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Winter 2005

Quarterly Publication of the International Chiropractic Pediatric Association

ADD/ADHD: Misdiagnosis and Mistreatment Pulling the Plug on TV Find a Wellness Minded Pediatrician Your Child’s Immune System Fats for Maximum Brain Potential Mercury Rising brought to you courtesy of:

i.c.p.a.

International Chiropractic Pediatric Association


Winter 2005

Chiropractic Family Wellness Lifestyle 2

i.c.p.a.

ADD / ADHD Misdiagnosis and Mistreatment Monika Buerger, D.C.

International Chiropractic Pediatric Association

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Whose Diagnosis is It, Anyway? Howard Markel, M.D., Ph.D.

ICPA Mission Our mission is to provide education,

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training, and support research on

Joel Alcantara, D.C., MPH, Jim Davis, D.C.

chiropractic care in pregnancy and throughout childhood because all children need chiropractic care.

PathWAYS is a quarterly publication

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ADHD Helped With Chiropractic

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Pull the Plug!

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Helping to Find a Wellness Minded Pediatrician

Diane Meyer, D.C.

Claudia Anrig, D.C.

of the International Chiropractic Pediatric Association

Prospective Cohort of ADHD Patients Under Chiropractic Care

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Strengthening Your Child’s Immune System Jane Sheppard

Editorial Board of Advisors

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Baby Tantrums

Stephen Marini, Ph.D., D.C.

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Fats for Maximum Brain Potential

Randall Neustaedter, O.M.D.

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Breastfeeding is Best Feeding

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Mercury Rising: Warnings in Pregnancy and Infancy

Bruce Lipton, Ph.D.

Elizabeth Pantley Renata Anderson, D.C.

Jeanne Ohm, D.C. Larry Palevsky, M.D.

Jeanne Ohm. D.C.

Jane Sheppard

38 ICPA 327 N Middletown Rd Media, PA 19063 www.icpa4kids.com info@icpa4kids.com 1 800-670-KIDS

Š 2004-2005

Design by Tina Aitala Engblom Printed by Beard Printing Cover Photo by Gloria-Leigh Logan

What Can Chiropractic Do For Your Child?


from the editor jeanne ohm,d.c. Health care today

is going through a paradigm

shift from a symptom, disease based system to a function performance based system. Emphasis for care is being placed on the individual’s ability to regain and maintain a state of well-being. Practitioners who are in this paradigm respect the body’s own natural ability to be healthy and whole. Consumers are actively seeking providers who are working within this new paradigm.

Chiropractic care plays a vital role in your Family Wellness Lifestyle. As leaders in this health care paradigm shift, Chiropractors offer families the means to achieve the true wellness parents

The following quote by Ronald J. Glasser, M.D. sums up

are now seeking. The very

the health crossroads we now face. This Former Asst.

basic philosophy on which

Prof. of Pediatrics University of Minnesota says, “It is

Chiropractic was founded

the body that is the hero, not science, not

includes a deep respect for

antibiotics…not machines or new devices. The task of

the body’s inherent ability to

the physician today is what it has always been, to help

heal and be well. The science

the body do what it has learned so well to do on its own

of Chiropractic is based on the

during its unending struggle for survival—to heal itself.

importance of a functional nerve system—the vital key

It is the body, not medicine, that is the hero.”

to health and well-being. The art of Chiropractic is the

True wellness includes all aspects of your life: good foods, adequate body movement, positive mental atti-

specific adjustment that restores function allowing your body to express itself fully.

tudes and a nerve system functioning at its peak. It far

As our society makes the shift into this paradigm of

surpasses the old thought process that the mere elimi-

wellness, we can share our personal experiences with

nation of symptoms equals health. Achieving true well-

others so they too can make these life enhancing,

ness includes practices that address your body’s ability

informed health care decisions for their families. Thank

to function at peak performance and the trust and com-

you for your ongoing commitment to the Chiropractic

mitment in your body’s ability to be well.

Family Wellness lifestyle. Many blessings, Jeanne Ohm, D.C.

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D H D A D D A t n e m t a e r t s i M d n a s i s o n g a i d s i M rger, D.C. Monika Bue


Before accepting a HD diagnosis of ADD/AD at other conditions th s mimic this diagnosi

ADD and ADHD—such commonly used diagnoses in today’s world that they have virtually become a part of every teacher’s vocabulary list. But is this “mental disorder” as common as we have been lead to believe, or is it often a misdiagnosis? Psychological Evaluation Unfortunately, too often parents are being intimidated by schools/teachers to have their child undergo a psychological evaluation either through the school district, a pediatrician, or a psychiatrist. Perhaps the child is more energetic, lethargic, or lacks concentration compared to his/her “normal” peers; therefore, the child is hastily slapped with a label of possible ADD or ADHD and there is a predisposed bias going into such an evaluation. Parents are made to feel that such evaluations are necessary in order for their child to receive a proper education and are often made to feel guilty if they refuse to have their child subjected to such an

evaluation. It may be of interest to know that if a child is diagnosed with ADD or ADHD, they are considered learning-disabled and the school will receive extra money from the state and federal government which is to be used for special learning programs. However, the school is not held accountable for how that money is actually spent Furthermore, the diagnosis may be noted in the child’s permanent school records as a “mental disorder” and follows the child throughout life.

must be ruled out. cardiac disorders can be the result. There have also been studies that suggest exposure to Ritalin and other stimulant (psychotropic) prescription drugs makes the brain more susceptible to addictive drugs such as cocaine and doubles the risk of cocaine abuse. The increased risk of suicide and depression has also been linked to the use of Ritalin and other such stimulants.

Medication Therapy

Conditions that Mimic ADD/ADHD

If the child is diagnosed as having ADD or ADHD, chances are some type of psychotropic drug will be recommended. However, parents must educate themselves as to the side effects and necessity of such medications. Methylphenidate, commonly known as Ritalin, was responsible for 186 deaths between 1990 and 2000 as reported by the FDA MedWatch; a voluntary reporting program accounting for no more than 10-20% of actual incidences. One of the dangers with this drug is that it causes constriction of the veins and arteries; thus, causing the heart to work harder leading to irreversible damage. Increased heart rate, increased blood pressure, and irregular heart beat, along with other

Before accepting a diagnosis of ADD/ ADHD other conditions that mimic this diagnosis must be ruled out. Children with allergies and asthma may have difficulty breathing which could lead to difficulty concentrating. Foods (especially dairy products), molds, and chemical odors such as the smell of tar or perfume are common but unsuspected causes. An abundance of yeast caused by repeated courses of antibiotic use can also be a problem. Sudden unprovoked aggression in children can be related to allergies and is often associated with red ear lobes, wiggly legs, dark circles under the eyes, or a “demonic” look. Behavior may include hitting, biting, kicking, spitting, and punching. continued on page 4

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O

O H N

Complex carbohydrates help to avoid hypoglycemia by replenishing glucose to the body at regular intervals, allowing children to better concentrate

Diabetes and hypoglycemia can make the child appear distracted and lacking concentration. Children with hypoglycemia can experience recurrent fatigue, irritability, tension, hyperactivity, and aggression. Complex carbohydrates found in vegetables and whole grains help to avoid hypoglycemia by replenishing glucose to the body at regular intervals allowing the child to better concentrate. Children with hypoglycemia will often show a pattern of “crashing” between 10:30– 11:30 and 3:00–4:00 and will often “demand” food during these times. Most breakfast cereals and fruit juices purchased in grocery stores have high sugar content and should be avoided. Also, food packed for lunches or snacks should be chosen carefully and checked for sugar contents. Children with seizures, middle ear infections,

visual or auditory perception problems will also have trouble paying attention or appear frustrated with learning. Often times following an emotional or physical traumatic event, children appear inattentive, distracted, or hyperactive. This may be a situational behavior issue and may need to be addressed through therapy. If the event was physical in nature such

Early Use of ADHD Drug Alters Brain Nutritional Considerations for ADHD Two books worth having for your lending libraries: Smart Fats: How Dietary Fats and Oils Affect Mental, Physical and Emotional Intelligence by Michael A. Schmidt Omega 3 Connection by Dr. Stoll

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Ritalin use in preteen children may lead to depression later in life. Ritalin and cocaine have different effects on humans. But their effects on the brain are very similar. When given to preteen rats, both drugs cause long-term changes in behavior. One of the changes seems good. Early exposure to Ritalin makes rats less responsive to the rewarding effects of cocaine. But that’s not all good. It might mean that the drug short-circuits the brain’s reward system. That would make it difficult to experience pleasure—a “hallmark symptom of depression,” Carlezon and colleagues note. The other change seems all bad. Early exposure to Ritalin increases rats’ depressive-like responses in a stress test. “These experiments suggest that preadolescent exposure to [Ritalin] in rats causes numerous complex behavioral adaptations, each of which endures into adulthood,” Carlezon and colleagues conclude. “This work highlights the importance of a more thorough understanding of the enduring neurobiological effects of juvenile exposure to psychotropic drugs.” my.webmd.com/content/article/78/95700.htm?lastselectedguid={5FE84E90 -BC77-4056-A91C-9531713CA348}

winter 2005


ic deals directly Because chiropract rvous system with allowing the ne highest ability, to function at its these children it is imperative that ctic evaluation. undergo a chiropra

as a car accident or physical abuse, the child should also undergo a chiropractic evaluation for possible vertebral subluxations as the cause or a contributing factor to their behavior as should any child diagnosed with any of the above mentioned conditions.

