Empowering Women in Chiropractic – “The Top Reasons Kids See Chiropractors”

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Hi, everybody. Happy Thursday. Uh,

Third, Thursday of July. I am your party house for today. Monica Berger here. Um, and we’re going to have a little bit of fun. And so before I get started, uh, pop quiz time, I love to do pop quizzes with those docs that I mentor. So if you’re live right now, I want you to type in, do, do, do, do, do, do, do what you think the top let’s go with, uh, about the top two reasons that kiddos, um, come to see you in your chiropractic office. So if you’re out there and you want to do a pop quiz, guess what are the top two reasons you think kiddos present to a chiropractor for boom, boom, boom, boom, boom. Let’s do it. So, um, let’s, uh, my topic today, I’m going to go to some slides and let’s rock and roll. So today we’re going to present the top reasons kids go to see chiropractors.

Hmm. But I’m going to put a little spin on it, um, because I want you amazing chiropractors out there to think outside the box a little bit, because our goal, our goal is always, how can we best help those that we serve right? To help them live the healthiest, happiest most optimal life. So sometimes we need to take a little spin, change the lens a little bit, um, and look just a little bit further outside the box as to how we can achieve those goals. And if we do that, that’s where the magic happens. Because when you are the one to help your, um, your practice members to help your community, that’s where the magic hits, because you will start in what I call an everlasting practice. You really don’t need to be out there searching for new patients, doing spinal screenings, all that kind of stuff, because you get people well and they stay pay and refer.

So let’s think outside the box a little bit. So let’s Jimmy jam to the next slide here. Thank you, ChiroSecure again, without your amazing, um, support and, um, proactiveness for us to get our word out, our message out. We couldn’t, um, be the awesome practitioners that we are. So again, thank you. Tyra ChiroSecure Matt for giving us this platform. Um, and I want to tell you all those of you that, um, no, my sidekick Elizabeth, she’s not here with me today. Uh, she’s at my home. I’m at my office office, but I just want to assure you that Elizabeth has safe sound and secure and happy and healthy. And she is spending some time with my cat Macy today. So, um, why do they, why do kids seek chiropractors top reasons? 65 ish to 85% are for musculoskeletal purposes, mostly neck and back pain, but we want to throw some growing pains into this mix as well.

Only two to five, 6% are being seen for other, um, other reported issues. Uh, lots of times we will see that as colic allergies, eczema, asthma, and your recess. Those are big ones that we see in our profession, but that’s a very small number. So we want to look, we want to hone in today or what I want to hone in today is how to spend our, um, view of musculoskeletal pain. All right. So boom, let’s do it. One thing I want you to keep in mind, this is a really golden Pearl, 50% of kiddos and adolescents experienced low back pain within a course of a year. But third, a third of these will experience recurring pain. Keep that in mind. Okay. So they present to you initially, but a third there’s a third of your patient base can go on to have recurrent pain.

We’re going to talk about that in a minute. All right. Then low back pain in adolescents seems to track into adulthood. There’s a great presented is higher predictive value that an adolescent presenting with low back pain, it will follow them into adulthood. And guess what guess what is the number one disability in the world is low back pain, all right, headaches and neck pain, also follow adolescents into their adult years. So keep this in mind because what you want to do is you want to give that message to your parents that, Hey, these are common things we see caring in adulthood. Wouldn’t you like to minimize that? Wouldn’t you like to minimize the chance of your child later on suffering from the number one cause of disability in the world, lower back pain or ongoing headaches. So keep this in mind. These are key talking points, which we’re going to talk about how to pap size on these at the end of my little blurb here.

So, um, this, I found very interesting. There’s an overall wellness form. They refer to as this SF 36. And basically, what is this a questionnaire form where they look at pains, you know, what’s your pain factor. Um, how does it interfere with your daily life? How does it interfere socially? How does it interfere emotionally? And they found that chiropractic patients has significantly worse overall health and that chiropractic patients back and neck pain patients, musculoskeletal patients, overall chiropractic patients seem to have poor mental health. And I want you to keep this in mind for a minute because we’re going to tie all this together and how you can use these as talking points in your practice to build that stay, pay, refer everlasting practice and how to look outside the box here. But, um, what was also very interesting was that the health attitudes and belief of chiropractors, um, is, um, parents were overall more satisfied with the care chiropractors and they S their belief systems seem to resonate with chiropractors.

So again, I think a good point here to think about is attracting those patient base. That ha that resignate with our values, because that is, um, that is so much less of a stressful type of practice when, when they resonate with your values. So let’s create that practice for you, that, that one that resonates you resonate with your patient base. Um, and you have a stay pay, refer, automatic practice, building a machine where you have fun in your practice. So it was figured out how to do that. So let’s look at those top two, um, musculoskeletal pain, neck back, painless, let’s go there, um, and headaches, and look at them through a little, through a bird’s eye view, a different lens. What’s the definition of insanity, doing the same thing over and over again, and expecting a different result. So what you want to do is you want to spin your approach so that it’s not, if you’re continually adjusting and they’re continually having the same complaints, this doesn’t just go for your pediatric population.

This goes across the board, I’ll get across all ages and stages. What different lens might you want to look through to add, to change, to tweak that might be that thing to put them over threshold. And you’ll actually be oftentimes the only one that has been able to figure them out and to solve their problem. And that’s when you get that constant referral base. Right? Okay. So what do we want to look at? Um, I love this little mouse dude. When I was thinking, after what, as I said, I should’ve put a Lizabeth on a little leaf like that in her diaper, and that would have been a great picture. So I’ll have to remember that for you, because she does miss when she doesn’t get to see off. So let’s build an everlasting practice first about let’s look at a different lens. When you’re thinking about when they’re presenting for these musculoskeletal issues, what’s driving the pain. What’s the underlying roots sports can be one of them. Okay. So we might ask that question about what are their, are they playing sports and they’re getting hurt, but here’s what thing I want you to spin on what I’d love to ask this question. What sports are they playing? Or what sports do they like to play?

And then I also like to ask, are they good at that sport? I don’t ask this in front of the kiddos because you don’t want to shatter their self-esteem if they enjoy a sport, but they’re not necessarily good at that sport. But what I want to know is what sports do they like? Do they like heavy impact sports? The ones that tend to give us more injuries, chronic injuries like football or wrestling, because if they like those heavier impact sports versus a basketball or golf or something like that, that could be telling me that they are seeking, um, proprioceptive input. They want that stimulation to the joints and muscles. Last month, we talked about the power of proprioception, go back and listen to that. They’ll give you some cues on, on what to, what to look for here. So what kind of sports they like?

So again, those are heavier impact sports that lead to more chronic injuries that maybe we can give them some intervening exercises like, um, Superman’s or pastoral promoting exercises that are going to ha enhance their appropriate set their chronic input proprioceptive input to the brain that is more calm for them. They might not seek out behavioral patterns. My second point here is behavioral patterns. Do they like to jump on couches a lot? Do they like to crash into, um, chairs? Do they like to jump on the trampoline? They’re chronically coming into your office because they’re getting hurt because they like these aggressive behaviors. Their brain is seeking out this input. If you can provide that input in a less destructive manner, foster that input to their brain, not only are they going to get that, that propioceptive input into the brain, that input is going to help, um, fire, spinal stabilization, muscles, and joints so that they will hold their adjustment longer.

Bingo. Parents don’t have time these days. They can’t be running all over the place. You we know that people are lacking time. You create a, um, a program, a management plan that helps them foster maintaining that correct of subluxation longer. They don’t have to come in as often. They love you. Now with that said, you also want to look at, Hey, I want to charge a good value for my service, my normal fee for service, because they don’t have to come in as long, but they’re referring all their friends to you because boom, Hey Dr. Joe’s got it going on. Gave me a couple of exercises for Joey to do. They’re holding their adjustment better. Their behavior patterns are better. You got to go see Dr. Joe, because I know you’re having to go five times a week to get your son or daughter adjusted all the time.

And maybe Dr. Joe can help you get a better pattern, a better regimen. Do they have a need for speed? Number three on my list here. Um, are they getting hurt a lot? Are they coming into your office? Because they’re adrenaline seekers, they’re adrenaline junkies. They have to do activities that they’re always jumping off of things. They’re tumbling all the time. They’re doing those dives, they’re spinning around and then they’re fall. Are they, uh, need a general adrenaline junkies that is usually they are seeking sensory input in to their brain in order for them to, um, be able to navigate in their environment. Now there’s a lot of, um, continuing ed courses and higher level courses on all this neurology stuff. Um, and if you want to learn a little bit more that I suggest you seek some of those out, but these are patterns we look for.

Why are they in an office all the time? Okay. And how can we maybe take a different lens? Give them one or two extra things to think about, hold the adjustment, better, less musculoskeletal pain, bam, hitting a home run. Are they clumsy? Not coordinated? Are they falling all the time? Again? They don’t know where they are in space. They don’t have that sensory input into, into their CNS to know where they are in space of they’re falling down all the time. Okay. Things to think about for musculoskeletal pain. The other thing is when we talk about growing pain, um, oftentimes think about, okay, remember, the long bones are growing. They’re growing fast, the soft tissues can’t adapt fast enough. And that gives us pain. What can help? So support ligamentous and soft tissue growth and repair and inflammation, things like iron zinc, magnesium. These are big key micronutrients that you can add a little bit of that in bam again.

Wow. Dr. Joe, you’re amazing. I took them to the pediatrician. I took them to the acupuncturist and they got a little temporary relief, but I didn’t, that end was golden. Think outside the box. Okay. Um, and a lot of kiddos are being, are coming to our offices for quote unquote growing pains. So those are some things I want you to think about with regard to our musculoskeletal. Again, 65, 85 percentage of kiddos are presenting for musculoskeletal pain to chiropractors. Um, but let’s not, you know, again, um, repeat and expect a different outcome. Let’s maybe think outside the box a little bit. So, but let’s look at headaches for a technology. Of course, technology used in two manners, not just our pasture down on technology, but the visual processing, um, strain can be an issue for headaches. There’s these things called pinhole glasses. There are these, there are these glasses that can put out and they literally looked like somebody took a pen and punched hundreds of pinholes in each lens, but it helps filter out some of the strain from computer use.

I have been using this a lot with kiddos this last year, because they were on computer so much for homeschool for a school in general, because the COVID thing and that decreases some of the strain. Those are for kids with visual processing issues and strain on the eyes. So again, we can adjust them till the cows come home, but if you have one or two golden Pearl nuggets that that help, um, put them over to that next level, it is hands down creating a waiting list. Everlasting practice. I have a year waiting list in my practice, right? Foods is another thing you need to think of foods. I was in migraine supper, all my life, growing up into my thirties, turns out, um, my gut was not so great. And we know, you know, gut is a second brain. So I want you to think about triggers, do a little research.

They come into you, your TBI patients in particular, your post-concussion patients, their threshold is down. Their adaptability threshold is down. So they, you might have to take some of the load off of them. This can, this can hang you up. Lots of times. Um, they, they present more frequently with headaches and we think, oh my gosh, you know, do we need to get another MRI or cat scan or what’s going on to dig a little bit? When do their headaches come on brand? Since I had a patient teen, his, uh, post extreme traumatic injuries, um, one of the worst head injuries I’ve had to manage, he was doing great, but around Christmas time, his headaches started to ramp up. Something is stressed. So we know we went through it and then I sat down with them and ask him it’s Christmas time. What happens around Christmas time, more junk food, more goodies is more cookies and candy and all that stuff.

He was loading up on sugar. And usually when you have the sugar, you’re going to have dyes, dairy, and gluten, all massive triggers for headaches. We, we, less than that, I said for a week, I want you to be on your toes for a week. And let’s see came back the next week, zero headaches during that week. So I want you to think about these things. What does it mean? They don’t need the adjustment? Absolutely not, but it just means that you need to think outside the box, because if they’re coming in repetitively and you’re not getting long-term results, they might hijack you and say, I’m out. Oh, here. Okay. Again, think outside the box. What do most kiddos eat these days? Take a box, Mac and cheese, and look at the ingredients. It’s a chemical crap storm in there. A lot of these chemicals, R M M what have MSG in them, even though they say no MSG MSG, this is a big red flag note for you.

