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Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
September, 2003, Vol. 03, Issue 09
Malignant Melanoma: Learn to Recognize a Killer
By Stephen M. Schleicher, MD, Lawrence A. Schiffman, DO and Brian J. Stairs, DO
Skin cancer has become an epidemic in the United States, with approximately 1 million new cases diagnosed each year. The most common form of skin cancer, basal cell carcinoma, rarely spreads to other organs; left untreated, however, this tumor will erode deep into the skin and cause local destruction of tissue. Another common type of skin cancer, squamous cell carcinoma, is related to two well-known risk factors: chronic sun exposure and smoking. If left untreated, squamous cell carcinoma has the potential to spread inward and result in death.
The most serious form of skin cancer is malignant melanoma, which accounts for the greatest number of skin cancer-related deaths worldwide. It is alarming to note that the incidence of this malignancy is rising at a faster rate than any other cancer.
Indeed, today it is estimated that 1 in 70 Americans will develop melanoma during his or her lifetime, with the risk increasing to 1 in 50 by the year 2010. Over 100,000 new cases of melanoma will be diagnosed this year worldwide. Unlike other types of skin cancer, melanoma can strike younger individuals, with one in four new cases occurring in persons below the age of 40.
Certain risk factors are associated with an increased chance of developing malignant melanoma, including having fair skin; blond or red hair; a history of blistering sunburns during childhood or adolescence; and a family history of this cancer. Certainly, anyone with a large number of moles is at risk, even more so if the moles appear to be changing.
Malignant melanoma is curable if diagnosed and treated in a timely manner. The key to survival is prompt recognition. The majority of melanomas remain symptom-free but are visible on the skin surface to the naked eye. Thus, every individual should examine his or her skin on a regular basis. Good light and a mirror are the only tools necessary for this self-screening; however, enlisting the help of a friend or relative for hard-to-view areas is recommended. Thoroughly examine the back; backside; posterior legs; scalp; and digits, including the toenails and fingernails. If a new skin lesion is noted, or if an existing lesion appears to have changed, consultation with a dermatologist is highly recommended.
Both the American Cancer Society and the American Academy of Dermatology recommend regular skin examinations by a trained professional, and individuals who fall into high-risk categories should be examined more frequently. Luckily, newer technologies using digital cameras and Internet-based image transmission will allow for more widespread screening, which will save more lives.
The ABCDs of Malignant Melanoma Recognition
What does malignant melanoma look like? When examining a skin growth, certain warning signs may signal the presence of this serious malignancy. These are easily remembered as the ABCDs of melanoma recognition.
Malignant melanoma is the most deadly form of skin cancer, but early recognition saves lives. Any mole that enlarges, changes in color or begins to itch should be viewed with suspicion and evaluated by a physician experienced in skin cancer recognition.
Caught early, malignant melanoma is a curable disease.
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