Sensory Integration Disorder Children are often misdiagnosed as having ADD or ADHD when in fact they have an undiagnosed learning

disorder causing them to be frustrated, angry, distracted, and hopeless. There is a wealth of research on early brain development and the effects of poor sensory processing and delayed motor development in relation to one’s ability to focus and learn. A child may be labeled with ADD, ADHD, dyslexia, dyspraxia, or central auditory processing problems; again, drugs are commonly prescribed for these children. However, what is really going on is that their neurological system is in chaos or is immature. The sensory information the child receives can not be organized by the brain; therefore, the child will not respond appropriately to various commands or stimulation. In short, the brain and nerv-

Consider Fish Oil Over Ritalin Children with attention-deficit hyperactivity disorder (ADHD) have problems paying attention, listening to instructions, and completing tasks; they also fidget and squirm, are hyperactive, blurt out answers, and interrupt others.

ous system are “short circuiting”. Because chiropractic deals directly with allowing the nervous system to function at its highest ability, it is imperative that these children undergo a chiropractic evaluation. Specific exercises either through a Doctor of Chiropractic or Occupational Therapist are also essential. Sensory input is received from various entities. The vestibular system is responsible for movement and balance. It is the first system to fully develop and should be developed by six months after conception. This system is said to have the most influence on the other sensory systems and on the ability to function in everyday life. continued on page 6

Inefficient Conversion of ALA (Flax Oil) To EPA And DHA A possible cause for the low fish oil status of the ADHD children may be impaired conversion of the fatty acid precursors LA and ALA to their longer and more highly unsaturated products, such as EPA and DHA (fish oil fats).

It is conservatively estimated that 3-5% of the schoolage population has ADHD. Although drugs, such as Ritalin, are frequently used to treat ADHD, they are fraught with complications. Disadvantages include possible side effects, including decreased appetite and growth, insomnia, increased irritability, and rebound hyperactivity when the drug wears off.

It appears that children with ADHD just are not able to chemically convert the plant omega-3, ALA to fish oil very well. The problem is further worsened when omega-6 fats are consumed and the ideal omega-6:3 ratio of 1:1, progresses to the typical standard American ratio of 15:1. Many of these children have ratios which are even worse and can be as high as 50:1.

One would not expect to find that a single cause or even a handful of factors could explain why ADHD appears to be so rampant in our society. Because it is accepted that both genetic and environmental factors play a role in ADHD, many other factors—both intrinsic and extrinsic—could influence an individual’s fatty acid status.

This study provides the research evidence supporting the use of the omega-3 fats found in fish oils to effectively address the underlying deficiency that is present in most of these children and appears to be contributing to the ADHD.

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brain where the body is in space. It gathers sensory information taken in from the inner ear, eyes, smell, and through hearing. It also relies on information received by the brain from tactile, kinesthetic and proprioceptive sites throughout our bodies. Proprioceptive nerve fibers are also located within each vertebral joint. Therefore, subluxations of any vertebral joint may cause disruption of the proprioceptive system. Children may fatigue easily and appear inattentive because they have to work hard and concentrate to determine the position of their bodies. They appear clumsy and have difficulty playing with toys. Their writing can be too light and difficult to read or much too heavy and laborious. They may also have trouble grasping mathematical concepts.

e easily … Children may fatigu to work hard because they have determine and concentrate to eir bodies. the position of th It functions like an air traffic controller, telling each sensation where and when it should take off and where to land. The sensory organs for the vestibular system are located in the inner ear and are largely affected by the nerves associated with vertebral joints in the upper neck. Therefore, if a misalignment (subluxation) of the upper neck is present, it may interfere with the ability of the vestibular system to perform its job effectively. The proprioceptive system is responsible for telling the

The visual system is also an important sensory input system. Most people think that if a child’s vision is 20/20 then everything is fine. However, there are many sensory functions that must work properly in order for one to understand and apply the information that comes through the eyes. Binocular coordination, accommodation, and vertical movement are some of the functions necessary to understand and process visual information. Part of the neurological input for proper accommodation of the eyes comes from the lower cervical spine and upper thoracic spine. Vertebral subluxation of these areas may cause difficulty in focusing on objects or complaints of blurred vision. However, school-aged children rarely realize that they are not seeing things clearly. Therefore, it is necessary to make sure that the lower cervical and upper thoracic regions are clear of any vertebral subluxations. The tactile system receives information from cells in the skin all over our bodies providing information about light

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touch, pressure, vibration, temperature, and pain. Feedback from the tactile system contributes to the development of body awareness and motor planning abilities. Some children are hypersensitive to touch and in turn try to control their environment and the tactile information they receive; thus, appearing anxious, controlling, aggressive, and unwilling to participate in home and school activities. This will then leave less energy and attention for learning and interacting. Some children are under-responsive to touch and seek out excessive touch sensation in order to satisfy the nervous system’s craving for touch. They may touch everything, appropriate or not, and may appear to be impulsive and distractive. The nervous system must work properly in order for successful integration of the tactile system. This enables us to create a balance so that we know what we are touching is either harmful or dangerous or what touch is satisfying and pleasurable and should be further explored. Sensory input and sensory integration are essential in order for a child to develop proper motor skills and proper learning skills. Without a correctly functioning nervous system, this is not possible and an often misdiagnosis of ADD or ADHD is the result. Removing nervous system interference caused by vertebral subluxations allows the child to develop these much needed sensory systems to their highest ability. In conjunction with a proper diet and specific sensory integration exercises, chiropractic is a safe, effective, and natural form of care for these children.

Dr. Monika Buerger teaches the module: History, Physical Assessment, and Orthopedic Considerations of the Pediatric Patient for the ICPA’s 360 Hour Diplomate program. She authored History and Physical Assessment of the Pediatric Patient, Pediatric Chiropractic by Anrig/Plaugher; 1998. Dr. Buerger has practiced in Livermore, CA since 1991.


Whose Prescription Is It, Anyway? Attention Deficit Disorder and Ritalin

Howard Markel, M.D., Ph.D.

The boy is 14 years old and has one of the most severe cases of attention deficit disorder (ADD) that I have seen as a pediatrician. He fidgets; there are nonstop hand gestures, leg swinging and tapping. More troubling, he simply will not pay attention to any adult attempting to engage him in conversation, placing him in great jeopardy of flunking out of school. During his first office visit, the boy explained his predicament to me: “It’s like I’m in a room with 20 big screen HDTVs blaring away in surround-sound. And on them are all the newest videos from MTV. The problem is that I can’t decide which one to watch, so I try to watch them all.” His mother is less focused on her son’s perpetual motion than on his angry outbursts and what she sees as his refusal to listen to her. The day we met, she had already decided what she wanted to do. I was being told to write a prescription for Ritalin. As every pediatrician knows, stimulant drugs like methylphenidate (Ritalin) cause most people to speed up their actions and thoughts. But for those with ADD (with or without hyperactivity), these drugs can slow them down, reduce overactivity, increase attention span, and can even improve relationships between a child and parents or other family members. There are, however, some nagging problems: none of us is exactly certain how these drugs work or what their long-term benefits and risks might be. Sometimes, they cause intolerable side effects such as tics and sleep disturbances. The young man was clearly unhappy with his mother’s decision and let it be known with a slew of scowls and outcries of “Shut up!!” I asked him why he would prefer not being able to pay attention to his schoolwork, to which he replied: “You just don’t get it. I’m a lot more fun when I don’t take Ritalin. I crack great jokes in class and my friends think I am really cool. But when I take that stuff, I’m zoned out. I’m like a log. Ritalin ruins my life.” This description went a long way in explaining why many teachers (and not a few parents) of kids with ADD prefer their charges to be medicated and why many children resist such attempts. Left untreated, however, many of these kids create problems with disruptive behaviors and can destroy the normal dynamics of a classroom and at home. Here was my dilemma: The boy’s mother, and not the young man, wanted the prescription. The law defines a 14-year-old as a minor, but given that his condition was hardly fatal and essentially a behavioral issue, to whom should I have listened? The mother, who wants a more controllable child, or the boy, who simply wants to be what he perceives to be his true self? After all, the essence of adolescence is finding out who you are and figuring out who you want to be. As a pediatrician, I am supposed to be assisting youngsters in this difficult process.

That day, I listened to the parent and wrote the standard prescription for 40 mg of Ritalin a day. Like millions of youngsters with ADD, he takes 20 mg before going to school in the morning and another 20 mg at lunch. Every month, I see the boy to renew his prescription for Ritalin and to make sure that there are no serious side effects. At each visit, he greets me with a deep-rooted but quiet anger. His fidgeting and outbursts seem to have diminished, but there has been little improvement in his schoolwork. Last year, he barely passed the eighth grade and his mother admitted that 2 of his teachers simply elected to pass him to avoid a repeat year with him. Nevertheless, she is delighted with the results. When the boy is on vacation from school, I have noticed a definite change in his demeanor. Typically, when school is out, pediatricians give children with ADD a “drug holiday.” When he does not take his medication, his fidgeting and inattention are back in full force but he beams with joy, at least when I see him, and tells me that without Ritalin he can again enjoy cutting up in front of his friends. But in his mother’s defense, I don’t live with him and have no real idea how disruptive his ADD behaviors can be at home. In cases like these, I have to listen to the parent that does live with him. I remain terribly conflicted about pharmacologically altering this young man against his will. Using potent pills to treat a disorder we do not completely understand flies in the face of prudent medical practice, and yet we pediatricians do this all the time with our ADD patients. More than a century ago, the great physician Sir William Osler observed that “the desire to take medicine is one feature which distinguishes man, the animal, from the rest of his fellow creatures.” In the practice of pediatrics, we are often compelled to include the parent’s desire in that rubric. But still, I wonder, am I doing the right thing?

Reprinted with permission from Medscape Pediatrics 6(2), 2004 www.medscape.com/viewarticle/488924?src=sr © 2004, Medscape. Howard Markel, M.D., Ph.D., George E. Wantz Professor of the History of Medicine, Professor of Pediatrics and Communicable Diseases, Director of the Center for the History of Medicine at the University of Michigan, and author of When Germs Travel, from Pantheon Books. Disclosure: Howard Markel, MD, PhD, has no significant financial interests or relationships to disclose.

