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News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
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.
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