resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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