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Prospective Cohort of

ADHD Patients Under Chiropractic Care Joel Alcantara, DC, MPH (1), Jim Davis, DC (2) 1. Research Director, International Chiropractic Association, Media, PA, USA and Private Practice of Chiropractic, San Jose, CA, USA 2. Private Practice of Chiropractic, St. Paul, MN, USA

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a common behavioral disorder of childhood. Prevalence estimates indicate that between 3-11 percent of children are affected by this disorder (1). The diagnosis of ADHD is based on a subjective evaluation of the core symptoms of impulsivity, inattention, and motor overactivity (2). The most well-studied and effective medical treatments have been psychostimulants such as methylphenidate and dextroamphetamine (3). Given the controversy with respect to the dubious diagnosis of ADHD and the questionable effectiveness and safety of psychotropic medication in this pediatric population; parents are spurred to consider “alternative” forms of treatment for their child with a diagnosis of ADHD. Parallel to the increase use of complementary and alternative medicine (CAM) in adults, CAM use in children has also become more prevalent (4). Chiropractic, with its holistic and conservative approach to patient care has become the most popular choice of all the alternative therapies. Anecdotes and testimonials abound on the success chiropractic care in patients with ADHD but the scientific literature is virtually non-existent in the documentation of such successes. To the best of our knowledge, we are only aware of the following. In a single subject research design (N=7), Giesen et.al. (5) found five of the seven children showed improvement in mean behavioral scores from placebo care to chiropractic treatment, four of the seven demonstrated improvement in arousal levels, and the improvement in the group as a whole was highly significant. Agreement between tests was also high in this study. For all seven children, three of the four principal tests used to detect improvement (i.e., parent ratings of activity, motion recorder scores, electrodermal measures, and X-rays of spinal distortions) were in

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agreement either positively or negatively. Recently, Bastecki et.al. (6) described the successful chiropractic care (i.e., symptom improvement with medical withdrawal of medication) of a 5-yr-old male with ADHD and facial ticks. Pre-treatment and comparative cervical spine radiographs reveal changes from a 12˚ kyphosis (C2-C7) to a 32˚ lordosis. Bastecki et.al. concluded that an improvement in cervical lordosis in patients with ADHD may be a desirable outcome. To further contribute to the knowledgebase on the conservative care of patients with ADHD, we present the successful chiropractic care of patients with a diagnosis of ADHD. Methods: A prospective cohort of pediatric patients comprised the study population. Inclusion criteria required a medical diagnosis of ADHD and that spinal adjustments were not contraindicated. The patient population underwent chiropractic care that may be characterized as a combination Gonstead Technique (7) and a nutritional supplementation program (8). Main outcome measure was a survey instrument for parents and teachers of ADHD patients to score a patient’s behavior/performance at home and at school (8). Additionally, the types of medication prior to, during and following a period of chiropractic care were noted. Results: Nine patients (8 males and 1 female) comprised the study population. The average age of the patients was 9.2 years (range: 2–15 years). A parent for each patient agreed to perform the questionnaire. Although the patients have variable lengths of care, ADHD symptoms based on parent survey for each patient demonstrate a steady improvement. Comparison of the initial and latest parent scoring for ADHD symptoms as a group demonstrated a 53% reduction. Teacher ratings were available for 4 of the 9 patients. Similarly to the parent survey, teacher ratings of these 4 patients demonstrated improvement in ADHD symptoms over time. Comparison of the initial and

latest teacher ADHD symptom scoring demonstrated a 45% reduction. Of 5 patients under ADHD medication prior to chiropractic care; 3 patients were no longer on medication due to symptom improvement while the 2 remaining on medication were at decreased dosages. Conclusions: The results of this study suggest that patients with ADHD may benefit from chiropractic care utilizing a combination of fullspine spinal manipulative therapy and nutritional supplementation. Additionally, this study provides information vital for higher-level research designs investigating the effectiveness and safety of chiropractic care in patients with ADHD.


ADHD Helped With Chiropractic

a case study

In the October 2004 issue of the peer-reviewed research publication, the Journal of Manipulative and Physiological Therapeutics (JMPT), comes a case study of a child with ADHD (Attention-Deficit /Hyperactivity Disorder), who was helped with chiropractic. The case was of a 5 year old boy who had been diagnosed with ADHD at age 2. The child’s pediatrician prescribed methylphenidate (Ritalin), Adderall, and Haldol for the next 3 years. The combination of drugs was unsuccessful in helping the child. At age 5 the child was brought to a chiropractor to see if chiropractic care would help. The history taken at that time noted that during the child’s birth, there were complications during his delivery process. The

He then took the boy off

the medications that

he had been taking for 3 years. results of this trauma and complications resulted in a 4-day stay in the neonatal intensive care unit. The child’s mother reported no other incidence of trauma. The chiropractic examination and x-rays showed noticeable spinal distortion including a reversal of the normal neck curve indicative of subluxations. Chiropractic care was begun and the child’s progress was monitored.

References: 1. Szatmari P: The epidemiology of attention deficit hyperactivity disorder. Child Adolesc Psychiatr Clin N Am 1992;1:361-372. 2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC). American Psychiatric Association; 2000. p. 86-102. 3. Bennett FC, Brown RT, Craver J, et al: Stimulant medication for the child with attention-deficit/hyperactivity disorder. Pediatr Clin N Am 1999; 46:929–944. 4. Pitetti R. Singh S, Hornyak D, Garcia SE, Herr S. Complementary and alternative medicine use in children. Pediatric Emergency Care. 2001;17:165-169. 5. Giesen JM, Center DB, Leach RA. An evaluation of chiropractic manipulation as a treatment of hyperactivity in children. J Manipulative Physiol Ther 1989;12(5):353-363. 6. Bastecki AV, Harrison DE, Haas JW. Cervical kyphosis is a possible link to attention-deficit/hyperactivity disorder. J Manipul Physiol Ther 2004;27:525e1-e5. 7. Plaugher G, ed. Textbook of clinical chiropractic: a specific biomechanical approach. Baltimore: Williams & Wilkins, 1993

According to his mother, positive changes in her son`s general behavior were noticed around the twelfth visit. By the 27th visit the patient had experienced considerable improvement. The child was brought by the mother to the medical doctor for a follow up visit and questioned the usage of the Ritalin. The medical doctor reviewed and examined the child and based on that assessment and his clinical experience, the MD felt that the young boy was no longer exhibiting symptoms associated with ADHD. He then took the boy off the medications that he had been taking for 3 years. The conclusion of the author of the JMPT case study noted, “The patient experienced significant reduction in symptoms. Additionally, the medical doctor concluded that the reduction in symptoms was significant enough to discontinue the medication.”

8. www.nordicnaturals.com/professional/proefa.asp

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photo by Erik Dungan


Pull the Plug! Diane Meyer, D.C.

Since the 1950’s, sitting in front of the television for relaxation, entertainment, learning, and for just something to do, has been an integral part of family life. With the introduction of TV into the fabric of family homes, research has been mounting in support of some of its negative impacts. Implicated in childhood obesity, behavioural and sleep disturbances, seizures, desensitization, violence, decreased learning, sedentary lifestyles, learning disabilities and poor food choices, television has become more than a simple source of distraction.1 continued on page 12

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C

Chiropractors worldwide concern themselves with the enhancement, optimization and healthy development of the body through its nervous system. Awareness is the key in being able to educate Chiropractors and patients about the potential damaging effects induced by television viewing.

child watches is one hour per day, and ages 2–17 is 2.8 hours per day.4 This is, in spite of the American Pediatric Association’s recommendations that children under the age of 2 should not view television and that viewing for older children should be limited to 1–2 hours of media viewing (this includes video games).5

CURRENT TRENDS

TELEVISION AND THE BRAIN

The numbers are astonishing! The amount of television the average American watches is 3–4 hours per day.2 By the age of 75, a full 9 years will have been spent watching TV.3 (1) The amount of TV a one-year-old

The physiological process the brain undergoes while viewing TV, is perhaps a key to its harmful effects.

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Television images are created by a cathode ray gun scanner, which activates thousands of small phosphor

dots that have been formed into 525 lines. The scanner sweeps across the screen twice in one fiftieth of a second. The eye receives each dot and transmits this information to the brain, which fills in the dots of the pattern. It becomes a type of unconscious connect-the-dots. However, this high frequency of 50 waves of dots every second puts a strain on the visual system because the eye and the conscious brain can only record visual stimuli at 20 impulses or less, per second. As the eyes and brain attempt to keep up with the pace of the images, our visual focus is “glued” to the screen.6


Reeves and Thorson explained the hypnotic state of television by our natural “orientating response”. This response occurs after perceiving a new auditory or visual stimulus and consists of blood vessel dilation to the brain, a decrease in heart rate, and constriction of blood to the major muscle groups. The body becomes still and quiet while the brain gathers information. This orientating response appears to be activated by the countless cuts, zooms, pans, sounds and actions of

recalling what was viewed once the television is turned off. High frequency television waves also appear to have an effect on brainwave activity. Within 30 seconds of watching TV, repeated EEG experiments observed brainwave patterns to change from beta waves (alert and conscious) to alpha waves (unfocused—a type of subconscious day dreaming usually occurring only when the eyes are shut).9 Another brainwave EEG study found that a person watching TV for only a few

some video games. Despite this, the popularity of these games still increases.11

TELEVISION AND DEVELOPMENT There is discussion concerning the theory that what is being watched is not as important, as the act of watching itself. In the book “Who’s bringing them up?” Martin Large describes television as being damaging to children’s development independent of content. He cites the following

People report a sense of relaxation and passivity while viewing, however once off; the feeling of relaxation ends while the feeling of passivity and lowered alertness continues.

