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Points of Interest 04/16/2015

Physicians want Dr. Oz gone from Columbia medical faculty

The making of Dr. Oz How an award-winning doctor turned away from science and embraced fame.

J Altern Complement Med. 2015 Apr 15. Effects of Acupuncture on Pain and Inflammation in Pediatric Emergency Department Patients with Acute Appendicitis: A Pilot Study.

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Worse than snakes on a plane?

What could be worse than snakes in a plane?

I was flying from New York to San Francisco Monday. We were half way across the US when there was an announcement.

“If there is a licensed medical provider on the flight, please identify yourself. We have a medical problem.”

I thought 'crap' as I pushed the call light. This has never happened before. I also thought, where is my hospital? When problems usually arise I have an infrastructure for back-up, if not at my finger tips, then a 911 call away.

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nazani
The acupuncturist did indicate that "the necessary medicines" would have been his first choice. I'm left wondering if Air China f... Read More
Wednesday, 15 April 2015 17:40
Guest — DaveK23
There's another article about the schoolkids on the flight at the daily express website; currently down, but I can see it in Googl... Read More
Wednesday, 15 April 2015 19:50
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Points of Interest 03/26/2015

Adv Health Sci Educ Theory Pract. 2015 Mar 25. The development of vaccination perspectives among chiropractic, naturopathic and medical students: a case study of professional enculturation..MOST PUBLISHED MEDICAL RESEARCH IS A FAILURE – IT’S NOT WHAT YOU THINK. “Now by failure I mean that more often than not, claims that are supported by one or two published articles, rarely lead to a marketed product.”Innate Intelligence and Public Education. Comparing public education to chiropractic. Worst. Metaphor. Ever.Proponents of Raw Milk Are No Better Than Anti-Vaccine AdvocatesPesty cane toads as cancer treatment? Not so fast…
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Points of Interest 03/25/2015

Spine (Phila Pa 1976). 2015 Mar 21. Diagnostic Accuracy of Lumbosacral Spine MRI Scan Reading by Chiropractors, Chiropractic Radiologists, and Medical Radiologists.Homeopathic remedies and pharmaceutical are drugs not the same.‘The Vaccine War’: What You Should Know After You Watch PBS Frontline’s Special. “Presenting the issue of vaccines as a “war” when one side is actually every scientist, doctor, researcher, nurse and public health expert worth their salt and the other side includes a small group of misguided, confused parents and dangerous anti-vaccine activists perpetuates the kind of inaccurate he-said-she-said “debate” that misleads parents in the first place.”
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Points of Interest 03/11/2015

National Health and Medical Research Council says homoeopathy doesn’t work and patients are putting their health at risk. “The nation’s peak medical research body has pronounced homoeopathy an ineffective medical treatment and warned the health of people who use it may be at risk if they delay proven treatments.”Dr Ginni Mansberg: ‘The medical profession has a problem’. “What’s even scarier is that Complementary Medicines Australia say they expect “the sales of vitamin and dietary supplements will overtake the sales of over-the-counter medicines by 2015”.Parents’ Beliefs vs. Their Children’s Health

PLoS One. 2015 Mar 10;10(3):e0118498. doi: 10.1371/journal.pone.0118498. eCollection 2015. Effectiveness of traditional chinese medicine as an adjunct therapy for Parkinson’s disease: a systematic review and meta-analysis.. “Although the data were limited by methodological flaws in many studies, the evidence indicates the potential superiority of TCM as an alternative therapeutic for PD treatment and justifies further high-quality studies.”

PLoS One. 2015 Mar 6;10(3):e0119612. doi: 10.1371/journal.pone.0119612. eCollection 2015. Can acupuncture treatment be double-blinded? An evaluation of double-blind acupuncture treatment of postoperative pain

Acupunct Med. 2015 Mar 6. pii: acupmed–2015–010772. doi: 10.1136/acupmed–2015–010772. Knowledge, attitude and practice among Chinese acupuncturists receiving sham and/or placebo acupuncture: a cross-sectional survey..

