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Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
July, 2003, Vol. 03, Issue 07
To Breathe Again
By John Upledger, DO, OMM
In September 2002, I received a letter from Marilyn Thomas, a physical therapist from Cincinnati, who asked me if I would consider taking a look at her son, Matthew. Before I even got to the end of the letter, I was irreversibly hooked.Born November 15, 1991, Matthew Geier has spent his life struggling with the little things most of us take for granted. Delivered by emergency Caesarean section, Mathew was floppy and blue; his Apgar scores - a quick test performed right after birth to determine the newborn's physical condition - were alarmingly low. Within a few short hours he was intubated and placed on a respirator to help him breathe.
Fifteen days later Matthew was diagnosed with congenital central hypoventilation syndrome (CCHS), a rare breathing disorder characterized by apnea and right-sided heart failure. When he was 18-months old he received a pacemaker, but it didn't help. The doctors told Marilyn her son would be dependent on a ventilator for the rest of his life.
Years later, Matthew's breathing difficulties were compounded by symptoms of attention deficit hyperactivity disorder (ADHD), which made it extremely hard for him to learn. According to Marilyn, Matthew would constantly snap his fingers; flap his hands; walk on his tiptoes; and experience a great deal of anxiety and "racing" thoughts.
Having taken a Cranio-Sacral Therapy (CST) class some years earlier, Marilyn began using CST on Matthew at bedtime to help him sleep. She soon noticed his symptoms improve, so she began working with another therapist to co-treat Matthew every week. Still, being his mother, she wisely recognized that she was too emotionally involved to treat him the way he really needed; that's when she wrote to me.
I first saw Matthew on February 20, 2003, at The Upledger Institute HealthPlex Clinical Services in Palm Beach Gardens, Fla. My evaluation led me to believe that his breathing difficulties were secondary to dysfunctions of his autonomic nervous system and his thoracic and diaphragmatic peripheral nerves. So we set about applying therapy to normalize these neurological dysfunctions.
During his time here, Matthew had a total of about a dozen sessions between me and staff therapists Roy Desjarlais, LMT, CST-D, and Rebecca Flowers Giles, OTR, SCP, CST-D. Together, we "opened up" his fourth ventricle and respiratory diaphragm, giving his body "permission" to do this on its own. Matthew's response was remarkable - even to those of us who are used to seeing the remarkable. For the first time since the day he was born, Matthew began breathing on his own without the ventilator.
Since returning to Cincinnati, Marilyn reports that ongoing CranioSacral Therapy has continued to help. She says Matthew was off the vent for five hours one day and four the next. His attitude has also undergone a dramatic change. I'll let Marilyn tell you about it in her own words:
Thank you, Matthew, for the inspiration you have provided to all of us to continue pursuing the impossible.
Click here for previous articles by John Upledger, DO, OMM.
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