Early Television Exposure and Subsequent Attentional Problems in Children Early television exposure is associated with attentional problems at age 7. Efforts to limit television viewing in early childhood may be warranted, and additional research is needed. PEDIATRICS Vol. 113 No. 4 April 2004, pp. 708-713 pediatrics.aappublications.org/cgi/content/abstract/113/4/708

television, as many as 1 per second. (sciam) These rapid movements cause our attention to be intensely attracted to the screen in an almost hypnotic state that most viewers, find difficult to detach from.7 Thus the “addictive” cycle begins. People report a sense of relaxation and passivity while viewing, however once off; the feeling of relaxation ends while the feeling of passivity and lowered alertness continues.8 In essence, during watching the viewer is not actually reacting or focusing. This can explain why the person is left exhausted and often has difficulty in

minutes had the same brainwave activity as someone who is subjected to 96 hours of sensory deprivation! 10(p46) In addition, there have also been reports on the potential deadly effects of viewing. In 1997, 700 Japanese children were rushed to hospital suffering from optically induced epileptic seizures after watching a Pokemon video game. The high frequency of red/blue flashes of color may have induced these seizures. Video game manufacturers now issue warning labels on

developmental effects; artificial light on children’s eyes, effects on the senses and brain, sleeplessness, headaches, bad dreams, perceptual disorders, poor concentration, hyperactivity, language development, and nervous problems.12 A new study from Seattle Children’s’ Hospital and Regional Medical Center supports Large’s findings by showing that for every hour per day a toddler watches television they are 10% more likely to develop an attention disorder.13 continued on page 14

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An alternative perspective regarding television is not the possible behaviour it produces, but the behaviour that it does not produce. TELEVISION AND BEHAVIOUR One Canadian study observed the effects of when television was introduced into a no-TV community. Before television, the children of that community scored higher on reading tests, imagination and creativity than TV viewing children. After the introduction of television, the children fared only as well as their TV viewing comparison group. As well, their aggressive behaviour increased, beliefs about boys and

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girls’ performance became more stereotypical, and participation in community activities decreased. As for the adults, TV was found to decrease creativity and problem solving abilities.14 A study in Pediatrics involving 888 grade 2 and 3 students observed that along with increased television viewing there was an increased risk of; withdrawal, social problems, thought problems, attention issues, delinquent behaviour, and aggressive behaviour. It was also noted that

the amount of television viewing was increased in children who are male, are older, and have social and academic issues.15 This predisposes a certain group of children to being more exposed to television, and are therefore at a greater risk of damage. Today’s average youth spends more time watching TV (1,023 hours) than at school (900 hours), and has seen 200,000 acts of violence by the age of 18.16,17 What kind of impact can this have on children and can it impact adult behaviour?


WHAT ABOUT THE VIOLENCE?

Association Between Television Viewing and Sleep Problems During Adolescence and Early Adulthood A recent study showed that adolescents who watched 3 or more hours of television

Research has shown that the emotional response to implied violence is actually greater than to actual scenes of violence.18 The implication of this for even G-rated movies is obvious. Could this be because today’s children are already desensitized to violence? Or does the mind, left to fill in the blanks for the implied violence, come up with more emotionally charged mental images?

per day during adolescence were at a significantly elevated risk for frequent

One study attempted to analyze the desensitization of children and adults while watching TV violence. They found that children and adult males had a decreased emotional response with a violent program when previously exposed to a violent scene.19 This may indicate a protective mental response or it may mean that with each exposure to violence our emotional response is lessened. It is also important to assess whether or not exposure to TV violence has a prolonged effect into adulthood. In a 2003 study, children ages 6–10 were followed for a 15-year period and were assessed whether or not there was a relationship between viewing as a child and adult aggressive behaviour. The results clearly indicated, “childhood exposure to TV media violence predicts young adult aggressive behaviour”. It was also shown that those children who identified with the violent characters and who perceived TV violence as realistic, were more likely to be aggressive in adulthood.20

Arch Pediatr Adolesc Med. 2004;158:562-568. http://archpedi.ama-assn.org/cgi/content/abstract/158/6/562

An alternative perspective regarding television is not the possible behaviour it produces, but the behaviour that it does not produce. Just observe a child sitting in front of the television. What you will observe is a blank stare, with little blinking. If you gently try to get the attention of the child you may find that the child

sleep problems by early adulthood. This elevation in risk remained significant after offspring age, sex, previous sleep problems, offspring psychiatric disorders, offspring neglect, parental educational level, parental annual income, and parental psychiatric symptoms were controlled statistically. Adolescents who reduced their television viewing from 1 hour or longer to less than 1 hour per day experienced a significant reduction in risk for subsequent sleep problems. Sleep problems during adolescence were not independently associated with subsequent television viewing when prior television viewing was controlled. The researches concluded that extensive television viewing during adolescence may contribute to the development of sleep problems by early adulthood.

appears to have difficulty “coming out of ” the gaze. The vibrant, energetic and playful child is not found in a TV viewer. It seems as if the child is somehow subdued or inhibited. When observing adults viewing TV, the same behaviour is found. It is as if the thinking, feeling and interactive human is temporarily suspended; but gone where?

THE ACT OF TELEVISION VIEWING Other dangerous effects of television viewing revolve around the physical act of viewing. The mental, physical, and emotional impact of sitting in front of a screen for 3 hours a day does not promote a healthy lifestyle. In fact there are several studies which have positively associated television with an increased risk of obesity by as much as 17–44%; an increasing problem for North Americans.21,22 In 1994 the percentage of North American children that were seriously overweight amounted to 13%. One study found that television viewing actually lowers one’s metabolic rate.23 Another factor that contributes to obesity includes the type of advertising commonly found during viewing. continued on page 16

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The average number of “junk food ads” aired during a 4-hour period of Saturday morning cartoons totalled 202. The predominant commercials include those that promote foods high in fat, salt and sugar; with sugary cereals being the most common.24, 25 The number of television commercials viewed in one year by children is 20,000! Young minds are easily influenced and may torment and affect the buying habits of less conscious parents. Another factor incredibly important in maintaining optimal health is sleep. Watching television before bed has been found to negatively impact the amount and quality of sleep.26 In this new millennium we have made great strides in the promotion of healthy lifestyles, but promotion does not equate action. It is obvious that while our “hearts” are in the right place, seeking to add exercise, healthy

diets and wellness concepts, our minds may be controlled by television, which may undermine our efforts. Television as a cause of subluxation incorporates physical, emotional/ mental and even toxic aspects.

SO WHAT TO DO? April 25 to May 1 2005 hosts the annual TV Turnoff Week for North America. Last year over 7.3 million children and adults participated in the event. It is designed for individuals and families to learn more about the impact of television. During the week, participants are encouraged to leave their televisions off and find other activities in its place. Participants are overwhelmingly surprised at how much more “quality” was introduced into their lives when the TV was off. The TV Turnoff Network (www.tvturnoff.org) has accumulated research and supportive information showing that television;

1) undermines family life, 2) harms children and hampers education, 3) promoted violence, and 4) promoted excessive commercialism and sedentary lifestyles. We as parents need to become more aware of the side effects of this seemingly innocent pastime. If TV were a drug it would long be off the shelves.

Diane Meyer, D.C. has been awarded Diplomate status for successful completion of the ICPA’s 360 hour post-graduate Diplomate program. She is a 1994 graduate of Canadian Memorial Chiropractic College and practices in Oakville, Ontario. References can be found on-line at www.icpa4kids.org/research/references.htm

The following are some parental suggestions to limit T.V. watching: 1

Reduce the time spent watching television; it is obvious that less is better. Anything over 2 hours a day is dangerous.

2 Avoid TV before bed 3 Keep the TV’s out of children’s bedrooms. 4 Engage children in other activities, hobbies, crafts, readings and outings

8 Use commercials to educate children on healthy eating and the contents of some advertised foods. This is also an opportunity to teach children to be conscious consumers by discussing the tactics of advertising. 9 Try to encourage movement during watching, i.e. sit on the floor or on an exercise ball, lift hand weights etc… use TV as a stretching opportunity. Be creative!!!

5 Watch with your children and screen for violence 6 When implied violence is encountered, discuss its emotional effect with your children 7 When violence is encountered use it as an educational tool—a springboard for moral and ethical discussions

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10 Avoid just sitting and exploring the channels… this can lead to hours of TV babble while not really watching anything. 11 Pre-frame a show to stimulate retention 12 Mute or turn off commercials—they are noticeably louder than the program to hold your attention


Get Online!

www.icpa4kids.org Be Informed: Make knowledgeable health care choices for your family. Get the Facts: Review the most current research and articles. Stay Connected: Sign up for our free newsletter: Family Wellness First. Share the Wealth: Refer other families to discover chiropractic.

International Chiropractic Pediatric Association Parents: Seek healthcare options which support your children’s own natural ability to be healthy‌ All parents want their children to express their fullest potential. All children function better with 100% nerve system function. Chiropractic care for children is safe, gentle and effective.

Your Doctor of Chiropractic is a distinguished member of the International Chiropractic Pediatric Association. Our joint mission is to provide you with the resources necessary in achieving the chiropractic wellness lifestyle for your family.

Get Online!

www.icpa4kids.org

parents: Ask your ICPA Doctor for additional copies of these cards so you can bring them to your health care providers, local family oriented meetings (breastfeeding, birth classes, ADHD support groups, etc) in your communities.


Ask your pediatrician if he or she would like to meet your family chiropractor; let them know what a great asset this doctor is to your community.

helping to find a

wellness minded

Pediatrician Claudia Anrig, D.C.

T

Today wellness-educated parents are searching to create a “Wellness Healthcare Team” for their children. Many parents want to work with a spectrum of doctors and healthcare providers that suit the ongoing needs of their family.

A growing number of parents, many of them who are bringing their children to a family chiropractor, are also looking for a pediatrician who would take a holistic approach with their children and not always write a prescription; but discuss different options for your child.

There are several questions that you will need to address; first, in an assessment of your current pediatrician, and then, you can restructure the questions as an interview for potential candidates.

The Meeting Between a Parent and Pediatrician Once you have a tentative candidate list, contact the pediatrician’s office and arrange for a consult. A oneon-one meeting is the only way to walk away with the answers.

The Questions One question to ask, “Is my current pediatrician a wellness-minded doctor, and if not, how do you find a wellness-minded pediatrician?” Where does one begin to find a wellness-minded pediatrician? For a new referral you might want to start with someone who is already a part of your current wellness team. This may be your family chiropractor, midwife, naturopath or others whose advice you trust. Interview your current healthcare advisors and inquire about who they believe are the best and the worst pediatricians (having the latter list will come in handy).

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Your questions for the meeting can come from the pediatrician assessment listed above. Remember, it is highly unlikely you are going to find a holistic pediatrician in your community. What you are looking to discover is the philosophy of the doctor regarding certain health issues. Inform the doctor that you are looking for a pediatrician who takes a more natural (wait-and-see) approach and would take a less invasive approach for your children. Don’t be abrasive or expect to change a doctor’s belief system of practice.