Acupunct Med. 2015 Mar 6. pii: acupmed–2014–010708. doi: 10.1136/acupmed–2014–010708. Training in self-needling and performing it as part of a clinical trial: the practitioner and patient experience.. DYI acupuncture.

Iran J Pediatr. 2014 Aug;24(4):339–44. Epub 2014 Jul 4. What is the best available evidence for using homeopathy in patients with intellectual disabilities?. If I were snarky I would suggest that may apply to all who use homeopathy.

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Points of Interest 03/09/2015

The 8 most effective new age treatments, according to youCHIROPRACTIC: an early and delightful critiqueStudy: Scare tactics aimed at vaccine skeptics may backfire Kenya: Don’t Be Duped By ‘Herbalists’ and SorcerersDoes Your Health Insurance Cover Alternative Medicine?  High out-of-pocket costs may dissuade Americans looking for alternative treatments.​2 common pediatric conditions treated with chiropractic care. Ear infections and asthma.
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Chiropractic drug wars heat up again

The International Chiropractors Association is once again girding itself for battle with its brethren in the American Chiropractic Association over chiropractic scope of practice.

The ICA represents the "straight," or pure subluxation-based, chiropractors. The ACA, on the other hand, started off as an organization representing the "mixers," those who incorporated diagnoses and treatments beyond the "detection" and "correction" of the non-existent subluxation via spinal "adjustments."  It was this branch that briefly held the promise of moving chiropractic beyond pseudoscience and into some form of evidence-based musculoskeletal specialty with a concentration on back problems. This transition might not ever have happened, considering what they were up against, but a few chiropractors evidently tried. 

Hopes of  a progression from pseudoscientific cult to mainstream practice has been pretty much dashed by overreachers, who have concocted a grand scheme to rebrand chiropractors as primary care physicians. This effort has been met with resistance by an odd-bedfellows combination of straight chiropractors (the ICA), medical doctors and pharmacists. 

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Points of Interest 03/03/2015

Aboriginal girls’ visits to Florida institute spurred undercover visit.

J Clin Nurs. 2015 Feb 24. A review of nurses’ knowledge, attitudes, and ability to communicate the risks and benefits of complementary and alternative medicine.. “The lack of knowledge about complementary and alternative medicine among nurses is a cause for concern, particularly in light of its widespread application.” But who is going to teach them?

J Can Chiropr Assoc. 2015 Mar;59(1):53–63. Is there a role for neck manipulation in elderly falls prevention? - An overview. Nope

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MAR
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New Mexico chiropractors move closer to expanded prescription privileges

New Mexico chiropractors are moving closer to their dream of becoming primary care physicians.  Not by dint of having actually passed the medical school admissions test, graduation from medical school, passing board exams and completing 3 years of residency, where they would learn how to care for patients in clinical settings. No, not by a long shot. 

New Mexico chiropractors, with certain qualifications we'll get to in a minute, could do the following if a new Senate Bill passes:

prescribe, administer, inject and dispense dangerous drugs that are used in a standard primary care practice.

The bill would except only Schedule I and II controlled substances. 

They are attempting to do this by legislative fiat, not education and hard work. Which is how chiropractors typically do things. Want to detect and correct the non-existent chiropractic subluxation? Get all 50 states to pass chiropractic practice act allowing it.  Want to be paid by insurers for your services, even though you are known for pseudoscientific diagnoses and treatments?  Get the state legislatures to mandate insurance coverage. 

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Recent Comments
Janet Camp
My flabber is totally gasted. Is it too awful to look forward to someone being killed by these ministrations so that the legislatu... Read More
Tuesday, 03 March 2015 15:57
Guest — Bill Jones
Apparently the author is ok with a Physician Assistant or Nurse Practitioner, both with much lower levels of education than a Doct... Read More
Monday, 19 October 2015 22:59
Guest — jo
This article is very biased. Very poorly written.
Tuesday, 11 October 2016 06:46
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Points of Interest 02/19/2015

Neurologist. 2015 Feb;19(3):65–67. Bilateral Diaphragmatic Paralysis Due to Cervical Chiropractic Manipulation.

