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Healing Package sample


Below is a sample of what an initial Healing Package looks like

As your treatment progresses and as your condition changes, your initial Healing Package is re-evaluated.Your Healing Package, like your body is dynamic.It changes with you.It is the starting point for a pain free healthy lifestyle.

Patients may come in with an acute condition that needs to be addressed immediately, but as those symptoms subside, and their confidence grows in the power of alternative care and their body’s ability to heal naturally, they are ready to tackle other health concerns and establish new health goals. So, every 8-12 weeks you are re-examined and modifications are made to your Healing Package based on where you are and your current health goals.

HEALING PACKAGE FOR Samantha Sample
DOB:
10/15/64
Examination Date:3/5/2007
March 7, 2007
Occupation: Computer Analyst

Main Concerns:
Tight muscles in neck and shoulders
Tight jaw
Headaches
Insomnia

Additional/Historical Information:
Hx of bladder infections with hx of anti-biotic use.
Daily use of Prozac for headaches and sleep management.
Auto accident one year ago.( Patient driver back-ended by Mercedes at 35 mph.Patient’s car at standstill.Driving a Toyota.)
MRI performed in which advised losing curve in neck.
20 year hx of BC pill use.

Current Medications/vitamins:
Prozac daily 25 mg.
Erythromycin for UTI
Multi-vitamin
Co-Q 10
Oils 3/6/9
Calcium

Exercise/Lifestyle:
Bicycles 2 x a week
Some weight training.

Medical Doctor:
Dr. Marcia Stone

Prior Care:
Acupuncture and Chiropractic
Active Release technique, osseous neck adjustments.
Physical therapy with Around the Clock PT

Vital Statistics:
BP:R 102/73, L 104/67
Pulse:74
Weight: 165
Hydration: 42%
Fat: 38%

Chiropractic Findings:

Cervical rotation to L slightly decreased.

Cervical L lateral flexion slightly decreased.

Cervical flexion slightly decreased.

Cervical extension very restricted.

R rib tenderness, L slightly tender

L clavicle up and forward

R cervical tenderness

Atlas R

Head tilts to R

R Jaw isposterior

R hip restriction

Lumbar L rotation, slightly restricted.

Lumbar L lateral flexion, restricted.

Lumbar forward flexion slightly restricted.

Sacrum tilts up and to the right.

L posterior rotation standing and prone.

Torso to the left.

Legs even.

Shoulder, Apley’s R inferior restriction

R Triceps and R biceps weakness

Bilateral calf/tightness on dorsi-flexion straight leg raise

R Psoas tightness

L Pubic bone up and forward

R talus/fib tenderness

Acupuncture Findings:
Pulse:Liver pulse weak
Kidney pulse weak
Tongue quivering red dots & red tip and scallops
Energy level 5/10
Cold hands and feet.
Temporal headaches daily.
Dry skin.Hx of eczema.( R foot, leg GB channel)
Panic attacks with decreased sleep.
Some bloating
BM’s 1-2 x a week.
Periods every 32 days.Flow 5 days.This month clots (unusual).
Cramps & slight lower back pain.
Daily night sweats.

            Treatment Plan:
                   Acupuncture treatment weekly.

    Chiropractic treatment weekly.

    Cold Laser protocol for pain and inflammation .

    Cold Laser protocol for headaches.

    Cold Laser protocol for Urinary Tract Infection.

  Therapeutics:  
                    
Gravity Drop

        Static Back

       Air Bench

       Groin Stretch

                 Nutrition: 
                      
Blood Type O Diet

        Take all Gluten out of diet

        Add anti-biotic & hormone free red meat to diet on more consistent basis.

        Increase oils and fats in diet.

        Increase nuts and seeds in diet.

        Keep diet 80% alkaline & 20% acidic

        Drink spring water.

         Hydration minimum of 80 oz. of water per day.

              Vitamin Therapy:

       Pro-Biotics

       Magnesium

       Krill Oil

       Vitamin E

      Alpha Lipoic Acid

      Vitamin C(5,000) water soluble

                 Massage:
                
Deferred at this time

                Education:
                   Handouts:

       Antibiotics

       Blood Type O diet--No/yes list, Fats & oils, Red meat

       Why No Ice Use

       Back Care

       Probiotics

       Krill Oil

      Alpha Lipoic Acid

      Contraceptive Steroids

            
             Ergonomics:
                  Slanted foot-stool placed under feet when sitting

Additional Care Suggestions with other Practitioners: 
                 
 Eye exam with glaucoma check
                   Pap Smear

 Re-Evaluation:
Eight weeks
Tuesday June 30, 2007

                  

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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