Assessment of my current pediatrician: Is my pediatrician a wellnessminded doctor? Does my pediatrician promote good nutrition? Does my pediatrician promote breastfeeding? Does my pediatrician routinely prescribe antibiotics for every cold or suspected ear infection? When my pediatrician suspects my child has an ear infection, do they perform a culture to confirm the necessity for an antibiotic?

Will your pediatrician return your phone calls in the same day? How many times has your child received a prescription in their lifetime and why? How long of a wait do you usually have at their office? Is there a separate area for sick children? Is the office clean and kid-friendly? Is the staff friendly?

Will my pediatrician take a wait-and-watch approach to a fever?

Does my pediatrician know that my child is under chiropractic care (or other wellness care individuals)?

When you inform your pediatrician that you are not interested in vaccinations for your child, are you still treated warmly?

If you could have a wish list for a great pediatrician what would it be?

A Relationship with Your Doctor A relationship of any kind will take time. Don’t expect some of the pediatricians to embrace you in the beginning. Take time to slowly introduce information that could cultivate and broaden their knowledge of wellness. Should you come upon an interesting article or website, forward it to them. When you find that there is an issue on which the two of you strongly disagree, agree to disagree. For example, you will have very few pediatricians who oppose vaccinations. Ask them if they are interested in a continuing dialogue, and if you could order them a subscription to the NVIC newsletter (www.909shot.org) as a basis of your discussion. Do not send literature that is not scientifically referenced. Remember, these doctors were educated that their protocol for care is based on science (even if some of it is bad). As your relationship builds let them know more about the other healthcare providers in the life of your family (i.e. family chiropractic, naturopath, etc). Some doctors will need to be educated that, for example, your family

chiropractor doesn’t treat a disease or disorder, but rather assists the body to improve its function from the state of dis-ease. Develop a new relationship with your new pediatrician and your wellness healthcare team. Ask your pediatrician if he or she would like to meet your family chiropractor; let them know what a great asset this doctor is to your community. Remember that every conversation you have with your pediatrician might be one more seed that you plant for a wellness future for your children and their children’s children. In the best of both worlds, it would be an asset for our families to have their healthcare team be a healthy partnership between the family wellness chiropractor and the wellness-oriented pediatrician.

Dr. Claudia Anrig has been actively involved in pediatric chiropractic for almost 25 years. As an international instructor on the subject and editor of the first and most comprehensive Chiropractic Pediatric Textbook, Dr Anrig has contributed extensively to the chiropractic profession with her expertise and knowledge.

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Strengthening Your Child’s Immune System By Jane Sheppard

The key to a healthy child is a strong immune system. When functioning properly, the immune system fights diseaseproducing organisms such as bacteria, viruses, fungi, and parasites. All children are continuously exposed to these pathogens, but exposure does not mean a child will get sick. A strong immune system provides a child with powerful natural defenses against disease. Conversely, a child with a weakened immune system is vulnerable or more susceptible to colds, flu, and more serious illnesses.

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It is virtually impossible to germproof your child. Germs are abundant everywhere, especially in situations such as daycare or preschool. Being exposed to germs is a part of life, and not necessarily unfavorable. Exposure to different viruses and bacteria can actually strengthen a child’s immune system. Furthermore, acquiring innocuous childhood diseases such as chicken pox, measles, mumps and rubella can help to build immunity and give your child lifetime protection against these diseases. Lifetime immunity is important since


these diseases can have serious negative effects if acquired as an adult. If your child is overly susceptible to illness, you may want to take steps to enhance his or her immune system and make it as strong as possible. Prevention is the way to avoid subjecting your child to continuing cycles of antibiotics or other medications. The powerful tools of prevention include breastfeeding, good nutrition, nutritional supplements, a healthy mental attitude and emotional well-being, a nontoxic environment, chiropractic care, avoiding unnecessary antibiotics and vaccines, low stress, and plenty of rest and exercise.

Breastfeeding Breastfeeding for as long as possible is crucial to developing a strong immune system. Breastmilk supplies the factors necessary to protect your baby against disease, as well as all the nutrition he or she needs, including the essential fatty acids. Breastfed babies experience fewer infections than babies that are bottle-fed. Feeding a baby artificial milk (formula) deprives him or her of receiving the crucial protection that breastmilk provides.

Nutrition & Nutritional Supplements Good nutrition is essential to developing and keeping the immune system healthy and strong. Nutritional deficiencies may be responsible

for chronic immune problems as it is easier for bacteria or viruses to take hold when important nutrients are missing. Critical nutrients that stimulate a strong immune system include vitamins A, C, E and essential fatty acids. The most important minerals include manganese, selenium, zinc, copper, iron, sulfur, magnesium and germanium. These nutrients can be obtained from an organic wholefoods diet consisting of fresh fruits and vegetables, nuts, seeds, beans, and whole grains. Unfortunately, most of our food supply is artificially manipulated and processed with many ingredients and additives that contribute to poor nutrition. Processed foods, sugar, and soda can weaken the immune system. These “foods” add nothing in the way of nutrition, and if your children fill up on a lot of them, they are not likely to eat healthy foods with essential nutrients. This can lead to a weak immune system. You may want to consult a qualified nutritionist or naturopathic physician to find out if your child has any deficiencies. Dietary fats can either enhance or impair immune function, depending on the type of fat. The wrong types of fats (hydrogenated oils found in deep fried foods, margarine and baked goods) can predispose a child to recurrent infections and inflammatory conditions. Essential fatty acids (the good fats) are essential to normal immune and nervous system function. They are found in flaxseed oil, evening primrose oil, hemp seed oil, borage

seed oil, and fish oil. Cod liver oil is a great way for kids to receive essential fatty acids. Sugar has been shown to reduce white blood cell count, an indicator of immune strength. The function of white blood cells is to fight and destroy germs that can cause disease. This is why many kids get sick after birthday parties or Halloween. Their resistance is lowered due to excess sugar. Giving your child extra vitamin C and the herb echinacea for a few days before and a few days after these events may help to prevent the onset of an infection. You may want to consider probiotic supplementation if your child has a history of antibiotic use, ear infections, oral thrush, diarrhea, constipation, colic, food allergies, eczema, intestinal viral infections, candidiasis or is bottle-fed. Probiotics are the beneficial bacteria in the intestinal tract that keep the “bad” bacteria from takechinacea ing over. This bacterium may help to is essential for healthy prevent the immunity. Acidolphilus is onset of an the probiotic supplement infection suggested for children over age seven and bifidus for children seven or under. You can find these supplements at your local health food store. Herbs have been used safely all around the world since ancient times to prevent and treat disease. continued on page 22

eat lots of fresh foods and avoid sugary, processed snacks

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immunity

breastfeed eat nutritiously create a healthy environment avoid unnecessary antibiotics and vaccines

use nontoxic or organic products when possible, including household cleaners, pesticides and personal care products

consult a chiropractor

boost

increase mental and emotional well-being

22

Using herbs to strengthen a child’s constitution can make them more resistant to illness. Certain herbs, including echinacea, astragalus, and garlic, have been found to have remarkable immunological effects. These herbs support the body’s own process to stay at the peak of vitality and prevent development of disease.

children take in to their bodies. There are affordable, nontoxic alternatives to all lawn and garden pesticides, toxic household cleaners and personal care products. Buying organic foods will greatly decrease your child’s overall exposure to pesticides and help to create a healthier environment for all children.

Nontoxic Environment

Avoid Unnecessary Antibiotics and Vaccines

More than 75,000 chemicals are permeating our environment. Chemical exposures can damage the immune system, decreasing the ability to fight off common infections and serious diseases such as cancer. Poor indoor and outdoor air quality, contaminated food and water, and constant, cumulative pesticide exposure all contribute to decreased immunity in children. Environmental toxins are everywhere, but there is much you can do to avoid unnecessary exposures and reduce the overall amount of chemicals your

winter 2005

Antibiotics are excessively prescribed to children. Antibiotic resistance and decreased immunity are some of the consequences of excessive, unnecessary antibiotic use. Increasing evidence suggests that injecting a child with nearly threedozen doses of 10 different viral and bacterial vaccines before the age of five, while the immune system is still developing, can cause chronic immune dysfunction. The most that vaccines can do is lead to an increase


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in antibodies to a specific disease. They do not provide true immunity against disease; nor do they create healthier children. In fact, the risks of vaccinations can be very high and parents need to become informed before considering having their children injected with toxic vaccines. I have seen many anecdotal reports from parents that express unequivocally how incredibly strong their unvaccinated children’s immune systems are. My own unvaccinated daughter is remarkably healthy. She’s been “immunized” with four years of breastmilk, an organic whole foods diet, and plenty of love and attention. She has never needed an antibiotic. I know her immune system is strong enough to fight the so-called “deadly” diseases that kids are vaccinated against. If she does get a serious infection, I am confident her strong immune system will respond quickly to treatment. continued on page 25

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laughter and positive thoughts and feelings stimulate the cells of the immune system

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chiropractic adjustments can correct spinal misalignments and allow the immune system to function at fuller capacity

Mental and Emotional Well-Being

Chiropractic for Creating Strong Immunity The nervous system affects the immune system and plays an important role in the immune response. Subtle misalignment of the bones, with tightened muscles and ligaments can lead to irritation of the nerve system and can alter the ability of the nerves to supply the tissues, organs and cells of the body with vital communication from the brain. The scientific study of neuroimmunology (the link between the nervous system and the immune system) clearly indicates that nerve system stress can cause decreased immunity and may increase susceptibility to disease. Spinal misalignments can occur during childbirth, from tumbles or falls, or from any other normal childhood activity. A chiropractor can detect spinal misalignments and correct them by properly adjusting the spine. With proper nerve supply, the immune system can function at fuller capacity, allowing the body to naturally defend itself against disease.