MSG many different names. I encourage you to go to a site called M S G myth, M S G myth, M Y T h.com and pull it down information from there, from there to give us a handout to your practice members of all the different names that MSG can be at is an, a huge headache, trigger allergies, sinuses, um, this time of year. And particularly again, their headaches can go up because they’re, the threshold is down there. Adaptability is down. But some key things to think of is look at things like does their eczema increase ads? Like we should show that two to 6% of kiddish coming in for things like allergies, eczema, and your recess like that cluster of things. Um, but is in that, in that bucket as well, do their, does their increase this time a year, their threshold might be down because of more histamines, more allergies, more mass cells going on.

Um, and you know, then they can’t tolerate the foods they’ve been eating and their headaches go up. But the other thing to look for besides skin issues is look for bags or dark circles under their eyes. We call those allergic shiners. That is a red flag for you that, okay. They may have some allergies, whether that be seasonal allergies tipped the scale. Seasonal allergies are the only thing you have to worry about or seasonal allergies in associated with food intolerances or food allergies was enough to tip the scales and we have more headaches. Okay. The other thing I throw in here is sleep apnea. We’re having a lot bigger, a lot more prevalent issues with obstructive airway issues and sleep apnea, even in babies, they’re they, they’re putting more babies on CPAP machines. I’m not making it up, not kidding, but things I need you to think about here are GERD or reflux because of gut issues and food allergies and, um, tongue and lip ties, tethered oral tissue tissues.

Those are big ones with sleep apnea, and that is, is highly associated with headaches. So I just want you to think a few things outside the box, um, of it, especially those top kiddos that, that are having to come to you frequently to try to keep their pain and their headaches level. Okay. So again, build your everlasting practice. Look at a little different lens at take a few foods away. Are there, are there headaches coming? Um, every time they have pizza, pizza’s a crap storm, right? You’ve got gluten, you’ve got dairy and you’ve got fake cheese with a lot of yellow dye in it. Is there a pattern to their headaches? Maybe we need to stop those foods. Maybe we need to look at some probiotics. Okay. Think outside the box. Oh, so the other thing I want you to look at is tying this together.

So all the things I just talked about, especially the gut and food stuff is really associated with neurological conditions like ADHD. But this was a cool paper that I just pulled down earlier this week, I think. But how do we take our message from musculoskeletal, from pain to brain? That is the big thing in our profession right now, which is amazing and awesome. But this particular paper, they looked at, um, eight key disorders or diseases, by the way, I’m backtracking I’m I’m, uh, going back a sidebar here. We remember we don’t treat any conditions, right? So with that to the 6% that shown to come in for allergies, eczema, call it in your recess so forth. We do not treat those conditions. Remember that, right? We just, we, not just, but we remove subluxations. We allow the body to process neurological information more efficiently, and thus by the wayside, we see these amazing side effects of their car gets better or whatever we’re talking about.

Okay. So again, we don’t put a condition up on our website that we treat that condition, but, but I want to try to tie this together for you. This paper, it looked at ADHD with eight and these were four key association diseases that was highly associated with ADHD, nervous system diseases. That’s a no brainer, right? ADHD, ADHD is poor processing of your environment, processing of information, um, respiratory issues. Now hold onto that one for just a minute when we get to our last slide, but, but respiratory issues think about, um, subluxation patterns and tight muscles had not been able to expand your rib cage. All right. And musculoskeletal issues are, were associated with ADHD. How can that happen? How can that be? All right. I’m going to try to make this as easy as possible cause my brain can get crazy brain, go down some really crazy rabbit holes.

Here’s the deal guys. We know that poor processing of our sensory input. I just talked about proprioception. I should’ve thrown vestibular information into there too, because those kiddos that are adrenaline junkies and running all the time might have the stipular issues that they’re trying to feed to their brain. That can also really be associate with headaches too, by the way. But those are two key sensory systems that we know feed information to the brain, particularly the important part of our brain called the prefrontal cortex. So here’s your tie in together? Prefrontal cortex from part of your brain up here is highly associated with ADHD, inattentive illness. Okay. That part of the brain is going to fire down information to the small muscles that stabilize the spine. If those aren’t onboard and they’re not sending information down, I’m to have more spinal instability and more musculoskeletal pain.

Okay. We know that chiropractic care has been found to be very beneficial in helping with attention. And then we know from a lot of the neuroscience research, primarily added a New Zealand chiropractic college and Dr. Heidi Hubbuch that when we do an adjustment, we affect prompt sensory motor processing of the prefrontal cortex. All right. So stands to reason, musculoskeletal pain, nervous system dysfunction associated with ADHD, which is associated with that prefrontal cortex, which is associated with fine muscle control and spinal stability stability, which has been shown to enhance processing in that area of the brain with a chiropractic adjustment, boom, learn that lingo pivot your practice from pain. So they might come in with muscle still skeletal pain to start with, but you understand the connection and how we can explain this to our parents. And also that we don’t want, we know that ADHD is hugely carried over into adulthood.

We know now you just learned a few minutes ago that musculoskeletal pain is carried over into adulthood. Those two links make that’s a big connection for you right there. So how can we educate our, um, practice base? Let’s talk about that. We can do, I call them patient prompting questions. So I just did a kind of a sample here for you. Um, I have these, you can put these amazing graphics and these questions on a beautiful eight and a half by 11 piece of paper. Um, make them make them pretty pretty and put them up around your office. I put them on the back of my treatment door. So as they’re walking out, they see them on the back of the bath or front and back of your bathroom door in a display, um, a document display at your front desk. So you have a campaign for a month or a week or whatever you want to do.

And you have these different questions around your office to prompt your compactors community, to ask you, what are you talking about, doc? So this one is, did you know that many musculoskeletal findings have been reported in children with ADHD, including postural anomalies, chronic fatigue and widespread musculoskeletal pain, let’s go still to pain. Well, I know my kiddo has a hard time paying attention in school and, and he carries his backpack. That’s heavy and he’s always complaining that his back hurts. Hey, could that, do you think you could help me? There’s your, there’s your door? There’s your, there is your educational Dorin. Shoo-in whatever you call it. She went to the door and whatever. Okay. So what I’m saying is let’s pivot your, um, practice and the way you present and get them thinking outside of the box. Yeah. Most schools still go to issues. And does your kid on the computer like that all the time and was your kiddo at home during COVID humped over a computer all the time.

Yeah. So get him in front of just check them out. Let’s see. Let’s see if there could be an issue here. All right. So another one we might think of as we, as we’re changing the conversation in our office, um, would be, um, a nice, again, a nice graphic. All right. And you can have either one message, one question a week or a month, or you can have multiple ones on the same topic. Um, but just different questions. Depends what floats your boat, right? So did you know that low back pain and adolescent seems to track into adulthood and as a predictor for later, low back pain and low back pain is a number one cause of disability in the world. People don’t want their kiddos predisposed to the number one disability to late on not being able to ha ha hold down a job, let them know that you can offshoot on this.

And maybe a subsequent message. A subsequent did, you know, was focused on painkillers. Tylenol. Tylenol is horrible. Tylenol wipes out a thing. Our master axon antioxidant called Lumify on which leads to a whole host of issues, which is associated with asthma and autism. So see what I’m saying is you can take a message like this, and you don’t want kiddos on pain pills all the time on opioids. Let’s get them checked. And then you, you set them on a schedule. Maybe it’s whatever your maintenance wellness is. Once a month, twice a month, once every six weeks, depending on the kiddo, you give them some exercises for spinal stability and enhanced proprioception, maybe check their balance. Is there a vestibular system struggling? And we need to add some balance in. So they’re not spinning around getting hurt all the time or clumsy and falling over. You tweak a little bit.

You teach them about some food. Bam, you get that child over the threshold, stay, pay, refer. You’re going to build a practice. They’re going to be busier than ever get these messages into your office. Change your tune, change your tone, get that true chiropractic message out to your audience. Um, so hopefully this was helpful for you and, um, make the connection. So then to wrap it up here, this was from Dr. Heidi, Haavik her website’s there. Okay. So I just want to acknowledge that this is her graphic. She allows me to use them, but I also would encourage you to go to her website, tons of information there, but look at this, making the connections. If for some reason you develop a bad habit, a poor posture, you or your kiddo, it can inevitably affect your breathing patterns. So here’s a trick you can do.

You tell your, your parents, your kiddos, your teachers go to a classroom and do this. I want you to slump down like you’re at a computer and try to take a deep breath in everybody. You guys do it right now. Try to expand your rib. Cage is slumped over. You can’t expand. Okay? But if you sit up tall and you try to take a deep breath, you can expand your rib cage and get good air and oxygen to the brain. You need that to concentrate. All right, you need it to learn for learning attention behavior. Make those connections, have those graphics up in your office. Use those graphics on your social media, pivot your practice, create an everlasting practice. And most importantly, change a life. Change their function. Get them to the optimal wellbeing. So, boom. Hopefully you got some good pearls out of this.

I’m leaving it there again. Thank you ChiroSecure for giving us this platform, getting our message out. Erik Kowalke will be with you. Oh my gosh. We’re going to be in August already. Holy cow. Um, Eric walkie will be with you the first Thursday in August. I’ll be with you the third Thursday. And you know what? I think we’re going to tackle the car seat, colic and chiropractic car seat, collagen chiropractic. I’ll try to have Elizabeth with me then until then you guys have an amazing summer keep changing lives. And um, God bless you. All

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Empowering Women in Chiropractic _ “How to Connect with the Sensory Defensive Child” Monika Buerger

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Hello and welcome to another amazing ChiroSecure Look to the Children’s show. I am your host today, Dr. Monika Buerger. And I am super stoked to bring you this information because we’re getting a lot of questions out there about how do I work with that? A little fiddle, fart that is, um, and crazy chaos, and then like a sensory storm to get that amazing adjustment. So I want to bring you some tools and tidbits on that. Um, so let’s head on over to a little slideshow that I put together for you and let’s rock and roll. First of all, um, I want to thank Kairos pure again for giving us this amazing platform and being so, um, great for our profession and everything you do for us. Kara secure, thank you so much. And they have your back. If you want to work with these little fiddle farts.

So here we go. Um, so a child’s neuro expressive behavior, or anybody’s neuro expressive behavior is really a window into their neurological integrity. So we have to take what they are telling us when they’re in our offices in particular. And what does that mean? Sometimes we can get frustrated, um, because they are a little bit difficult or challenging to work with, but we have to understand where they’re coming from and that’s what we want to try to do today. So I want to get, actually today, I want to focus on what are some things we can do to calm the storm, calm the chaos that’s going on in their brain to get that adjustment. And then next month we’ll poke our heads into what does certain behaviors mean? That sounds like a plan. So neurological signs and symptoms are merely a sequella of brain dysfunction, not the cause of it.

So what are the signs and symptoms mean? So, one thing I wanted to do is, again, we want to adjust into calm, not chaos and in today’s world, there’s a lot of not, not just your little fiddle, thoughts are coming in and chaos, but your adults as well. So how can we minimize that for anybody in our practices to maximize the effect of the adjustment? All right. A lot of these kiddos that are in sensory chaos, uh, in a sensory storm are coming in with their brains in chaos. So we’d like to calm them down in order for their nervous system, to be able to even accept that adjustment. And how do we do that? What’s the magic bullet. I mean, give you a few magic bullets, actually. So first of all, what I want to do, I’m giving you a bit of homework. I want you to go your offices. And when do this in two different spaces, one when nobody’s there, maybe just your staff.

So walk into

Your office through the front door, not the back door, if you tend to come in through the back door, but through the front door, um, on any given day when your staff is there, the lights are on just like, it would be a normal functioning day, but no patients there. And I want you to stop look and listen. When you walk into the office, what is it? What does it sound like? What does it feel like? Um, do you normally have the radio on and is it blasting, uh, do you have a video playing? What are the, what are the lights like? Um, is it dim and calm? Is it bright and, and, um, blaring take, just stop, look and listen. What it feels like in your office, expecially, from a standpoint of individuals that, um, get into sensory chaos very easily, then do that on another day.

Maybe you have to slip out the back door to go in the front door when patients are in there, because put yourself in their brain. By the time they get back to your office, are they in a ready as sensory defensive mode? Is it too bright, too light, too much noise, too much sound. And by the time they get back to you, they’re, they’re hunkered down and they are trying to defend themselves against all this chaos. That’s not going to be the child that you’re going to be able to connect with and, um, and, and, and adjust. Okay. So stop look and listen. Um, couple of tips on that waterfalls. I have a wall mounted ticket for me, wall-mounted waterfall, um, desktop and so forth. Those little fiddle parts can, can climb up into your, on your front desk or on a, on a table or something and get into a little bit of trouble with those.

