August 25th, 2011 at 9:37 pm (episode, chiropractic, alternative medicine, health, interprofessional relationships, integration, students)
A group of students at the University of New Mexico has formed a special interest group that encourages networking among pre-professional health care students. The thinking is that forming networks and relationships now will help them to better treat their future patients.
The Integrative Medical Education Exchange has a board of directors consisting of a medical student, a pre-chiropractic student, two pharmacy students and a recently graduated chiropractor. The membership spans all types of health care professions. Dr. Brett Kinsler spoke with several of them on this episode of On The Other Hand.
UNM Integrative Medical Education Exchange Facebook Page
Rebecca VanVleck, Co-Vice President Pharmacy student email@example.com
Catherine D. Pino, Co-Vice President Pre-Chiropractic student firstname.lastname@example.org
Monique Dodd, Secretary Pharmacy student email@example.com
Michael Pridham, DC, Treasurer Chiropractor, recent graduate from Logan firstname.lastname@example.org www.drpridham.com www.facebook.com/EquilibriumChiropracticAlbuquerque
David Lang, MTPT, LM Faculty adviser email@example.com
Center for Life http://unmmg.org/cfl/
August 11th, 2011 at 9:07 pm (chiropractic, stroke, interprofessional relationships, responsible chiropractic, primary spine care, orthopedics)
James Eubanks DC, MS, CSCS practices in Charlotte, NC and is playing the role of non-surgical spine specialist in connection to ongoing training at OrthoCarolina, one of the five largest orthopedic groups in the US. As a patient-centered, evidence based spine care specialist, Dr. Eubanks is learning the dynamics of triage and acts as spine gatekeeper, a role that is not filled by any other professional in the group. Dr. Eubanks provides us with a sort of Chiropractic/Orthopedic Relations 101 and informs other chiropractors what we can do to gain respect in an orthopedist's eyes and possibly forge a similar path.
- Jim Eubanks' bio on Clinic website
- Craig Brigham's bio (with a very good video with him) on OrthoCarolina Spine Center website
- Work Loss Data Institute (Official Disability Guidelines)
- Cochrane Collaboration website
- SPORT (Spine Patient Outcomes Research Trial) led by James N. Weinstein DO, MS
- 45-year prospective study follow-up on natural history of spondylolisthesis
- Finnish Twin Spine Study and disc degeneration
July 28th, 2011 at 7:49 am (episode, chiropractic, interprofessional relationships, responsible chiropractic, primary spine care, unity, cultural authority)
It's not news that chiropractors worldwide recognize the need for greater respect from the public, other health care professionals and various policymakers. What many people say is the missing key to solve this perceived inequity is our lack of general public trust which would permit our self-governance. When the public fully trusts a profession, then truth is what that profession says it is. The professional group defines itself and, without any fanfare or undue prodding, the public accepts this truth. That is the trust that marks cultural authority. Chiropractors have understood that this is a barrier for many years and many chiropractors have set out to build our cultural authority. In this episode, we speak with Dr. Michael Farrell, a chiropractor from the Buffalo, NY region on that subject.
Links for this show
Michael E. Farrell, II DC - practice website
Building Bridges to Cultural Authority by Arlan Fuhr, DC
How can chiropractic become a respected mainstream profession? The example of podiatry. Donald R Murphy et al
Book: Surviving in Health Care by Dieter F. Enzmann, MD Clearly written by a clinical doctor, this book first helps physicians understand the causes of changes in health care. Then, it explains how to devise a strategy in order to survive and prosper in today's environment. It covers the entire spectrum of medicine, and encourages solutions that meet physicians' individual circumstances. It focuses on useful tactics and specific actions, rather than quick fixes. Shows physicians how to formulate a strategy to survive and prosper. Includes discussion about cultural authority.
June 2nd, 2011 at 1:06 pm (episode, chiropractic, Posture, unity)
The separation is killing us. The isolation of chiropractic from the rest of health care is already difficult enough but we have huge pockets of isolation within chiropractic like cells of solitary confinement within an already secluded imprisonment. Further division continues to dilute something which is already weakened, already damaged. We need to find a solution to this or we are doomed to disappear. Dr. Steven Weiniger thinks the common thread needed to stitch the profession together, perhaps even unify chiropractic, lies in how we carry ourselves. Literally. How we physically stand up in posture. Can positioning ourselves at the posture experts be the flag all chiropractors can stand behind, regardless of scientific or fundamental orientation?
Dr. Brett L. Kinsler, host of On The Other Hand Podcast, discusses this topic with Dr. Steven Weiniger of PostureZone.
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May 24th, 2011 at 2:15 pm (episode, chiropractic, quality, physical therapists, interprofessional relationships, responsible chiropractic, research, apha, VA)
There are new opportunities opening up every day for integrated chiropractic professionals and with those opportunities, there are an increasing number of non-traditional chiropractors out there. And though many chiropractors may feel they are precluded from certain positions, Dr. Paul Dougherty has broken through many perceived boundaries. He is truly blazing new trails for the profession. He is a faculty member at New York Chiropractic College and also a clinical faculty member in Department of Orthopedics at University of Rochester School of Medicine. Dr. Dougherty serves as a clinician and research scientist at the VA (Veterans Health Administration) Outpatient Clinic, and chair of the American Public Health Association Chiropractic Section. This episode was recorded live in our studio.
Dr. Dougherty talks about the pros and cons of practicing chiropractic in a salaried system, the model of the VA clinics for the civilian world, advantages of an integrated EHR and the clinical trials he's running including those involving clinical prediction rules, functional MRI and psychosocial factors of back pain.
