familiar with torticollis. The torticollis is not appropriately treated, so it's semi- unresolved. And then what happens? The child winds up getting ear infections on the side of the torticollis because we have this persistent muscle spasm and decreased lymphatic flow on that side. So now we have a child that's taking multiple antibiotics. Then the child may have tubes, may not have tubes, continue to take antibiotics. They start to get a little older, the eustachian tubes change direction, the ear infections aren't as prevalent, and we wind up with sinus infections, or we wind up with mastoiditis. It's because the correction is not taking place, we're just adapting and growing to really have a differing condition based on something that may have started as early as day one for that child. And what is so cool about being a chiropractor is we can see these things when we are educated and aware. Prior, or not even prior, we can say prior to most other health care providers, but most don't even look to connect the dots. And that is something that, to me, that's exciting about what we do. And I love the fact that you bring that to the table in terms of educating the doctors. And we talked about the history now, what about an actual examination? How does that go for you? Examinations. For reference for chiropractors out there that do not have age appropriate exam forms, Dr. Peter Fish, who has written a textbook on pediatric chiropractic. The ICA has access to Dr. Fish's book, but along with that book was a CD too that I have had in my office since the beginning of my pediatric education. And on that CD are exam forms. And they're broken down into age appropriate forms, there's a history form on there, pregnancy form, there's some growth charts on there. But there's a multitude of different forms that the chiropractor who doesn't have forms in their office could access. They can get a copy of this CD, they can purchase it, it's not terribly expensive. But it gives them a starting point to implement exam forms and history forms within their practice. It also helps to organize. I always tell chiropractors, it helps organize your mind. What forms would be appropriate for that age group? You know, are we doing Kemp's test, and SLR on a three week old? Well that's an inappropriate test for that child. But you may very well be able to use that on your 11, 12 year olds with reliability. So there are forms out there that are broken up into age groups that doctors can access. I would recommend something as simple as that implementation. And then just print those forms off, take a look at them, familiarize yourself with the tests that are on there for the different age groups. And those are just really simple things that you can put in your practice. I'm still looking for a really good electronic health record that deals with pediatrics in chiropractic. I've not found one at this point in time so I recommend using paper charting and then just digitally scan that into your patient's chart. And then you can keep your daily notes in your electronic record.
Dr. Stu Hoffman:
Dr. Lora Tanis:
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