Eur J Pain. 2015 Feb 17. doi: 10.1002/ejp.671. Local and distant acupuncture points stimulation for chronic musculoskeletal pain: A systematic review on the comparative effects.. Bottom line: where you put the needles doesn’t matter

Mark Zuckerberg Is Sending a Message to the Anti-Vaccine Crowd

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Points of Interest 02/17/2015

In States with Looser Immunization Laws, Lower Rates. “Overall, states with philosophical exemptions have 2.5 times the rate of opt-outs than states with only religious exemptions.”

Health experts question lack of crackdown on ‘homeopathic vaccines’.

15 Myths About Anti-Vaxxers, Debunked — Part 1

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Combinations for the Worse

I have discussed the small but real risk of chiropractic manipulation. Rare, thankfully, but occasionally manipulation of the neck can lead to stroke.

Not that chiropractors will admit any risk to their pseudo-medicine. As is often the case with alternative providers, they see disease progression or symptoms from their intervention as proof that their therapy is working and so ignore it as a side effect

If the patient discontinues care after only two or three adjustments because it ‘only made them feel worse,’ they haven’t allowed the body to adapt to the changes that are occurring in the body. Most of the time, a patient beginning care in their adult life have had years and years of accumulated spinal misalignments. The first few adjustments may cause discomfort due to the changes that are happening, even though they are positive changes.

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Points of Interest: 02/02/2015

 

Chris Christie: Parents Should Have A ‘Choice’ In Vaccinating Kids. “New Jersey Gov. Chris Christie (R) said Monday that public officials need to strike a “balance” on vaccinations that allows parents “some measure of choice” in immunizing their children.”

Anti-Vaxxers, Like Drunk Drivers, Are a Danger to Us All

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JAN
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Points of Interest 01/30/2105

Placebo effect of medication cost in Parkinson disease. A randomized double-blind study. “Expensive placebo significantly improved motor function and decreased brain activation in a direction and magnitude comparable to, albeit less than, levodopa. Perceptions of cost are capable of altering the placebo response in clinical studies.”

Trials. 2015 Jan 27;16(1):28.Empirical evidence for outcome reporting bias in randomized clinical trials of acupuncture: comparison of registered records and subsequent publications.. “We find that prospective registration for randomized clinical trials on acupuncture is insufficient, selective outcome reporting is prevalent, and the change of primary outcomes is intended to favor statistical significance.” In other words, they cheat.

Chiropractor Says Organic Nutrition Will Save His Kids From Measles

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JAN
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"It’s amazing how nutball theories gather momentum"

Google Trends search: Text Neck

Google Trend: Text Neck

It’s amazing how nutball theories gather momentum~  Google+ 

First I wrote about the study that wasn’t a study. English chiropractors suggested that too much texting was dangerous.

Then a US chiropractor ran with it, inventing the concept of text neck.

Now the same over-hyped concept has reached the Washington Post: ‘Text neck’ is becoming an ‘epidemic’ and could wreck your spine based on an as of yet not available study whose abstract says.

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JAN
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There was no study

This meme popped up in all my feeds today, variations on Could sending texts KILL you? Messaging may cause heart disease and breathing problems in later life, study claims.

Many of the articles start with variations of texting and using mobile devices for long periods of time could lead to a lower life expectancy, according to a new study. 

A study? A clinical trial? A epidemiologic investigation? A case series? Even a case report? Nope. Just chiropractors making stuff up. 

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The First Step

My wife worked for years in addictions. The first step in recovery is recognizing that there is a problem. Until the problem is recognized, all the other interventions to help the patient will not work.

