diagnosed as colic is not colic at all. And we can't rely on someone else's information to do our job. We need to be thorough, we need to take the appropriate history, we need to do the appropriate exams, we need to document that information before we adjust these children. Because heaven forbid this be a neurological situation for that child, we adjust them, that child has a seizure which is unrelated to chiropractic care, but you're now thrown in the mix as a chiropractor. Either for failure to diagnose, failure to refer, or potentially you may have caused the incident. And that's why history is so important because we could list the medications, or we could list alcohol, or we could list drugs, we could list injury accident in that history. So it could show some sort of potential cause and effect in the history that may have led to the situation at hand with the child that presents in your office. That's really potent information. So Lora, what kind of questions do you ask to the parent when the child comes in? When the child comes in, I mean I will talk to the mom briefly about her pregnancy. With the things that I've already mentioned with that. And just to see if there was any intervention during the birth process, was the mother ... Should I say, did the mother have an emergency C-section, was she induced in labor, was this just natural going into labor, was there assisted delivery? All these things could indicate potential trauma to that child, even during the birth process. So we want to talk about not only the pregnancy, but also how was the birth. Was it traumatic at all, what did we learn from this? The other thing that I would ask Stu is to look at photographs. I am a big proponent of looking at photographs for clinical information. Every person now has a phone with the capability of taking a picture or taking video. So I use that as clinical information to see, are there postural abnormalities, was there distortion of the head, was the any ptosis or distortion of the eye, the face, the mouth. Which could indicate a potential underlying condition or injury. Was there any bruising, was there any swelling? You know, did the baby have a postural preference. These are all things that I look at through what I call my video diary, or my video history, or my photographic history. Then I will ask the parent of course why they are presenting to a chiropractic office. And ask whether or not what their concerns are for that day bringing that child in. Is it because the child is not feeding well, is because they're fussy or irritable? Is it because the child has torticollis or a flattened head? But there's always a reason that that parent is going to bring that child to your practice. And you know what, we can all hope that it was all well in this care, but unfortunately that's not usually the first reason a pediatric patient shows up in your practice. They do usually show up with some sort of symptom. Yeah. And I know it can go both ways based on educating the pregnant woman, and or father. I don't want to discriminate against aware males in the audience. You also mentioned earlier Lora, about age appropriateness. And when we talk about pediatrics, we all I think gravitate toward these infants. You know, giving
Dr. Stu Hoffman:
Dr. Lora Tanis:
Dr. Stu Hoffman:
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