Pediatrics
How to be your Partners’ greatest asset during labor and delivery-Guest Post by Alia Haley
I am celebrating the 3 year anniversary of my blog. This has been such an amazing avenue to disseminate information to my patients and to my community. There is so much information out there and I have tried to be a positive voice rising above the negative that permeates our news.
It has come to my attention that this attitude is getting noticed. I am now regularly being approached by professional bloggers to post articles on drmaj.com. EXCITING!!! Alia Haley is one of those bloggers by profession. I found this article simple and super helpful. ENJOY!!
How to be your Partners’ greatest asset during labor and delivery
After a long wait of nine months finally you know that your wait to see your baby is about to be over. You both, as parents are excited and look forward to the baby’s arrival but while your partner has to go through an intense physical, mental and emotional roller coaster ride before baby birth, it is your time now to reassure her and make her belief that you are by her side and are ready to be her biggest asset during the arduous process of labor pains and delivery. Here, we present you some important tips on how to become a great partner during labor struggles to bring out your bundle of joy in this world.
1. Be sensitive to her needs
The first step towards being an asset is to be sensitive towards the needs of your partner. Cater to her needs with empathy and maintain you’re cool even when she gets hyper. Remember she is going through one of the most trying phases and she needs empathy.
2. Take care of your needs as well
As a supporter it is very important for you that you stay fit and healthy while your partner is going through the labor pains and delivery. Rather than being a support you will be rather a burden for everyone, including your partner if you fall ill or faint during such a crucial time. SO eat well and take care of your own needs.
3. Be calm
Staying calm all through the process of labor pains and delivery will help you partner stay reassured that you are in control of the situation and you believe that everything will be all right by the end of the entire process. Once your partner gets a reassuring hug from you she will feel far more emotionally secure.
4. Be a cheerleader
It is very important that you cheer up your partner while she is going through the tough phase of labor pains and delivery. A few words of appreciation can motivate her to do better while pushing for the baby but remember that it is a very tough and physically challenging job. It is also possible that she does not like your cheerleading and hence it is important that you take cues from her body language and if you find any hint that she does not like your words of appreciation during the intense and painful moments then you better be sympathetic towards her needs and stop doing so.
5. Avoid any kind of confrontation or bitterness
Your partner may feel highly frustrated and helpless during the various phases of labor and delivery and may unleash at you at some point of time. She may abuse you or say unkind words to your during those trying times. If such a situation arises then don’t lose your self control, maintain you’re cool and just avoid any kind of confrontation or bitterness. Don’t get into any kind of debate. Empathize with her and try to understand that she is going through tough times and just wants to vent out her emotions and you being her closest, she naturally wants to leash out on you rather than someone totally unknown like the nurse or the doctor. She will forget all the bitterness very soon, once she gets out of the painful phase and becomes mother of your child.
6. Inform people about baby’s arrival
Once your baby arrives in this world and you as a family are well settled, inform all your relatives and friends about baby’s arrival. Seek her opinion also about this because she may not like visitors pouring in immediately after baby’s arrival. Once she has recovered from the immediate physical and emotional stress she may be willing to meet people so ask her before you start shooting messages to people about baby’s arrival. It will be really helpful if you make a list of contacts beforehand along with your partner to whom you have to shoot the message about baby’s arrival.
7. Take care of your baby and partner’s needs
After baby birth, the chances are that she will be totally exhaust and will need some time to get back to her cheerful and healthy self. Give her this time and space and take over baby’s responsibilities meanwhile your wife takes much needed rest. You can do end number of things to make life of your partner easy by changing the diapers of the baby, by taking care of her dietary and medical needs, etc. Also take care of her needs and pay attention to her diet and medicines and other needs.
8. Don’t forget she needs your support
Once the baby and the mother are at home, don’t think that your job is over. In fact your job has started now in a new way. Pay attention to your partner’s and baby’s needs and be tender towards them. You will have to adjust many things in first few months but that certainly will lead to a strong bonding between you and your partner as well as you and your baby.
All the vows you made during those romantic moments were not mere fancy words; you have adhered to them in every possible way.
About the author: Alia Haley is a blogger by profession. She loves writing on technology and autos. Beside this she is fond of cars and fancy accessories. Recently an article on eco friendly cars attracted her attention. These days she is busy in writing an article on appendicitis.
Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net
[Translate]The Ear Infections Epidemic – Chiropractic CAN HELP!

Dr. Maj adjusting little Morgan!
I have just become aware that David Eisenberg, MD is conducting research into the role of Chiropractic in the help of chronic ear infections. This work is in progress under a grant from the Consortial Center for Chiropractic Research and the National Institutes of Health (NIH) National Center for Complementary and Alternative Medicine (NCCAM).