So wall mounted where it’s higher, it’s safer, but, um, co noise, uh, water is calming. It’s soothing. If at all possible, switching out your lights, fluorescent lighting has a buzz to it and can flicker. And that can be, um, over stimulating for your PTSD patients for your post concussion patients for you, a little bit of arts with sensory dysregulation and like your autism spectrum. They see that flicker and they hear the buzz, which we may not, but they do. And that can be very, um, sensory disturbing to them. So look at your lighting, if you can switch them out for incandescent lighting, and that can be very helpful or turn the lights off and use just natural lighting through windows, but figure out a way around that they do have, um, covers for if you have the fluorescent panels, they do have a variety of covers that you can put over the lighting over those panels to, um, calm the, um, calm the visual storm from those fluorescent lighting and get them on Amazon.

So just again, um, maybe the, the, your telephones have them on a lower ring tone. So when the, when the calls are coming in, cause you’re a busier than heck it’s not allowed ring had maybe some rocking chairs with where those with vestibular needs can sit and rock and calm before they get back to you. Just little considerations like that can really help. Um, now for your kiddos, I want to show you a couple of things that I do in my office. You can do them, you can have your CA do them. You can have parents do them. You can do this from across all ages and all stages. I just happened to in those videos, be working with in this case, Elizabeth, who usually joins me and Elizabeth is in my suitcase right now. Don’t don’t, uh, don’t call, uh, child protective services on me.

I was traveling and I brought Elizabeth with me. So it’s usually, sometimes she shows up on the show, but she’s in the video here. So you can use on babies, on your post-stroke, your post-concussion again, across all ages, all stages, but these are very calming. Proprioception is, um, very calming to the nervous system. It’s grounding, it’s calming. So your kiddos that might be sensory defensive. They don’t want to be touched. They pull your hands or push your hands away. They are running around like tornado. Kids will give you something a little bit different for the tornado kids, but, um, they’re very sensory defensive. This can be very grounding and calming to them so that you can get your hands on them and do an adjustment.

Okay? So for some extra proprioception, what we can do is what I call lateral stretches. You’re going to just start opposite arm, opposite leg and gently traction and hold for like 10 to 20 seconds. And then you’ll do the opposite side and then I’ll do same side. This just helps with what we call body positional awareness and proprioception, but knowing we have two sides of the body, um, and then it gives some proprioception as well. So you do that. And then if you have an extra person on hand, one would do the arms and one would do the legs the same time, um, like, uh, you know, the quarter four seat kind of thing. So that is, um, ladder out of these stretches or bilateral, um, awareness or, and, or avoid positional awareness, knowing if both sides of body as well as some from reception.

Okay. So again, um, this is great to, um, foster optimal nerd brain development, right side left side brain, body, body brain connection. Um, but again, it can be very, very calming for those that are sensory defensive. Um, or you can just do some deep joint com. You can do that and then do some deep joint compression, just compress all the way up the arms and legs and squeeze my, some of my kiddos call them squeezies. Um, but that will calm them in order to get the adjustment you can use. Um, also use like weighted blankets. So I, I practice Gonstead. So I will on the older kiddos do, um, see the cervicals. So I made put a blanket, a weighted blanket over their lap. Of course, if you do supine, or if you’re doing cranial work, having a weighted blanket rule of thumb is about 10% of the body weight of the, of the individual that can be very grounding and they would just lay there and let you work on it.

So our ultimate goal is always to get that life changing adjustment. And I want to give you tips on how to do that. So that’s why we’re here today. So the other thing you can do now, I get these little sensory brushes on Amazon. Um, I give them out actually to, uh, my pregnant mamas or once the, the little ones born to do this, to foster optimal neurodevelopment sensory input, um, to, to, for, for, uh, proactive purposes. But again, if you had that tactile sense of kiddo that, um, is you’d go to touch, especially cervical spine, you start to touch them and they just push your hands away. Um, this is a good, good tool to use. Sometimes if they’re older, I might have them sitting up in mom’s lap and, um, I will just do their arms or legs. And then after I’m done doing this, I will let them hold that sensory brush in their hands as I adjust them or do cranial work. It’s just continuing that stimulus that is calming for them. So Amazon, you can get them by the dozen. Um, I tell some docs, you can, even if you want to give them out, get a sticker of your office logo and name on it and put the little sticker inside the brush handle right in here, um, right inside there. And then it’s got your office logo and so forth on it. Um, so their friends can see, Hey, look at my chiropractor gave me great PR for you. So let’s take a look at this.

What I show you here is it can use for may facets one or calming, get the settle down, particularly before you’re doing Jessica. Cause that’s the ultimate thing, right? It’s getting them awesome, lifesaving adjustment, but I also use it to enhance the sensory, give this for parents to do it at home, especially for the self little parts that aren’t meeting their Maura milestones are leading me to go to language milestones. Um, because we know that motor development fosters language development. So we want to do this, not just the parts that are showing average neuro development, but to foster an optimal mode about it. So we can do different things. We can use a brush, second brush, Amazon, okay. Rule of thumb. You put another pressure. So you slightly bend the bristles or you can use, I usually use a smaller ball in that. I just don’t have that here right now.

I house, um, a little massage at home. And what you can do is you can go start, um, from the Palm, preferably open Palm, um, on one arm and we can come on and just stroke. And then you go down the leg and then he would do the other side. Now this is going to help that we call that around knowing right from left, which is a key core, fundamental step for body position awareness, proprioception, visual, motor visual, spatial development. And then we go across the body. We go one arm across the leg. Okay. And then I would do get a smaller ball and I would do so you give me it’s different sensory sensations, prayerfully, Nudie oriented diaper. Okay. So you’re going to go one side of the body, the other side of the body. And this is for all ages. Now, this is really great for your little, little parts that don’t know, right from lap.

Let’s say they’re five or six years old, and you want to foster ladder reality knowing right from left. Um, this could be an issue with kiddos with dyslexia and it’s just crossing the midline. So, um, again, we do the same side, same side, cross lateral hostile, different textures. Um, I also also, um, advocate a lot of tummy time nudity, you know, getting a lot of sensations. I’m getting them up on a boppy. You can do it again on the posterior side. Um, and so these are some good techniques that we should all be mindful of in order to foster offer neuro development, but also intervene if you see average motor and sensory velvet.

So there you have it again, this is, I give this to parents to do at home because it can help, um, foster that sensory defensive, get them out of that sensory defensive mode. But I do this in the office as well, um, in order to calm their nervous system and ultimately get that good adjustment. So it takes you, you know, in a minute or two, you can do that. And then usually they’re so relaxed that they’ll just like, okay, you can get that adjustment done. So you can do this on the move too. So some of those kids that are in that tornado storm, I’ll show you something else here. Um, this one is actually, I think we’ll do it. We’ll do it from bad. We’ll do this one on here. So this is, um, one of my older autistic kiddos that was, that was diagnosed on the autism spectrum, but, um, has come a long way.

And so I have her supine right here and you see how I kind of modify things. Um, this, I call the cranial nerve integration and I cannot tell you how many docs when I met lectures and I give this, I’ll get, uh, an email or message back that, Oh my gosh, this has saved the day. So many times for so many kiddos. So we’ll look at a supine here and then we’ll look at it how you can modify it again. It’s chiropractic on the move. A lot of times we have to adapt our body and our responses to there’s. One thing is we don’t ever want to seem bigger than they are. So for instance, like if they don’t like eye contact, don’t force them to make eye contact with you. Um, if I match their, um, their, their tone as well, some kids want me to speak a lot louder and they want me to be silly and some kids that’s too sensory overwhelming.

So I will calm myself down. So learn how to match their sensory cues if they’re covering their ears a lot. Um, and, and you notice they’re sensitive to noises and you close the door and they’re startled, bring things down a little bit. Okay. Um, if they tend to talk louder, um, you know, you, you might be able to bring your volume up, um, get down on their level, get on the floor with them, match them at their, their body posture, their body, you know, they’re, they’re smaller and they’re crouching down. You make yourself smaller match their, um, their specific needs. Uh, then you gain their trust and then you can start to do things like this.

So this is the cranial and, and integration had procedure. This is to help calm kiddos down. Um, the premise is to what we call it, drive the cranial nerves home, but it’s very calm and relaxing. And sometimes they do this before. Um, trying to Jessica that’s put it in their shoulders layers or bat your hands away. So you’re going to put your start with one hand right here and put it on the forehead. And you’re just going to do a sweep down to the back of that, that as a premise that you’re taking here and driving home the brainstem. So you’re going to do two passes like that, and you can do this lying down or seated or any way to get them do that. Then you’re gonna start at the forehead and have you use it for me. So when you show the people how to do this, can you relate still there, sit up. I’m going to start at the forehead and go up over the years and drive them home. Or you’re asleep that cheeks up the, that chin and get all the long term up over the years and down the back of the neck, driving home, you’re going to two houses here, two houses, and then you’re going to take all three fingers. You have a shin cheeks, forehead, chin, cheeks, or head and drive in home. Okay. And that’s a crayon of friction.

That one is amazing. You guys, um, you can do this on the move and it just sets the tone, especially if you want to get a good cervical adjustment. So again, tools, tricks, tidbits, um, ultimately to get that gold, you’ll see here on this one, how I do this, I combine what I call the respiratory diaphragm. The respiratory diaphragm is, um, think of the Vegas nerve. It comes from the brainstem down at branches out underneath the diaphragm. And it branches out to, um, all the visceral, the neurovisceral sensations, which is a big sensory, um, organism as it is. So, um, that where it branches out underneath the diaphragm is so incredibly powerful. So I’m going to show you how I combine a respiratory diaphragm hold and the cranial nerve integration that the little fiddle fart, we’ll all look at this video on the left here, this little guy, um, very, very sensitive defensive. When he comes in, like I couldn’t even touch his skin. So I worked with them and you’ll see at the end, I was actually able to get my hands skin to skin. And then after that, I was able to get him up on my pelvic bench and adjust them. And he was cool beans cafe. So I just want to show you that and we’ll do a combo.

What can you see at books and front? They’ll try you see snake snake. Now what you can do is again, the cranial nerve integration, swipe white over the eyes, down to the brainstem cheeks down, chin up around them. Do that twice, keep him entertained. He was a handful. I could not catch him at all. And I just go with this and then you can go back to the respiratory diaphragm earlier when he was pulling my hands away. And I had to put a shirt down, put my hands over his shirt, and then he could tolerate it again. Now I’m skin to,

So what it is as you see this picture right here, this is where the little guy supine, and basically what you’re doing is your hands are parallel between, um, the under ones under, um, the last few ribs, depending on the size of the child, right? Sometimes your whole hand takes up the whole cavity. So one’s going to be underneath and one’s going to be over that, um, the diaphragm area. And you just pretend like here, you just pretend like there’s a water balloon between your hands. Don’t overthink it, get your left brain out, go right, brain, close your eyes if you have to. Um, but just pretend there’s a water balloon there. A lot of times I’ll close my eyes and it’s pit, you’re just resting very lightly, like the pressure of, um, uh, really ripe tomato or the pressure you would put on your eyeball eyelid.

Um, and let your hands just pivot and move as the body wants to two to five minutes is kind of the key time, um, used to be two, two minutes and they see that five minutes that myofascial release releases better. That Paschal release better after five minutes, the tissues warm up more, and then you always want to end your hands where they’re parallel. Um, but that w it ha that’ll help with that bagel tone and calming, and again, get them calm. Then sometimes what I’ll do is I’ll, while I’m doing it, or afterwards, I’ll hand them a sensory brush and they can brush themselves, or they just like to feel it and bam begin and then get the adjustment. And that’s what it’s all about. So these are great tips and tidbits, um, to ultimately get that optimal adjustment. So I want to leave you with one, um, what I call a whiteboard wisdom, kind of pulling this all together and then, um, go out and just practice.

Don’t overthink it. Um, on your cranial nerve integration, respiratory diaphragm, you can do those. You can put toys on the pelvic bench and let them cruise along the pelvic bench. As you’re moving along with them. Um, have a mom mom’s lap. Um, I’ve done it in the waiting room with really sensory defensive kids that don’t want to come down the hallway. They don’t trust me yet. And you might have to do this the first half a dozen visits in your office until that little fiddle fart gets to know your office, what it feels like, what it smells like. Um, don’t have burning candles and all those things to, they feel safe in your environment. And I’ve actually come out to the waiting room and that’s all we’ve done for the first four to six visits. And then they trust me and then they’ll come down the hallway into an adjusting room. So, um, don’t take offense to it. They’re just really expressing their, their neural storm, their sensory storm in their brain. So let’s chill, chill with this real

Quick,

A sensory defensive child.