The best nutrition for the immune system is love and attention. Children need to be held, hugged, rocked, massaged, nursed, touched and kissed regularly. When they feel loved and sense that the people around them love each other, they are secure and happy. There have been many studies done that show that laughter and positive thoughts and feelings stimulate the cells of the immune system. The more children laugh and enjoy life, the better their immune function and the healthier they will be. Emotional stress and unhappiness may deplete the immune system and lower a child’s resistance to disease. An important way to guard against emotional stress and promote positive feelings in an infant or toddler is by frequent and extended breastfeeding. The comfort they receive from this reassures them and can ease the sometimes-stressful situation of being a little person in a big world. Giving your child a massage is another wonderful way to relieve relieve stress and stimulate the immune system by massaging your child

stress and stimulate the immune system. You can easily learn to massage your baby or child. Find a class in your area or get the book, Infant Massage, A Handbook for Loving Parents, by Vimala Schneider McClure. Plenty of sleep is also essential. Your child’s body regenerates and renews itself while sleeping. In addition, it is important to include “quiet time” as part of your child’s day. Kids can easily be taught to practice yoga and meditation. A great yoga video for kids is YogaKids by Living Arts. (800-2-LIVING). Plenty of fresh air and exercise can make a big difference in the health of your children. Spending a lot of time inside, breathing stale, recirculated air, can be a hazard to your child’s immune function. Go for walks, play in the woods and let your children climb, jump, run, and dance. Let them hug trees and run barefoot in the grass. Mother Nature can be an excellent immune stimulator.

Jane Sheppard is the editor and publisher of Healthy Child Online www.healthychild.com and the Executive Director of the Holistic Pediatric Association www.hpakids.org Portions of this article were extracted from Super Healthy Kids: Strengthening Your Child’s Resistance to Disease, available at Healthy Child Online.

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baby tantrums By Elizabeth Pantley, Author of Gentle Baby Care

Learn about it A baby’s first tantrum can take you by surprise. Your baby can really shock you by shrieking, stamping, hitting, or making his whole body go stiff. But don’t take it personally; baby tantrums aren’t about anything you’ve done wrong, and they aren’t really about temper, either—your baby isn’t old enough for that. The ways you’ll respond to your baby’s behavior when he is older are different than how you should respond now.

Why babies have tantrums and what you can do about it A baby tantrum is an abrupt and sudden loss of emotional control. Various factors bring tantrums on, and if you can identify the trigger, then you can help him calm down æ and perhaps even avoid the tantrum in the first place. Here are the common reasons and ways to solve the problem:

Reason for tantrum

Possible solution

Overtiredness

Settle baby down to sleep; Provide quiet activity

Hunger

Give baby a snack or something to drink

Frustration

Help baby achieve his goal or remove the frustration; Use distraction

Fear/anxiety

Hold and cuddle baby; Remove baby from difficult situation

Inability to communicate

Try to figure out what he wants; Calmly encourage him to show you

Resisting change

Allow a few minutes for baby to make adjustment

Overstimulation

Move baby to a quiet place

Excerpted with permission by McGraw-Hill/Contemporary Publishing from The No-Cry Sleep Solution: Gentle Ways to Help Your Baby Sleep Through the Night by Elizabeth Pantley, © 2002 Website: www.pantley.com/elizabeth

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How to prevent baby tantrums Often, you can prevent a baby from losing control of his emotions if you prevent the situations that lead up to this. Here are some things to keep in mind:

• When baby is tired, put him down for a nap or to sleep. • Feed your baby frequently. Babies have small tummies and need regular nourishment.

• Help your baby learn new skills (such as climbing stairs or working puzzles). • Keep your expectations realistic; don’t expect more than your baby is capable of.

• Give your baby toys that are geared to his age and ability level.

• As much as possible, keep a regular and predictable schedule.

• Warn your baby before changing activities (“One more swing, then we’re going home”).

• When your baby is overly emotional, keep yourself as calm as possible.

• Be patient when putting your baby in an unfamiliar environment or when introducing him to new people.

• Use a soothing tone of voice and gentle touch to help your baby calm down. He can’t do it on his own, he needs your help.

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continued on page 30

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DHA and EPA are long chain fats essential for growth and function of the brain in the fetus and infants An essential piece to the pregnancy nutrition puzzle is the proper fats. Fats are very important in everyone’s diet but especially so for the developing fetus. Fats are the main building block of the brain and nervous system. In fact, more than 60 percent of the dry weight of the brain is fat. The fats in the nervous system are required for insulation of the nerves to preserve messages and for connections between the nerves allowing information to be exchanged (1). Deficiencies in the proper fats contribute to many disorders such as tremors, learning problems, numbness, developmental delays, seizures, strokes, and autism. On the other hand, proper amounts of the “good” fats can help both mom and baby reach their fullest potential. First of all, there is a major difference between different types of fats. The most harmful fats you can put into your body, pregnant or not, are trans unsaturated fats. Trans fats are those unsaturated fats which have been heated to change the bonds in the structure. Trans fats tend to be solids at room temperature. The reason trans fats are so harmful is because of their bond structure. Trans fats cause our cells to become rigid and inflexible. This means our nerves have a more difficult time passing information from one nerve to the next. Unfortunately, you find trans fats in almost every package on the grocery store shelf and in every fried food. Included in this group of foods loaded with trans fats are our kids’ favorites, french fries. Almost every cracker, cookie, and cereal you pick up has at least one ingredient listed as fractionated or hydrogenated oil, denoting a trans fat. Trans fats help retain the shelf life for foods, give crackers their crispiness, and moistness to cakes. According to the FDA, there is no safe level for trans fats as they are so damaging to the body. Trans fats

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are also major contributors to clogged arteries, coronary dysfunction, and diabetes. Especially when pregnant, trans fats do not provide strong building blocks for a developing fetal brain and nervous system. The best choice of fat to build a strong fetal nervous system and brain are omega 3 polyunsaturated fats such as docosahexaenoic acid also known as DHA and eicosapentaenoic acid known as EPA. DHA and EPA are long chain fats essential for growth and function of the brain in the fetus and infants (2). DHA is the heaviest hitter contributing to improved learning ability due to proper brain function. Taking in the correct amount of the omega 3 essential fatty acids allows our brain to function at a higher level by ensuring accurate and rapid communication between nerve cells. On the other hand, a deficiency in the omega 3 polyunsaturated fats can adversely affect learning, behavior, visual acuity, and retinal function in infants (3). Throughout pregnancy, maternal fatty acid blood levels drop. This results from the growing infant’s need for the fatty acids to build developing brain tissue. The only way the developing fetus gets the long-chain fatty acids necessary to properly develop the neural tissue is from the mother. This leaves the mother with depleted stores of essential fatty acids for her own nervous system health. When her system is depleted of these fatty acids, they are not easy to replenish. As a result of this, with each pregnancy, DHA supplies in mother and, therefore, baby, are decreased (4). Mothers with low fatty acid levels have been shown to have higher levels of postpartum depression because of the difficulty the nerves have to pass accurate messages. Because of this, it becomes even more important for mom to supplement her EPA and DHA intake during


Breastmilk is the best choice for the infant as it provides for the easiest digestion and absorption of the fatty acids. pregnancy, particularly in the 3rd trimester when fetal brain development is most rapid and proficient (5).

choice for the infant as it provides for the easiest digestion and absorption of the fatty acids. Until recently, formulas were not supplemented with the very important long chain polyunsaturated fatty acids. Due to recent studies on brain development and the IQ advantages supplemented children have over nonsupplemented, the larger formula manufacturers decided to include the polyunsaturated fatty acids into their formulas. There are several conditions associated with deficiencies in DHA such as impaired vision, reduced IQ, dyslexia, and ADD (2).

Our bodies are unable to efficiently synthesize the long chain polyunsaturated fats such as DHA and EPA needed for fetal and maternal health. Therefore, pregnant mothers must take in the omega 3 essential fatty acids from the diet. The omega 3’s EPA and DHA are not found in a multitude of sources. Essentially they are found in deep water fish such as mackerel, sardines, and salmon. Fish, much like humans, have a hard time synthesizing the beneficial fatty acids. Therefore, deep-water fish eat algae which are very good at carrying the omega 3 fatty acids we all need. So from algae to fish to pregnant moms to the fetus and finally to the developing nervous system the very important omega 3s are utilized. Unfortunately, there is a problem with this chain of lifepollution. Pollutions such as PCBs and mercury are found in high levels in those same deep-water fish. These pollutants have been shown to have detrimental effects on the fetus (6). Because of the pollutants in the deep water fish, a safer way to take in the omega 3s are in supplement form. When looking for an omega 3 supplement, one needs to find pharmaceutical-grade. This denotes the highest level of purity attainable in these supplements avoiding damaging mercury and PCBs as much as possible.

Fats, for the longest time, have been thought of as the evils of diets. There are fats which cause more damage than good to our bodies, the worst of these harmful fats are trans polyunsaturated fats. However, people of all ages, from fetus to elderly, need fats to build the brain and nervous system. The fats we take in have a major effect on how well our nervous system functions. The most beneficial fats are omega-3 polyunsaturated essential fatty acids more commonly known as DHA and EPA. These fatty heavy hitters have been shown to enhance brain development and functions in children. By limiting trans fat intake and enhancing omega-3 consumption during pregnancy and beyond women can give our children the best opportunity for optimum brain and nervous system function.

