July 1, 2015
June 30, 2015
June 29, 2015
June 27, 2015
June 26, 2015
Here is a story about keeping the pollutants and toxins down to a minimum in the home. It’s all part of the process.
No one can do it all all the time. But the effects, negative as well as positive, are accumulative – you home is s system (a collection of elements, choices you made, relating, impacting, affecting, facilitating or inhibiting). Tweak it here and there and it’s a new place… all of a sudden.
June 24, 2015
Sx – stands for Symptoms (in this case you can include Signs), as in you go the doctor and tell them your story. In our culture you don’t go until you have a story, and that story is usually a sad one. We have talked at length here about the story (and natural history – which means recurrent story) of those with back pain. When you tell your story you have expectation about what it means to the doctor; when the doctor hears your story they make all kinds of judgements about you and your story as well as their own situation (employer), your insurance coverage, their values and your values, etc.
Ex – stands for Examination. After you have interviewed your doctor and they have asked questions to better understand your story, they are supposed to do an examination. I will spend another entire Blog Post on the thought processes inherent in that some other day. At this point the point is the entire health care system you are accessing has a pre-determined mental picture embodied in the formula Sx + Ex = Dx -> Tx. It’s the model that modern medicine was founded on: the war against disease. Filled with presuppositions and assumptions, this model is partly what got us where we are. Ask yourself, who benefits from things being just the way they are; is an accident?
Xr – this just stands for any testing done to assist the doctor in determining what the Diagnosis is. I used Xr for X-ray because we can all relate. (When you contemplate this element of the formula, think MONEY and motivation.)
Dx – This is the big ticket item. The major goal of the all earlier efforts. This is such a big deal that all insurance reimbursement hinges on it (well, not really, but I am trying to make a point – contemplate how crucial the “diagnosis” is to both doctor and patient. Forget for a minute that in the realm of back pain (and many if not most other conditions) an accurate diagnosis that actually means anything is a very rare thing – of course if you wait until the condition develops into it’s later stages, well.. “If your symptoms persist, then come back.” (Don’t take my word for any of this, check into…)
Tx – This stands for Treatment. Treatment is a loaded word. Historically our health care system is build on the fantasy that with the “right” diagnosis there should be a preferred, highly predictable, infallible in fact, treatment that offers a solution. Science was supposed to give us that perfect treatment choice. So much for that.
One could talk all day about each of the components of the above formula, so I think I will let what I’ve written so far sink in, and Post on each component separately so that this doesn’t turn into a novel-length Post. Ask yourself what you know about each of those as they relate to your health care experience. Think in terms of your insurance coverage, your employer’s point of view in selecting the options that you then select from. If you have any concept of the terms Medically Necessary, ask yourself where that fits it.
June 23, 2015
I don’t know why but not everyone gets their kids checked for subluxations so that these subluxations can be corrected while they still can be corrected.
Fear probably. Ignorance maybe. Apathy perhaps. Cost? (I hope it’s not cost because I don’t even charge to check kids most of the time, maybe you didn’t know that.)
So let’s look at fear and ignorance… or put another way, let’s look at the evidence:
A 2007 literature review published in the journal Pediatrics found a total of five reported cases of adverse events and no deaths related to pediatric chiropractic care in a 110-year period.
A 2008 study of pediatric patients under 3 years of age (73% were under 13 weeks) seen over a three year period found “no serious adverse events” (697 children, 5,242 treatments, 85% of parents reporting improvement).
A 2011 literature review of adverse events related to pediatric chiropractic care found no serious adverse event has been reported in the literature since 1992 and concluded “The application of modern chiropractic pediatric care within the outlined framework is safe.”
A 2014 review concluded that “serious adverse events… are exceedingly rare. There have been no cases of deaths associated with chiropractic care reported in the academic literature to date.” (You can bet that if there were you would hear all about it!)
Looking at it from a different angle, a 2014 review of compensation claims over a nine-year period in Denmark and Norway (where chiropractic care is part of the national health plans) found… “the number of compensation claims for adverse events in the pediatric age group in both countries was zero.”
These studies do not exist in a vacuum either. Kids get sick. They go somewhere and get something (you know where and you know what). So the comparison is to what other options exist. So… just taking medication as a comparative treatment kids do receive quite regularly, consider this: A 2009 review of adverse drug events related to medication use in children found the mean number of visits by children to the emergency department due to adverse drug events as 131, 142 per year (mostly antibiotics). And… another study estimated that drug therapy is associated with and average of 243 deaths per year in children less than 2 years of age.
Don’t get me wrong. This Post isn’t an anti-medicine thing; I am not saying don’t go to them or what they offer isn’t of value when it’s necessary. Health care professionals are supposed to be engaged in what, today, is called Evidence Informed Practice. That means that what we offer and what you receive as patients is a happy blend of Individual Clinical Expertise (us), Patient Preference & Values (you), and Best External Evidence (the scientific research available on the subject).
Chiropractic care for kids is no panacea, any more than it’s a panacea for adults, men or woman, athletes, or Boeing workers. I suggest you consider chiropractic by considering all your options – chiropractic stands on it’s own merit. Unlike Tai chi in the case of exercise, chiropractic care has never been labeled perfect. But, when the playing field is level, and the trance is broken, it’s often a very reason place to start.
In fact chiropractic doctors are accustomed to their patients coming and saying, “I have so-and-so problem, I am going to see if you can fix it and if you can fine; if not I will go see someone else about it.” We usually do just fine.
Side Note: I prefer kids that are old enough to lie on the table and hold still so that I can check their legs, so that means about three years old or so. In case you are thinking of bringing your child in to be checked. I can refer you to someone else who works with infants and babies if you need that.
Obese Americans now outnumber the merely overweight (Los Angeles Times). Remember when “obesity” achieved the rank of a “disease” – it wasn’t that long ago. The article highlights the depressing numbers and finishes with reference to obesity being a risk factor for the big ticket items that most Americans die of. (Here is one Post on risk factors, but use the search box to find several more…)
The majority of large employers endorse a culture of health ownership, but only 19 percent have achieved it. (OPTUM 6th Annual Wellness in the Workplace Survey) One wonders how “endorse”, “culture”, and “ownership” are defined, but that’s another story.
I think obesity is a big deal (don’t laugh), for a lot of reasons. I have mentioned it a number of times on this Blog over the past 10 years…
Here, (and workplace productivity)
Here, (obesity and choices…)
Here, (Chiropractic care and obesity)
Here, (as it relates to increased risk of back, neck and shoulder pain… it does increase that risk)
Here, (as it relates to the Back Injury Prevention course)
Here, (If you want to loose weight… I did a whole series with that as the Blog Post Title)
Here, (Lifting without weight, is that “weightlifting”)
Here, (Harvard Medical School on Tai Chi)
Tai chi, the perfect exercise, is always a great place to end:-)
June 22, 2015
June 21, 2015
I have mentioned a few times here on this Blog that chiropractic is a wise choice if you have back pain. But don’t take my word for it, Harvard seems to agree.