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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
July, 2002, Vol. 02, Issue 07
The Big Picture on Milk Intolerance
By John Upledger, DO, OMM
There is a great deal of talk these days about intolerance and/or allergy to milk and other dairy products.
While it is true that many people experience gastrointestinal (stomach and bowel) problems when ingesting dairy products, totally eliminating them from the diet can potentially adversely affect health.
Dairy products seem to be the only presently known source of a carbohydrate (sugar) known as galactose.This substance is an essential building block for a rather complex family of chemical compounds named gangliosides, which are essential for the development and maintenance of the brain's gray matter. Without them, the nerve cells are unable to intercommunicate with peak efficiency.
Total absence of gangliosides can result in loss of brain function. However, if the deficiency is small, you may just have a little trouble concentrating or focusing on a task. At its most extreme, newborns and children on completely milk-free diets may not be able to develop to their fullest mental capacities.
Between 40 and 60 percent of the population have enzymes in their bodies called epimerases, which have the ability to convert glucose (the most commonly available sugar) to galactose. These people do not have a ganglioside deficiency problem, even if there are no dairy foods in their diet.
Those who are truly milk intolerant and/or allergic may be unfavorably reactive to either of two major components of milk - casein and lactose (milk sugar). Fat, another component of milk that can cause problems for some, is easily avoided with the availability of fat-free milk.
There is a way to determine which dairy component is the cause of an unwanted physical reaction. First, try some casein. If that is the offending agent, one teaspoon of casein in water, juice or food will produce a reaction within 30 minutes. If this occurs, you can most likely get along with lactose.
However, if casein does not produce a reaction, try lactose. One teaspoon of lactose, if it is the cause, will produce unwanted effects within 30 minutes. If the reaction does not occur, you can use lactose as a supplement. I recommend one teaspoon of lactose twice daily in water or juice, on food, or as a sweetener in tea. If lactose causes a reaction, take some galactose. If you can tolerate galactose, you have the option of taking it as a supplement on a daily basis. I recommend about half a teaspoon twice daily in liquids or on food. It is important to keep your brain in shape. I certainly suggest that if you are on a dairy-free diet, you take either lactose or galactose supplements. This is particularly significant for children, whose learning and function could be hampered.
While solutions to dairy-product allergy or intolerance exist, lactose, galactose and casein are a little hard to find. Your local health food store may carry them, as do several national companies. A quick search on the Internet will probably be worth the trip.
Click here for previous articles by John Upledger, DO, OMM.
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