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NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
November, 2006, Vol. 06, Issue 11
By Elaine Stillerman, LMT
I was sitting at the airport waiting for a connecting flight when I noticed a young mother wearily pushing a baby carriage. She found a seat facing me and sat down with a sigh. She glanced over at her sleeping newborn, adjusted the baby's blanket and closed her eyes for a much-needed nap.About 10 minutes passed and the mother's head dropped forward as she fell into a deep sleep. Suddenly, the baby began to fuss and mom woke with a start. As her baby's cries got louder, two large stains appeared on the front of her blouse.
Touching, hearing, seeing, smelling or even thinking about your baby can stimulate milk let-down. Breast milk is absolutely perfect for babies and its benefits are well-documented. Breast milk provides numerous advantages to the infant's general health, growth and development and, at the same time, significantly reduces the risk for numerous acute and chronic diseases.1 Research in the U.S., Canada, Europe and other developed nations cite a decrease in the incidence and severity of diarrhea,2-4 lower respiratory infections,5-6 ear infections,7-9 urinary tract infections,10 allergic diseases,11 possible sudden infant death12 and many other physical benefits among breastfed babies. Other studies suggest breastfeeding might help boost IQs and cognitive development.13-15
Nursing mothers also reap numerous benefits to their recovering bodies and emotional health.16 To begin with, breastfeeding increases the levels of oxytocin (the maternal hormone or the hormone of motherly love), resulting in less postpartum bleeding and faster uterine involution or healing.17 There also is evidence that nursing helps new mothers lose their pregnancy weight faster.18 There is improved re-mineralization during postpartum for those women who nurse19 and a reduced risk of ovarian cancer20 and premenopausal breast cancer.21 Breastfeeding seems to really make a difference with regards to breast cancer risks. Data on 150,000 women from 30 countries established that each year of breastfeeding reduced a woman's lifetime breast cancer risk by 4.3 percent.22 In the U.S., this could mean reducing the number of women with breast cancer by 7,500 annually.23 Other studies showed that nursing mothers are a third less likely to be depressed.24
Equally important is the emotional bond between mother and child that nursing fosters. Breastfeeding provides a unique intimacy between a mother and her child, offers comfort to a fussy baby and is an incomparable method of communication. There are some practical advantages, too: Breastfeeding doesn't cost anything, the milk is available at all times, provides the appropriate nutrition and always is the perfect temperature.
Massage for Healthy Breasts
A gentle massage will help keep the breasts healthy, reduce or treat engorgement, keep the milk ducts unblocked and the milk flowing. A professional massage practitioner might offer this care or teach the new mother how to do it for herself. The following steps will guide you in giving breast massage:
There are several acupuncture points that can ease breast soreness and engorgement and encourage milk let-down. For example:
Another wonderful recipe for engorgement is the ginger compress. Grate one cup of peeled ginger root and secure it in a cheese cloth. Place the ginger in 1 quart of water, which you bring up to the boiling point. Turn off the heat once the water starts to boil and leave the ginger in the heated water for about a half hour, or until the water takes on a yellow tinge. Let the water cool enough before placing two washcloths in the liquid. Wring them out (make sure the water is a comfortable temperature) and place a washcloth on each breast. When the cloths cool, put them back into the water.26
Nipple care also is an important part of healthy breasts. If the nipples crack after the first few days of nursing or if there is pain while nursing, the new mother should try a different nursing position and speak with her doctor, midwife or a lactation consultant for more advice. Avoid using soap while bathing and express a few drops of milk on the nipples to keep them supple. Or, rupture the veins of a cabbage leaf and wear them in the bra. Old tea bags also work, but they can stain your clothing. One drop of rose oil is very effective, but the nipples must be cleaned before nursing. Lansinoh, an over-the-counter product, also is a wonderful remedy for sore or cracked nipples, but cannot be used by women with lanolin allergies. After each feeding, the nipples should air dry before mom gets dressed. Make sure the wet nursing pads are replaced to avoid discomfort.27
For Those Who Can't or Won't
This seemingly instinctive behavior is a learned behavior. Not every new mother can or chooses to nurse and not every baby can easily nurse. The important concept is that the baby is fed, loved and nurtured. While it commonly is accepted that "breast is best," the choices a new mother makes about her body and her child need our support and respect.
Click here for previous articles by Elaine Stillerman, LMT.
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