Our sensory experiences will shape the way we respond to our environment and well, everything in life. Really, in fact, we have eight different kinds of sensory input into our brain. Five of these senses come from outside of our own body. They are taste, touch, smell, auditory and visual three senses come from within our body. Those are vestibular proprioception, and interoception now for some people, certain sensory information can be too much or too little. This causes an imbalance of information within the brain and body and can lead to an overwhelming sense of insecurity, sensory information that is too much. It’s like a little cup of caffeinated coffee. It fills up too fast and souls over in this situation, the brain can be on hyperdrive with too much information bouncing around, but nothing is organized or making sense or sensory information can be like a very bigger cup of decaffeinated coffee that will never reach the top.

In this situation, the brain will not be getting enough sensory input like being on hypo drive, making it hard to know what’s really going on in the person’s external environment and within their body, either one of these scenarios will lead to anxiety, fear, and a maladaptive response to the world. Now for the doctor of chiropractic, it is important to understand that a child’s behavior is a window into their neurological integrity and a window into their ability to regulate and organized sensory input into the brain. Here are some simple steps that can help chiropractors working with children to better connect with the child in order to better serve them through chiropractic care parks, pause, stop talking, suck charting notes, stop everything, and take a quiet minute to just observe the child. Second ponder. What is the child’s behavior telling you about how they are perceiving and adapting to their environment?

Third proceed. Once you understand what sensory input the child is trying to screen out or trying to upload, you can proceed with ways to provide them with what they are innately, trying to find. And once you’ve done the three PS, you can to three seeds first call help the child regulate their nervous system based on their needs. If they are hypersensitive, decrease their sensory load by such things as turning down, lights, lowering your voice and avoiding eye contact, deep pressure to the joints and muscles can provide appropriate susceptive input, which will also help screen out other unwanted sensory input. Now for those high boat, sensory children providing a little vestibular and proprioceptive input can help regulate the sensory chaos in their brain and help them call once the child’s sensory needs are met. Find ways to connect with them through touch words, or play a chance to feel safe, understood, and excepted. Third chiropractic once a child’s defensive system is lower and their nervous system is ready to accept input. You can proceed with a life-changing chiropractic adjustment. Now it may take a few visits before this is possible, but setting the stage with the three days and the three C’s will be goal to learn more about how to best serve children with sensory and other neurodevelopmental challenges. Join the intersection for life movements, intersect for life changing lives, changing the future.

Let me have it three PS, three CS, um, easy to remember, just start practicing with it. Um, once you, once you do it more, you get more comfortable and, um, maybe just try the cranium live integration, and then do the ladder alleys stretches and then combine them. But, um, again, our mission is to ultimately get that life-changing adjustment. And I hope that you got a few pearls to add your Pearl necklace, to, um, add to your, to your, uh, patients and help them receive that ultimate chiropractic adjustment. So next month, June, we’re going to be in June already. Holy Hannah boats. Um, Dr. Erik Kowalke is with you the first Thursday of every month. And I will be back the third Thursday, and let’s have some more fun and until then, keep changing lives, keep changing the future and ChiroSecure again. Thank you for being amazing and giving us this platform. You guys keep changing lives. We’ll see you next month.

Today’s pediatric show children.

Empowering Women in Chiropractic – April is Autism Awareness Month – Monika Buerger

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Past tax day. We got a reprieve on tax day. This year. I am Dr. Monika Buerger. And I am your host today for this incredible show. Thank you, ChoiroSecure for giving us this platform, um, and our, a chance to talk about the kiddos. So, um, today I want to, uh, it’s autism awareness month. April is autism awareness month. Um, so I wanted to share a couple tips and tidbits for you. Amazing chiropractors out there and get you thinking a little bit differently about, um, the way to look at, uh, some of these neurodevelopmental challenges that we’re seeing in the world. So, um, we’re going to go to a few slides and take a look at what we’ve got cooking. And I have my sidekick here today. Uh, Elizabeth is with me again, those of you have visits in the past. Elizabeth has been with us before as my

So let’s, um, sit back, relax. And, um, hopefully you enjoy this segment today. Again, ChiroSecure, you are amazing for letting us bring this information to the Look to the Children’s show. And that’s what we’re going to do. We’re going to look to the children. So celebrating neuro-diversity yes, it is autism awareness month, but we, um, the, the w the way that, um, our neural developmental challenged community is looked at now is a neuro diverse community. And so I think we should really turn the tide and let’s look at this community and celebrate all the gifts that they have to offer us. So let’s take a look at, we are in 2021. Yes, that is the year. Um, and back, Oh, I don’t know, probably a decade ago when they look at the statistics of the number of little fiddle farts, um, that were at an eight year in eight years of age, they had extrapolated those statistics out and by the year of 2022, so we only got one year left.

You guys one year left, excuse me. They anticipated at about a decade ago that by the year 2022, one in one in nine three-year-olds were going to be diagnosed with autism at sometime in their life. So just sit back for just a second and get those numbers by next two year, if we work off these numbers that we’ve seen, and the, the ESCO escalation in these, uh, neuro-diverse challenges, one and nine three-year-olds is going to set their behalf, uh, at some time be diagnosed with autism. I don’t know about you, but that’s not okay with me. And that is definitely not okay with Elizabeth and her friends right now, where we stand in the United States. It’s about one in 54 kiddos are being diagnosed, um, with, on the autism spectrum and about one in 160 worldwide. When we look at boys to girls, there’s still a ratio of boys to girls, four to one, one in 37, boys are said to be on the autism spectrum.

And one in 150 girls are said to be on the autism spectrum. So that’s kind of the breakdown is we’re seeing it. Now, the according to the DSM-V, a lot of social characteristics are associated with autism, but what I want to do is I want to spin your brains around a little bit, and I want you, we’re going to think about this a little bit differently from the chiropractic standpoint. So the DSM-V breaks autism into three levels. It is no longer, we no longer have separate diagnoses, like Asperger’s, um, we have levels, so to speak. So level one is a higher functioning capacity. Most of their characteristics, their symptoms, their signs are based around executive functioning skills. And so that’s why we see some individuals on the autism spectrum, their, um, challenges pivot around that social engagement aspect. So for us as chiropractors, we should be thinking Vegas nerve, especially that what we call the new Vegas, the smart Vegas, the myelinated Vegas, the social engagement aspect of the Vegas nerve.

And I want you to hold onto that for just a second, because I want to get to an important point that I want you to, um, tie this information together. So, um, organizational skills, executive functioning skills can be a challenge, level two. They will have those challenges, but some additional characteristics. Um, and you might see more restricted and repetitive behaviors. And then level three, are your lower functioning, more struggling, little fiddle, farts, or individuals, um, that have the same characteristics as level one and level two, but they’re restricted behavior. Their, um, their non-verbal skills are, uh, much more significant. Now, again, look at this. This is more based around our social cognitive skills, more of our actually social engagement skills and our, our, our, uh, verbal expression and our language. But how do we get there? That’s what I want you to think about what are the neuro developmental steps that as chiropractors we might want to be looking at that might be expressing themselves before social and language skills are an issue.

And that’s what I want you to wrap your head around. So, first of all, timing does matter. We know that our neuro diverse community, those struggling with neurological challenges, the stage is set preconception care. And definitely the prenatal period is huge in the neurological foundations, especially the end of the second and third trimester. So the insults that happen during that time period will set the stage for the autonomic nervous system, the development of the autonomic nervous system, especially bagel function. So what does that mean for us? That means that in our wisdom that we have about looking at a total wellness approach, that chiropractors are so amazing at is being able to support the parents and especially mom from a minimal stress standpoint as possible expecially expecially that latter half of pregnancy. So this is going to lay the foundation down and prenatal stress, especially what we’ve been experiencing this last year.

Prenatal stress will hamper the development of the autonomic nervous system and bagel tone. So from the get go with these stress sores on the system, this is really what sets the tone for sub chronic subluxation patterns, not so much the mechanistic, um, stress source of the birth experience itself. The stage is set way before that. So idealistically, when we’re working with pregnant moms, I, I was telling my pregnant mom was I’m working. I’m not working for one anymore. I’m working for two. So I’m working for you and the baby trying to minimize those stressors. So we should look at that as a huge key role player for what we’re going to dive into now, because we know that these stress sores will also affect neuromuscular development. Being able to, um, build the essential and sequential motor habits, motor milestones that need to be set in stage in order for the social ones to come online.

So when we get, when we get these labels of level one, two or three, essentially level one is analogous to the old Asperger’s level. But when we get those labels, what came before that, that, that led them to get this social, these social struggles, that’s our motor involvement. Okay. So prenatal stress will set the stage for neuromuscular development. So I want to just go over a few key things. Again, a lot of, um, those on the narrative verse spectrum have speech issues, um, whether it’s, you know, receptive language or so forth, or, um, non-verbal altogether speed. We have to have that motor component to lay down for speech to develop. So what can we do to pick up and, and ensure that these patterns get laid down so that these other, um, social engagement features are not struggling. So it’s stability before mobility, you guys stability before mobility, it’s like a tree trunk.

We have to have that core stability, the core muscle strength in order to move to these milestones in order for fine and fine motor skills to come on board and language and social engagement skills to come on board. That is so classic autism, however less talked about in the past is the fact that most kiddos on the spectrum also struggled with motor delays. And that’s where we come in. That’s where I want your brain to go. And what the cool thing is, is let’s go through some of these motor milestones. First of all, we have prenatal stress, trauma, toxins, bots, technology, and any tethered or restriction on the nervous system becomes an issue. Mom might have poor nutrition. We need to talk about that. As far as autism go, there’s been a couple of really fun key studies looking at, um, maternal nutritional factors and a lot of key nutrients that deal with the methylation cycle.

We won’t go there. It’s a lot. That’s a lot of information, but bottom line is when they look at, um, moms that are eating whole food, just eat real food, [inaudible] just eat real food and taking in dark green, leafy vegetables. And a lot of that were giving us these B nutrients. They found that when those diets were restricted, there was a huge correlation to autism because these are key nutrients needed for brain building. So we should be talking diet with mom. And of course, when there’s prenatal stress and poor nutrition, there’s poor neuromuscular development. What we’re going to see as chiropractors, the little fiddle, farts, not wanting to get into certain patterns. This is where I want you to start picking things up a key paper, um, by a gentlemen, last name was title bomb. What he looked at were kiddos that were diagnosed on the spectrum. And he, he went back and took video, looked at videos and pictures of their motor milestones in their younger years. And what he found was there was a key core pattern or maladaptive patterning that later on led a kiddo was more susceptible to being diagnosed with autism.

And some of the things he found was this, what we call this protective extension reflux. And we should be looking at that in our kiddos. This is when they have enough core control, okay. To sit independently. And should they topple over kind of like when weebles wobble, should they topple over? They extend their arms to protect themselves from splatting and hitting the ground protective extension. I’m going to protect myself and extend my arms. So I hopefully won’t get hit my head. What, um, what Teitelbaum found in his, in, in going back and looking at these kiddos was they did not develop that reflex.

That reflex develops about six months in the four directions. So when we have a little fiddle fart and they’re sitting and they fall forward, they put their hands out. When they’re sitting and they start toppling sideways, they should put their arms out sideways. And that starts about eight to 10 months. And when they’re toppling backwards, they should put their arm. The arm should go back to protect them against their fall. And that starts about 10 to 12 months. So we should be looking at some of these subtle red flags that we might pick up a can they sit independently at assisted, about six months of age and B, are they developing these protective extension reflexes? That means that higher areas of the brain are coming on board.

Rolling was another one rolling. What he found in his paper was that this kind of is an image of a little one, rolling like a log. Their whole body is rolling together as a log. We want really this corkscrew pattern rolling. So about age three months, you’re looking for them to start through the pelvis and corkscrew, roll through the shoulders and get out of their tummy. About six months, they should start that corkscrew roll from their shoulders, roll through their torso and on their back. So a couple months ago, I did a show for y’all on low muscle tone. And we so showed some of the things we can advocate if the child has important muscle tone, and you can go back to those videos either on our intersect for life, Facebook page or Cairo secure and look at those videos. But what I want you to know for today is why is this so important? Neurologically, what is setting the tone, uh, for us to try to advocate these kiddos, getting in these correct postures.