To me this is very exciting and much over-do. I have seen children with ear infections for years in my office and have had wonderful results. It’s a slam dunk! Antibiotics are the chosen treatment and they are doing grave harm to these children. Otitis media is the #1 prescribed diagnosis for antibiotics and ear tube surgery is the #2 surgery in this country. BEFORE things get to far out of hand, see a chiropractor.
This study is looking into: The innervation of the tensor veli palatini (tvp) muscle is through the motor fibers of the mandibular branch of the trigeminal nerve. These fibers unite to form portions of the superior cervical ganglion located between the C-1 and C-4 nerve roots. Neurological compromise of this muscle by osseous or soft tissue structures may contribute to the malfunction of the tvp muscle causing inadequate patency of the tube resulting in the pathological response of otitis media.
Chiropractic therapy may improve the function of the TVP. Check out an article I wrote on the subject below!
The Ear Infections Epidemic – The Truth Every Parent Needs to Know!
Dr. Stephanie Maj answers the most pressing question in her pediatric practice: What is the cause of ear infections and what can we do to heal them without drugs or surgery?
PRLog (Press Release) – Dec 21, 2009
Chicago-Ask any parent about ear infections, and you will likely hear one horror story after another. Ear infection or Otitis Media, is the most common reason for visits to the pediatrician’s office. In fact, visits to the pediatrician’s office for ear infections have increased over 150% from 1975 to 1990. It is estimated that over 30 million visits are made every year in an attempt to deal with this problem.
In my practice, we have an effective, safe solution to the problems plaguing parents. What we find is most parents fail to understand what is happening with these infections.
Otitis Media is the general name for several conditions affecting the middle ear. The most common symptoms are earache, a feeling of pressure, and perhaps difficulty hearing due to increased amounts of fluid. Teething often produces similar symptoms, therefore, the child should be carefully observed before jumping to any conclusions.
Historically, the treatment for ear infections has been antibiotics. This method of treatment has come under severe attack over the past several years for many reasons. One of the reasons, the overuse and over prescription of these antibiotics, has led to what is termed “antibiotic resistant bacteria”. These bacteria have “evolved” and changed so that the antibiotics no longer affect them. Because of this phenomenon, stronger and stronger antibiotics are being used, which is leading to more and more resistance. (http://tinyurl.com/yep3y33).
Another reason use of antibiotics has come under fire is because study after study has demonstrated that they are not effective. In other words, they do not work! This is why so many children are on one antibiotic after another, stronger and stronger each time. Sure, many times the infection will go away, but it quickly returns with a vengeance, and so begins the antibiotic roller coaster.
The reasons they continually reoccur is two-fold: First, antibiotics kill off most bacteria in the body including the helpful “good” bacteria our bodies need. This depletes our children’s natural immune system, making them vulnerable to many more infections of varying types.
Secondly, antibiotics merely attempt to treat the symptoms of ear infections, they do not address the actual cause and therefore the infections return.
The real question then is what is the cause of ear infections? The reality is that ear infections themselves are merely a symptom of a greater problem. The vast majority of them are secondary to a cold or another infection, which may be due to a depressed immune system.
The other more physical reason children suffer from ear infections is because of the actual anatomy of the young ear.
In children, the Eustachian tube is nearly horizontal, gradually acquiring a near 45-degree angle. This often slows draining of these tubes and with stagnant fluid, infection may appear.
The obvious question from most parents now is: what can we do? The answer lies in a new level of thinking.
As a chiropractor, my primary objective is to address the root cause of health problems. Treating symptoms, as mentioned earlier, has been proven unsuccessful at best. When dealing with your children and ear infections, my goal is to correct the actual cause, and to allow the body to function at its optimal potential. (http://tinyurl.com/ybqlymw)
There is a direct link between the nerves in the neck (the superior cervical ganglion), the muscles of the Eustachian tubes (tensor veli palatini) and the middle ear.
Let me explain: The middle ear drains any fluid through the Eustachian tubes. These tubes open and close through the action of a muscle and that muscle is controlled by a nerve. This nerve originates in the neck. When this nerve is not functioning normally, the tensor veli palatini muscle may go into spasm, which constricts the Eustachian tube, restricting drainage and causing fluid buildup in the middle ear. This fluid, combined with a stressed immune system, may result in an ear infection.
Ultimately then, this “nerve interference” can cause your children to suffer as they do. My job as a chiropractor is to detect this nerve interference called subluxation, and correct it. A subluxation is a misalignment of a bone in the spine that pinches, stretches or twists a nerve resulting in interference.
By correcting this interference, the child’s body is given the potential to heal and be well. With proper chiropractic care, your child will be able to live a life free from nerve interference, and free from unnecessary medications and antibiotics.
