniofacial reconstruction.
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