And I’ll tell you a couple of things to do, especially for this protective extension to help foster that reflex on board, but for you. Chiropractice what I think is so important is understanding why we’re going to look for these things. What does it mean what we can do to help foster them, but not just what we can do exercise wise, but when we’re doing this, what does it mean? One of the biggest areas studied in the autism world of, um, basically, um, the biggest toxic insult or hit during development is a cerebellum. Cerebellum is a big Kona that has probably been the widest, uh, the most studied area of the brain when it comes to autism and, and the most, um, the, the most consistent finding of dysmaturation or, uh, maladaptive neuroplasticity, because it actually, the cerebellum gets the biggest hit during the prenatal period from prenatal stress.

So we also know that the upper neck area, the cervical spine is going to feed a lot of input into the cerebellum, but what gets really fun, the cerebellum and the prefrontal cortex, it’s, it’s a, what they call a closed loop. It’s a loop and they grow up together. So to speak, they mature together. Both of those areas of the brain have a prolonged period of development. They develop over years, they mature over years and they actually think that the two of them there, they’re kind of like husband and wife or brother and sister, whatever you want, look at it. They grow up together. Twins, I guess we can call them twins. Okay. Brothers, sister, twins. They grow up together at the kind of the same pace. And what happens in one area happens in the other. So whatever inputted my right cerebellum will affect my left prefrontal cortex and vice versa.

So from a standpoint of a chiropractor, if I am able to help foster input by working in the spine, especially the upper cervical spine and putting input into the cerebellum, the set, whatever happens at the cerebellum is working at a high level. The prefrontal cortex is a high level. They’re maturing at the same rate they’re together. If one’s low, the other one’s low. Both of these areas, this is where it gets so far. Both of these areas are going to deal with that whole social engagement aspect that we see struggling with the kiddos on the spectrum, both of those areas, because we know now that the cerebellum works in concert with the prefrontal cortex and they’re growing up together. So this is the why behind the reason we want to look at these milestones and understand the significance. If they’re not able to do these motor movement patterns, when they can’t, there’s not the proper information coming in sensory input into the brain, allowing those areas to mature. We also know that the adjustment has a profound effect in regulating those two key areas of the brain. So here’s the picture, prenatal stress, poor nutrition, poor muscular development, and able to get into these positions.

Dysmaturation at two key areas that are, uh, very much associated with neuro-development the cerebellum, the prefrontal cortex. We are able to detect these, uh, Averitt, these, these movements that are not happening intervene to get the train back on the tracks before it derails. And then they don’t hope what we’re hoping is they don’t get that, those social engagement struggles. So hopefully that makes sense. So when we’re doing the adjustment, a we’re firing that and put into there, but B one, why are we doing this exercises, things that you want to do to foster the, um, this, this protective extension reflex. Oftentimes we talk about role on the baby, on a ball, rolling Elizabeth on the ball forward. Okay. But why are you doing that? You’re doing that to help foster that input into the brain and regulate these neural circuit communications. What you’re looking for is that eventually when you’re rolling her on the ball, she is able to bring her arms forward into that protective extension mode.

If at about 10 months, you’re not seeing them develop that reflex, falling to their side, lay them on the ball sideways. I think a lot of people get the ADP rocking on the ball, but they don’t think about this, lay them ball on the ball sideways. And what you’re looking for is them to put their arms outside ways as you’re tilting them on the ball. And they start to engage that protective extension reflex going sideways. And then you’re also going to roll them on the ball supine to foster that reflex going backwards. So, um, hopefully this, this gives you some, um, some cues as to not only what to do, but why you’re doing it and looking at that connection that you’re building between two huge neurocircuits when we looked at, um, rolling. We’ve talked about that before, as far as getting them to roll in a corkscrew fashion.

So that’s really important. And when they’re creeping or crawling, if they do not develop good tone, core tone here, they’re not going to have enough shoulder strength to get on all fours. And that’s when you’re going to see these abnormal crawling patterns like the army crawl or dragging the arm or dragging the leg. That was another, um, key sign that Teitelbaum found in his paper on kiddos that missed those huge motor milestones later on were diagnosed with autism. So tummy time, that’s, that’s a no brainer. I want you to look at rolling your protective extension reflexes and the mechanism, the manner, the biomechanics in which they’re creeping are crawling. We want them on all fours with a good cross crawl pattern, social engagement. So we said that most of the criteria for, for a diagnosis of autism is the social engagement is average social engagement criteria.

The thing that we also know is that in the first few months of life, eye contact, especially with mama and speech with mama, social engagement interaction with mama is absolutely key in order to develop good social engagement skills. So a little chip, a Jew, if you’re adjusting, you should be just a mom and baby together. Cause they’re a unit, right? Baby feeds off of mom’s breasts stress. You adjust them together. Let them sit for a few minutes after the adjustment and have some bonding and social engagement time. This is going to foster the development of that social engagement part of your Vegas. And there’s a huge window, a golden window of opportunity after the adjustment for this to be enhanced. So look for your motor milestones, intervene with exercises and adjustments in order to bring those on board in order to bring the social engagement aspect on board, adjust, allow some bonding time with mom and baby. After the adjustment, before they leave your office foster optimal neural development in order to help the train, not to derail and get those labels.

One of the biggest things studied in our neuro-developmental challenges is what they call hypo function of the prefrontal cortex. That part of the brain executive part not coming on board moral of the story is at the cerebellum’s not on board. The prefrontal cortex is not on board feed, proper input into the cerebellum by doing the things we talked about, allow the cerebellum and that prefrontal cortex to mature together, grow up together, foster proper perception and sensory, and put into the brain and foster proper motor output, close the loop, exercise. These key areas, get in there, adjust them. Um, and that’s how we’re gonna really dig in and be part of the part of the team to help shift these numbers. So that next year we don’t end up with the one in nine three-year-olds being diagnosed on the autism spectrum. So just a few key points I wanted you to look at, um, and start, um, putting the picture together so that we can turn the tide with that said, I want to thank ChiroSecure for this amazing chance to bring this information to all of you. And, uh, Dr. Erik Kowalke will be back the first Thursday of, uh, may. We’re going to be in may and I will be back the third Thursday in may with, um, some new pearls to share with all of you until then keeping amazing and keep changing lives.

Children.

Empowering Women in Chiropractic – Building an Aligned Pregnancy and Innate Based Birth Practice!

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Everybody. Welcome to the ChiroSecure. Look to the Children’s show. I am your host, Dr. Monica Buerger, and I have the beautiful, brilliant, uh, the one and only barefoot mama hanging out with you today.

Hey, how are you? It’s so good to see you. I’m living the dream in Dallas area and girl. It’s so good. We’re having a good time here. I just took my babies. We were on the farm this morning. We got all the eggs, I just delivered goat, baby triplets. Um, I just added goat midwife to my resume. I don’t know if you knew that or not, but, uh, we played with some baby goats and then we’re here. It’s a good day. It’s beautiful. No more snow. Thank goodness.

No, we’re running out of snow here too. Thank goodness. So a little bit, a little bit about the beautiful, brilliant Dr. Courtney. We met up a little over a year ago. We ran into each other at that awesome pediatric bootcamp. Um, from that Dr. Barbara Eaton does at Sherman and she, by the way, you guys need to listen up. She’s a 2013 grad of Parker. This amazing woman saved $6,000 from her student loans and have $57 to her name and started her practice. And she is rocking it. She has three kiddos under the age of five. We’ll get to that later on. She has three businesses. She has a grass, a grass fed beef, um, which is phenomenal business. Um, the nest, which she collaborates with other natural practitioners in our area for natural childbirth. And she has a free to be me awesome chiropractic clinic. So this one is bit is Z

To boots.

And to boot, I kind of knew about this before she got to announce it, but don’t tell anybody that I knew she just released an amazing 400 page book called the barefoot mama. And you all need to get on the waiting list to get her copy, actually. And you can just go to WW dot they’re barefoot mama.com. So www barefoot mama.com and get your pre-order for this amazing book, because I know it’s going to be phenomenal. So welcome my friend. We’re going to just hang out.

And guys, that was the nicest introduction. Thank you so much.

Well, you deserve it. You’ve you’ve been, um, you’ve been around the block a little bit. Um,

Yeah, it’s been crazy. It has

You do. Um, and you do a lot for the students at Parker, so thank you for stepping up and, um, helping those students.

And I think we need it to, yeah. And I think this, our prenatal chiropractic needs to stay pure and that’s what we have two to three students in our office every single week. Uh, yesterday we had one and I always put them to work. I’m like, all right, you’re holding babies today. Or you’re playing with kids in our little park out front and I love it. And I’m like really good time to have some extra set of hands in the office. So it’s fun.

It’s a win-win right. And that’s what we should

All be about

And win for everybody. So, um, so you’re doing some pretty amazing work. And, um, and talk a little bit about your retreats. Um, you have the barrel

Speaking to my heart, so I know I’ve always said I’m not made for four walls in business and we have our practice and the nest. And through just a lot of, I don’t know if you know, yet last year was a really hard year for all of us, but it was a hard year for me personally. So through a lot of soul searching, God tapped me on the shoulder and said, write this book. And I was like, it’s time for that. There’s no way I have three kids under five and running these businesses. And I was like, okay, well, I kept feeling the urge kept filling the urge to write this book. And so I would wake up at 5:00 AM and I would start writing. I would practice all day long from nine to six and then six to 12:00 PM. I would write this book.

And, um, through that process, I fell in love with my mission and my mission to reach chiropractors, to bring community together and to also bring the women chiropractors who are mothers, who are growing their business and growing their families at the same time. It’s hard. And so, um, I’ve been teaching yoga in the Caribbean the past seven years and I’ve made a lot of friends, a lot of connections. And then through that, I was like, Hey, why am I not doing this? And so I have set the retreats. Um, we have three next year and at Cabo with, uh, Barbara Eaton, she’s going to be with us and Cabo. And then Christina Stitcher, we’re going to co-teach one in Costa Rica. And then, um, uh, I think that you will be, so we’ll be like dancing on the beach, around the fire and swimming and eating seafood and drinking rum. It’ll be a good time. It will be, it’ll be a business write off to, for chiropractors to come, you know, get some CES and then also heal the healers. You know, I think we kind of need time and space as mothers and as women to reconnect and to our sole purpose.

Absolutely. So they can find those retreats on the barefoot mama.com too.

Yeah. They can sign up for VIP access or the Facebook group, the barefoot mama, Dr. Courtney gallon will be pre releasing, um, retreats in the Facebook group and then the VIP access. So they can go sign up for that.

So let me ask you a personal question. Um, because I think this could help a lot of listeners out there. How in the world do you balance all of this stuff and you have three little kids under the age of five.

Exactly. And we home school. So it’s just, it’s crazy. So

Give a little hope for those. Um, you know, this has been a hard year and let’s face it. It’s been, and it’s, as it goes on, there’s more things to consider in that we’re seeing. Can you give those precious mamas and daddies out there? A little lift, a little Pearl of what has helped you get through this and with all that on your plate?

Yeah. Um, I absolutely can, but I also want you guys to know, I don’t have it figured out. Um, even this morning they were all screaming and I was like, get in the car and get in the car, get in the car. You know, it feels like a juggling act. So I think the biggest thing of just with mothers being real with each other and not scrolling through the highlight reels of Instagram and Facebook of all these women who have it figured out because that messes with your head. Um, so let me be the first to tell you that nobody has it figured out everybody has dirty dishes in the sink. Everybody has a crazy messy house. Um, they just don’t post about it. They don’t post pictures about it. And the philosophy that I’ve adopted for my life is grace over perfection. And so if I can walk in grace for my life and for when I’m walking through motherhood, when I lose my temper or lose my mind or my kids or not, I can’t believe I’m about to tell you this, but I had to go get your coffee this morning. And my almost two year old, it goes on a shoe strike. So I walk into Walmart and I’m holding a baby on my hip. My other two girls are with me and Luna is my little baby. And I was like, and she goes mama down. And so she wants to get down, but she won’t wear shoes. So this morning I was sprinting through Walmart with my two year old, my five-year-old and my three-year-old and my three-year-old wasn’t wearing shoes in Walmart.

So I think honestly, the biggest thing is just don’t hold yourself to the standard of perfection, have a lot of grace and be real with yourself. And whenever your kids see you walking in your purpose, that drives me. I, my kids to know that I love them and have raised them, but they also want to see them that they can chase their dreams because I have three daughters and to be strong women and to be able to step into their purpose that God has called them to. So I think that keeps me going and of just being an example and a leader to inspire my daughters through that, through that stuff.

