https://youtu.be/oFi2H8HZGDQ
Sponsored by the Santa Rosa Family Medicine Residency and Sutter Medical Group of the Redwoods
Osteopathic Manipulation in the Hospital (Earl, 12/4/2024)
A recording of this presentation is available HERE.
Many thanks to Dr. Connie Earl for a FANTASTIC Grand Rounds presentation this week on Osteopathic Manipulation in the Hospital. Dr. Earl, who previously ran the Forestville Wellness Center through West County Health Centers, is currently doing a year of extra "residency" training on Osteopathic and Neuromuscular Medicine (ONMN) at Maine Medical Center. She shared with us her passion for Osteopathic Manipulation (OMM/OMT) and a TON of what she described as "really weird studies that demonstrate ways in which OMN may be used in the hospital setting".
As an allopathic-trained physician, I admit I am often envious of the anatomy knowledge and tremendous skills of my osteopathic colleagues-- and I can tell you from personal experience that Dr. Earl has amazing clinical skills (and hands!)
For those of us less familiar with OMT, she started with the four principles of osteopathy:
The body is a unit; the person is a unit of body, mind and spirit.
The body is capable of self-regulation, self-healing and health maintenance.
Structure and function are reciprocally interrelated.
Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation and the interrelationship of structure and function.
- post-CABG patients: improved peripheral circulation, improved cardiac indices, decreased time to dc (1/2 day), decreased time to first BM, increased functional independence
- post-sternotomy patients:: decreased pain, LOS, increased mean inspiratory volume
- GI surgeries, especially ileus: decreased LOS, decreased time to flatus, less pain, decreased time to first stool, decrease use of opioids
- IBS/constipation: decreased pain, bloating, constipation and increased quality of life
- Inpatient pediatric patients
- breast/chest feeding: latch issues, increased exclusive breastfeeding, better milk transfer, decreased pain
- birth trauma: hypoglossal nerve trauma/compression, hyoid connections and torticollis
- premature neonates/NICU for feeding tolerance
Physiologic Birth in the Hospital (Saedi-Kwon, 12/11/24)
https://youtu.be/oFi2H8HZGDQ
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