Michelle Barber, D.C.Michelle Barber, M.S.W., D.C.

At the end of my Clinical Methods class, my students must complete an assignment using mock scenarios that go through the 5 A’s of EBCP: Assess the patient, Ask a question, Acquire the evidence, Appraise the evidence, and Apply the evidence. After doing the assignment, here’s an email I received from one student:

“Dr. Barber -

I just wanted to say thank you so much for our EBCP assignment. I picked the colic subject for two different reasons; one because I'd really like to gear more towards pediatrics in my practice, and two because my brand new infant daughter has some colicky symptoms even though she's not by definition colicky due to the crying time definition.

I found a few studies with really promising probiotic treatment with Lactobacillus that has shown decreases in colicky symptoms and in the study I picked for the EBCP assignment it also showed to decrease E. coli strains in the gut flora as well. At the end of the study it hypothesized that E. coli may be responsible for producing hydrogen gas and causing gas pain which may lead to the colicky crying while Lactobacillus supplementation may decrease the overabundance of E. coli in the gut and thus lead to less gas pain for these infants.

This assignment not only gave me some insight for my current and future patients, but it has also sparked my interest to wonder if the mothers of these infants were given antibiotics prior to the birth or if the infants were given antibiotics after the birth. So, basically, thank you!”