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hinghttps://www.vbac.com/how-does-a-cesarean-affect-the-baby/
using GIBBS MODEL
Description:
Baby (3months) came for struggle to sleep, crying, seems agitated and turbulent. He was born by cesarian--> didn't have the naturel process cycle (vagina). Real risk for the baby's breathing, Incresing asthma...

Feelings:
I felt really bad for the baby, a uncomfortable sensation. At the begenning, i though it was issue with the theet and basic cranial manipulation will be adapted for this. But I realised when the practionner ask about the birth that the treatment will be much more special and so important for the balance of the baby.

Evaluation:

I was amazed by the instantaneous reaction of the baby and feel much better just to see the baby follow the movements of the practionner and doing it without conscious. The mother also was relieve to see the appeasement of her baby's face.

Analysis:

In this case, I immediately saw how Osteopathy can improve and adjust a body's baby. Makes me feel again more convinced about Osteopathy. Here, for me, the essential information to treat in consequently the baby was the way that he borned.  GOOD COMMUNICATION AND PRECISE INFORMATION IS PRIMORDIAL.

Conclusion:
I learned the importance of the way of give birth and how it can impact a baby and even the mother. Should be more aware of what's structures is impacted during which way of birth (cesarian, vagina).

Action Plan:
If the situaion happens again, i will ask directly focus question on the labor of the birth and based my treatment on it. I would stay and act calm especially with a baby who don't feel confortable and crying.

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Applied Gibb's Model

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https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Cauda-Equina-Syndrome

Using DIEP Model
Describe:
Student's practionner was really anxious during his first consultation during his third year, was literally closed to his patient. 50 years old man presenting symptoms with Cauda Equina Syndrome but the students was so nervous that he missed some relevant questions and  let the patient in stress atmosphere.  I learn that even if the student finish by refer him, he have to take the control of himself and the patient to react faster. In an other term, improve his communication skills and body language.

Interpret:
This experience shows how much the communication is important with the patient and teach you that you have to deal with the patient's stress  because you are the practionner. I had a feeling of guilty and frustated when i saw the students refer the patient, it have to be quick. Our making-decision is a part of the profesion and we have to react fast. There is what makes us Profesionnal.

Evaluate:
This experience was rewarding, it remind us the importance of one of the OPS principles =COMMUNICATION.
For me, as an observer, I will try to don't feel distant with my patient, control the situation and don't let the stress destroy the partnership that we have to build with our patient.

Plan:
Stress and ''the art of the rethoric'' is part of the profesion. I will use this background positively, used to put my self in delicate situations like this to train myself and then be able to control. Also because we have to remind and apply the ethic as professional of health.
This case alter my vision and teach me to react faster and don't let details beside. Every point is important. Moreover to create a calm atmosphere for the patient and practionner.

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Osteopathic visceral technique : 14 Nov 2019

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Osteopathic visceral technique : 14 Nov 2019

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Andrew Taylor Still (fondateur de l’ostéopathie) a dit « La structure gouverne la fonction ». Cela signifie qu’un organisme vivant (nous en l’occurrence) ne peut pas fonctionner normalement si ces structures de maintien ont perdu de leur mobilité, et cela concerne aussi bien les articulations, muscles, tendons que les viscères!

My first subject that i want to put forward is the visceral techniques. I noticed  the lack of training and learning of this part of the body and these types of techniques at ESO (European School of Osteopathy).

I am really interested in this special part of the body, that covers so much that we can imagine. And it is one of my aim to built my knowledge and my career on this special part with cranial (that i am gonna developed later).

https://www.reflexosteo.com/actualites/l-osteopathie-viscerale-quels-sont-ses-avantages-176

The Tie Between Visceral and Biology (definition)

The "viscera" are the internal organs of the body-especially those located in the large cavity of the trunk (e.g., the heart, liver, and intestines). The word viscera comes from Latin, in which it has essentially the same meaning. Something "visceral" has to do with the viscera. In a more figurative sense, something "visceral" is felt "deep down." Even in the early years of its use, "visceral" often referred to things emotional rather than physiological. For example, in 1640, an English bishop named Edward Reynolds wrote, "Love is of all other the inmost and most visceral affection." This figurative use is the most common use of "visceral," but the word continues to be used in medical contexts as well.

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In case of hip pain (ederly people)
https://www.everydayhealth.com/hip-pain/yoga-for-hip-pain.aspx

https://www.upliftingmobility.com/hip-exercises/
exercise:
1- standing hip extension.
2- standing hip flexor.
3- Hip abductor.

