resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
December, 2011, Vol. 11, Issue 12
Special Considerations for the C-Section Baby
By Sharon Desjarlais, CC
It was the morning of March 14, 1996. An anesthesiologist was looking down at me. "You have a beautiful baby," she said. I was flooded with relief. Nicole, delivered by Caesarian, had been whisked away for evaluation the moment she entered the world. It would be another hour or two before I'd see her face for the first time.
As it turns out, skin-to-skin bonding right after delivery is one of many things that typically don't happen with C-section babies and that makes them prime candidates for CranioSacral Therapy. Missing out on a trip through the birth canal can set up a domino effect of challenges down the road unless they're addressed early.
"The ideal is for the newborn to be placed on mom's belly immediately after birth," says Michael Shea, PhD. "But because of anesthesia issues, C-section babies are usually evaluated first, depriving both mother and child of a critical phase in attachment and bonding that often affects things like breastfeeding."
Even before delivery, going through the birth canal squeezes fluid out of the baby's lungs to kick-start pulmonary respiration, which is critical for the suck-swallow-breathe reflex. "A baby has about five minutes to go from nine months of aquatic breathing to air breathing," Shea said. "Without that squeezing process, you see a lot of issues like colic and even breathing problems and asthma later on."
Roy Desjarlais, LMT, CST-D, sees other potential complications as well. "If the baby was engaged in the birth canal before the C-section, especially if the mother received Pitocin to speed up labor, the baby's cervical spine tends to be compressed. This, too, can cause difficulties with the suck-swallow-breathe reflex later on, because of how the hard palate plays off the cranial base structurally and neurologically." (Editor's Note: In telling her story, the author quotes her former husband, Roy Desjarlais, extensively.)
And in planned C-sections, with no labor involved, babies tend to come out with beautifully round heads, but they miss the natural mobilization of their spinal segments that they would have gotten with a vaginal delivery. "Mother Nature designed the birth process to be a tight squeeze for a reason," Desjarlais said. "To engage and prime the nervous system, and all the other systems in the body, to operate independently from the umbilical cord."
Early Hands-on Help Is Key
"The sooner I see a newborn the better, because it's less time they have to deal with any birth trauma issues," Desjarlais said. "I just finished working with a 10-week old whose mom ended up having Pitocin, so the little guy had been jammed in her pelvis for hours." The result? He spent ten weeks "screaming and crying" and unable to breastfeed.
"In his first session, he turned into a whole different baby," said Desjarlais. "His spine decompressed, his cranial base decompressed, and his suck reflex was suddenly free and engaged. I saw him a week later for a follow-up. He was resting easily, and feeding and eliminating regularly."
Shea thinks it's also critical to include the mom in the first few CranioSacral sessions. "I run into a lot of mothers who feel depressed or upset that the birth didn't go the way they wanted it to, and that can thwart attachment. Children and birth processes are liberal in their ability to repair, so all is not lost. But it's a lot to overcome, so you want to address these issues quickly."
He likes to assess the relationship between mother and child in the baby's first CranioSacral session. "I place one hand on her back and another on her hand as she holds her baby. Gradually I feel a settling, where they just drop into this beautiful stillness that I call the 'bubble of love.' You can actually feel this fluid container around them, like the aquatic environment the baby came out of, with all these love hormones piercing through. It just needs to be settled, so I visualize this container and help it settle by feeling it breathing at the rate of the long tide."
Completing the Biological Process
According to Desjarlais, compounding the psychological effects on the mom are those you might see in a child who didn't have the early experience of making it through a difficult space. "Sometimes that shows up down the road as someone who has a tough time facing challenges and persevering through. It's like they're looking for the easy way out because that was their first experience."
That's why he thinks it's important to give the infant a simulated experience of working through a birth canal to complete the biological process. He does that in a CranioSacral session by tuning into the baby's birth trauma and using an unwinding process. "You create a cocoon and a way out through your hands, which mimics a cervix in the birth canal. Then you allow the baby to gently push their way out. You can feel their whole nervous system release just by having the stimulus of making it through."
And make it through they do. Nicole had the good fortune to receive plenty of CranioSacral Therapy the day she was born. Now a healthy teenager, she's moved through a load of big transitions in her life with relative ease. It's the best kind of adjustment a mother could hope for.
Click here for more information about Sharon Desjarlais, CC.
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