Chiropractic adjustments for children are very gentle and differ tremendously from the adult version. Imagine you are putting a contact in your eye or testing a tomato to see if it is ripe, that is the extent of the pressure used in these treatments. There is no twisting, popping or pulling involved.
Through advances in technology such as Surface EMG and Thermal Scans, a chiropractor can easily detect these subluxations and monitor their correction as well. This enables chiropractors to be accurate and objective, allowing you the best care possible.
A promising study published in the Journal of Clinical Chiropractic Pediatrics now indicates that there is a strong correlation between chiropractic adjustments and the resolution of ear infections. 332 children with chronic ear infections participated in the study. Each child, ranging in age from 27 days to 5 years, was given a series of chiropractic adjustments. The results show that close to 80% of the children in this study experienced NO ear infections within the six-month period following their initial visits. The six-month period included maintenance treatments every four to six weeks.
Correcting the cause through chiropractic has been shown to help over 80% of all children with ear infections.
Treating the symptoms of ear infections with antibiotics has proven to be ineffective. Give your children a fighting chance with chiropractic; it could change your lives!
ABOUT THE AUTHOR
Dr. Stephanie A. Maj has been helping children and adults experience life at their maximum potential through Chiropractic since 1994. She is the author of the book, “You Can Be Well” and lectures throughout Chicago on a variety of health issues, and may be contacted at 773.528.8485.
Community Chiropractic is located at 1442 W. Belmont, 1E Chicago, IL 60657. Her website is www.communitychiropractic.net.
[Translate]Food Dyes Suspected Of Causing Behavioral Problems In Kids

An M&M sold in the United States (left) contains food dye that makes it brighter compared to its European counterpart.
CHICAGO (CBS) — Is it possible that artificial colors added to our food could be causing behavioral problems in children?
Concerns about synthetic food dyes led many manufacturers in Europe to stop using then. But as CBS 2’s Mary Kay Kleist reports, the dyes are used here in everything from cereal to crackers to toothpaste.
Doctors diagnosed Kendall King with Attention Deficit Hyperactivity Disorder, or ADHD, last year and put her on powerful drugs.
But her mother, Kelly King, says, “It just didn’t feel right to me.”
The Kings heard about a possible connection between food dyes and hyperactivity. Within weeks of taking dyes out of her diet, Kendall no longer needed medication.
“We’ve had amazing results,” Kelly King says. “She’s like a whole new child and she’s herself again.”
Food manufacturers in the U.S. can use nine dyes in all. Red 40, Yellow 5 and Yellow 6 make up 90 percent of the market. You see them everywhere, listed on a bright cereal box or a pickle jar. The colors are used in everything from cough syrup and toothpaste to waffles and crackers.
“They’re really ubiquitous in this food supply that we’ve created,” says Dr. David Wallinga of the Institute for Agriculture and Trade Policy.
He says more than two dozen studies point to problems with the dyes. But, do we know if changing a child’s diet dramatically improves ADHD?
“The effect is generally very small,” Dr. Mark Stein of the University of Illinois says. “It’s about a fourth as large as the effect of an ADHD medicine.”
The FDA voted against putting warning labels on foods, but it believes more research is still needed. Still, some grocery chains, like Whole Foods, won’t sell synthetic dyes.
Warning labels are required in much of Europe. American companies like Kellogg’s, General Mills and Kraft did away with the artificial dyes overseas. So, some foods in Europe, like M&M’s, just aren’t as bright.
Kelly King would like to see the synthetic dyes eliminated in the U.S. “Our house is just a much calmer place to be,” she says.
A statement from the FDA says it does not believe that artificial food dyes cause hyperactivity in children in the general population. However, the FDA says food dyes may exacerbate problems in susceptible children diagnosed with ADHD because they may have a unique intolerance to them.
The FDA is now reassessing safety studies relating to food dyes. Here is the agency’s full, unedited statement:
“Based on the data reviewed in the body of scientific literature, FDA last year concluded that a causal relationship between exposure to color additives and hyperactivity in children in the general population has not been established.
However, for certain susceptible children with ADHD and other problem behaviors, the data suggest that their condition may be exacerbated by exposure to a number of substances in food, including, but not limited to, artificial food colors. Findings from relevant clinical trials indicate that the effects on their behavior appear to be due to a unique intolerance to these substances and not to any inherent neurotoxic properties.
FDA’s Food Advisory Committee (FAC) (a group of advisors from outside the FDA) met on March 30-31, 2011 to consider available relevant data on the possible association between the consumption of certified color additives in food and adverse behavioral effects in children. The committee was asked to advise FDA as to what action, if any, is warranted to ensure consumer safety from the use of these color additives in food. After receiving information from FDA, experts, and stakeholders, the FAC (1) found that existing data supported FDA’s conclusion that there is not an established link between consumption of food dyes and adverse behavioral effects in children, (2) voted against the need for additional information on the product label of foods with color additives, and (3) recommended that additional safety studies be conducted. The FAC also recommended that a rigorous, comprehensive dietary exposure assessment of certified color additives be performed.