The rapid fetal brain development continues from the last term of pregnancy into the first 12 months of the infant’s life. Given this, the need for long chain fatty acid supplementation in the infant remains high. The infant most obviously must receive these long chain fatty acids in one of two ways—breastfeeding from a mother who is supplemented or from a formula fortified with the DHA/EPA complex. Breastmilk is the best

Renata Anderson, D.C. graduated from NWCC in 1999. She has been in practice for 5 years in Onalaska, WI. She has just successfully completed the ICPA 360 hour Diplomate program and has been awarded Diplomate status. Dr Renata and her husband John have a 16 month old son, Quinn. References can be found on-line at www.icpa4kids.org/research/references.htm

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Breastfeeding is Breastfeeding significantly increases short-term attentiveness in 4- to 6- month olds, according to an article in the journal Developmental Psychobiology. Investigators outfitted 13 infants with limb movement detectors. The youngsters were watched for a 4-minute period while a mechanical mobile was switched on and off at 1-minute intervals. The babies were studied on two different days. On one day they Breast-fed babies’ IQ is higher were observed following breastfeeding, while on than that of formula-fed babies, according to another day they were tested before they a meta-analysis of 20 articles. were breastfed. Breastfeeding After adjusting for factors that may influence intellect, including Investigators noted that, while the for Enhanced the mother’s age and intelligence, birth order, race, birth weight, gesbreastfeeding did not influence Attentiveness tational age and socioeconomic status, the study found that breastto heighten limb activity, it did appear feeding may raise a child’s IQ by more than five. The the infants attentiveness. Specifically, enhanced cognitive development was evident as looked at the mobile significantly longer after early as six months and was sustained through age Breastfeeding they breastfed. The study’s authors concluded that relationship was demon15. A dose-response breastfeeding has a significant impact on infants’ attenMakes Kids strated between duration of breastfeeding and tiveness and interaction with their environment. Smarter cognitive benefit. Gerrish CJ, Mennella JA. Short-term influence of breastfeeding on the infants’ interaction with the environment Dev Psychobiol 2000 (Jan); 36 (1): 40-48

What accounts for breast milk’s brain boosting power? According to experts, nutrients present in breast milk may have a significant effect on neurologic development in premature and term infants. Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: a meta-analysis Am J Clin Nutr 1999 (Oct); 70 (4): 525-535


Doctors of chiropractic have traditionally been strong proponents of breastfeeding. Now, just-published research shows that doctors should not only encourage mothers to breastfeed, but should also instruct them to stay at it for at least six months. According to an article in the Archives of Disease in Childhood, babies who are breast-fed for at least six months grow to be more intelligent than their peers who are breast-fed for less time.

Infant formula supplemented

with long-chain polyunsaturated fatty acid The analysis tracked 345 Scandinavian young(PUFA) does not improve the neurodevelopmental outsters. The 17% of subjects who were breastcomes of preterm infants, according to a report in the July fed for less than three months were Duration issue of Pediatrics. more likely to score below of Breastfeeding average for Breast milk contains longchain PUFA, which is mental skills at 13 months and total Affects IQ found in high concentrations in cell memPUFAintelligence at 5 years, compared with branes, particularly those of the central nervEnriched subjects who were breast-fed for at least six ous system, and is thought to play an Formula Does This correlation remained after months. important role in brain development. Not Improve investigators controlled for various risk factors of cognitive Neurodevelopment formula does not impairment, such as maternal age, socioeconomic status, edu- Because standard infant contain long-chain PUFA, researchers have of Preterm cation and history of smoking. Duration of breastfeeding did reasoned that formula supplemented with Infants not appear to influence motor skills. this fatty acid would benefit preterm infants whose Angelsen NK, Vik T, Jacobsen G, Bakketeig LS. Breast feeding brains have not fully matured. But studies to date have and cognitive development at age 1 and 5 years Arch Dis yielded conflicting results. Child 2001 (Sep); 85 (3): 183-188 Furthermore, a group of 88 control infants who were breastfed scored higher on developmental tests than either group of formula-fed infants.

Best Feeding pathways

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mercury rising Warnings in Pregnancy and Infancy

Jeanne Ohm, D.C.

Mercury: a Known Toxin It has been known for a long time, that mercury is a toxic and dangerous substance that effects the developing nerve system in an adverse way. Web MD offers this report: “Mercury is very dangerous to children. Relatively low concentrations keep a child’s brain from developing normally. Kids with mercury poisoning have problems with thinking, language, memory, motor skills, perception, and behavior. “ The CDC further states: “Two groups are most vulnerable to methyl mercury: the fetus and pregnant women. Premature babies are more vulnerable because they tend to be very small and their brain is not as developed as a full term baby”. Richard Weisman, MD, a toxicologist at the University of Miami School of Medicine and director of the Poison Control Center for South Florida tells us, “There is no doubt that

photo by bradley mason

mercury is one of the worst [toxins affecting the brain].”

How much mercury is your child exposed to?


Although warnings of toxic mercury exposure has gotten significant press, routine administration of mercury to pregnant women and children has not been as clearly defined for the consumer.

Mercury in Foods Cautions about eating too much fish in pregnancy and while nursing because of mercury exposure has had frequent media coverage. MY Web MD writes, “Fish and shellfish are an important part of a healthy diet, however nearly all fish and shellfish contain traces of mercury. Some studies have found dangerously high levels of mercury in some fish enough to cause harm to an unborn baby or a young child’s developing nervous system. This is a cause for concern for the health of women of childbearing age, those who are

part of it will end up in our nervous system, in our brains, and it’s there that it causes a variety of symptoms.” An interviewed pediatrician said, “We know that high levels of mercury can impair the cognitive development as well as the growth and development of a young child.” What the report appears to be revealing is that while overweight Americans may resort to fish to shed unwanted pounds, too much fish in their diets could reduce the IQ more than the waistline. 2

Mercury in Vaccines: Thimerosal, a mercury derivative has been routinely used as a preservative in vaccines. For years, grass roots groups have warned about the potential hazards of vaccine ingredients including the presence of mer-

vaccines should be removed as soon as possible.” The PHS and AAP recognized that because of thimerosal in vaccines, some children would be exposed to “a cumulative level of mercury over the first six months of life that exceeded one of the federal guidelines on methyl mercury.” Hospitals around the country responded by halting the administration of the thimerosal containing vaccine for hepatitis B at birth, deferring vaccination until the baby was older and more developed. In an effort to reduce parental fears, numerous studies were published giving a false sense of security to parents. One study published in the Lancet, November 2003 hit the media with this misrepresented headline: “Mercury Levels in Vaccines Are Safe: Study Suggests Infants Are Not at Risk” 5

Thanks to the continued efforts of various consumer groups there have been significant strides in educating the public and government officials about their concerns of mercury in vaccines. These efforts have eventually brought forth a wave of awareness, new policy and research.

nursing, and young children. To protect the developing fetus from the effects of mercury in fish, the U.S. FDA advises against eating shark, swordfish, king mackerel, and tilefish during pregnancy and in women of childbearing age. Some states also urge expectant moms to limit canned tuna consumption to 7 ounces a week. “ 1 The title “Canned tuna or canned poison?” was the teaser for a CBS 2 News “Health Watch” report that focused on high levels of mercury found in tuna and the possible health risks associated with them. CBS reporter Paul Moniz quoted a number of physicians, who observed effects of the toxic substance, “Once it gets into our bodies, a substantial

cury in vaccines. However, until the vaccine/ mercury/ autism relationship was officially reported, the public was virtually clueless about the presence of this neurotoxin in vaccines and its adverse effects. Thanks to the continued efforts of various consumer groups there have been significant strides in educating the public and government officials about their concerns of mercury in vaccines. These efforts have eventually brought forth a wave of awareness, new policy and research. 3 ,4 On July 7, 1999, the American Academy of Pediatrics and the United States Public Health Service finally issued a joint statement that because of the “neuro-developmental effects posed by exposure to thimerosal”, “thimerosal-containing

This small study examined mercury levels in the blood, urine, and stool of 40 infants given vaccinations containing thimerosal and 21 infants who received thimerosal-free vaccines and showed that in a 60 day period, there was virtually no mercury in the blood. But Neal Halsey, MD, director of the Institute for Vaccine Safety at Baltimore’s Johns Hopkins Bloomberg School of Public Health had this warning to heed, “This is a good study, and it helps us to understand the metabolism of ethyl mercury associated with thimerosal, but one thing we don’t know from this study is what the peak levels of mercury are shortly after vaccination.” Halsey cautioned the definitive answer to the safety question is at continued on page 36

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Unknown.” Then perhaps parents and expectant mothers would question proponents as to why mercury remains in diptheria, tetanus, meningiococcus, and flu vaccines.

About the Flu Vaccine: The product package inserts for the flu vaccine published by the manufacturers state the disclaimer that “Animal reproduction studies have not been conducted with influenza virus vaccine. It is also not known whether influenza virus vaccine can cause fetal harm when administered to a pregnant woman… Although animal reproductive studies have not been conducted, the prescribing health-care provider should be aware of the recommendations of the Advisory Committee on Immunization Practices… The ACIP states that, if used during pregnancy, administration of influenza virus vaccine after 14 weeks of gestation may be preferable to avoid coincidental association of the vaccine with early pregnancy loss…” Additional reading and phone calls to the manufacturers confirmed that flu vaccines contain thimerosal, a mercury derivative preservative The high mercury content of the rhogam banned by the preparation can have serious neurological FDA in over-theconsequences on the developing fetus. counter drug preparations least several years away. That is because of questions over safety.6 when results are expected from a In spite of the growing concern in separate government follow-up the literature about the relationship study of children exposed to differbetween mercury and neuro-develing levels of thimerosal. opmental effects posed by exposure “Everyone has a small amount of to thimerosal, in 2002, the CDC mercury in their body from different announced their recommendation exposures,” he tells WebMD. “The for flu vaccines for infants under question is what level is associated the age of two. 7 Additionally, 5 with harm in young children.” pregnant women are included in the population advised to get the Perhaps a more accurate title for flu vaccine. However the flu vaccine the article would have been “Safety as stated above currently remains of Toxic Mercury Levels in Children one of the vaccines with the highest Following Vaccines Remains content of thimerosal.

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The Rhogam Vaccine What has not been publicized at all is the presence of the mercury derivative, thimerosal, in the rhogam shot given to RH Negative expectant mothers and its consequential effects on her unborn child. Stephen Marini, DC, PhD informs us “the Physicians Desk Reference 8 cautions that the use of rhogam during pregnancy can have adverse effects on the fetus. The high mercury content of the rhogam preparation can have serious neurological consequences on the developing fetus. Hair analysis of unvaccinated children born from moms injected with rhogam demonstrate the presence of mercury. First, expectant mothers should question the rationale for rhogam injections in pregnancy. Second, if rhogam administration during pregnancy is absolutely necessary, then expectant mothers should demand mercury-free rhogam. Mercury-free rhogam is available in this country from Bayer Pharmaceuticals under their product name of BayRoh-D. This mercury free product has been available since 1996. Their number is 800-4680894.” WinRho SDF, made by the Cangene Corp., is a freeze-dried product that contains no preservatives. Dr. Marini further states, “During pregnancy there is no mixing of mother’s blood with baby blood. Giving mom rhogam after the baby’s birth is sufficient to reduce the risk of HDN in her next child to about 12%. Rhogam is also indicated if the mom has an abortion, either natural or induced, or has abdominal trauma or an amniocentesis. Giving rhogam during pregnancy can reduce the risk of HDN by less than 1%. It is doubtful that the slight benefit acquired by giving rhogam during pregnancy outweighs the risks to the fetus from the injection.” 9


Q. Who is most vulnerable to mercury? A. Two groups are most vulnerable to methyl mercury: the fetus and children ages 14 and younger.

