Empowering Women in Chiropractic Getting Referrals from OB/GYNs

Welcome to Chiro Secure’s “Empowering Women in Chiropractic”, the Facebook Live show for successful women by successful women, proving once again, women make it happen. Join us each week as we bring you the best in business growth, Practice Management, Social Media Marketing, Networking, Leadership, and lots more. If it’s about women in practice and business, you’ll hear it here. Now join today’s host, Dr. Nicole Lindsey as she talks overhead debt and creating other sources of income. And now here’s Dr Nicole.

Hi, I’m Dr. Nicole Lindsey, founder of Dominate Chiro Marketing, where I connect chiropractors to medical doctors to build their practices. I’m your host of today’s show, Empowering Women In Chiropractic, brought to you by Chiro Secure and as always we want to start off thanking them, because without them we would not be here and we really appreciate them bringing all of this information to you. I am so excited about today’s show. I have a special guest with me today, Doctor Linda Slack. Welcome.

Thank you, Nicole.

Doctor Linda, I’m going to tell you a little bit about her. She comes to us from Massachusetts where she lives and practices and she’s been doing so for 30 years now. She studied prenatal pediatrics. She studied neurology with the ICPA and the Carrick Institute of Neurology. She’s board certified through the Academy of Family Practice, the Council on Chiropractic Pediatrics, the American College of Functional Neurology, the American Board of Children Developmental Disorders. She’s on the board of the ICPA.

She is the Co-founder of the Slack Institute where she teaches advanced post Grad courses to DCs who specialize in Chiropractic pediatric care. Welcome Linda. We’re so, you’re here.

So good to be with you, Nicole.

I’m exhausted after all that [inaudible 00:03:05] was so much.

That’s what 30 years of practice does.

Well, we hope most chiropractors can put that much into it other than their practice. You know, you’ve done a lot for our profession and we appreciate you. So one of the things that you’ve done really well, which as you know, my experience with bridging gaps between medical doctors and chiropractors … is you’ve gained a lot of referrals from OB/GYNs. So you … your husband, you have completed my course. I know you’ve taken some some stuff from that and you’ve learned from that, but tell me, what do you think is one of the most important things to an OB GYN when it comes to building a relationship with a chiropractor?

Well, I think the, the OB/GYNs are very open to what we do compared to a pediatrician for example. And they see a lot of women throughout their pregnancies who have sciatic pain, who have various areas of discomfort, mostly in the lower back, and they just don’t have anything that they can do because in that circumstance, right, they can’t prescribe medication for pain relief like they would if the woman wasn’t pregnant. So they’re so much more open to what we do and it’s just a matter of going out and doing what you teach to meet and greet and find out what their needs are and the referrals … it’s a natural thing after that.

How important do you think educating them is?

100%. It’s essential, because they, just like any other … most other medical doctors in general, they have no clue what we do.

Isn’t that crazy?

Yeah.

Yeah, I have to agree with that. When you’re meeting with them face to face in their offices where they’re comfortable, they will often admit that, you know, that they really had no clue what we do.

Exactly right. And they don’t know if you show them. I have a friend who just went and did a lunch and learn in an OB/GYN office and she took pictures and showed how our tables open up to allow for the belly as it grows so that mom can lay down face down on the table. Things like that. Just simple things that they have no idea what to expect, and it’s a beautiful thing to go into their offices because they’re so open and accepting.

Yeah. Now more than ever. Right?

Yeah, definitely.

With the opioid crisis and all that. Now it seems like you’ve really branded yourself in our profession. I mean you are known as one of the pediatric gurus in our profession. How important do you think this branding of yourself is in your community when it comes to building these relationships with MDs and OB/GYNs?

Yeah. So recently I heard … I have a friend of practices a few towns over and she was saying that really what I have done has laid the groundwork for all the chiropractors in the community, because we are all getting many, many referrals from not only OB/GYNs but from the lactation consultants and the midwives and the doulas. And I’ve gone out and spoken to the mass breastfeeding councils and gone … and I’m on the Board Of Partners In Perinatal Health, which is a big … we hold a big conference for nurses and midwives and doulas every year. So they’re learning and they’ve learned that … what chiropractic is. And they can’t refer them all to me because first of all, distance and you know, people do travel far and wide to come see me, but I can’t see them all. So, that’s part of the reason why I started teaching as well, to teach other doctors in the community how to better take care of children so that they can do a good job.

That’s amazing. You’re doing so much for our profession by doing that, and that’s wonderful. So one of your specialties is taking care of infants and let’s talk about the infant brain and the importance [crosstalk 00:07:29] yeah, and developmental marks and motor milestones.