FDA currently is collecting data on the levels of color additives used in food. These data will be used to estimate dietary exposure for various populations, including children. Regarding the need for additional safety studies, FDA has begun a reassessment of the numerous safety studies conducted on certified color additives that are available in its files. Based on this evaluation, FDA will determine whether additional safety studies are needed.”
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Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net
[Translate]
Meet your Pelvic Floor-Guest post by Heather Baker, PT (via Birthing Shifrah)
I love the blogging community because there is such a wealth of amazing information and a great opportunity to get informed!! One of those resources is Emily Robb, her blog (http://birthingshifrah.blogspot.com) and Heather Baker, PT.
Emily A. Robb, MA, is currently a part-time postpartum doula and full time mom, as well as volunteering with the Postpartum Depression Alliance of Illinois. She earned her masters degree in clinical social work from the University of Chicago and has worked with children and families for over 10 years as a care provider, social worker, teacher, and postpartum doula. Emily is also working towards admission to the Graduate Entry Program in Nurse Midwifery at the University of Illinois, Chicago.
Heather Baker, PT. She specialized in work with women experiencing pelvic pain. You can find Heather Baker, PT at the Galter Life Center at Swedish Covenant Hospital located at Foster and California in Chicago, IL.
Enjoy! Dr. Steph
Guest Post: Your Pelvic Floor
By: Heather Baker, PT.
Your Pelvic Floor
Since this is my first opportunity to do so, let me introduce myself. I am Heather Baker a physical therapist at Swedish Covenant Hospital who specializes in women’s health and pelvic floor dysfunction. The women’s health part is easy to understand, but what on earth is the pelvic floor? Honestly, I had the same feeling when I first encountered this specialty as a graduate student. My clinical instructor asked if I had an interest in pelvic floor physical therapy and being an overzealous and naive student I said, “Sounds great!” In reality, I had absolutely no idea what she was talking about or how important the pelvic floor was to a woman’s health and well-being. Now, I cannot imagine my day without uttering “pelvic floor” at least once. So enough about me, let’s move on to my constant companion and yours, the pelvic floor.
The pelvic floor is a complex, multilayered group of muscles and ligaments shaped like a hammock. That hammock runs from your pubic bone in front to your tailbone in back stabilizing your pelvis and spine. It also holds up your bladder, bowel, uterus and other abdominal organs. It helps with sexual response and orgasm. It even acts to control the passage of waste. In short, your pelvic floor is a workhorse that never rests.
If your pelvic floor is functioning normally, you should be able to perform the aforementioned activities without limitation or pain. Unfortunately, there are many things that can damage or alter pelvic floor function. Infection, obesity, surgery, pregnancy and trauma can all result in pelvic floor abnormalities. During the delivery of a child, the pelvic floor muscles are forced to stretch significantly, as many things are, to allow the child to pass from the uterus through the vagina and out into the world. This is a good thing because no one wants to be pregnant forever! Unfortunately, sometimes the delivery and pregnancy process, natural, medicated or cesarean, can leave the muscles stretched, weakened or even torn.
Consequently, new moms will often experience a sense of heaviness in the vagina or rectum, urine leakage, difficulty controlling gas, and/or pain with intercourse. Fortunately for many women, symptoms will resolve without intervention within 4 to 6 weeks of delivery. If symptoms persist beyond this point, you must speak with your midwife, nurse practitioner or physician. There are treatment options and these symptoms are NOT something you need to live with. Pelvic floor physical therapy is often the first line of treatment to address pelvic floor dysfunction. Luckily, there are things that you can do now to begin to improve your pelvic floor health and function! Want to know how? Stay tuned for my next post and I’ll teach you.
You can find Heather at the Galter Life Center at Swedish Covenant Hospital in Chicago, IL r at Swedish Covenant Hospital in Chicago, IL
http://birthingshifrah.blogspot.com/2012/01/guest-post-your-pelvic-floor.html?spref=fb
Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net
[Translate]ADHD Drug Shortages Lead to Questions for ME! Why are we drugging ourselves to death!!
A recent story in the news has my head buzzing. Did you know there is a shortage of ADHD drugs out there. The problem is not a manufacturing issue, it is supply and demand. We as a society are demanding more and more of these mind altering drugs to function in our lives. Is anyone other than me disturbed about this fact? The mainstream media is not.
The United States buys and uses 90 percent of the world’s Ritalin!
