treat, but she had a child entrance form. Her mother looked at all of the different subluxation related complaints. I believe she was seven years old. By answering these questions, even though she came in for an earache because her mother heard that we could help with earaches, we learned, even before I met her, reading her paperwork, that she had migraine headaches weekly for four months. I learned that she had neck discomfort and that she had neck pain. There were also reasons to check this child for subluxation. Upon her pediatric examination, she had a positive compression test. She had neck pain. In her [reported 00:16:43] systems, we learned that she had an injury. She was playing soccer four months ago. She was hit really hard in the head with a soccer ball. Weekly since then, she had neck pain. She had muscle spasms in her neck and she had a migraine headache once a week. The ear infection or not the ear infection but the earache had just come out in the past week but that was her mother's reason for bringing her in. We tied that back, of course, by evaluating. She had occipital and upper cervical subluxation which was what we treated with the earache being concomitant to or a secondary symptom of the subluxation. Within a few weeks, her earache had cleared up. She was no longer having neck pain and thank goodness was no longer having migraines. It's just really important to document vertebral subluxation and to document medical conditions as secondaries. Dr. Hoffman: I'm so glad that you said a lot of the things that you just shared because I think it is important that everyone understands ... That you indicated that no matter what they come in with, you're still looking to see if there's a structural deviation, vertebral subluxation. You're correcting that and then you're just relating it back to the potential of the symptoms that they have to be sharing with you. That's awesome. You also started to talk about, we'll get into documentation itself in a minute, your actual examination findings. Based on the different ages and different categories, how do you actually determine where to go based on that patient? Dr. Apfelblat: Well, through the nervous system. If they're having ... If they come in with a complaint of enuresis, we're going to look at the lumbar spine and the sacral spine. If they come in with a condition of torticollis, we're going to look at the occipital spine and look at the upper cervical spine. Just by looking at the nervous system chart, and where the nerves flow, and the different problems that can occur is a good
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