August 2009
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MediaKit

Enquiring Minds Want To Know…

Why is the FCER being disbanded?
I contacted them a few days ago, wondering about the publication of any papers from the Asthma study we had helped to fund, and received a post from Sheila Stielow, stating: “I’m not sure if you are aware but FCER is closed. This is a very recent decision”. I [...]

The RAND 36-Item Health Survey 1.0 (SF 36)

Patient self-perception of the health care experience is becoming an important component of clinical outcomes assessment. In light of the progression toward a more closely managed health care system, chiropractors are being expected to document and quantify clinical progress. Functional health status instruments are an economic and efficient way of accomplishing the task. [1]
The RAND [...]

What is Assignment of Benefits?

I am a member of the Chiropractic Assistants mail group, and find that some offices are confused about assignment of benefits.
Patients can become confused when their Insurance Company does not pay for all of their care, so it is very important that you fully explain assignment at the start of care. We provide this information [...]

The Shoulder Exam

The normal Range of Motion (ROM) for the shoulder joint is:
MOTIONNORMALFLEXION180°EXTENSION50°ABDUCTION180°ADDUCTION50°INT. ROTATION90°EXT. ROTATION90°
The conventional orthopedic tests for shoulder function are Yergason’s, Dawbarn’s, Duga’s, Drop Arm, Apprehension, Apley’s Scratch, Adson’s, Allen’s, Eden’s, and Wright’s.
I often find restriction in passive internal and/or external rotation of the humerus (patient lying supine). If the arm will not fully rotate [...]

Details Of The Chief Complaint

Before we examine any new patient, we need to gather a detailed history, particularly of the current complaint(s). I want to thank Paul D. Mullin, D.C. of Palmer College for suggesting these 18 questions, to help DCs in gathering the information they need to clearly understand a patient’s issues.
These questions are a good example [...]

How and Why Does Chiropractic Work?

There is no more hotly debated topic in our profession than the huge variety of answers to the question:
“What is the Vertebral Subluxation Complex” (or VSC)?   However, this is not the place to debate philosophy.
All of us have observed significant improvements in patient’s health when we adjust them. So, [...]

What is Medical Necessity?

“Medical Necessity” is the slippery slope.   According to the Physician’s News Digest:
“There are almost as many definitions of medical necessity as there are payors, laws and courts to interpret them. Generally speaking, though, most definitions incorporate the principle of providing services which are “reasonable and necessary” or “appropriate” in light of [...]

Do You Use Outcome Assessment Questionnaires?

If you haven’t noticed lately, every provider in each discipline is being held accountable for the care they provide to a patient. Why? Because evidence–based treatment approaches are becoming an expected “standard” for proving the effectiveness of care over time, and because tracking outcomes is a means by which insurers decide if the care provided [...]

Cervical Spine Trauma

The cervical spine provides structural stability and support for the cranium, and a flexible and protective column for movement and balance adaptation, along with housing of the spinal cord and vertebral arteries. It also allows for directional orientation of the eyes and ears. Nowhere in the spine is the relationship between the osseous structures and [...]

Antibiotic Abuse

Editorial Commentary:
The CDC (Centers for Disease Control) has been begging conventional medicine to stop overprescribing antibiotics for decades. Even so, a recent study in the Journal of Hospital Infections found that 37% of 600 antibiotic prescriptions were considered unnecessary and another 45% were considered to be inadequate.
Considering that antibiotic use in infants has been associated [...]

The Dangers of Medical Credit Cards

Source SmartMoney
READY FOR A new type of plastic? Meet the medical credit card. These credit cards — which used to be marketed exclusively to those opting for elective surgery, like breast enhancement and dental veneers — are increasingly being shopped to patients struggling to pay for medical necessities.
Medical facilities used to partner with these patients [...]

Chronic Pain in Persons With Neuromuscular Disease

You may enjoy reviewing this FULL TEXT article from the Archives of Physical Medicine and Rehabilitation, because Chiropractic scored the highest in reducing pain of 16 different modalities that were tested.
The authors wrote: Pain is a symptom that most clinicians would not typically associate with chronic Neuromuscular Disease (NMD). Most major texts on NMD do [...]

Health Care Realities

The following commentary by economist Paul Krugman appeared in the The New York Times
Published: July 30, 2009
At a recent town hall meeting, a man stood up and told Representative Bob Inglis to “keep your government hands off my Medicare.” The congressman, a Republican from South Carolina, tried to explain that Medicare is already a government [...]

End Medical Mis-Management of Low Back Pain

Editorial Commentary:
The medical “debate” has been going on for years…is spinal adjusting (a.k.a manipulation) effective for Low Back Pain? The original Meade study (British Medical Journal 1990) demonstrated that chiropractic was much more effective for LBP than conventional medical care.
In 1993 the province of Ontario, Canada hired the esteemed health care economist Pran Manga, [...]

Who Are The QuackWatchers?

For those who have forgotten, or for those who never knew, organized medicine spent decades and millions of dollars trying to discredit and destroy chiropractic. Today the vestiges of this suppression are still found on fringe web sites that ignore the body of peer-reviewed research supporting chiropractic care.
You may [...]