I have been scouring the web looking for someone to wave a flag that says “WHAT THE HELL IS GOING ON HERE!” I have seen noone do that. Plenty of concern for those poor children yet where are the bigger questions? Below I am reprinting an article from 1999 that talks about the long term affects of these drugs on our children.
Did you know that the spree of school shootings were done by children that were prescribed these psychotropic drugs? Both the shooters at Columbine were on drugs.
All I am saying is someone needs to be asking bigger questions than …”Where are my drugs?!” Enjoy! Dr. Stephanie
Doping Kids with Ritalin for ADHDThough shocked by bizarre shootings in schools”, default”, few Americans have noticed how many shooters were among the 8 million kids now on psychotropic drugs.
June 28,1999 Kelly Patricia O’Meara
Though shocked by bizarre shootings in schools, few Americans have noticed how many shooters were among the 6 million kids now on psychotropic drugs.
Just three weeks after Eric Harris and Dylan Klebold went on their April 20 killing spree at Columbine High School in Littleton, Colo., President Clinton hosted a White House conference on youth violence. The president declared it a strategy session to seek “the best ideas from people who can really make a difference: parents and young people, teachers and religious leaders, law enforcement, gun manufacturers, representatives of the entertainment industry and those of us here in government.”
. . . . There was, however, complete silence from the president when it came to including representatives from the mental-health community, whom many believe can provide important insight about the possible connection between the otherwise seemingly senseless acts of violence being committed by school-age children and prescription psychotropic drugs such as Ritalin, Luvox and Prozac.
. . . . There are nearly 6 million children in the United States between the ages of 6 and 18 taking mind-altering drugs prescribed for alleged mental illnesses that increasing numbers of mental-health professionals are questioning.
. . . . Although the list of school-age children who have gone on violent rampages is growing at a disturbing rate — and the shootings at Columbine became a national wake-up call — few in the mental-health community have been willing to talk about the possibility that the heavily prescribed drugs and violence may be linked. Those who try to investigate quickly learn that virtually all data concerning violence and psychotropic drugs are protected by the confidentiality provided minors. But in the highly publicized shootings this spring, information has been made available to the public.
–April 16: Shawn Cooper, a 15-year-old sophomore at Notus Junior-Senior High School in Notus, Idaho, was taking Ritalin, the most commonly prescribed stimulant, for bipolar disorder when he fired two shotgun rounds, narrowly missing students and school staff.
–April 20: Harris, an 18-year-old senior at Columbine High School, killed a dozen students and a teacher before taking his own life. Prior to the shooting rampage, he had been under the influence of Luvox, one of the new selective serotonin reuptake inhibitor, or SSRI, antidepressants approved in 1997 by the Food and Drug Administration, or FDA, for children up to the age of 17 for treatment of obsessive-compulsive disorder, or OCD.
–May 20: T.J. Solomon, a 15-year-old at Heritage High School in Conyers, Ga., was being treated with Ritalin for
depression when he opened fire on and wounded six classmates.
. . . . Two other high-profile cases from last year show a similar pattern:
–May 21, 1998: Kip Kinkel, a 15-year-old at Thurston High School in Springfield, Ore., murdered his parents and then proceeded to school where he opened fire on students in the cafeteria, killing two and wounding 22. Kinkel had been prescribed both Ritalin and Prozac. Although widely used among adults, Prozac has not been approved by the FDA for pediatric use.
–March 24, 1998: Mitchell Johnson, 13, and Andrew Golden, 11, opened fire on their classmates at Westside Middle School in Jonesboro, Ark. Johnson had been receiving psychiatric counseling and, although information about the psychotropic drugs that may have been prescribed for him has not been made public, his attorney, Val Price, responded when asked about it: “I think that is confidential information, and I don’t want to reveal that.”
. . . . A great deal has been written about all of these cases. There have, however, been no indications that all of these children watched the same TV programs or listened to the same music. Nor has it been established that they all used illegal drugs, suffered from alcohol abuse or had common difficulties with their families or peers. They did not share identical home lives, dress alike or participate in similar extracurricular activities. But all of the above were labeled as suffering from a mental illness and were being treated with psychotropic drugs that for years have been known to cause serious adverse effects when given to children.
. . . . At the top of the list of so-called “mental illnesses” among children is attention-deficit/hyperactivity disorder, or ADHD, which is diagnosed when a child meets six of the 18 criteria described in the Diagnostic and Statistical Manual of Mental Disorders, or DSM-IV, published by the American Psychiatric Association, or APA.
. . . . ADHD was determined by a vote of APA psychiatrists to be a “mental” illness and added to the DSM-IIIR in 1987. By definition, children with ADHD exhibit behaviors such as not paying attention in school, not listening when spoken to directly, failing to follow directions, losing things, being easily distracted and forgetful, fidgeting with hands or feet, talking excessively, blurting out answers or having difficulty awaiting turn. The most common ADHD remedy among pediatricians and representatives of the mental-health community is, as noted, Ritalin.