Yeah. Beautiful. Beautiful. And I think the biggest Pearl there is, I don’t think anybody’s got it all figured out, especially these days. I think, you know, my motto, my hashtag the whole year has been pivot don’t panic and together we rise. So if we put it, we, we don’t, nobody’s got it all figured out, you know? So last time

We need more women supporting women, more mothers supporting mothers because women are strong and they can do anything, but a mama on a mission can change the world. Exactly.

Exactly. So let’s talk about that for a minute. Um, so in, I’m going to put you on a fire now that’s kidding. We’ll bring it on in, in the, in our developing minds program, we work a lot. I, I try to get doctors to think about the three W’s what, um, in the course of neurodevelopment, um, could have been the insult when might it have occurred and where might it left its Mark on the nervous system. Where, and when do you feel that prenatal chiropractic care comes into play?

I think it comes into play in preconception. Um, I think we

Did I get that right?

Oh my gosh. She’s so

Where, because I think that’s, this is a great, that’s a great, great point. We we’re talking about, I think a lot of people in our profession, we think prenatal care has to be when that baby’s in your hands, in, in your office when you’re born. Yeah. But really what do we need to think about where do we need to take that in our train of thought?

I think our train of thought needs to be, I think you talk about this a lot too. It is generational healing. If you’ve ever seen that picture of a mother who is pregnant and she has a baby girl inside of her, the eggs inside that baby girl are her grandchildren. And so the insults, the thoughts, traumas, toxins, and technology, they’re all being transpired into that mother. So if I was pregnant with my daughters, the stresses that I faced and as things that affected my maternal cortisol levels and affecting baby growing, it’s affecting my grandchildren. And so if we start with a mindset now that this generational healing begins with chiropractors, I think the preconception care is definitely important to get ahold of these mothers, especially mothers who have been on birth control since they’re 12 years old and then 10 years. And they’re trying to get pregnant without filling micronutrient, deficiencies, and all the things that birth control depletes itself to hold and sustain a pregnancy. Then I think that if we can start in preconception, it’s wonderful, but if we can have the mindset of a generational healing and generational transformation, I think that’s where we make our big difference.

And, and that, and you know, that I love to speak on this stuff. Um, the funny thing is somebody, somebody in my, in my grip pointed this out, um, I actually did a live, I was saw people. I was live somewhere, uh, a couple of weeks ago. Um,

So congrats.

But, um, they were saying, you know, I, I, I had this class that came out called derailed a couple of years ago, and then it was right before this pandemic had. Um, and it just solidified everything that I had already been teaching. You know, now it’s just more magnified. So, um, this, this con this, this premise of preconception care. So really if we can get women, um, under care and get their stress responses, somewhat modulating by chiropractic care before they can see that’s our ultimate goal. So those of you out there, prenatal care actually begins preconception. If you can’t get them there early, you know, if you can’t get them that early, then definitely they should be under care, uh, when, when they’re, when they’re pregnant. Um, so that’s, that’s another Pearl bomb for all of you out there. Switch your mindset as far as what prenatal is.

And I think too, Monica, just, I don’t know if you, I have this goal in my practice to have a generational practice of whenever I’ve only been doing this for seven years, but I think that my goal is to have women get under care, preconception, have a baby, and that baby is under care, their entire life. And then their babies babies are under our care. So I think that’s important for chiropractors to have that generational mindset of their practice for that. Just, I don’t know, that’s what my take is on.

Absolutely. I was in California for the first 18 years of my practice. And I, I would S I saw a lot of families and kids obviously, and then those kids grew up and they got married and you get invited to their weddings and everything. And then they were having kids and it is really, you know, and then, and then, uh, you get to look at yourself in the mirror, go, Oh, I am, I’m older than I am older than 24, but it is really fun to see that you laid that foundation down. And if we do that and we, and we break some of those generational, um, memories and, and the way what we call it, I call it epigenetic. Inheritance are the way we respond to our world. That’s when we can change and foster generations to come. So, so give your spirits. So, um, when it comes to rewiring the next generation, yeah. How, how are we going to make our imprints? We’re going to see that obviously you see mamas early on. What other things do you have that you, that you foster in your practice, where you get? One question I get asked a lot is how do I transition from that mama bringing baby into me, right. When they’re born? How do I transition from that to long-term wellness care and being able to see that baby ongoing? What, what life? Yeah. Give us your, how you handle that in your practice.

So I think the biggest thing within that is whenever people are talking about that transition and moving, and either, Hey, I had a traumatic birth, or there was something in my pregnancy that I was exposed to, the kind of, or the analogy I like to use is when you’re riding in a car, what windshield is bigger, the front windshield or the back, and that they’re always like, well, you know, the front windshield is bigger. And I said, exactly, there’s a reason for that. What’s behind us is the hind us. And what’s moving forward. We have a bigger vision forward. So let’s start moving forward. And I think when we get clear in our communication with mamas and we speak our philosophy, and we start to explain how the nervous system and its impacts on our world and the way the world impacts our nervous system and the importance of care, people understand it.

Whenever we start to communicate them on a mom, to mom, in a heart to heart basis of that connection. So whenever we start to just communicate very simply the effects of our world, and always say the amount of trauma and an amount of stress placed upon baby within their life is any amount of care that they need. And so whenever we’re walking through life, I say, Hey, if we’re doing great, maybe we are transitioning to wellness care, but life is dynamic and healing is dynamic. So if we’re going through a stressful situation, then we’re going to ride that wave of stress. And when you’re going to be in here more often, but we’re going to be here as your co-partner throughout life. Um, I always like to say that there’s three ways to practice chiropractic, um, bone deep bone, deep nerve deep are soul deep. And I think that we’ve kind of,

Ooh,

I think that we have kind of mastered the soul deep practice of the people that we have created in our community. And I think whenever you cry with people, when you hold the people, when you’re authentic with people that they connect with you, and then they start to see those changes in the importance and also how much you care and your passion for them, for their babies to truly be healthy. Because we as chiropractors are truth warriors. We’re the only one talking about vaccines. We’re the only one talking about what type of formula to be giving them. That’s not loaded with crap or the only ones talking about really food introduction and EMS and all these things. What we have surrounded ourselves and set ourselves up with is to be truthful yours. And so whenever we step into our voice and we step into our light of sharing that truth with people, then there’s no other way that they’re getting it for the rest of their life.

That’s beautiful. And I think I love that term truth where I think, um, you know, we’re giving Gavin just for a few minutes before we got on of being just authentic, raw and real, I say wrong meal, don’t take yourself too seriously, but you bring in that, showing them that compassion. And, uh, and there was a study. So let’s, let’s throw this out there. And then let’s, I have something else I want to ask you. They looked at, um, they’ve been they’ve in the, in the research. Um, you know, my brain goes to, I like to stay up.

It’s amazing.

Well, looking at those women that experienced, um, some PTSD and, uh, associated with giving birth, but specifically in the COVID period. Yeah. And, um, one of the biggest causes for them, uh, PTSD birth experience was reported as poor communication. They felt the communication from their healthcare providers while this birthing experience, that was the number one reported, um, cause of PTSD. So I think what you just laid out was a huge Pearl for us with regard to our ability to connect and communicate. So in the chiropractic world, a lot has been focusing around and I, and I do this about connecting, communicating at brain-based or neurological based chiropractic, but we should not neglect what you just brought up. I think connecting and communicating on a soul based emotional platform, uh, is, is, is huge. And if we can take away from that study where mama’s during the birthing process, their number one reason of a PTSD experience was poor communication. They didn’t know why their healthcare providers were doing certain things or what was going to be expected and everything. And so that leads me into my next question. Do you believe that birth trauma either on mama’s side or baby side is solely physical or do you believe there’s another aspect?

I think there’s so many more aspects to it. Um, and then just to kind of add into what you were saying, I always joke around with people that it was lost in translation, that Jesus was a chiropractor and not a carpenter, um, just because of the power of laying of hands. And so we are the only pressure profession that are really laying hands on people. So I just want to kind of add that into there too, because you’ve make up so many great points within that. Um, so I do believe, and I know, and I’ve seen it firsthand, um, just permission to give like my own story of my birth and my experience of my daughter. And I had this beautiful two hour water birth that was just wonderful with my second daughter. And, uh, she had all of these neurological delays in developments and it really, I think that whenever it starts hitting home in a personal level, you start to say, well, we talked about birth trauma and she had a beautiful birth.

She was adjusted right after birth, you know, and then, um, I start thinking about my pregnancy and I start thinking about the emotional stressors that I was under. I was thinking about the physical stressors. Um, mama’s run a business. Ain’t easy whenever you’re doing it, um, with a baby strapped on your back and a baby in your belly. So there’s a lot of support that we need within this life within, uh, running a business and being a mama. But I started reflecting back on that and I started really realizing that birth trauma is not birth trauma per se, physically it’s emotionally, it’s, spiritually it’s toxicity. Um, you know, that human talks to him project that you’ve talked about and that I have started studying really deep. I put a lot of that in my book. Um, we’re more toxic now than we’ve ever been. And how are those neurotoxins that they’re finding in the cord, the cord blood of these babies affecting them neurologically and developmentally, you know, like the pendulum has swung so far away from, we were naturally decided designed to live it’s time to get back, but we need to understand that what we’re doing during pregnancies and preconception, it’s not just all the posters on chiropractic walls that are, Oh, birth trauma pull.

And C-section like, you didn’t get on the neck. Like, that’s what I always taught birth trauma. Was that birth trauma? No, that’s in the wound. That’s like the mind, the body, the soul, you can’t like, you can’t separate those. And so that’s where I do believe in personally have seen birth trauma begins is within the mother.

Absolutely I did. And I, when I was live a few weeks ago, um, and I, I, I think too, um, in, uh, the virtual conference, this last pediatric bootcamp, I like to get chiropractors thinking about this because I think a lots of times they get stuck in the mindset of it’s a physical trauma from the birth experience. And it’s the bone out of place kind of model that we’re used to, but we know that with any of these stress sores, you’re gonna have, um, dysmaturation of the development of the autonomic nervous system and from the get go, that, that means vagal tone. And from the get go, you’re going to have a little fiddle fart, this predisposed to, uh, subluxation patterns because of trauma, toxins, thoughts. I had the fi I have five T’s trauma.

Yeah.

You know, tethered tissues, which we can put subluxations under that too. So that’s another pro for you guys out there to start shifting your mindset that sub chronic subluxation patterns or quote unquote trauma, we need to, um, we need to define trauma in a different manner, I think.

Yeah. Yeah. So, and then with, yes, I was, I was about to nerd out on something with you. I’ve written a whole chapter in my book about the neurology of birth and the importance of bagel tone during pregnancy and its role during birth and labor. Um, so I know that you teach on the vagus nerve so much. Um, I just was going to add that the importance and the clinical Pearl of, um, definitely stimulating the vagus nerve during labor or during pregnancy and its effect on

Things that they found is, is, is exercise, um, exercises enhances, uh, fetal heart rate variability and bagel tone. So moms need to exercise. We should promote physical movement exercise, especially in that last trimester. Um, and I think there’s two aspects. I think there’s, we need to look at the emotional aspect on baby and on mama, as far as if we want to look at birth trauma kind of thing. Yeah. They say, I don’t know if you saw this study, uh, they, 33%. So one in three moms are reporting, um, postpartum or childbirth related PTSD. This was back from 2010. This was back from a long time ago. So we had the third women, third of the women reported PTSD related to childbirth. And we’re there seeing that kinda on the uprise, but it cool. I’m just going to throw this out. Cause I love this tie this together. So there’s a recent paper that came out about PTSD and the, in general PTSD in general, they did a study with police officers, but what their partying comments, so to speak were that it, and they found that if a person had high, um, integrity of the prefrontal cortex,

I can see you’re going the same place. I, yeah,

I have high integrity. The prefrontal cortex, the ramifications of their traumatic experiences did not lead to a PTSD profile. So their parting comments were the higher resiliency. They actually used this word resiliency within the prefrontal cortex and should be considered to be, um, in early intervention before a PR person experiences a traumatic event that would minimize their PTSD. So they said high resiliency. So think about it. We just were, we just were talking about, yeah, right. So if all, if all mamas were under care during the prenatal period and we enhanced their resiliency of their prefrontal cortex, would that lead to a less traumatic birth experiencing and then a higher rate of bonding and breastfeeding and so forth,

Right? Yeah. It’s a cascade. It starts here in a snowball effect. And I love that quote, that it’s not that healthy people have less stress in their lives. It’s just, they’re more resilient to the stress they’re placed in. And so I think if you take that quote and you transform it into our communication with chiropractors and prenatal care, it’s just not that labor is hard. It’s not that you’re going to have these experiences. It’s that whenever you’re able to adapt to that stress and adapt to that experience and go into birth with zero expectations and a full open heart of surrender, then you’re able to mitigate the postpartum experience with a stronger, more resilient mind.

