Presenters Bio
Claudia Citkovitz
Forum Replies Created
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Welcome Sarah!
You’ll definitely be loaded — we try to keep the pace manageable so people have time to dig into each module in as much depth as needed. The most important thing is not to let something go by if you don’t understand it but post in the forum — for sure if something is unclear to one person there are more who understand it partially or not at all and the discussion benefits both the explainees and those generous to offer advice, feedback, explanations to others. We consider this peer-to-peer learning as one of the most important elements of the program.
Warmest wishes and look forward to seeing you onscreen
Claudia
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Hi Jessica I’m so very glad you’re here! I know Tzivya will be as well :- )
I look forward to getting to know you better and support the great work you’ve already been doing.
Warmly
Claudia
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Hi Michael, welcome to MAMPS!!!
I’m also in New England, though well South of Sarah, I’m outside Amherst MA. I do know a fair number of people in Nashua though, do you see anyone for general stuff or just fertility at this point?
Either way, fantastic that you are looking for more training in pregnancy as so many people either undertreat (which is too bad for their fertility patients) or else ‘fake it until they make it’ which is concerning for everyone…
I really look forward to meeting you and learning more about your work.
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Hi Maggie we have a lot in common! I really look forward to connecting over the next year — I started at PCOM and finished at TriState and was really glad I’d had both experiences, though it took some ‘harmonizing’ work to bring it all into a toolkit that felt like mine. We’ll talk soon!
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Hi Erin what an absolute joy to see you on here!!! I am so excited to work with you again and learn from all of your experience in the last… gulp… decade or so 💗
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WOW that is so very exciting Anisa, thank you for sharing!!!! I can’t wait to watch.
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Thanks for reporting Heidi! I just sent the info to Lorianne. In future you can also directly email helpdesk@healthyseminars.com.
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100%!!! Great idea. Also to Anisa’s point that it would be more fun to collect data in a group. There are lots of approaches we can take.
If people want, we can talk about this in November and/or December’s Evidence Based Practice slot.
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Sarah Rivkin is great https://www.slopeacupuncture.com/
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Hi all
I wrote AAC’s labor addendum but I don’t recommend it. I have used and recommended CM&F for years. They cover you to do whatever is in your state scope of practice, no second guessing of patient populations. The coverage numbers are different in ways that sometimes cause an issue for hospital credentialing, but usually it’s easily explained to them. As I recall it’s also less money for more coverage.
Cheers
Claudia
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Thanks so much for flagging this for more discussion Sarah! Even more than ‘the right answer’ I think it’s important for anyone treating pregnant people to have a clear sense of the full range of conservative management possibilities (take again after 5 minutes of relaxing with their feet on the floor, check it’s not an error from a BP cuff too small for their pregnant arm, treat and then take BP again after treatment) and referral options (suggest they call their primary provider, ask them to call provider from the office before you treat, suggest they uber to ER, call 911).
In my own practice I have never attached these to an algorithm by BP value, but instead taken them all in context together, for example early in my practice I had a patient whose BP was high but she had no history of BP problems and zero other changes or constitutional factors that would have been conducive to PIH or PE so I went ahead and treated, still high after treatment so I sent her home with a request to contact her provider right after checking home BP, and indeed at home her BP was fine. We got a bigger BP cuff after that.
If we were to make a framework, where would we set the parameters, taking into account (1) the patient’s baseline BP and (2) the number of biomedical risk factors as well as EAM constitutional factors? I have some thoughts but would love to hear everyone else’s.
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Hi Emma!
Absolutely fine — US OB patients are way over examined for sure. In a healthy unexamined person it can be assumed that labor will kick into gear at an appropriate time as baby weight stretches the tissues to where contractions start. Those who are tight/qi stag (plus or minus underlying yin or blood xu) or scared will resist the stretch and need help relaxing into it, safe to assume everyone’s a little tight and blood deficient and treat for tissue softening unless you have reason to believe otherwise. If are marked yang xu signs (probably not as common in Australia) then you would modify the protocol to emphasize that.
Cheers
Claudia
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Love this conversation! I think it’s actually an important project in its own right, for an international, diverse group of practitioners to share resources and come to consensus on an intake, then all use for say 3 months and compare notes on how it went. This is basically how manuals for complex interventions are developed and it would be a great paper/gift to the profession.
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Hi All,
So great to see this pragmatic conversation! Here’s what I can say:
– I do the moxa asap after birth, as well as acupuncture to rebuild channel flow; it’s CS scar work I wait 6 weeks
– It’s not always useful/necessary (e.g. Kenna giving birth in high summer, yin deficient/hot people)
– I’m not a fan of smokeless moxa – don’t see the same benefit with it and don’t like the smell, so I would either use the real stuff or just 2 heating pads.
– It can be life changing for those who already had cold in the uterus, cold dry blood/bl xu, or cold/damp. I had one cold damp patient where her morning sickness subsided 90% after I thoroughly moxad her lower burner (this was after CS for what it’s worth).
– The gold standard is to do a good long session for them on a home visit, after there are needles in and they are sacked out, ideally in a part of the home that can be aired out after and they don’t mind the smell. This may be easier in the country of course.
– I totally agree it’s not helpful to add to their list of stuff to do. One good session can be enough — and if it feels amazing and they would like to do it again, they are now motivated to do so.
– If they have a close friend or relative who wants to be of help, a moxa lesson can be a fun thing to do, rather than putting it on the partner. You can do this like the zoom birth acupressure lesson — does not absolutely have to be in person.
Cheers
Claudia
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Hmm, I’m not sure, but my best guess is that it’s a more recent presentation of similar material.