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Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
June, 2004, Vol. 04, Issue 06
Cholesterol: Friend of Foe?
By John Upledger, DO, OMM
As a physician who is passionate about all aspects of the human body, I frequently get questions about situations outside of the realm of CranioSacral Therapy. One such topic that has come up a lot over the last few years is that of cholesterol.With all the talk about the evils of cholesterol, you might think it is a dangerous substance that should be avoided at all costs. But is it really as terrible as it seems? Let's take a look.
Cholesterol is what is called a sterol molecule, which is any of a group of solid, mostly unsaturated polycyclic alcohol molecules. There is one hydroxyl (OH) group on carbon 3 that makes cholesterol an alcohol. If you aren't savvy in chemistry, don't worry; I'll make it as simple as I can.
Cholesterol is abundant in a wide variety of animal tissues, including human tissue. It is especially abundant in brain, spinal cord and peripheral nervous tissues. It is a generous constituent of the myelin sheathes that serve as insulation for all of the white nervous tissues. Without adequate cholesterol, the myelin disintegrates and the conduction of impulses in all nerve tissues, including the brain, is impaired. So when cholesterol is not present in adequate amounts, brain function is proportionately compromised.
In addition to cholesterol's contribution to myelin, it has more recently been discovered that cholesterol molecules are essential for nerve cells to communicate with each other. It seems that for a message to be successfully sent from a presynaptic neuronal axon to the receiving neuron, on the postsynaptic side of the gap between the two neurons (the gap is the synapse), there must be an abundance of cholesterol molecules on the presynaptic side of the gap (synapse). We don't yet know precisely how this works, but we do know that cholesterol is necessary for the nerve impulse to be transmitted from one neuron to the next.
We also know that cholesterol is the primary molecule from which all of the corticosteroid hormones of the adrenal glands are derived. Without these adrenal corticosteroid hormones, we would live in pain. These hormones are secreted by the adrenal glands. They mitigate the inflammatory responses that are induced and continually produced under any circumstances that stimulate an inflammatory response by the immune system. Without the proper level of corticosteroid hormone being produced by the cortices of the adrenal glands, we probably wouldn't survive attacks of various bacteria, viruses, fungi, molds, allergies, and more. We would simply inflame our lives away.
Another arena in which we would get a tremendous amount of pain is in the area of muscle, tendons, ligaments, fascia, bone wear and tear, etc. The corticosteroids reduce the inflammatory responses in those tissues and bones tremendously. I could go on and on with what inherently produced corticosteroids do for our creature comforts. Yet another arena that requires cholesterol as a primary substance is that of the sex hormones. Cholesterol is the essential basic substance from which our bodies manufacture both male and female sex hormones, i.e., testosterone and the various estrogen- and progesterone-related hormones. Where would we be without cholesterol? We would be asexual and childless. The aforementioned are only some of the things that we know require cholesterol.
Here's one other thing we know for sure about cholesterol: In our skin, in the presence of sunshine, cholesterol is converted to vitamin D, which is necessary for health. Lack of vitamin D in children results in rickets, in which the bones are very soft and easily become misshapen.
In the category of cholesterol functions, there is an argument that I believe began in the 1950s. From 1960 through 1963, I was attending osteopathic medical school and concurrently participating in a biochemistry teaching and research fellowship. I was selected as the award recipient by the biochemistry department chairman, Dr. Stacy F. Howell, who had great experience in the field of biochemistry, and was due to retire at the same time I graduated. Dr. Howell's PhD was from Cornell University where he helped establish proof that enzymes were proteins. His mentor, Dr. J. Sumner, received a Nobel Prize for establishing that same proof.
Dr. Howell and I spent many hours together, and he mentored me several nights. I recall that his friend, Ancel Keyes, PhD, from the University of Minnesota, discovered that there was abundant cholesterol in the plaques that form in arteries. These plaques serve to partially and sometimes completely obstruct the flow of blood through the involved arteries. The medical community immediately took this information from Ancel Keyes and decided that cholesterol was the demon that caused the plaques because when they formed in the arteries to the heart (coronary arteries), a "heart attack" (myocardial infarction) was the result. So it was simple: Cholesterol in the blood was the cause of ischemic (not enough blood) heart disease.
Within a year following his discovery, Ancel Keyes tried to reason with the "powers that be" that simply because cholesterol was present in the plaques did not mean it was the cause of the plaques. It struck Dr. Howell that the medical community was eager to find a cause for ischemic heart disease, a.k.a. coronary artery disease, and it could be treated by lowering blood cholesterol. The simplicity of the concept overcame scientific scrutiny. I listened to Dr. Howell and respected his wisdom; I also felt that Dr. Keyes should be listened to very seriously.
A few years later, a heart surgeon from Texas named Michael DeBakey hypothesized that the artery became infected by a bacteria, virus, etc., first, and that part of the body's defense might be to isolate the infected and inflamed area in the artery so that it would not spread throughout the arterial system and become lethal. Dr. DeBakey suggested that the cholesterol deposits might be part of the body's attempt to isolate the inflamed/infected part of the artery before it spread. Shortly after hearing Dr. DeBakey's ideas, I went to Mexico City to study with Dr. Demetrio Sodi-Pallares, a well-known cardiologist. Dr. Sodi agreed with Dr. DeBakey. I performed several autopsies with Dr. Sodi while I was there, and he showed me some instances in which plaque was not present, and the inflammatory response to a spreading infection in the coronary arteries was the cause of death.
With this information, I offer the idea that cholesterol is not the demon that it is touted to be. First, I believe that Mother Nature would not have the liver manufacturing cholesterol in response to physiological need if the cholesterol molecule were indeed such a menace to our well-being, and it would not have the intestines absorbing cholesterol from our food intake. If cholesterol were that bad for us, it would mean that Mother Nature wants us dead, and I just cannot accept that idea.
When I was in general practice from 1964 through 1975, a normal blood cholesterol level was 250 to 300 mg% (mg% being the number of milligrams of cholesterol per 100 milliliters or cubic centimeters of blood). Now doctors want it to be at 125mg% or less. I believe that cholesterol is an effective part of the immune system's armament against disease invasions. When we starve our bodies for cholesterol, we get sick and taken over by depressive moods more often. Frankly, I believe that the statin medications that are used to lower cholesterol production by the liver are far more toxic than blood cholesterol of 300mg%. As far as "good" and "bad" cholesterols are concerned, I believe that Mother Nature can deal with that better than medicine can.
Editor's note: This article has been written for informational purposes only and is not a substitute for personal medical advice. Please consult your physician with any questions or concerns you may have about your health.
Click here for previous articles by John Upledger, DO, OMM.
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