Beautiful. Oh, stronger, more resilient mind. Good drop. Boom.

It’s

Been a little bit of a, of a crazy year, so to speak. Um, how did you pivot your practice? How, what are some things do you anticipate, especially for the younger doctors coming out? Yeah. What are some pearls you can give them in ways to, to pivot, to think about their practice going forward,

What’d you call it? I spoke to the Parker student body on Friday and I addressed them. And I said, you guys, you are going to be the most resilient student body that graduates chiropractic school because you have gone through this, look at it as a huge blessing because you’re going to be able to walk out of school with a pro a set of problem solving skills that no other doctor has come out of. Um, so I think that that’s so important and encouragement for students to know that whenever they come out of school, they’re not gonna have the experience that we had. They’re going to have the experience of a major shift and how to adapt to it. And so they’re having to learn how to adapt to their classes and their labs and how to learn and get the same education through, um, pivoting, you know, so I think that that’s important and an encouragement to them to spin it, um, and take it as a blessing, as a business owner, you’re going to have to find ways to innovate and a ways to shift your practice in Texas.

They, they kind of closed chiropractic down for about a week whenever they figured out who’s essential, who’s not. And so we close for a week and then I was reading through the governor’s order and he said that people can be in parks. And so I was like, we’re going to build a park. Let’s go. And so in the front of my office, I say that me and my husband, till 2:00 AM, and we put turf outside, we built a little, um, uh, I’m looking at it right now. It’s like a huge fence. And we made a mini Magnolia and like chip and Joanna, we put chairs out there. We have bubble machines out there. We have music. And then we’re actually having a little postpartum PJ and I’m bringing my baby goats. Um, so it’s just something that if COVID would have never had it happened, we would have never had this space for mothers and community and stuff like that.

So I think that whenever you’re faced with a problem, my, we can get into a little bit more. But whenever I see a problem, like I’m going to start a business and solve it. But as chiropractors, whenever we see a problem we’re such innovators and entrepreneurs take it as an opportunity to create something amazing within your practice. And don’t clam up and be like, Oh, this was so bad because life is the lens that we look through and the mindset that we have. And so if you look at every negative as an opportunity or a challenge to step into a higher calling or to serve more people, our practice almost doubled during COVID because we were a source of hope. And I will tell you, I had a girl that I’ve been seeing for about two years and she booked an initial consult. And I was like, why did she book an initial consult?

She’s been coming here for so long. And she sat me down and she said, Courtney, if you haven’t had this practice throughout COVID, I wouldn’t have made it. Like, there’s something like, she was just like, ah, you’re the only person who touches me. You’re the only, this is the only place I feel safe. Even my church, I don’t feel like heard or seen or felt. And, and that, when I started this business, I said, if I can change one life, it’ll all be worth it. The student loans, the work, the sweat, the blood, the tears can change one life. It’s worth it. And so students, if you can change one life, think of the impact you can have and take your practice one life at a time.

Beautiful. My favorite, one of my favorite sayings, just see it at the end of all, my PowerPoints is to the world one person, but to one person, you may be the entire world. And then, and then that person feeds is up and talk about pivoting goats and bubble machines.

I’m like, what makes me happy? Bubbles and baby goats. So why would that make everybody else happy? And that’s what

I think that’s what we need to do is that’s a great take home point, especially for you newer docs

Out there, you

Have to figure I, and my old practice in California, um, I had three floods that flooded my building and I had two, not one, but two cars that plowed through my building and wiped it out. No.

And so

I learned how to plant

Yeah. On the flat. Yeah, you totally did.

The second car runs through your office. You’re like, yeah, this isn’t it.

I think God’s telling me we need to go. I was in the middle of

Actually from Idaho to California, from California, Idaho at the time. And, um, I, I just say, I must’ve brought on bad karma. You know, you can’t, you guys can’t give up. Um, and, and Dr. Corny beat seven years out, no eight years out. That’s devil, go ahead. And, and thinking like that, that’s, that’s very, that’s huge. And not only that is, you will, you’ve obviously made the Mark in your community by doing something this, this amazing. Um, and people know that you’re genuine. And, uh, I think you’ve just built a lot of staying power in your community for that.

Yeah, absolutely.

Hurdles. Any, if you are talking to a new grad and they come to you and say, court, Dr. Courtney, one of course,

What

Is one thing that I should not do when I get out?

I think that so many events try to be something that we’re not. And so you see friends like whenever I graduated, for example, I saw friends taking out 200,000 more in student loans or in business loans to open a shiny, bright practice with a lot of allure. And for me, I knew that that wasn’t who I was. And I think that whenever you start, and I did a lot of personal work in school, I sat at the feet of my mentor and we studied the green books and we, like, we got into the philosophy and we did the personal clearing work. So it’s able to be clear of what I, who I was. And so whenever I graduated, I knew that that’s not what I wanted, but man, did I want that shiny new office? Did I not want to start in the basement of this building?

Yeah, I did, but I listened to my heart and I listened to my intuition. And so many of us can just get a Lord by the world and we forget our purpose. And so stay true to who you are and your purpose and your calling. If that’s a five by 10 by 10 room with a table in your hands, in your heart, do it. If it’s a $2 million clinic with 10 providers do it, like God puts a calling in our heart for a reason. But like whenever you get that calling, you automatically have the way and the Avenue. So trust that tune in to that. Don’t try to be somebody that you’re not, and don’t take yourself too serious.

That’s beautiful. Um, and I think that’s the thing is don’t, don’t design your office about what you see on Facebook, please. Don’t please, please. Don’t. Well, I want to thank you so much. I cannot wait for October to loom and keep doing the amazing work and keep firing those newer, uh, chiropractors out there. Cause they need to see those great role models, um, and that we can pivot pivot don’t panic and, um, goats and bubbles. Hell yeah. So much for joining me, taking time out of your practice today and thank you for the most secure. You’re amazing for always backing us up and giving us this platform. And next month, April is autism awareness month. So I’m gonna, I’m gonna, um, just be dropping in and, uh, talking about some things we should be thinking about in the world of chiropractic and autism and, and, uh, how we fit into that world and, uh, how we can pivot our practices. And don’t forget Dr. Erik Kowalki on the first Thursday of the month, and he’s got some pro bombs for you as well. So we’ll see you next month until then you guys keep saving lives, change the world and let’s help us turn that tide. Thanks Dr. Court. You’re welcome. Bye.

 

Empowering Women in Chiropractic – Building a Milestone Family and Pediatric Practice – Dr. Buerger

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Hello

Thursday. Um, third Thursday in February. I am your host today for the amazing look to the children’s show, um, by a ChiroSecure. So I’m Dr. Monika Buerger, and we’re going to have a little fun today. What I want to do is first of all, I want to thank our secure for always giving us an amazing experience, um, and always having the backs of chiropractors, um, around this amazing country. So thank you ChiroSecure for giving this opportunity to share our story and our information on, um, these little fiddle farts for this show. So today I want to kind of go over how to help you build a milestone, awesome family and pediatric practice. And what I mean by that is really how to foster building generations of, um, family members into your practice and what, what are some simple things we can do from the get-go when you first evaluate that little baby in your office?

A lot of questions I get is okay. I’ve educated my patients on the power and, um, of chiropractic the amazing power chiropractic has they, I see them through their pregnancy. They bring that little fiddle fart into me when they’re first born, um, for their initial well-check. And then how do I educate them? How do I, um, get them to understand that the importance of monitoring that little fiddle fart on a wellness type basis? So let’s cover some of that and then maybe let me give you some, um, other milestone tips as we go. So, first of all, I had to add this to my slides today. Um, so this is what happens when you work with little fiddle parts in your practice. A lot of my practice is dealing with those that have neural developmental challenges and neural developmental delays. Um, so they come initially start care.

They’re non-verbal, they don’t engage in social skills. They don’t have interest in coloring, drawing, things like that. So this happened yesterday in my office, this is a little fiddle fart I’ve been working with, uh, that was at that lower level of function. And now his gained interest in coloring and drawing, which is huge, which actually ties into our topic today of milestones. Um, so he wanted to draw a picture of me. And so this is a picture of me. And the first thing that everybody says is, what do you think? They nailed my hair. He nailed what my hair looks like. So yes, I looked like a peacocks on the times, but, um, this is the fun you can have in your practice when these little ones start coming. Um, and you get to experience these things. So yes, this is a picture of me.

And so I had to take a picture of his picture, which I will keep in my memory bank forever, probably. So again, this is some fun you could have. I just wanted to share that because the hair is definitely spot on. So let’s look at some, I just want to go through four typical milestone patterns that we want to, um, be mindful of. So what’s happening is, um, some really great, amazing things in the chiropractic profession is that a lot of people are looking to chiropractors as their family care, um, physician as their portal of entry. So a lot of families are bringing their little fiddle parts to us, and that’s an endearing term that I use, um, has as their wellness provider, as their main provider with that though comes the responsibility of knowing, um, if that child is progressing on track or if maybe there are maybe some developmental concerns that we want to be mindful of.

So milestones are, um, some things we should be, we should know. And I want to remind you that the milestones you have fine and gross motor skill milestones, as well as social engagement and language milestones. So it’s not just gross motor milestones that we should be mindful of, but that’s what we’re going to kind of hammer today. And I’m just going to go through four key ones. There’s more than that. Um, so one of the ways that I used to explain to my parents when they first bring little baby baby’s born, they bring them to you. They want you to check them after the birthing process. Awesome. Okay. But how do we foster care from there? And how do we explain the importance of that? Well, this is one of the things that I use and I put Elizabeth right there. She’s sitting up for me.

So what I, what I do is I use this marionette puppet kind of graphic or image for them when we have, so the first part of this little show today, what I want to do is to give you some tips of how to communicate with parents. And then we’ll double back and talk about some things that we should know as practitioners. Okay. So what I’ll do with parents is I’ll bring my spine in and I’ll show, you know, that like a marionette puppet, if we have subtle, um, what we call misalignments or subluxations of the spine, where the spine is suddenly a skew, a vertebra, too. What it does is it pulls this abnormal tension, like a marionette puppet on the muscles attendance. And so you might have one side that’s tighter than the other, but what can happen is, as I say, mom or dad, have you ever like had a sore muscle or you, you know, you pulled your muscle and you, when you move a certain way, it’s like, ah, that’s kind of tender that hurts.

So you avoid moving in that pattern, that direction, um, or it just prohibits you from moving that way at all. Well, you’re a little one can have the same type of thing going on. If they have these subtle misalignments in the spine, it may put tension in places where they either cannot get into these positions or they’re uncomfortable. And so they’re going to avoid getting these positions. So what’s the big deal. The thing is these movement positions, what we call movement milestones are significant for actually building exercising areas of their brain. So communication between the body and the brain and the brain to the body. And this is so critical for laying the foundation of neurodevelopment for you, a little one, and these foundations are going to be needed for later on learning attention and behavior. Now, initially I don’t get too much into the neurology behind all this because I don’t want to overwhelm them.

I just want to give them some basics. So we use this marionette puppet. You know, if you’re pulling on one string, you’re pulling on one area, but the other side of the body might not. Um, it had more, it might have more Slack and this becomes an imbalance of the body in balance of the body equals imbalance of the brain. So, so what I will do is I’m going to go to this side right here. So then what I will show them is so every time I move my neck or head or arm on my left side, I am building up and exercising the right side of my brain. And when I move my right side, I’m in exercising the left side of my brain or building that up. So optimally, we want to build a balanced brain, then body and a whole brain functioning so that when the demands that your little one’s going to need, particularly around first or second grade, we start to see more demands needed at school and so forth that now little can, we can operate from a whole balanced brain and body level.

So what I want to look for is I’m checking a look Henley right now, and I’m noticing some stress patterns and strains and what we call subluxations and from the, this could be from being scrunched in utero or from the birthing process, but we’re gonna work to de-stress her body right now, so that as she develops, she can go through these movement patterns. But what I want to do is I set up a whole, um, over, especially the first two years of life. These different movement patterns are very significant because they are going to work different parts of our brain. So what I do is I like to, um, watch them over the years of their development, especially those first two years and check them on a regular basis to make sure that they’re meeting these, what we call motor milestones, that their body can, is comfortable enough and can move in these positions in order for them to carry out these movement patterns that are creating brain development.