Metaphorically, so many pseudo-medicines are in denial that they can cause harm, even if rarely.  They will not take the first step of admitting they have a problem. The chiropractic organizations have been at the forefront of denying that their interventions can cause harm.

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JAN
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Points of Interest 01/19/2105

N.J. groups at odds over therapeutic use of needles ““I’m really … disappointed in the fact that one health-care professional was bullying or harassing someone else who’s just doing their job,” Klim said.”

‘Chiropractic care made me worse’. “If the patient discontinues care after only two or three adjustments because it seemingly made them feel worse, then they haven’t allowed the body to adapt to the changes that are occurring.”

Cleveland Clinic Children’s hospital opens Center for Integrative Medicine. More IRB failure. “The center will also begin research on several integrative treatments — acupuncture, reiki and a form of low-intensity electrical stimulation called frequency-specific microcurrent therapy — to figure out what their potential benefits are for kids.”

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JAN
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Chiropractors remind us why new state chiropractic bills should be defeated

The pace of Legislative Alchemy is picking up, with state legislatures all over the country either already in session or starting in the next few months. Last year, as I reported in detail over on SBM, chiropractors, naturopaths, acupuncturists and assorted other "CAM" practitioners had some pretty dismal outcomes. This was despite numerous bills to either get licensed as health care practitioners or, for those already licensed, expand their scope of practice.  

But don't rest easy. The bills are popping up all over, as you can see if you go to the Legislative Updates page. (And I know you will, so you can help defeat these bad bills in your state.) Just this week (and it's only January!) we added eight new bills covering chiropractic and naturopathy. We'll look at the naturopathic bills soon, but for this week we'll focus on chiropractors.

Chiropractors are trying to expand their scope of practice in three states and add some window dressing in another. In Arizona, they want to be able to prescribe muscle relaxants and other pain killers. Chiropractors and veterinarians could be certified in "animal chiropractic" in that state as well. In Nebraska, chiropractors want to perform physical and eye exams for school children and, in Virginia, physical exams for commercial drivers.  In Wyoming, chiropractors don't want to be known as just "chiropractors" anymore, so they got a bill filed to call themselves "chiropractic physicians."  

So it is with gratitude that we should view the actions of the Council on Chiropractic Education (CCE) and the International Association of Chiropractors (ICA) in the last couple of weeks. Both organizations have done us the favor of adding more evidence with which to argue that none of these bills should pass. (Not that we really need any more, but still.) 

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JAN
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Points of Interest 01/02/2015

J Can Chiropr Assoc. 2014 Dec;58(4):456–66. Effects of spinal manipulation versus therapeutic exercise on adults with chronic low back pain: a literature review. “Based on the findings of this systematic review there is no conclusive evidence that clearly favours spinal manipulation or exercise as more effective in treatment of CLBP.”

Acupunct Med. 2014 Dec 30. pii: acupmed–2014–010679. doi: 10.1136/acupmed–2014–010679. Association of pre- and post-treatment expectations with improvements after acupuncture in patients with migraine.. “However, patients with 100% post-treatment expectations reported fewer NDMA than those with 0% expectations (primary outcome: 1.3 vs 5.0 days, p<0.001) and were more likely to have a favourable response (100% vs 0%: OR 68.87, 95% CI 6.26 to 1449.73, p=0.002). Similar results were found when analysing the impact of expectation on the secondary outcomes.”

One mans ethics is anothers horror: BMJ Open. 2014 Dec 30;4(12):e006423. doi: 10.1136/bmjopen–2014–006423. Moxibustion for the treatment of pressure ulcers: study protocol for a pilot, multicentre, randomised controlled trial. “This trial has undergone ethical scrutiny and been approved by the ethics review boards of First Affiliated Hospital of Heilongjiang University of Chinese Medicine and Second Affiliated Hospital of Heilongjiang University of Chinese Medicine (Permission number: HZYEYLP2014). The results of this study will provide clinical evidence for the feasibility, efficacy and safety of moxibustion for pressure ulcers.”

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