resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
December, 2008, Vol. 08, Issue 12
In Honor of a Doula
By Elaine Stillerman, LMT
Doula (doo-lah) is a Greek word that means "servant" or "handmaiden." Doula also refers to the compassionate labor coach who supports, advocates, nurtures, massages and protects a laboring woman from her first contraction until after her baby is born.In childbirth, the presence of this highly skilled, nurturing professional can completely change the labor experience for the better.
When we were still living in close-knit communities, it was common practice for the friends and family of a laboring woman to assist the midwife or doctor (when they still made house calls) during birth. But as we moved into urban and suburban areas, away from rural traditions, we moved away from this intimate circle. Women found themselves giving birth in hospitals without the support and assistance of anyone other than their partners - that is if the hospital permitted her to have that essential companionship. Fortunately, a labor doula and (for postnatal care) a postpartum doula fill the role of the community of women and provide the emotional and physical support that a laboring woman needs.
The labor doula is not part of the medical team. She doesn't deal with medical issues and unlike the obstetrician or midwife, she doesn't catch the baby. She is there for the duration to keep mother calm, relaxed, comfortable and focused on the task at hand.
In a controlled study conducted at a public hospital affiliated with the Baylor College of Medicine, women who labored with doulas had C-section rates of 8 percent as compared with 18 percent for women without doulas. The need for pain medicine dropped from 55 percent to 8 percent and labor was shortened by two hours when a doula was present. In addition, neonatal hospitalization dropped by half. These doulas recorded that on average, they touched the woman 95 percent of the time, as compared with less than 20 percent by male partners.1
Five studies conducted in Guatemala, Canada, the United States and South Africa confirmed that the presence of a labor doula reduced the need for surgical deliveries, shortened labor time and reduced prenatal and postnatal complications.2
At Jefferson Davis Hospital in Houston in 1993, 600 women who had never carried a pregnancy to term were divided into three groups: a control group, an observed group to measure the effects of a passive observer, and a group actively supported by a labor doula. The doula group had the following results as compared to the control group:
So, what exactly does a doula do? To give you an idea, let me tell you about my doula, Ilana. I knew Ilana professionally for years before I worked with her as a laboring mother. She was among the better known and most sought-after labor coaches in New York City. She founded the Metropolitan Doula Group (MDG), which is an organization that provides skilled doulas in the New York area. The MDG also conducts classes for its members and brings doulas into hospitals for women who can't afford them. They believe that no woman should labor without the support of a doula, and money shouldn't be the determining factor. During the 9/11 crisis, the MDG sprang into action by providing doulas for any laboring woman in a hospital, birthing center or at home who wanted one free of charge.
I called Ilana when I became pregnant. She came to my home to interview me and my husband about our hopes for the big day. Ilana took copious notes in the attempt to get to learn my likes, dislikes and what would be most helpful during labor. She gave us a realistic list of items I would need to make my labor more comfortable. Since then, I have provided my clients with that invaluable list and offer it in my textbook.
When the day came, Ilana had just returned from another birth she had stayed at for 13 hours. She had been home for two hours when I called. "Don't worry," she said, "I'm on mommy time." My water broke and I went into active labor within minutes. The contractions were coming one after the other. She asked to hear a contraction. Did this mean put the phone on my abdomen? Or did she want to hear the sounds I was making? By this time, all rational thought was out the window. "What?" I asked. "Let me hear a contraction," she repeated. Mine were silent. "I'll meet you at the hospital."
Once there, she directed my husband to get a different nurse and a private room for me. She disappeared for a few minutes and came back with a pile of waterproof pads and clean gowns. She opened her bag of goodies and asked if I was hungry or thirsty. And she held me. She massaged me. She danced with me. When the pains got intense, she took my face in her hands and said, "Give me the pain. Give it to me." And the pains lessened.
When I felt I was losing strength, she told me to relax my feet and let Mother Earth's power help me. She stayed by my side for 19 hours, encouraging me, honoring my efforts and nurturing me. And when my son was born, she told me how magnificent I had been. A week later, Ilana came to my home for a visit, bringing lunch, gifts, pictures and my birth story. We shared a life-affirming experience and I wasn't going to let her out of my life since she had been such an important part of it.
But life sometimes has other plans. In a cruel twist of fate, Ilana got ovarian cancer and lost her four-year battle last month. Her family and friends showered her with the same unconditional support she provided to the hundreds of new mothers she cared for and the countless doulas she taught. Ilana was all about giving, respecting and honoring a woman's efforts. That's a doula.
Click here for previous articles by Elaine Stillerman, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.