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Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
June, 2002, Vol. 02, Issue 06
White House CAM Commission Delivers Final Report
By Editorial Staff
After two years of various meetings, hearings and site visits, and after listening to written and oral testimony from more than 1,000 members of the health care community and the general public, the White House Commission on Complementary and Alternative Medicine Policy has issued its final report to the Department of Health and Human Services.The inch-thick document, which the Commission's chair calls "a ground plan ... for ways to integrate complementary and alternative medicine approaches to health care into the system,"1 lists more than 100 recommendations and courses of action, many of which emphasize information and education as the keys to making intelligent, objective decisions about health care. It also suggests that the federal government will play an increasing role in the evaluation and implementation of certain forms of complementary and alternative medicine.
The Commission's recommendations are divided into six categories, covering nearly every aspect of complementary and alternative medicine. Among the more noteworthy suggestions:
Several recommendations were aimed specifically at the quality of dietary supplements:
Education and Training
Access and Delivery
Coverage and Reimbursement
Wellness and Health Promotion
"There's a lot that needs to be digested ... before taking the next step."
Although the Commission's recommendations are non-binding, and are intended to serve merely as a framework for future government studies, they have stirred controversy among both critics and advocates of complementary and alternative medicine. Some of this controversy may be attributed to the non-specific nature of the report, which lumps both proven and unproven forms of CAM into one category. For instance, while the group recommends that insurers and managed care organizations "should offer purchasers the option of health benefit plans that incorporate coverage of safe and effective CAM interventions," the report fails to mention which forms of CAM they consider safe and effective. In fact, in the report's introduction, the Commission's members admit that "most CAM interventions have not yet been scientifically studied and found to be safe and effective."
Furthermore, not every member of the Commission agreed with the final report's conclusions. In a separate statement, two panelists criticized the report for being overly generic and vague.
"While many of the Commission's recommendations will help maximize the benefits of proven safe and effective approaches, practices and products, they do not appropriately acknowledge the limitations of unproven and unvalidated CAM interventions or adequately address the minimization of risk," they wrote.
The Commission acknowledged the other panelists' criticism in its introduction. "The report does its best to distinguish in its recommendations between those proven safe and effective ... and those that are not. But the Commission recognizes that this distinction may not always be clear," they wrote.
It is also unclear as to how much credence will be given to the Commission's work by the Bush administration, given that the organization providing the report was created by former President Clinton. In an interview with Reuters Health, Bill Hall, a spokesperson for Health and Human Services, said, "There's a lot that needs to be digested first before taking the next step of saying where we're going to go."2 Hall added that the department would consider the Commission's recommendations, but that it was "premature" to say what might happen in the future.
Others have voiced their support for the group's efforts, including Senator Tom Harkin (D-Iowa), a long-time proponent of alternative therapies.
"I'm hopeful the commission's recommendations will help move toward the day that Americans can get the best of both traditional medicine and complementary medicine," Harkin told the Washington Post. "Public policy has not kept up with consumers or the science in this area. People are spending record sums out of their own pockets for complementary health care, and they have a right to expect good and reliable information and continued access."3
Exactly what impact the final report of the White House CAM Policy Commission will have on complementary and alternative medicine in the United States remains to be seen. Nevertheless, in many ways, the "final" report represents an important first step that has been taken in the recognition of complementary and alternative medicine. With its mantras of education, information and research as the keys to making informed, intelligent decisions about health care, the Commission's report sets the foundation upon which further actions by the federal government and private health care organizations can be built, and is sure to spark debate among practitioners across the full spectrum of the health care profession for years to come.
Editor's note: A complete copy of the White House CAM Commission's final report is available for viewing and printing via the Internet. Interested parties can access the report at http://whccamp.hhs.gov.
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