. . . . First approved by the FDA in 1955, Ritalin (methylphenidate) had become widely used for behavioral control by the mid-1960s. It is produced by the Swiss pharmaceutical company Novartis. According to the Drug Enforcement Administration, or DEA, the United States buys and uses 90 percent of the world’s Ritalin. A U.N. agency known as the International Narcotics Control Board, or INCB, reported in 1995 that “10 to 12 percent of all boys between the ages of 6 and 14 in the U.S. have been diagnosed as having ADD [attention-deficit disorder, now referred to as ADHD] and are being treated with methylphenidate.”
. . . . But opponents are concerned about evidence they say confirms a close relationship between use of prescribed psychotropic drugs and subsequent use of illegal drugs, including cocaine and heroin. While the United States has spent more than $70 billion on the war on drugs, says Bruce Wiseman, president of the Citizens Commission on Human Rights, a California-based organization that investigates violations of human rights by mental-health practitioners, “if you think the Colombian drug cartel is the biggest drug dealer in the world, think again. It’s your neighborhood psychiatrist … putting our kids on the highest level of addictive drugs.”
. . . . This complaint is not new and there is a lengthy list of government agencies connecting the prescribed psychotropic drugs to use of illegal substances.
. . . . Twenty-eight years ago the World Health Organization, or WHO, concluded that Ritalin was pharmacologically similar to cocaine in its pattern of abuse and cited Ritalin as a Schedule II drug — the most addictive in medical usage. The Department of Justice followed the WHO by citing Ritalin in Schedule II of the Controlled Substances Act as having a very high potential for abuse. As a Schedule II drug, Ritalin joins morphine, opium, cocaine and the heroin substitute methadone.
. . . . According to a report in the 1995 Archives of General Psychiatry, “Cocaine is one of the most reinforcing and addicting of the abused drugs and has pharmacological actions that are very similar to those of Ritalin.” In the same year the DEA also made the Ritalin/cocaine connection, saying, “It is clear that Ritalin substitutes for cocaine and d-amphetamine in a number of behavioral paradigms,” expressing concern that “one in every 30 Americans between 5 and 19 years old has a prescription for the drug.”
. . . . Despite decades of warnings about the potential for abuse of Ritalin, experts continue to argue that the benefits far outweigh the consequences. Yet the INCB has reported that “Methylphenidate’s [Ritalin] pharmacological effects are essentially the same as those of amphetamine and methamphetamine. The abuse of methylphenidate [Ritalin] can lead to tolerance and severe psychological dependence. Psychotic episodes [and] violent and bizarre behavior have been reported.”
. . . . These are, in fact, some of the same symptoms exhibited by Eric Harris.
. . . . David Fassler, a child and adolescent psychiatrist and chairman of the APA group on Children, Adolescents and Their Families, says he is unaware of any research to suggest a correlation between the recent cases of violent behavior in school-age children and the widespread prescription of psychotropic drugs. Fassler argues that the number of school-age children suffering from mental illnesses such as depression is “more than earlier believed and it is important that there be a comprehensive evaluation by a mental-health clinician trained in this area.” He stresses that “treatment should be multimodal — not left to medications alone.”
. . . . Mike Faenza, president and chief executive officer of the National Mental Health Association, the country’s oldest and largest mental-health group, notes that “there is little known about how the drugs affect brain function.” Faenza adds that “we do know that a hell of a lot of kids commit suicide because they aren’t getting the help they need. It’s irresponsible not to give them the help just because we don’t know what causes the mental illness.”
. . . . Opponents are quick to capitalize on this admission. “There is no such thing as ADHD,” declares Wiseman. “It’s not a deficiency of ‘speed’ that makes a kid act out. If you look at the criteria listed in the DSM-IV for ADHD, you’ll see that they are taking normal childhood behavior and literally voting it a mental illness. This is a pseudoscience, entirely subjective. Unlike medical conditions that are proved scientifically, with these mental illnesses the only way you know you’re better is if the psychiatrist says you’re better. That’s not science.”
. . . . Pediatric neurologist Fred Baughman not only agrees that there is no such illness as ADHD, but says: “This is a contrived epidemic, where all 5 million to 6 million children on these drugs are normal. The country’s been led to believe that all painful emotions are a mental illness and the leadership of the APA knows very well that they are representing it as a disease when there is no scientific data to confirm any mental illness.”