So, first one we look at is at rolling. Okay. So I’m very given very simple explanation of why we want to now not just check Kinley right now after the birthing process and make sure we clear out any restrictions or subluxations, but how we want to make sure that as we go month by month by month, so you might create a wellness plan and that may look like twice a month for your office or once a month, depending on your wellness plans. But the reason why we want to create this milestone wellness practice is because you are going to watch for these milestones to come into play again. If they, if they, um, have subluxation patterns and that restricts them from getting there, then we catch them right away. Then I look for any, you know, potentially concerns that she’s not being able to engage in these movement milestones.

And we get, we address them in a preventative mode. So we basically prevent the train from derailing and going off the tracks. Okay. And you set the stage right there. So with that said, we want to look at, and again, we’re just going to go over for today, rolling as one of them between about, about the agent with milestones, with movement, milestone patterns you need to give or take a month or so on. Either side, these aren’t really hard concrete. The other thing to be mindful of is a lot of parents these days, they think faster is better, right? Why aren’t they walking by 10 months? That’s a big question I’ve been getting lately. They’re 10 months old and they’re not walking yet. It’s okay. They shouldn’t be really, really, if we look at decades ago, it around 18 months, if they weren’t walking by 18 months is where the concern became a, it became a concern.

So 10 minutes, we shouldn’t even be there yet. So we need to also explain that to the parents faster is not better. So I want to make sure that Kenley is free of subluxation patterns so that she can also do these movement patterns appropriately because there is a definitely a proper way. We want these movement patterns to roll out, to play out. So Rollings one of them by three months of age, we want them to start to roll from the pelvis app as a corkscrew pattern through, through the trunk, not as a log roll pattern. One of the things that we should understand as primary portal entry docks is that movement patterns, a proper movement patterns are associated with, um, things like neurodevelopment delays and particularly autism and the th the type of movement pattern. So we want to be able to pick up, are they doing these movement patterns and are they doing them properly?

And there’s a paper by an author called title bomb. And he looked at some of these movement patterns. And how later on that child may have been labeled with autism. Now, we don’t want to put that. We don’t want to start there with parents. What we want to do is we want to explain to them that we’re looking and we’re going to create a family wellness protocol for little Kinley so that we can make sure she hits those motor milestones properly. So back to rolling three months of age through the pelvis, through the trunk and around now, let’s think about this from a clinical perspective. If we have lumbar and pelvic subluxations that are restricting movement, another big one are going to be so as muscles, these are areas we really want to keep, um, healthy and subluxation free in order for that little fiddle part to be able to get in that movement pattern.

The other thing I want you to take into consideration with rolling, um, is the speed annoyed is, uh, mimics the pelvis. So don’t just get honed in on the pelvis. Look at the entire spine. Look at dural tension, look at the Spinoza. So three, three to four munches rolling from the pelvis forward through the trunk and a corkscrew pattern about six months, six months, ish, you’re going to, they’re going to go from the shoulders and that’s going to initiate the role and through the pelvis and around. Okay. So again, it’s not just being able to hit that motor stone. It’s the quality of it. Okay. So that’s about, so that’s your three to six month window that I want to look at as a key milestone, then they will get some core trunk stability gain that by tummy time and by rolling, and then they should be able to sit independently starting about six months of age.

Okay. Six to eight months of age. Um, so they should be sitting independently and have that core control. Then they go from that into an all fours pattern. Okay. So they’ll start sitting core control, and then they’ll start that eight months or so they’ll kind of do this lateral shift, putting one arm out, um, and, and being able to brace themselves. And then they go from that and to all fours, that’s going to be about nine to 11 months being on all fours. So again, you’re setting up a wellness paradigm practice protocol in your office, like, okay, we definitely want to make sure that we check little Kinley after the birthing process. And then we want to make sure she’s able to get an extension and tummy time. And then, Oh, definitely. You know, by three months or so, we want to see if she started to even be interested in rolling, and then we’re going to make sure that rolling patterns appropriate from that three to six month window.

And then about six months, we want to make sure we’re seeing her baby will sit appropriately and then getting to the next stage on all fours that gets into play about nine to 11 months, they’d get on all fours. They rock back and forth. We refer to this as the pre crawling reflex. It’s, it’s really integrating what we call the sematic tonic, neck reflex S TNR. So we should see this between nine to 11 months, that needs to happen. It should happen before they get on all fours and start their cross crawl pattern. So again, these are, these are stages that we’d like to look at and we’d like them to be appropriate. And we like to see the little fiddle farts, at least on a monthly basis in order to make sure that they’re subluxation free and can meet these motor milestones in a proper fashion.

Of course, if they’re subluxated, if they have tension like this marionette, they may not be able to get into these proper movement patterns. Couple of key things I want you to think about is other than subluxations, I want you to really think of dural tube, tension, dural tube tension can really, um, play havoc with a couple of these key reflexes here. When baby’s rolling, that’s going to integrate the spinal Galot reflex, which is a key reflex for later learning attention behavior as is this STNR reflex. So dural tension can keep us from getting in those optimum positions, tethered oral tissue or tongue ties, uh, tongue lip bugle ties can restrict movement. Cause it’s a fascia restriction was like Woody here. Our marionette puppet pulling tension from cranium all the way down. Of course, subluxations are going to be there. And we have some trouble with may have some trouble with low tone kids.

So those are some hot button things I want you to think about as to why they can’t get into these positions. So use the marionette puppet as an example, and these tensions muscle and ligament tensions that because of the spine is subluxated putting abnormal tension in balanced tension from right to left imbalanced body is imbalanced brain in balanced brain, imbalanced body from side to side, they can’t carry out these motor milestones as chiropractors. We want to clear restrictions, clear the blocks so that they can get into these positions. And we want to do that by watching them on a regular wellness maintenance basis. This graphic is huge for you to use, um, with regard to showing how, when they move different body parts, it’s actually building brain, okay. Building areas of the brain. A couple of things. Again, you can, if they’re having trouble getting into this corkscrew really position again, especially the lumbar and pelvic spine, don’t forget this be annoyed.

Cause it mimics the pelvis. There’s a little trick you could do. You get them. Um, you can see where I’m putting one hand, basically the top leg is bent and you just gently pull that top like over. I’ll do it so you can see it. So top leg like this, okay. We want them to be able to roll in both directions. Cause ruling in both directions left side, right side of my body left side, right side of my brain getting exercised. So I gently put my hip, uh, my hand on one of, um, one of the, um, ileum that top leg is bent and I’m pulling, I’m just tagging a little bit on that bottom leg to get a little tension and you just hold them there until they will start to roll over one of the things we don’t want to see for the log roll.

Okay. Just a law roll. And then they fly over. We want that corkscrew role to show up. So that’s a little exercise we can give. Um, we can give to parents to do and roll them in both direction. Have the parents do in both directions? This, if they have trouble with dynamic sitting, if they’re getting some low tone or not getting in that position, I want to show you just a quick little video. Okay. So we want to also work on dynamic balance. All right. Um, and this is for any kiddo, but particularly the kiddos that are having trouble learning to their core, to sit on their own. Again, between six and eight months, they should be sitting independently and be okay with that. So we can do a few different things. One is you can start them again, lower on the lap. And again, the more core you support, the more stabilization they have, then you can work to not supporting them and then work their way up the ladder.

So to speak on the knees, again, more stabilization for the core, with the hands last without then you start walking a little bit. Okay. This is again, when we’re looking at those postural reflexes like ocular head writing, the lab and thing had writing, right? Correct. That’s where they tilt the side and the head should correct the Ryzen. So we’ve got to start fostering that because those postural reflexes need to take over those primitive reflexes. So you create a dynamic situation and by rocking and they have to stabilize more on a physio ball, um, do the sun of physio ball and how you support their core when they get to a good point and they can stabilize their own. Maybe you do. You stabilize the Physioball by rocking the physio ball and see how much they can control themselves. So again, we’re working our way up to dynamic sitting positions, um, and destabilizing positions.

So these are some things we can, we can just show parents at home. Again, we’re being active in fostering this optimal development by creating a wellness program for these little fiddle parts of our practice. This is particularly important. If you have family members that have had a little one who already is in a, in a neural delay, delayed situation or on the spectrum. Again, we know that, um, those on the spectrum, um, have been shown to have poor, um, motor we’re. They’re looking at that actually as the indicator in early indicator of a possible label of autism. So parents are concerned if they’ve already had one child that’s delayed now have another baby, you are going to monitor them on a regular basis. And this is going to help you foster, um, creating a brain based wellness program in your offices to where you’re really going to not need to do a lot as far as always getting new patients in because you’re seeing these families for years to come generation after generation.

Um, so those are some things I want to share with you. Um, I didn’t put in here, I met you, sorry. If they have trouble getting on all fours, um, and rocking, you can trap them between, between your legs, okay. Trap them your legs and hold them up a little bit. And that just gives them again, more core control to get on all fours, um, or just have parents hold them and stabilize their pelvis, um, and get them on a floor and then gently rocking back and forth. Uh, so hopefully you can see that, um, the, um, so again, trap, uh, have them on their all fours stabilize their pelvis. Okay. Or like I had them here instead of between my knees here, I’ll have my legs flat. Baby is between my legs to get my legs kind of squeezing them a little bit, to give them some support, to get into that all forced position.

And then by nine to 11 months, that’s when you want them there and gently rocking to help integrate the STNR B flex. This is a ha the other thing that has been really great is those that I mentor, we made, I made a, what I call a quick screen milestone, and here’s your going to gross motor fine motor social and language. Um, just quick screens as you are in the room with these little fiddle farts, I had them for, um, all ages, year one, two, three, four, and five. They’re all separate ones to use as a screening tool. So you have that there in front of you. Okay. Little fiddle part’s coming in. They’re two to three months old. These are some things I want to kind of check real quick to see if they’re hitting those milestones. But the other thing that has been fabulous is using a handout like this, to give to parents and say, okay, mom, dad, what we’re going to do is I have this in Kelly’s file.

Oh, look, she’s doing great. She’s hitting all these milestones now, next month, when she comes in, we’re going to look to make sure that she’s hitting this, this and that in the proper fashion. If she’s not, obviously we’re going to check for subluxations and anything, other red flags that might come up and we’re going to conquer it before it becomes an issue. And I give the parents this handout and they love it because they’re like, they’re engaged in their child’s care and their child’s progress. Um, and we’re on the same page and they can look and then they can say, Oh, she, she did hit this. Or like, Hey doc, I don’t think, you know, she’s getting there, you know, and that may be an indicator for you to say, you know what, we’re going to need to up care for a little bit, maybe for the next month we’re going to up care.

Uh, you know, I want to see her weekly or twice a week for a few weeks until we clear these subluxation patterns. We see these milestones coming on board, and then we can back off again. So you’re being active, they’re being active and it’s really kind of, um, it’s, it’s really keeping them on track to keep their appointments as well. So, um, so we see that, you know, this is ages one through six in this particular hand, it goes up to the first year, and this has been extremely helpful for parents to stay engaged. And, um, they they’re really excited to, to be engaged with you in the of their child. So what I did was I, I got so much great feedback on that handout and it’s become a way for doctors to really foster this wellness, um, milestone family practice, um, and to kind of pivot that message from a pain brace to a brain-based wellness paradigm.

So if you want that handout, I will send it to you actually. Um, as part of my, thank you for listening to me and as my thank you for Kira secure for always supporting us. So just text this number. If you text this number, um, you can, uh, we’ll, we’ll put you in part of our community outreach programs and, um, send you that free handout to give to your practice members as well. So again, I want to thank all of you for being a part of this amazing profession and looking out, um, looking out for the little photo farts you don’t actually have. You can text the word, Whoa. Um, when you text this message, you can text the word wo or text any message you want. You can even text how much you like my hair. Maybe there’s a theme going on here because that initial picture, and now we have this monkey and maybe it’s a hair thing.

So you can text me any, any word you want. But if you text that number, I will know that you want that handout and we will get it to you. We’ll be happy to get it to you again. Hopefully this helps you build a milestone family wellness practice for generations to come. Um, and we move those kiddos forward in the healthiest fashion we can. So, um, until next month, I wish you all an amazing month of changing lives. Changing the future. Again, ChiroSecure, thank you for helping us share our message and get this word out to everybody else. And, um, Erik Kowalke will be with you the first Thursday of next month, and I’ll be back the third Thursday of next month. What a, hopefully a surprise guest. We’ll see you then

Children.

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