Dawn Richardson, President of Parents Requesting Open Vaccine Education (PROVE) did a quick internet search and came up with this CDC post: “Q. Who is most vulnerable to mercury?” “A. Two groups are most vulnerable to methyl mercury: the fetus and children ages 14 and younger.” Her continued searching on the National Library of Medicine site almost effortlessly produced hundreds of articles and studies in medical and scientific journals clearly documenting the damaging effects of prenatal exposure to mercury. The results of one recent study published in the August 1, 1999 issue of the American Journal of Epidemiology stated that “the greatest susceptibility to methylmercury neurotoxicity occurs during late gestation, while early postnatal vulnerability is less”. Ludicrously, this is the precise point in time that ACIP and the CDC recommends women to get the rhogam shot. 10

Acquiring the Facts Since the safety of vaccines remains unclear, expectant and new parents must take on the responsibility of becoming informed and making decisions for their families accordingly. If vaccines containing mercury are

recognized to be toxic to children, then it seems logical that mothers should avoid mercury containing vaccines throughout pregnancy and while nursing as well. It is imperative that parents take on the responsibility of becoming informed by unbiased organizations that do not rely on studies funded and potentially manipulated by self interest groups. Not all studies are as objective as we are led to believe. The CDC’s study released in the November 2003 issue of Pediatrics was one such study. On the surface, it appeared to “prove” there was no relationship between vaccines and autism. Press-releases around the country smugly announced the results of the study, as if to disqualify all grass roots claims about the toxicity of mercury in vaccines. However, when looked at closely, medical reviewers of the CDC study charged that it was rife with data manipulation, with the effect to sabotage the results. Congress, Rep. Dave Weldon (R-FL.) reviewed the study and declared this in his letter to the CDC, “I have serious reservations about the four-year evolution and conclusions of this study. A review of these documents leaves me very concerned that rather than seeking to understand whether or not some children were exposed to harmful levels of mercury in

childhood vaccines in the 1990s, there may have been a selective use of the data to make the associations in the earliest study disappear.” 11 It is also important that parents do not allow their practitioners to intimidate them by citing rhetoric and tainted data, either. Parents must actively seek providers that support and encourage their right to choose health and lifestyle choices for their families. Your Family Chiropractor has developed relationships with practitioners of like mindedness in your community. Additionally, Doctors of Chiropractic are known for their ability to stay on top of a variety of current family health concerns including the debatable issue of vaccinations. Ask your DC for national and local organizations where you as parents will be able to find dependable resources when making lifetime choices for your family’s well-being.12 Jeanne Ohm, D.C., F.I.C.P.A. is the Executive Coordinator of the ICPA and has offered Chiropractic Family Wellness Care with her husband Tom Ohm, D.C., in Media, PA since 1981. References can be found on-line at www.icpa4kids.org/research/references.htm

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What Can Chiropractic Do for Your Child? Why do millions of parents bring their children to Doctors of Chiropractic every year? Is it only for highly dramatic health conditions? Is it only for when my child is hurting? Not at all!!

resistance, reduce healing potential and set the stage for sickness and disorders of all kinds.

Chiropractic’s purpose is to remove interferences to the natural healing power running through the body. When that power is unleashed the healing that results may be profound. Today we find more parents bringing their children to chiropractors for day-to-day health concerns we’re all familiar with: colds, sore throats, ear infections, fevers, colic, asthma, tonsillitis, allergies, bed-wetting, infections, pains, falls, stomach-aches, and the hundred and one little and big things children go through as they grow up.

Chiropractors Do Not Treat Disease It’s most important to understand that chiropractic is not a treatment for disease. It’s purpose is to reduce spinal nerve stress, a serious and often painless condition most children (and adults) have in their bodies. Spinal nerve stress interferes with the proper functioning of the nervous system, can weaken internal organs and organ systems, lower

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When a chiropractor frees the nervous system from spinal stress, the healing power of the body is unleashed: the immune system functions more efficiently, resistance to disease increases, and your child’s body functions more efficiently. Your child can respond to internal and external environmental stresses such as germs, changes in temperature, humidity, toxins, pollen and all the other stresses he/she comes in contact with more efficiently.

The chiropractor is permitting the body’s natural healing potential to function at its best.

So although children with diseases are often brought to the chiropractor, the chiropractor is not treating their diseases but is instead freeing them of spinal nerve stress, thus permitting their body’s natural healing potential to function at its best.

What Exactly Is Nerve Stress? Spinal nerve stress (also referred to as vertebral subluxations, the subluxation complex, or “pinched nerves”) is a misalignment or distortion of the spinal column, skull, hips, and related tissues (the structural

system) that irritate, stretch, impinge or otherwise interfere with the proper function of the nervous system (brain, spinal cord, spinal nerves and outlying or peripheral nerves). Since the nervous system controls the function of the body, any interference to it can have wide-ranging effects.

How Is Spinal Stress Caused? Spinal nerve stress can be caused by physical, chemical and/or emotional stress. Physical stress may start in the womb, with the baby lying in a distorted or twisted manner. Spinal nerve stress in newborns is more common than previously realized. This may be caused by a traumatic or difficult birth which can introduce great stress to the infant’s skull, spinal column and pelvis. Throughout childhood, the normal childhood traumas every child experiences can be a source of spinal and cranial trauma. Most of the time, the pain from the initial injury “goes away” however the damage incurred continues to affect the future function of the child’s nerve system.

How Does the Chiropractor Reduce Spinal Nerve Stress? This is accomplished first by analyzing the spinal column and related structures for balance and proper function. Where the spinal column is found to be functioning improperly, the Doctor of Chiropractic performs precise corrective procedures called spinal adjustments. Using his/her hands and/or specialized instruments to gently and


specifically correct those abnormal areas, the spine and cranium regain their intended state of balance and the nerve system is freed from stress.

It’s All About Function! Today’s parents are more concerned than ever about the adverse effects drugs have on their children. Parents are increasingly asking, when handed a prescription for a child’s recurrent problem, “Is this really all I can do for my child? Is there a safer alternative?” Parents are hesitant to merely mask symptoms with drugs and are worried about side effects. Their desire to achieve a state of true health—has led parents to seek health care options which support their children’s own natural ability to be healthy. Chiropractic care is one such option. All children function better with 100% nerve function. All children deserve the right to express their fullest potential. Chiropractic care for children is safe, gentle and effective. It allows for the opportunity for maximum potential for well-being.

a vital ingredient during pregnancy More women are discovering the many benefits associated with chiropractic care throughout pregnancy. Members of the I.C.P.A respect and appreciate your special needs in pregnancy. For a quality care provider committed to your healthier pregnancy and birth, visit the I.C.P.A. Referral Directory at: www.i cpa4 k i d s .o r g or call: 800 670 5437


Did you hear about the teacher who was helping one of her kindergarten students put on his boots? He asked for help and she could see why. With her pulling and him pushing, the boots still didn’t want to go on.

Keep Smiling

When the second boot was on, she had worked up a sweat. She almost whimpered when the little boy said, “Teacher, they’re on the wrong feet.” She looked and sure enough, they were. It wasn’t any easier pulling the boots off than it was putting them on. She managed to keep her cool as together they worked to get the boots back on—this time on the right feet. He then announced, “These aren’t my boots.” She bit her tongue rather than get right in his face and scream, “Why didn’t you say so?” like she wanted to. Once again she struggled to help him pull the ill-fitting boots off. He then said, “They’re my brother’s boots. My Mom made me wear them.” She didn’t know if she should laugh or cry. She mustered up the grace and courage she had left to wrestle the boots on his feet again. She said, “Now, where are your mittens?” He said, “I stuffed them in the toes of my boots...” Her trial starts next month.

P R EG N A N C Y MAT T E R S Drugs During Labor Make Future Addicts Scientists have discovered that women who

C R E A T E B A L A N C E The demands of today’s world

take pain medication during labor may be

require efforts to create balance

upping their children’s odds of future drug

in our families. This cd is an

dependency.

opportunity or us to meet this challenge as women and moth-

The study compared 69 drug-abusing sub-

ers. Listening to this CD will

jects with 33 of their siblings who did not

inspire you to lead your family

abuse drugs. Subjects whose mothers took

into living life fully!

three or more doses of opiates or barbiturates during childbirth were 4–7 times more likely to develop drug abuse problems than were subjects whose mothers did not rely on pain medication during their birth.

Nyber K, Buka SL, Lipsitt LP Perinatal medication as a potential risk factor for adult drug abuse in a North American cohort Epidemiology 2000 (Nov);11(6):715-716

For a $10 tax deductible donation to the ICPA, you will receive this informative CD. Please call the ICPA at 1-800 670 5437 and have one sent your way today.


MAKE THE CHOICE! More and more parents are taking an active role in choosing wellness for their families. Our free e-newsletter brings pertinent research and topics right to your desk so you have the resources to make informed health care choices.

w w w. i c p a 4 k i d s . o rg / e - n e w s . h t m

Where’s Pathways?? No more left in the waiting room? Can’t sneak anymore issues from your best friend? In high demand at your breastfeeding class? It’s so popular, we are extending our subscription service to you! Subscribe and get your very own issues of Pathways, your source for chiropractic family wellness. Please tell others.

Call 1 800-670-KIDS or visit our web site: www.icpa4kids.org/research/participate.htm For a $25 tax deductible donation, you will receive four issues per year. Your donation will go towards chiropractic research. pathways

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There are only two ways to live your life. One is as though nothing is a miracle. The other is as though everything is a miracle. Einstein

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International Chiropractic Pediatric Association

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Pathways to Family Wellness - Issue #04