resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
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.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
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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