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them the best shot at a healthy life. But what would be different if they were four, five, six, seven, eight years old. Because those questions may still be relevant I would assume. But we would steer a little bit differently wouldn't we? The questions are always going to be relevant. Because once we get into let's say toddler age, school age, a lot of times we are going to see certain situations that might be related more to traumas. You know, walking, bicycle riding, you know normal childhood activity that might result in a trauma. And that might be your first contact with the child in your practice. But again, when you ask the history questions, they will give us information about ... Let's take that child and let's say we had a baby that had developmental hip dysplasia or some sort of his dysplasia. As that child becomes an early walker, becomes preschool age, is there any type of lower leg deformity that we see when we're doing a gait analysis that might relate to an abnormal intrauterine position, or a early newborn infant type of condition that wasn't appropriately managed. Or it's been in a watch and wait type of situation. So the history always relates to the child. Because it's my opinion that if you leave something, especially orthopedic, over the years in a watch and wait type of process, something will adapt in that child's body to accommodate for the abnormality early on. So maybe that's going to be why this child trips and falls all the time, or doesn't have an appropriate gait, may have balancing types of issues. But everything in my opinion always stems from the very beginning of life to where that child will present within your chiropractic office. So what I'm hearing from you is the old style ... You know in adults we call it rack em and crack em. You know just get em in, adjust something, and move em on out. When it comes to children of any age, it is just as important, if not more important to have a thorough understanding of what transpired before you ever met them. So that you can actually look at the global picture and see what's going on in their life. But not even just now, it's a predictor for the future. And I can understand that. Is that what I understood from you? Absolutely. I mean, Stu, I'm not happy with 80% of the people getting better. I want the 20% that quote on quote don't get better in chiropractic care because I think as a profession we can do better to increase our odds in that 20%. You know the days of like rack em stack em crack em are over. We are so much more than that as a profession. We are extremely well educated, we're good at diagnosis, we're good at exam, we just need to sometimes sharpen up our skills and maybe the areas we feel less competent to handle. You know we're not all going to be specialists in every area of chiropractic, or human anatomy, or human frame, but we need to be the best in the populations that we serve. I want to give you an example of exactly what you're talking about, how I see things that start from early on that progress to older ages of children. So we take a child that, let's say had an intrauterine constraint. Or just let's say the baby was stuck in an awkward position within the mother's womb through the pregnancy. The child's born and the child has a torticollis, which we're all very

Dr. Lora Tanis:

Dr. Stu Hoffman:

Dr. Lora Tanis:

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