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 June - July 2013 
“Your mind can only hold one thought at a time. Make it a positive and constructive one.” –H. Jackson Brown, Jr.
 Your Homework
As most of you know, the last year has seen dramatic changes in health care guidelines and insurance costs, payments and paperwork. Our office has seen a dramatic increase - more than 50% - in the amount of paperwork required for basic coverage, and of course the time needed to do that work. At the same time we have seen more than a 50% decrease in payment for services rendered over the last few years. 
As you might imagine, this has been... a bummer. 
Since I try to always take a learning orientation to life, I've used the frustration I've experienced with these circumstances as an opportunity to seek renewal. What this process has brought me to, in part, is the realization that I am not practicing the way that I wanted to. 
I wanted to inspire people to grow and thrive. 
So now is the time for renewal and redirection, and that means you have homework. For your next visit your homework is to identify three health goals you want, as simple or as complex as they might be. Weight release, a new exercise regimen, getting off soda, walking daily, getting a new mattress, investigating vitamins - anything is fair game. I even developed a handout to help you get started - click here to download. On your next visit we will discuss your goals and set up an action plan. 
Tomorrow never comes. With my support in this you will live longer, more healthfully, with more energy and smaller medical bills. 
Do your homework! 
With blessings, 
Matthew 
News from Us
Compete in Our SEVENTH ANNUAL REFERRAL RACE!  It's time for our annual referral race again! We are celebrating Centre Chiropractic's SEVENTH anniversary with a REFERRAL RACE to offer the gift of health to more people. Think of all the gifts you have received through chiropractic care. In the last year we have seen success with ending decade-long incapacitating low back pain (back to work), neck and arm numbness and tingling scheduled for surgery (canceled), lifelong pain and migraines with menses (now asymptomatic)… and dozens are "just" living with less stress and less pain. 
What better gift can you give your friends and loved ones than the gift of health? From August 15th through October 1st, 2011, each time you refer a friend, co-worker or family member to Centre Chiropractic your name will be put into a drawing for a variety of prizes – the more people you refer, the greater the odds are that you will win a prize. Prizes include: 
 
Past winners have often only referred 2 or 3 people, so it is easy to win. Each client you refer will receive their first visit for a $10 donation to the Make-A-Wish Foundation. This visit includes a consultation, exam and x-rays if necessary. Also, if you are an inactive client you can receive an updated exam, x-rays if necessary, and an adjustment for a $20 donation! 
Studies show that chiropractic care is gentle, safe, and effective for treating headaches, painful joints, arthritis, bursitis, arm/leg pain, numbness, hip pain, cold hands/feet, auto injuries, and work related injuries. A recent University of Chicago Medical Center study showed chiropractic is more effective for high blood pressure than any two pharmaceuticals taken together! Please call our office with any questions. We are grateful to you for the opportunity to be of service for the last seven years, and thank you for trusting us with your loved ones. 
Speak Up About Highmark Changes While chiropractic and physical therapy associations across the northeast have been lobbying Highmark and state legislators to resotre benefits taken away this year, we need Highmark's customers to speak up. This means you! The most effective actions you can take are to file written complaints with all human resources departments at Penn State (or your company if your benefits have been affected) and also to file a complaint with the Pennsylvania Insurance Commissioner. 
The Insurance Office is actually funded based on how many complaints they are asked to investigate, meaning they are paid to, and happy to, take complaints. The Insurance Commissioner wields the greatest power outside the PSU administration - but neither can take action unless you speak up! 
Doctor's offices are authorized to file on behalf of their patients, so if you'd like to fill out the form and have us offer feedback on the complaint language, we would be more than happy to help. Thanks for fighting for us and for yourself. 
Help Us Help More People
 