. . . . Peter Breggin, a psychiatrist and director of the International Center for the Study of Psychiatry and Psychology and author of Talking Back to Prozac, Toxic Psychiatry and Talking Back to Ritalin, for years has waged a war with the APA about what he regards as its cavalier diagnoses of mental illnesses. “Psychiatry has never been driven by science. They have no biological or genetic basis for these illnesses and the National Institutes of Mental Health are totally committed to the pharmacological line.” He is concerned that “there is a great deal of scientific evidence that stimulants cause brain damage with long-term use, yet there is no evidence that these mental illnesses, such as ADHD, exist.”
. . . . Breggin points out that the National Institutes of Health, or NIH, admitted as much at their 1998 Consensus Development Conference on the Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder. Thirty-one individuals were selected by NIH to make scientific presentations to the panel on ADHD and its treatment. The panel made the following observations and conclusions: “We don’t have an independent, valid test for ADHD; there are no data to indicate that ADHD is due to a brain malfunction; existing studies come to conflicting conclusions as to whether use of psychostimulants increases or de-creases the risk of abuse, and finally after years of clinical research and experience with ADHD, our knowledge about the cause or causes of ADHD remains speculative.”
. . . . If so, there is little evidence to support a scientific basis for classifying ADHD as a mental illness. On the other hand, there is an abundance of evidence that stimulants such as Ritalin can produce symptoms such as mania, insomnia, hallucinations, hyperactivity, impulsivity and inattention. And the DEA’s list of potential adverse effects of Ritalin includes psychosis, depression, dizziness, insomnia, nervousness, irritability and attacks of Tourette’s or other tic syndromes.
. . . . While Ritalin is the drug of choice for treating ADHD, other mental illnesses such as depression and obsessive-compulsive disorder, or OCD, from which Columbine shooter Harris suffered, are being treated with new SSRI antidepressants. Harris’ autopsy revealed that he had used Luvox (Fluvoxomine), an SSRI, prior to the shooting spree. And days earlier he had been rejected by the Marine Corps because he was taking the psychotropic drug.
. . . . Luvox, a cousin of Prozac, has been approved by the FDA for pediatric use, although research shows that a small percentage of patients experience adverse effects such as mania, bouts of irritability, aggression and hostility. But many physicians still prescribe it to children.
. . . . More disturbing to those who believe sufficient evidence exists that prescription psychotropic drugs may play a role in the violence being carried out by school-age children is the response of physicians to the issue. Rather than erring on the side of caution by reducing the number of kids on mind-altering drugs, physicians instead are prescribing psychotropic drugs even to infants and toddlers. The warning label states that “Ritalin should not be used in children under 6 years, since safety and efficacy for this age group has not been established” and “sufficient data on safety and efficacy of long-term use of Ritalin in children are not yet available.”
. . . . A report in the July 1998 issue of the Clinical Psychiatric News revealed that in Michigan’s Medicaid program, 223 children 3 years old or younger were diagnosed with ADHD as of December 1996. Amazingly, 57 percent of these children, many of whom are not yet capable of putting together a complete sentence, were treated with one or more psychotropic drugs including Ritalin, Prozac, Dexedrine, Aventyl and Syban. Thirty-three percent were medicated with two or more of these drugs.
. . . . But it is Ritalin that is being prescribed to 6 million American children. Children’s Hospital in Washington has been running television advertisements expressing concern. According to its spokeswoman, Lynn Cantwell, the ads were part of a series covering many medical issues. “We wanted to advocate that children get a comprehensive evaluation because we are finding that children were coming in who were taking Ritalin who actually did not have ADHD.”
. . . . Wiseman has suggested that the only way to gain control of the situation is to expose widespread “fraudulent diagnoses” of psychiatrists. “Without the diagnoses, you can’t get the drugs,” he says. Baughman’s answer isn’t too far from Wiseman’s. He says, “A big-time class-action lawsuit needs to be filed.”
Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net
[Translate]Soccer Players at Risk for Brain Injury says study
This article caught my interest due to the amount of trauma I see in my practice as it relates to heading a soccer ball. Enjoy! Dr. Maj
Soccer players who use their head to work the ball may be at risk for white matter abnormalities similar to those seen in traumatic brain injury (TBI) — but only beyond a certain threshold, researchers said here.
In a small study of amateur soccer players, those who headed the ball more than 1,320 times per year had a greater likelihood of tiny changes in white matter as measured on diffusion tensor imaging, Michael Lipton, MD, PhD, of the Albert Einstein College of Medicine in Bronx, N.Y., reported at the Radiological Society of North America meeting here.
“These are changes in the brain that are similar to those we see with a concussion or TBI,” Lipton said during a press briefing. “I’m not advocating banning heading, but there may be a threshold level, which we defined, that indicates a safe range of heading.”
Lipton explained that after heading the ball, patients have reported symptoms such as headache and feeling dazed or confused, and some studies have shown that cognitive performance may also be affected.
