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Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Are You Using Your Professional Title Ethically?
Many faculty members teaching in the classroom or performing research within academic institutions have earned doctorates and use the title of "Doctor" or "Dr." They are usually referred to as professor or doctor within the classroom by students.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Viewpoints: Pes Anserine Tendonitis vs. Medial Meniscal Tear
What do you think stiff golf shoes, playing with a child, riding a bike, running and swimming the breaststroke all have in common? Each requires knee joint involvement. To quote physical therapist Gary Gray, "The knee is just the dumb guy in the middle."
Embrace the Necessity of Change
My son, David, and my daughter, Deborah, play high-school and club soccer. For those of you who aren't familiar with this lifestyle, each practices two to three times a week, 48-50 weeks a year. Between the two, they play approximately 70 games annually.
How's Your Bucket? Two Key Benchmarks to Help Plug the Holes
Just about every businessperson knows it's far less expensive to hold on to a repeat customer than it is to acquire a new customer.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Sacroiliac Pain: A Complex Puzzle
I don't think we manage SI misalignment properly. First, we tell our patients they have an SI problem. I am not convinced this is accurate, and I will speak to that issue. Second, I think repetitive mobilization of the SI joints is not useful.
A Simple Exam Protocol to Assess Lower-Extremity Imbalance
One of the most common conditions of the human frame is excessive foot pronation, in which the foot rolls inward, creating a foot that is flatter, wider and longer. A resultant subluxation pattern of the various tarsals and metatarsals results.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Coding for Functional Performance Testing and Measurements
I have noticed a trend for medical necessity of chiropractic services to be defined with statements and language indicating "functional improvement" as one of the standards for efficacy of treatment.
Time to Address the Global Impact of Pain
More people may be living longer, but they're not enjoying it, particularly when it comes to musculoskeletal health, according to the latest Global Burden of Disease (GBD) study.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
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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