Okay. So when the infant is working off of what we call the primitive brain or the brain stem, it’s all instinctive, those natural reflexes that we talk about, the primitive reflexes that are so important. When I first started learning pediatrics, I just like let it fly right over my head. And then even … they weren’t on my radar. But now I understand that they set the groundwork for the nervous system to work properly. So as we see infants, we can monitor their progress or their lack of progress or how well their brains functioning by looking at those primitive reflexes initially, when they’re born to see … to make sure that they’re there and working properly, and we see a lot of infants with latching issues. And that could be either part of low tone.

They may have nervous system dysfunction from the birth process. That’s what we talk about all the time. But they, their, those primitive reflexes may not have engaged well. So for example, as an infant goes through the birth canal in a natural normal birth through the vaginal, you know, through the pelvis, some of those reflexes actually activate as the baby’s being born. So what would happen in a C section then?

Right, right.

Right. They don’t get set into emotion. So chiropractic and balancing out that nervous system and clearing any subluxations that are there activates … helps to activate those reflexes as well. And I use it as a monitoring through care. And then after the very first year of life, then we develop from what we call the … we talk about it as the bottom up. So we start through the brain stem up through the mid brain eventually to the cortex and the cortex engages. And from zero to two, the right brain is dominant. That allows the child to get upright and for gross motor control and coordination. And then the left brain becomes dominant between the ages of two to six, where by age six we’re about 100% there with brain development and function.

So you have milestones, you have things to look for in these different areas of the child’s life and development. So this is the kind of stuff that you teach in your courses as well.

Yup.

Okay. So this is good. I don’t remember learning this in chiropractic … they’re not teaching this in schools yet, are they?

I don’t think they’re still teaching. I don’t think they’re teaching it at school. I don’t remember learning it in school, actually.

Okay. So what do these signs mean, if you’re seeing … What are some of the possible early signs of neuro developmental delay?

Yeah, so let’s talk about motor milestones, okay? When the child … so when we’re born and we’re lying down and flat, that we go from lying to what’s the first milestone? Rolling over. And then the infant goes from rolling over to coming up onto all fours and they start to rock and they start to crawl. And they crawl and they go to standing and then walking. But in today’s society, we have all these gadgets that people get at their baby showers, like Bumbo seats.

Right.

Jolly Jumpers.

Jolly Jumpers.

And walkers. And what these contraptions do is they get the parents putting their babies in an upright posture way before their spine’s ready way before their brain is ready for that process. So what happens is the brain then, it may not develop properly through those … from the bottom up, through those stages, and it later on shows up as a neurodevelopmental delay.

Let’s talk about one of the biggest things that we see where see dysfunction happen, is in crawling. So a parent will say, “Oh, Johnny never crawled. He went right to standing and walking. He was so advanced.”

And they’re so proud.

And they’re super proud. Or a parent will come in and say, “Oh yeah, she scoots on her bottom.” So a baby scooting on their bottom is a sign that might tell you that those parents had that infant in a sitting posture way too early and too long each day. And it caused them to go into that scooting posture instead of going crawling. So if they don’t crawl, to me that’s the most important milestone because crawling allows them to begin to cross crawl and begin to be … so it sets them up to form those connections then between the left and right side of the brain. So once the brain’s formulated all through our entire life, we then begin to form neuronal connections from one side of the brain to the other. And that happens through movement. And what’s happening with our children today? How much are they moving?

Not much. Right? My 13 year old’s pretty sedentary.

So they do a lot of … what do they do? They sit around on IPADS, computers, playing video games, et cetera. Right? And that’s not gonna help this. So actually neurons will die if there’s no movement. And then think of it on the other end of life in the elderly people, when we get sedentary too. We retire from our career and a lot of elderly people just sit on their recliner all day and not move their bodies. So movement is the most important thing for the brain, the health of the brain throughout life.

So what would that lead to most likely if you’re seeing these neurodevelopmental delays, or these milestones are being met? Does that mean that the child will have certain disorders?

Yes. So it will lead to what we call a functional disconnection in the brain where the child will have some type of learning disability. So we see today, one in six children have some type of learning delay by the time they get to school. And if we catch these … the development, the neuro development early, like between zero and two with these children, and we can make sure or ensure that it happens correctly, they will get to school and they won’t have those issues. But now it’s really most of the time not picked up until the child enters school.

So, yeah, who’s checking for these? Who’s paying attention to this?

Not the pediatricians, unfortunately. No one is, there’s like occupational therapy. But then again, you wouldn’t engage with an occupational therapist until you’re at the age of school where it would be recommended. So really chiropractors are the only doctors who are looking at these issues and dealing with them and helping parents.

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