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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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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%.
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.
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.
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.
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.
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.
March, 2005, Vol. 05, Issue 03
Womankind: Is Seasonale® Reasonable?
By Elaine Stillerman, LMT
Is there anyone else feeling disgusted and outraged at the latest assault on women by the pharmaceutical industry? Are women so gullible that we believe these mega-billion dollar giants have our best interests in mind when they claim that the female reproductive system is broken and needs fixing?
I was sitting home one evening, minding my own business, when a commercial for Seasonale® came on.In the ad, several 20-something waifs, clad in white dresses with pink polka dots, were kicking the dots as they fell of the dresses until there were only four left. The dots symbolized (menstrual) periods - one dot per period - get it? That's the gimmick. You would never wear white when you have your period (or after Labor Day), and this miracle contraception provides effective birth control protection plus cuts down the number of menstrual cycles to only four - one per Seasonale® . I wanted to hurl.
Brought to you by the same industry that labels menopause "estrogen deficiency syndrome" (and wanted to sell drugs to change that until the dangers of hormone replacement therapy became widely accepted), this birth control pill is made with lower doses of the same estrogen (ethinyl estradiol) and progestin (levonorgestrel) found in conventional birth control pills, but the usage is vastly different. Instead of taking the pill for 21 days followed by seven days of placebo, Seasonale® is taken for 84 days and seven days of placebo so the normal number of menstruation cycles, 13-14 per year, dwindles to four.
I suppose there are a number of women who applaud this innovation. Those who suffer from severe menstrual cramps, have extreme bleeding, or consider their monthly cycles an inconvenience would probably welcome relief from these symptoms. But these women are not the target population, and the strategy is to convince all women of childbearing age that it's okay to mess with Mother Nature and reduce the number of periods.
Approved by the United States Food and Drug Administration (FDA) in September 2003 to prevent pregnancy, this oral contraceptive acts like the traditional birth control pill by suppressing ovulation and making the cervical mucus hostile to sperm. It prevents the endometrium (uterine lining) from growing thick enough to support fertilization; however, the hormones of this drug prevent the endometrium from growing at all. As birth control, it is 99 percent effective if taken as directed, compared to the 95-percent effective rate of traditional birth control pills. Supporters also maintain that decreasing the number of periods can prevent anemia and incidences of endometriosis, which is often linked with pelvic pain and infertility. There is even some inference that this pill may reduce the risk of ovarian and endometrial cancers.
Conversely, as with any birth control pill, Seasonale® does not protect the user from HIV or any other sexually transmitted diseases. Its side-effects are similar to those of standard birth control pills and include nausea, vomiting, weight gain, breast soreness and breakthrough bleeding; however, users of Seasonale® may experience more breakthrough bleeding, particularly in the first few months. So, perhaps avoiding white garments should also be on the warning label.
Seasonale® is not appropriate for women with blood-clotting disorders or those who have risk factors for heart disease or stroke, such as elevated blood pressure, diabetes, obesity, and high cholesterol, nor is it safe for smokers and women over 35. But these warnings are ubiquitous with all birth control pills.
There are a number of doctors who maintain that missing periods is not a good idea. It is a monthly hormonal cycle that should not be artificially controlled. Women who take Seasonale® ingest nine more weeks of estrogen and progestin every year; although clinical studies have not proven an increased risk to these women, long-term usage has not been evaluated.
But what upsets me is the way the marketing of this drug tries to suggest that having monthly periods is a mere inconvenience that can be safely eliminated. It plays into the idea that women, who rarely rejoice when they menstruate, can deny their womanhood and fool their own biology by ceasing to menstruate. It's a psychological ploy to convince us that our bodily functions are unnatural and need to be controlled.
Women of childbearing age bleed once a month. That's the way it always has been and that's the way it should remain. Trying to convince women that there is a better way to experience that which makes us uniquely women is doing a great disservice and borders on misogyny.
Click here for previous articles by Elaine Stillerman, LMT.
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