Question: Do I really need x-rays before treatment?
Almost daily we get a phone call from a prospective patient. Understandably, they want to know if we can treat the condition they have or think they have, and they want immediate relief (I do, too!). Right after the discussion of cost, in which they often discover we are more reasonable than the provider in their insurance network, there is usually a question about necessity of x-rays.
Believe it or not, school time looms close again. Gone are the days when we got out at the end of May for a carefree vacation until Labor Day.
I carried my books to and from school on my bicycle, a high-tech three-speed. Weight got to be more of an issue as I got older because at some point the books got thicker. Today, over 40 million kids carry book-laden backpacks daily. Thousands of emergency room visits annually document back strains related to carrying the packs.
Does knowledge that the scandal-ridden Internal Revenue Service (IRS) is the enforcer for Obamacare and will have access to your medical records inspire confidence? How about the report this week that the IRS seized 60 million medical records in California, including those of all state court judges?
Question: I have heard some things about cholesterol drugs in the news recently. I take one, and so does my husband. Are they safe?
I hear this question often. I asked about the use of cholesterol buster drugs, also known as statins, in my initial history for new patients. It is always important to know a patient's drug profile in a health history, but statin drugs have specific impact on what I do because they have musculoskeletal effects.
Question: I am confused about this "morning after pill." What is the controversy about? Should I discuss this with my teenagers?
The drug is known as PLAN B One Step. It differs from the original Plan B emergency contraceptive in that it uses only one pill instead of the two doses required in Plan B. It uses a lower dosage of progesterone, so the side effects are smaller.
Plan B One Step is not the same as RU-486, the abortion pill. While RU-486 induced abortion by preventing fetal development, Plan B One Step prevents fertilization or implantation, depending on which study you read. It is 89% effective in prevention of pregnancy when taken up to 72 hours after unprotected sex, or 95% if taken within 24 hours, but does not induce abortion if you are already pregnant. It is not as effective as regular contraception. It is designed for emergencies only, hence the name.
Growing the profession by embracing a new philosophy
Robert A. Hayden, D.C., Ph.D., spent 20 years in critical care nursing, which he calls a team sport. "All RNs understand that they work together as a team. In Chiropractic, we are in separate clinics and more than 70 percent are single-doctor practices," he says. "That can foster a competitive spirit among clinics."