Recently I realized that I am asking for help in a way that could be overwhelming. I've been asking for help with three different social media sites. If I had this request from a friend, I'd want to, but would set it aside for later! So from now on I will be focusing on one site and asking for your help with it. 
 This issue I'm again asking you to please write a review on Centre Chiropractic at Yelp (and to thank the one person who did last issue - thanks ER!). Thank you all very much! 
For those of you who may have missed it, we spent several months producing a series of videos on chiropractic, Gonstead, adjusting and spiritual psychology which are all posted on our website and on our video channel on YouTube. In the coming year my intention is to record a series of videos for the most common stretching and strengthening exercises we do so you'll have a visual reference in addition to memory and handouts. 
These are fun if you've ever wondered what's going on behind you while you're busy lying down! 
Better Living Through Chemistry?
Remember this old advertising pitch? DuPont introduced this idea in 1935 and since then our culture has swallowed it, hook, line and sinker. 
But are we living better? 
Ever-increasing rates of cancer, chronic illness, allergies and obesity (the body isolates toxins with fat cells). 
82,500 chemicals in daily use in the United States, less than 1,000 with complete toxicity tests, and few to none tested in combination with any of the other chemicals they commonly interact with in commerce or our bodies. 
Over 60 pesticides found on some grocery store produce. 
Today 48.3% of Americans take at least one prescription medicine. The number of people taking five or more drugs a day increased by an astonishing 70% between 2003 and 2008. 
Children receive 36 mandated vaccines by age 5 (double the Western world average of 18), most added since the 1986 federal law that makes it illegal to sue vaccine manufacturers if you are harmed by one. 
Some people's couches contain over a pound of flame retardant chemicals like carcinogenic chlorinated Tris; one study found over 85% of couches tested contained untested or toxic flame retardants. 
"Twenty of the world's favorite brands are making and selling clothes containing hazardous chemicals which contribute to toxic water pollution where the clothes are made and washed," according to Greenpeace. Four garments contained high levels of toxic phthalates, 89 garments contained NPEs and two contained cancer-causing amines from the dyes. 
Even food coloring is made from carcinogenic coal tar. 
The average American household holds between 3 and 25 gallons of poisonous household cleaning products. 
Man, my Grandmother's house was pretty damn clean and she only used vinegar water. What are we doing? 
Be smart, get some of this crap out of your house. Clean simpler, buy second-hand (i.e. well-washed) clothes, grow your own or eat organic... 
More like better selling through chemistry. 
This commentary originally appeared on the  Centred on Health blog, which you can subscribe to on our website. 
New Research
Reduction of Anterior Head Carraige Has Significant Impact on Scoliosis in Teens
A study done at Cairo University last year showed that treating  teens whose heads sat too far forward of the torso - a stress we all face as a result of sitting too much - to restore its proper position has a statistically significant effect on reducing spinal scoliosis. Do those chin tucks and angel exercises! Read the abstract here… 
Yale to Review Controversial Spinal Fusion Product
A series of articles in the medical journal Spine in combination with a discovery that there were unethical financial relations between makers of the spinal fusion product rhBMP-2, otherwise known as Infuse, and sponsors led to Yale University being  granted a $2.5 million to investigate. Read more here… 
 Featured Practitioner — Midwife Sarah DePasquale
 
