Ep 31: Building Chiropractic/Orthopedic Relationships with Dr. James Eubanks

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.

  1. Jim Eubanks' bio on Clinic website
  2. Craig Brigham's bio (with a very good video with him) on OrthoCarolina Spine Center website
  3. Work Loss Data Institute (Official Disability Guidelines)
  4. Cochrane Collaboration website
  5. SPORT (Spine Patient Outcomes Research Trial) led by James N. Weinstein DO, MS
  6. 45-year prospective study follow-up on natural history of spondylolisthesis
  7. Finnish Twin Spine Study and disc degeneration
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Ep 30: Chiropractic Cultural Authority, Identity and the Importance for Unity

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.

Chiropractic Summit

IHCPR

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Ep 28: Dr. Paul Dougherty on Chiropractic in the APHA and the VA Outpatient Clinics

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

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Ep 27: Lifesaving Chiropractors - DC’s Who Have Saved a Life

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:

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Ep 26: Australian Chiropractor Dr. John Reggars on the Crossroads of Science Vs. Subluxation

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!

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Ep 24: Kinesiology Taping with SpiderTech Creator Dr. Kevin Jardine

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 Website

SpiderTech Lower Back Spider on Amazon

SpiderTech Postural Spider on Amazon

Thanks to this episode's sponsors:

Research Review Service (use code: OTOH)

Online Appointment Scheduling (1 month free trial)

And thank you for listening and to all of you who reviewed us on iTunes!

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Ep 23: Chiropractors and Prescription Rights. Two College Presidents Sound Off: Winterstein and Clum

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?
Yes 1295 (50%)
No 1259 (49%)
Not sure 34 (1%)

Total: 2588

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

EPISODE SPONSOR: Get a free one month trial of online patient appointment scheduling.

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Ep 22: J. David Cassidy, DC DrMedSc PhD on Lack of Increased Risk VBA Stroke With Chiropractic

J David Cassidy, DC DrMedSc, PhD is a senior scientist in the Division of Health Care & Outcomes Research at Toronto Western Research Institute (TWRI).  He is also a professor in the Division of Epidemiology at the Dalla Lana School of Public Health and professor in Clinical Epidemiology in the Department of Health Policy, Management and Evaluation in the Faculty of Medicine at the University of Toronto.  Dr. Cassidy also holds the Research Directorship in Artists' Health at the University Health Network.

Originally trained as a chiropractor, Dr. Cassidy practiced in both Ontario and Saskatchewan, where he was a member of the Medical-Dental Staff at the Royal University Hospital and a consultant chiropractor to the Division of Orthopedic Surgery. He also holds a Bachelor's degree in Anatomy, a Master of Science in Surgery and a Doctorate in Anatomical Pathology from the University of Saskatchewan. His second doctoral degree (Dr.Med.Sc.) was earned in Epidemiology and Injury Prevention at the Karolinska Institute in Stockholm, Sweden.

Dr. Cassidy has authored over 225 scientific papers and chapters in books, including publications in the New England Journal of Medicine, Achives of Internal Medicine, Spine and other international journals. His research interests include musculoskeletal and injury epidemiology. His current research focus is on disability prevention from occupational and traffic injuries, neurotrauma (brain and spinal cord injury) and health issues in artists.

Dr. Cassidy is recently known for a paper published in Spine that examined more than 100 million person years and concluded there was no additional risk of stroke following a visit to a chiropractor versus seeing a medical doctor.

In this episode of the chiropractic podcast On The Other Hand, J. David Cassidy speaks with Dr. Brett Kinsler about this paper, its strengths and its criticisms.

Mentioned in this episode:

Managing Low Back Pain by William H. Kirkaldy-Willis MA MD LLD

Risk of Vertebrobasilar Stroke and Chiropractic Care: Results of a Population-Based Case-Control and Case-Crossover Study

Treatment of Neck Pain: Noninvasive Interventions: Results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders

Dr. Cassidy's testimony: State Board of Chiropractic Examiners Hearing on Informed Consent for Chiropractic Procedures - Day 4 Morning Session

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Free Full Text Transcript of this Episode Courtesy of Blue_Wode is available HERE

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Ep 21: Roundup, Listener Mail and Changing the Podcast Tagline

Dr. Brett Kinsler reads and responds to some podcast listener mail, discusses some behind the scenes processes of the On The Other Hand program and addresses why he is changing the tagline for the show.

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Ep 19: Craig Liebenson Expert in Spinal Rehabilitation, Author and Chiropractor

Craig Liebenson, DC literally wrote the book on spinal rehabilitation and is highly regarded among chiropractors, medical physicians and physical therapists alike in the field of spinal rehabilitation around the world. He has studied and taught with Professors Vladimir Janda and Karel Lewit from the Czech Republic - pioneers in functional rehabilitation and manual medicine, as well as many others who have revolutionized the field. Many of them are contributors to his text.

Dr. Liebenson is an Adjunct Professor in the School of Chiropractic, Division of Health Sciences at Murdoch University and a member of the International Association for the Study of Pain and the American Pain Society.  He helped to set up the Los Angeles College of Chiropractic and Scandinavian College of Chiropractic Rehabilitation Diplomate Courses and serves as a consultant and lead faculty for the Murdoch University and Anglo-European Chiropratic College M.Sc. programs in Chiropractic Rehabilitation. Dr. Liebenson treats many world-class elite athletes, was an NBA team chiropractor and currently serves as a consultant for the Arizona Diamondbacks MLB baseball team. He remains in private practice specializing in rehabilitation in Los Angeles

Dr. Liebenson was the first ever chiropractic member of the McKenzie Institute (U.S.) Board of Directors, a frequent lecturer at national and international multidisciplinary meetings, and has published extensively in journals and books on the subjects of rehabilitation and chronic pain the best known being the multidisciplinary text Rehabilitation of the Spine: A Practitioner's Manual (Lippincott/Williams and Wilkins), popular for over ten years, it is now in it's second edition.

This podcast episode is a discussion between Dr. Craig Liebenson and Rochester, NY chiropractor and blogger Dr. Brett Kinsler.

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