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Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
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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