A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
January, 2006, Vol. 06, Issue 01
Whooping Cough: A Re-Emerging Disease
By Ruth Werner, LMP, NCTMB
Happy New Year! I, and I'm sure everyone else at Massage Today, hope that 2006 is full of joy, accomplishment and satisfaction for all of us. One way to achieve those goals is to keep healthy.On that note, let us turn to today's topic of discussion: whooping cough.
For most people born after 1950, whooping cough might sound like the stuff of 19th-century fiction - the kind of disease you'd find in Little Women or Huckleberry Finn. Indeed, whooping cough was at one time a common childhood infection with the potential to be deadly. The development of an effective vaccine in the late 1940s has largely eradicated the sense of threat this condition once carried.
Several decades later, however, whooping cough is viewed as an emerging disease that carries some significant threats. The reasons for this are twofold. First, the childhood vaccines many of us had do not (as was once thought) impart lifelong immunity; in fact, they probably begin to wear off after about five years. Second, as the threat of childhood death from infections like mumps, rubella and scarlet fever has declined, the sense of importance of childhood vaccinations also has declined. Consequently, many children are not fully immunized.
Note: This is not the place to debate the efficacy, appropriateness or legitimacy of vaccines in general. Vaccinations are not a black-and-white issue. Some vaccines have higher efficacy and lower rates of complications than others (and vice-versa). Anyone who would like to debate this point will have to find another platform. That discussion is not my intention.
Whooping Cough: What Is it?
Whooping cough, also called pertussis, is a bacterial infection of the respiratory tract caused by a pathogen called bordetella pertussis. (Dog owners might recognize this name because a related bacterium causes "kennel cough," or bordetella.) About 10,000 people are diagnosed with whooping cough each year in this country (although some studies indicated it might largely be under-reported), and it causes about 10 deaths per year. The people most vulnerable to dangerously extreme infections are young children.
How Does it Work?
Whooping cough is highly communicable through airborne respiratory secretions, so a person with a bad cough easily can spread it to others. This bacterium invades the respiratory tract, killing ciliated cells and releasing toxins that stimulate a systemic immune reaction. The coughing that ensues has a characteristic presentation: the infected person expels so much breath that air rushes into the lungs with a "whoop" sound.
After a 7-10 day incubation period, whooping cough develops in three stages. The first stage is called the "catarrhal phase." At this point, it is indistinguishable from a common cold, and it lasts for several days. Instead of resolving, however, it proceeds to stage two: characteristic paroxysmal coughing, which occurs for up to 50 episodes a day and lasts 2-4 weeks. Coughing episodes are exhausting, and can be so taxing that they induce vomiting. The third stage is convalescence, which typically involves 3-4 weeks of recovery. A full course of whooping cough can cause even a fundamentally healthy person to lose 6-8 weeks of productivity and good health. Its effects on young children can be much worse.
The coughing pertussis causes is so severe that it can lead to bruised or broken ribs, abdominal or inguinal hernias, and vomiting. In young children, additional complications include under-nutrition (it's hard to eat when you're coughing so much it makes you throw up), pneumonia, anoxia, convulsions and even brain damage or death from lack of oxygen. Young children have the highest risk for the worst complications of pertussis; the rest of the population might experience severe infection, but are unlikely to have life-threatening complications.
Treatment options for whooping cough present an interesting quandary. In its early stages, pertussis is indistinguishable from the common cold, and it's slow and expensive to culture. Any pediatrician might make a reasonable assumption that coughing, sneezing and mild fever are due to viral infection, and therefore not responsive to antibiotics. By the time a child has entered the severe coughing phase, antibiotics might no longer serve to shorten the duration or reduce the communicability of the infection. In short, the most efficient way to reduce the risks of pertussis in young children is to prevent the infection from developing, i.e., to be vaccinated.
Whooping Cough and Massage
Unless massage therapists work with young children, they are unlikely to see a client with the worst possible case of whooping cough. However, adolescents and young adults whose vaccinations have worn off are at risk for the infection, as are other people who come in contact with them. A client who has been diagnosed with this infection (or who has a family member with it) should wait until it has run its course before coming in close contact with other people. If a client has recovered from a pertussis infection, massage is, of course, safe and appropriate.
For Next Time
The floor is open. It will be early spring; crocuses will be poking up from a crust of snow. What disorders or diseases would you like to read about? One condition that's been generating a lot of attention lately is celiac disease, also called celiac sprue. While once considered rare, this gluten-sensitivity disorder is now considered by some researchers to be present in a low-grade form in about one out of every 33 people. Unless I hear otherwise, that's what I will pursue for March. If you have something else you'd like to discuss, let me know: what's on your table?
Until then, many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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