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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
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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