Still, there have not been many imaging studies of its potential neurological consequences, he said.
So he and his colleagues used diffusion tensor MRI to look at tiny changes in white matter — the fibers that make up the brain’s network wiring, he said — in 38 amateur soccer players in the New York City area who’ve been playing the game their whole lives.
Over the preceding year, the number of times the patients headed the ball ranged from none to 5,600, and Lipton said the upper quartile was 1,320.
Compared with the other soccer players, those in the upper quartile of heading had lower fractional anisotropy — uniform diffusion of water across white matter — in six regions of the brain.
That included five regions in temporooccipital white matter and one in frontal white matter.
The researchers noted that the relationship between heading and fractional anisotropy followed a reverse “S” shape, indicating that white matter abnormalities rise as the frequency of heading rises.
Although further study is needed — particularly to assess whether these changes in white matter correspond with changes in cognitive performance — Lipton said the findings suggest there may be room for public health intervention, given that more than 250 million people worldwide play soccer regularly. In the U.S. alone, that estimate is 18 million people, he said.
Lipton noted that more soccer players need to be assessed over a longer period of time to see if their threshold stands up, but still, he said, players should try to minimize heading, especially during practice drills, when balls are repeatedly headed back and forth.
According to guidelines from the American Academy of Pediatrics, there are not enough data to recommend against heading altogether, but the organization similarly encourages children to minimize the number of times they do so.
Max Wintermark, MD, of the University of Virginia in Charlottesville, who was not involved in the study, cautioned that the results are preliminary and that given the small number of participants, “we have to be careful not to generalize findings that have been obtained in just a few patients.”
Still, he said it’s “worth more study,” particularly among children — although such a study would involve practical limitations, such as the need for sedation.
Primary source: Radiological Society of North America
Source reference:
Kim N, et al “Making soccer safer for the brain: DTI-defined exposure thresholds for white matter injury due to soccer heading” RSNA 2011; Abstract SSK12-04.
Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net
[Translate]Fever Increases Immune System Defense, Study Shows
A new study adds more reason to why our bodies employ fevers as a defense against sickness.
Researchers from Roswell Park Cancer Institute found that a higher body temperature can help our immune systems to work better and harder against infected cells. The finding was published in the Journal of Leukocyte Biology.
“Having a fever might be uncomfortable, … but this research report and several others are showing that having a fever is part of an effective immune response,” John Wherry, Ph.D., deputy editor of the Journal of Leukocyte Biology, said in a statement.
Before, researchers thought that fevers worked by hindering dangerous microbes from multiplying, Wherry said.
But “this new work also suggests that the immune system might be temporarily enhanced functionally when our temperatures rise with fever,” he said in the statement, though he noted that the finding should only prompt people to reconsider how they treat mild fevers, and not fevers that are dangerously high.
The secret is in a kind of immune cell, or lymphocyte, called a CD8+ cytotoxic T-cell. This kind of lymphocyte is able to destroy cells infected with viruses and even tumor cells, researchers said. Researchers found that a higher body temperature (like one achieved in a fever) raises the number of these CD8+ cytotoxic T-cells, which means a greater body response against infection.
To find this, researchers injected mice with an antigen and saw how the CD8+ cytotoxic T-cells activated to react to the antigen. Then, they raised the body temperatures of half the mice by 2 degrees centigrade, while leaving the temperatures of the other = mice alone. They found that the mice whose body temperatures were raised had more of the CD8+ cytotoxic T-cells than the mice without raised body temps.
The rise in mouse’s body temperature is “similar to that that happens in fever,” study researcher Elizabeth Repasky told the Toronto Star.
University of Pittsburgh Medical Center clinical associate professor Dr. Amesh A. Adalja, who wasn’t involved with the study, told MSNBC that the finding shouldn’t mean a fever should never be treated because too-high fevers can lead to brain cell damage. Parents should still take care to lower fevers in children, particularly if the fever is above 102 degrees Fahrenheit, since high fever can lead to seizures, Adalja told MSNBC.
Adalja also warns it”s also not worth the risk to your own health if you have heart disease, have suffered a stroke or endure other medical complications. “This is not a blanket recommendation,” he says. “Secondary consequences to the fever can cause other conditions in the patient to occur or worsen. If someone has a persistent fever of 104, it’s a sign of infection, and it”s not just some viral thing you are going to get over.”
This is certainly not the first research to suggest that fevers ramp up our body’s immune responses. Discover magazine reported in 2007 on another Roswell Park Cancer Institute mouse study, which showed that mice that were heated up produced more immune cells to fight disease than mice that weren’t heated.
http://www.huffingtonpost.com/2011/11/03/fever-immune-system-cells_n_1074445.html
Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net
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