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France vs England about the consentement

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France vs England about the consentement

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and think on our own way

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Osteopathic Medicine: Myths and Realities

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Osteopathic Medicine: Myths and Realities

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https://www.youtube.com/watch?v=U8SeCSmuZlE

Gina Moses, M.Ed., provides an in-depth look into the field of osteopathic medicine. She addresses the nuances of osteopathic medical education and how that differs from allopathic medicine. Moses also highlights the growing need for medical practitioners in the United States and how physicians trained in osteopathic medicine are helping to ease the shortage of health care professionals as the number of students graduating from these institutions has risen dramatically during the past decade.

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Find my own way to do things (practice, thinking..)

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Find my own way to do things (practice, thinking..)

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stage toulouse specialisation visceral and cranial 

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stage toulouse specialisation visceral and cranial 

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can't treat someone if the person took some drugs for safety 

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can't treat someone if the person took some drugs for safety 

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drugs prozac regarder etmettre lien psychiatric APA Convention, 2006.

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delegetimisme
pas professionelle
manque de rigueur
porte a limage du metier

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atmosphere
demon avis cest comme ca (enumere) mais on peut ameliorer comme ca

comprend que la qualite du service traitement passe avant que celle de l'aspest des locaux mais peu un atout fort et ameiolerer fort avec des aspects forts (plantes.. tableaux, couleurs) voir normes avec julie par rapport au domaines de la sante (avis dune vrai architecte) Julie debien lyon (nom de l'ecole institutncreade.

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how the body respond to a trauma, his own protection, instinct.

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danger treatment, manipulation, can spread the cancer

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https://www.youtube.com/watch?v=MW8a8-FMNKk

https://www.youtube.com/watch?v=1DF4vA0_Wzs&t=21s&fbclid=IwAR01ccD3_KH3Vjnqv2USqCcfeUu4vVdss3-4Wd-8Cpp5NUq8vVJePkTIlCc

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https://www.youtube.com/watch?v=Lp7E973zozc

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breaking heart
osteopathy can help?
brachial plexus around
bump of emotion (in back) around nuchal muscles

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https://library.unimelb.edu.au/recite

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https://bodyworlds.com/exhibitions/human/

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DIRECT/INDIRECT INGUINAL HERNIA:

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https://www.eso-learningzone.co.uk/pluginfile.php/25235/mod_resource/content/1/ESO%20Referencing%20Guidelines%202018.pdf

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Adaptation

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- be positive
- make people confortable/ feel good
-Listening
-Empathy
-make people my priority
-make people talk when its hard for them
-curious
-open-minded
-Read emotions

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-get tired quickly
- too much emotional
-not patient
-not charismatic
-English barrier
-Confidence
-Eyes contacts

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- English--> Strong accent

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- Practice more and more english
-Practice charismatic, position, body language, confidence
-practice knowledge
-students experience during external observation hours.

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NUNO
practical
really good and special test as well
tips: revisite details, palpation, try to have practice routine help with confidence and language as well.
review practioner position
Theory
exemple for yellow flags and red flags, auscultation of lungs and red flags for respiratory exam
3 locations TOS (a revoir symptom)
BPPV (know the acronyme) review how to explain the maneouvre
SAPS shoulder review symptoms
unhappytrial review
mc murray test review how to understand

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Effect on Placebo and Nocibo effect in MSK P (18.10.2021)

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Effect on Placebo and Nocibo effect in MSK P (18.10.2021)

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'' Don't focus on the finger, look at the moon''

The context matters= when pt. interacts with different contexts --> their brain  changes.

1. How to shape context (clinician) = improve the 1st impression: TRUST is built on. (it influence them positive or negative)

2. Pt. consider point of view (e.g side effect of manipulation) =explanation.

3. Take care of verbal + non verbal communication = relationship (=> using appropriate words).

4. Use eye contact -> really important using gesture + word -> impact our ttt and affect a lot the pt.

5. TTT: emphasize rituality of the therapy --> decrease their anxiety.

6. Setting -> strenght clinical environment
music
deco. ------> enriched therapy
atmosphere
= influence pt. symptoms + pt's behaviour mood --> affect ttt, technique (affective)

context = always present -> is it an unavoidable component of ttt. Influences subjective outcomes (illness) instead of disease.
Msk--> pain is not based or influence because of particular onset, outcomes but also context/ factors.

Futures perspective:
Covid-19 has changed clinical scenario mask/visor = decrease non verbal com. limite relationship.
= Use of context is an opportunity to enrich therapy + culture of context should be promoted at different level

Notes:
Placebo effect effective in chronic disease (e.g OA)... But what about acute?