resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
February, 2007, Vol. 07, Issue 02
Fragile Eggs, Fragile Legs?
By Elaine Stillerman, LMT
It's called Fragile X, and I hadn't heard of it either.
We used to put our infant son in a bouncy seat that had colorful wooden beads for him to spin and play with. Luke enjoyed hitting them and watching them turn.By the time he was 4 months old, he was still swatting them instead of trying to lean forward and reach for them. When I mentioned this to my husband or to friends, they brushed my concerns aside.
By the time he was 6 months old, Luke still was at the same level. When we went to the pediatrician for his 9-month checkup, the doctor asked typical questions about his development: "Was he sitting up unassisted?" No. "Was he turning over?" No. "Did he babble?" Hardly. "Was he trying to crawl?" No. I remember feeling the blood drain from my face when she said, "It's probably nothing, but let's have some neurological tests done to rule things out."
Thus began our odyssey to find out why Luke wasn't achieving his developmental milestones. It took us to five pediatric neurologists, two or three developmental specialists, speech, occupational and physical therapists, an MRI, an EEG and finally, DNA testing to get an accurate diagnosis: Fragile X. This heartbreaking syndrome is the most common inherited developmental disorder in the world. One in 260 women is a carrier and one in 800 men will pass the defective gene to all of his daughters. (It was my father who passed the gene on to me.) And then, the waiting game begins, because no one can ever really know which generation will carry the full mutation and all that it signifies.
Luke finally started to walk when he was 2 ½ years old, just about the age when we learned his diagnosis. Language and speech, however, still is something I look forward to. Toilet training an 8-year-old has its challenges, and the seizures he suffers positively age me. But, he is the sweetest, happiest and most beautiful boy ever. He also has a wicked sense of humor, something else he inherited from me.
Fragile X affects about one in 4,000 boys and one in 6,000 girls, and most carriers are unaware of their status. Fragile X causes cognitive impairment, pervasive developmental delays, attention deficit, hyperactivity, seizure disorder for one in four, anxiety disorders and autism. All of this occurs because of the failure of a single gene (FMR1) to produce an essential brain protein necessary for normal brain function.
Carriers also have symptoms. Some older men will be impaired by Fragile X-associated Tremor Ataxia Syndrome (FXTAS) and some women are at risk for premature ovarian failure or early menopause. This certainly could impact a woman's decision to delay childbearing, since she might lose that option in her mid- to late-30s. Testing for Fragile X is a simple blood test. The DNA test can predict a woman's chance of having an affected child and can be used to diagnose carriers and affected individuals.
At present, there is no cure. Therapies and appropriate education can make inroads, but don't change the core problems. But there is hope on the horizon. Research tells us that Fragile X delays the brain's development rather than damaging it. So, it's likely that the research can eventually benefit all people who suffer from Fragile X. In addition, fixing this one gene, or its symptoms, could lead to a better understanding of more complex neurological conditions such as autism, Down syndrome and Alzheimer's disease.
When Luke gets back from school this afternoon, he will point to his DVD ("D!") and watch Elmo ("Ehmo") once again, exploring his world. I am looking toward the day that my son, too, will use his friends, his computer and his mother to explore his world.
For more information about Fragile X, visit www.fraxa.org.
Click here for previous articles by Elaine Stillerman, LMT.
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