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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.
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!
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.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
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.
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.
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.
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.
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.
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.
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.
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.
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.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
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.
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.
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.
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.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
January, 2012, Vol. 12, Issue 01
The Potential Dangers of Taking Medications During Pregnancy
By Elaine Stillerman, LMT
We tend to think that if the Food and Drug Administration approves a medicine, it is safe for us to take. And we don't give a second thought to the potential side effects of over-the-counter (OTC) medicines since they don't require prescriptions.But are these popular medications safe for pregnant women and their developing babies? Since very few drug trials involve pregnant women, how can anyone be sure that there are no harmful side effects or birth defects from these seemingly innocuous medicines?
Conception occurs about two weeks before the next menstrual cycle is due, and a positive confirmation of pregnancy may take another few weeks, so there is a window of extreme vulnerability for the growing baby if mom takes certain medicines (drinks or smokes) during this sensitive time. OTC drugs are used by many pregnant women and, as a rule, are generally safe. Some, however, have what are considered to be unproven safety and/or potentially harmful effects on the growing babies. Since an estimated 10% or more of birth defects are a result of maternal drug exposure, the FDA has assigned a risk category to each drug.
OTC medications that are considered relatively safe during pregnancy include most antacids, Acetaminophen, Chlorphenramine, Kaolin and Pectin preparations - although all expectant women should discuss the use of any and every medication (and herb) with their care providers. As an example, seemingly harmless Vitamin A (Retinol) used for skin conditions has shown to contain powerful teratogens which may cause serious birth defects. On the other end of the safety spectrum are drugs like H2 blockers, Pseudoephedrine, and Atropine/Diphenoxylate, to name a few, which are dangerous for developing fetuses.
During the 1940s – 1970s, DES (diethylstilbesterol) was often prescribed during pregnancy to prevent a miscarriage. That was until the daughters (and sons) of these DES mothers developed all sorts of reproductive anomalies and cancers during puberty. Then the use of this drug during pregnancy was immediately discontinued. But not until after the reproductive lives of thousands were adversely affected.
And for those of us old enough to remember the 1960's when thalidomide was prescribed to treat nausea during pregnancy, the images of those deformed babies was seared into our collective memories (remember the picture on the cover of Life Magazine?). Its use was quickly stopped after nearly 10,000 babies (mostly in Europe) were born with major physical disabilities – phocomelia, or seal-like flippers for arms and legs. Of course, the way these drugs received approval was very different 50 years ago than it is now.
The general rule is to avoid all drug exposure (including herbs and aromatherapy) during the first trimester when the fetal organs are developing (organogenesis) to prevent structural and functional abnormalities. Most drugs can cross the placental barrier (this includes pain medications and nerve blocks received during labor) and expose the developing embryo and fetus to harmful effects.
There are certain factors affecting placental drug transference and teratogenic effects:
Even one intrauterine exposure can have harmful effects. Thalidomide, for example, had catastrophic effects after brief exposure. When it comes to over-the-counter medications, some of them have unproven safety records or are known to affect the fetus. More than 80% of pregnant women take OTC or prescription drugs during pregnancy. Pain medications are widely consumed during pregnancy for relief of common aches and pains. A Danish study reported a direct link between the use of prescribed NSAIDS and miscarriages. Kaiser Permanente Medical also concluded the use of NSAIDS during pregnancy increased the risk of miscarriage by 80%, particularly when they were taken around the time of conception.
Categorized for risk during each trimester (1/2/3), this is a list of common analgesics used in pregnancy: Acetaminophen (B/B/B), Aspirin (D/D/D), Ibuprofen (B/B/D), Ketoprofen (B/B/D), and Naproxen (B/B/D). All of these drugs cross the placental barrier. Cold medicines, such as decongestants, expectorants, and antihistamines, may be unsafe during certain trimesters or their risk profile is unstudied.
Since most drugs taken while nursing are found in breast milk, all drugs and medications should be used carefully, conservatively and under medical supervision. The good news is that the concentration of the drugs in breast milk is low and the baby's exposure is less than what would be considered to be a therapeutic dose. If medication has to be taken while nursing, it is advisable to take the dose 30-60 minutes after nursing and 3-4 hours before the next feeding. This provides adequate time for the drugs to clear out of mother's blood, so the concentration in her breast milk will be minimal.
Pregnancy is a time of excitement and change. As the baby grows, mother's body adapts to the posture of pregnancy which can lead to aches and pains. Instead of reaching for that pill bottle, if she can, mom would be well-advised to pick up her phone and make an appointment with a qualified prenatal massage practitioner. So much safer and so much more pleasant.
Click here for previous articles by Elaine Stillerman, LMT.
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