I've been waiting a loooong time to share this interview with you. For various reasons we've been unable to get together with Sarah to discuss midwifery and to help our chiropractic family better understand it and the value it holds for the health of our children and our nation. Probably the biggest reason is she's been too busy helping Lauren deliver our two beautiful, healthy children at home (did I mention they are healthy?!?). 
Sarah is an incredibly gifted midwife, a skilled listener and a truly wholistic caregiver who shares as much loving as technical skill. You know anyone who can manage a 60-hour labor like we had with Audrey is exceptional! I hope that you all have the chance to meet her and, more importantly, to use her services. 
What is midwifery? How does it differ from typical obstetrics? 
Midwifery is a branch of health care specializing in personalized care throughout pregnancy, birth, and the postpartum and newborn periods.  Midwives monitor the physical, psychological, and social well-being of the mother and provide families with individualized care and education.  Because midwifery focuses on healthy, low-risk pregnancy, one of our services is to identify and refer those clients requiring obstetric care.  Obstetrics is by definition a branch of medicine and approaches childbirth as a medical event. 
Are there different types of midwives? 
Midwives differ in two ways: where they practice and how they are credentialed.  
I am a Certified Professional Midwife, credentialed by the North American Registry of Midwives. I provide prenatal and postpartum care in my office and attend births in my clients' homes.  Direct Entry Midwives are trained home birth practitioners who do not currently hold a credential.  Certified Nurse Midwives are trained and credentialed by the American College of Nurse-Midwives in nursing and midwifery and typically practice in hospitals. 
Can you give us a picture of the care you provide? 
Prenatal care for midwifery clients is similar in format to obstetric prenatal care.  We meet in my office every four weeks in the first and second trimesters then more often as the birth approaches.  Visits include monitoring baby's heart rate and growth, as well as mom's labwork, blood pressure, weight, and urine.  Appointments typically take 45 minutes to an hour to include education, discussion of recommended tests and procedures, physical monitoring, and relationship building.  Clients who need or desire medical consultation or procedures such as ultrasound or amniocentesis are referred to a backup Certified Nurse Midwife or OB/Gyn.
Midwives believe in continuity of care, so by the time a client is in labor, we have built a lot of trust and familiarity.  In a peaceful environment with a trusted, trained care provider monitoring the physical and emotional well-being of mom and baby, birth can be a safe and relaxed transformation.  I am present with an assistant, monitoring and supporting, from active labor through birth and the first several hours postpartum until everyone is stable, breastfeeding is established, and mom is fed and resting comfortably.  This physical monitoring and support continues with breastfeeding consultation, newborn weight checks, and postpartum services for six weeks after the birth. 
What is the cost of these services?  Do you take insurance? 
Services are offered on a sliding scale based on income and usually run between $1500 and $4500 for a client's entire care.  Labwork, ultrasound,  and physician visits are typically covered by insurance.  At this time, most insurance companies won't cover home birth with a CPM in Pennsylvania, although I'm always happy to provide clients with a receipt and encourage them to file for reimbursement. 
What other approaches/services do you offer clients? 
In addition to midwifery services, I provide nutritional counseling, well-woman care including Pap tests and family planning consultation, and herbal support for adults and children. 
Sarah can be reached  by email or by phone, 814-574-8099
 Incredibly Inspiring
I know all of you have heard me sing the praises of yoga before as the world's best exercise, great for metabolism, cardio-vascular health, and by its very nature stretching the postural muscles that get over-tight in us all and strengthening the weak phasic muscles. This video - which has almost a billion views on YouTube - is an incredibly inspiring record of one man's change not only from desparate and defeated to inspired, but also from physically crippled to athletic. Get your tissues, then your yoga mat, ready! 
  
Incredibly Beautiful
We watch very little television in our house and all of it online, so we don't see many commericals. You may have seen this beautiful piece from Dove before, but if you haven't I encourage you to take six minutes, enjoy, and reflect.. 
 
 
Spencer Wells, Pandora's Seed
This fast-paced and easy-to-read book is an amazing overview of how our move as a species from a hunter-gatherer civilazation to an agrarian (farming) people explains every major problem we face today. Political, social and of course health problems all link back to this jump from a people who walked ten miles a day and might be lucky to find some food to a people with an excess of food, "food," and cheap food. 
 
  
Farewell
Thanks for your participation, and thanks for your feedback. In addition to linking to my website in order to keep the newsletter concise, these will all be archived on the website so you can always go back later to read, research or forward content. 
It's also important to me that you know that I am never compensated in any way for any of the promotions in this newsletter; individuals, businesses and products are featured because I believe in them. 
Subscribe to the Centred on Health newsletter… 
As most of you know, my mission is to support as many people as is possible in living healthier lives and making more informed choices. This newsletter is designed to communicate current research, information and perspectives in service to that mission and is provided free of charge and without obligation. It may or may not contain promotional events or advertising for Dr. Matthew Hertert and Centre Chiropractic. 
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