Episode Sponsor by our friends at IHCPR: Integrative Health Care Practice Resources
May 16th, 2011 at 3:25 pm (episode, chiropractic, health, responsible chiropractic, emergency)
When we are measuring the impact chiropractors have by their presence in the health care system, and not just in spine care, but our presence overall, there may be something missing. Many chiropractors have had a dramatic effect on the public's health by being properly trained in diagnosis and emergency procedures. By being a portal of contact for a patient who is discovered to have a life threatening condition, the chiropractor may be integral in starting the chain of survival much sooner than the natural history. Or, the chiropractor may actually perform an emergency procedure that leads to an immediate change in a patient's ability to survive.
When the lawmakers and stakeholders sit down to carve up the medical allocation pie, there are some large pieces that get allocated to hospitals and emergency care, some large pieces that go to prescription drugs, some smaller pieces that go to specialties like obstetrics. By the time they get around to even thinking about chiropractic care, the pie is pretty well carved up. The justification for this frequently is, well, chiropractic is a nice thing to have. But it's like massage - not a necessity -- more of a nicety.
This episode's stories illustrate that lives have depended on a chiropractor's quick actions. Some of the doctors who told their stories are listed below:
- Mike Simone, DC Simone Physical Medicine, Dacono, CO
- Cynthia Vaughn, DC Austin Chiropractic Center, Austin, TX
- John Ventura, DC Rochester Chiropractic Group, Rochester, NY
- Keren Day, DC New York, New York
- Brett Kinsler, DC Natural Health Chiropractic, Rochester, NY
- William Grosso, DC Rockland Health Chiropractic Assoc. New City, NY
May 7th, 2011 at 9:45 pm (episode, chiropractic, skeptic, subluxation, responsible chiropractic, research, international issues, COCA, Australia)
American chiropractors are frequently directed to countries in Europe and Scandinavia for examples of science based, well integrated chiropractic. Many people assume Australia's 3700 chiropractors must be practicing in a similar situation. What is chiropractic like down under?
Dr. John Reggars is a chiropractor in Australia who is mad as hell about the current state of affairs. The profession is at yet another crossroads with a history of making the wrong decision and he wants people to stand up and declare their intolerance for the fundamentalist anti-science. His article titled "Chiropractic at the Crossroads - or are we just going around in circles?" is sure to ruffle some feathers both down under and around the globe.
In this episode of On The Other Hand, Dr. Reggars speaks with Dr. Brett Kinsler about what has him as mad as hell and why he won't take it anymore!
April 30th, 2011 at 3:38 pm (chiropractic, health, inflammation, nutrition)
Is inflammation a good thing or a bad thing? Sometimes, the fact that the body gets inflamed is beneficial - swelling caused by acute inflammation following an injury can help promote healing and fight local infection. It's an appropriate immune response. But another kind of inflammation, a chronic sort, can occur throughout the body, and over long periods of time may actually increase the risk of heart disease, stroke, diabetes and cancer. Chronic inflammation is kind of a glitch in the system -- a feedback loop gone awry. How do you test for the presence of this chronic inflammation and, if it is present, what should we do about it? In this podcast episode of On The Other Hand, we hear from Dr. David Seaman, chiropractor, professor at National University of Health Sciences in St Petersburg Fl. and the producer of the website Deflame.com. He's an expert in the connection between nutrition and chronic inflammation.
April 6th, 2011 at 2:05 pm (episode, chiropractic, soft tissue, responsible chiropractic, education, kinesiology taping)
The first time much of the public spotted kinesiology tape was during the 2008 Olympics. Kerri Walsh, half of an unbelievable American beach volleyball team, had black tape prominently stuck to her shoulder. What is that stuff, people asked? Is she mourning someone? Or hiding a tattoo? It seemed like everyone was talking about it after that and a lot of manual providers started using it -- or using more of it once their patients were convinced that there must be something to kinesiology tape. And they had to have it.
In this podcast interview, Dr. Kinsler speaks with Dr. Kevin Jardine who created the SpiderTech line of kinesiology tape. Best known for their pre-cut tape applications, SpiderTech is also a strong advocate in the education of chiropractors.
SpiderTech Lower Back Spider on Amazon
SpiderTech Postural Spider on Amazon
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March 30th, 2011 at 10:49 pm (chiropractic, primary care, prescription, responsible chiropractic, education)
It was called House Bill 127 (HB 127) and with it, the New Mexico State Senate considered legislation to permit limited prescription drug rights to a group of "Advanced Practice" Chiropractors. The bill passed the house but not the full senate. The chiropractic formulary was to include some anti-inflammatories, a common muscle relaxer, and several other topical and internal substances. Proponents said this law would permit chiropractors to help with the drastic shortage of PCP's in NM and also help patients reduce their medication usage. Opponents said this law flew in the face of our chiropractic forefathers who fought hard to preserve our drugless profession.
I wrote a blog article on this topic on the RochesterChiro blog which attracted some heated debate and strong opinion. For more depth on this issue, I wanted to speak to two people who went to the hearings in New Mexico concerning this bill. I contacted Dr. James Winterstein, president of National University of Health Sciences and Dr. Gerry Clum, recently retired president of Life College of Chiropractic West.
Poll from Dynamic Chiropractic April 9, 2011 Edition
|Would you support broad advanced-practice rights, such as those proposed in New Mexico, in your state?
National University of Health Sciences
Life College of Chiropractic West
New Mexico Bomb Shelter and Pharmaceutical Rights for Chiropractors
New Mexico Chiropractic Scope of Practice
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