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Post by thetruthasiseeit on Jul 22, 2011 16:17:02 GMT -5
Usually Chirotalk and other sites are careful to avoid giving medical advice. Without a thorough history and thorough patient examination it is difficult to give a patient good medical advice. They could probably find better medical advice just googling their symptoms or diagnose on the internet than asking a possibly disgruntled chiropractor for guidance. Why don't you instead create a board which is similar to chirotalk? Also I better post a lot here because I suspect that board traffic will be extremely slow for a very long time.
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Post by Dr FJ on Jul 22, 2011 19:27:49 GMT -5
I don't think that diagnosis of any condition should be made over the internet. The purpose is to add a second opinion when a recommendation is made to a patient. I am especially looking for chiropractors who blindly follow management company guidelines and make crazy recommendations.
For example: If a patient has a question about whether their child should be treated. I would have them answer the following questions.
1. Does the chiropractor have a diplomat in Pediatrics?
2. What specialized training outside of school did the chiropractor receive? (at my school we got ZERO)
3. What is the goal of the chiropractor and his proposed treatment of the child?
4. How is he assessing the child?
Specific questions that should be asked by all patients but they just don't have the background to understand how chiropractors work, what education they may or may not have, and what promises they may make that they can never hold up to.
It's all about protecting the patient.
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Post by Dr FJ on Jul 22, 2011 19:32:30 GMT -5
I also would add that I just want to see the profession cleaned up. I want to do away witht the management companies and their scripts and careplans. But how would you ever know that unless you were a chiropractor. I want patients to know that chiropractors are treating things they are not trained for unless they have spent the time in a diplomat course. Chirotalk always says don't go to a chiro, always. I think that there are definantly times to go to a chiro. The fact of the matter is that everyday there are people going to a chiropractor and I want to use this board as a resource for them.
You have brillant chiro's out there like Jeff Spencer (Lance Armstrong's Chiro) and Dan Murphy. I am not going to tell anybody to do anything. I just want them to have all the facts so they aren't being ripped off and can make an informed decision on their own.
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Post by thetruthasiseeit on Jul 26, 2011 9:51:35 GMT -5
If a chiropractor is treating a child for neck or back pain, is a diplomat in pediatrics necessary or even helpful?
Are patients, except in a vague manner, aware of how the chiropractor is assessing the patient?
Are not the chiropractic goals of treatment usually to decrease pain and increase function?
Maybe it would be best to focus on non muscular and non spinal conditions where quackery can much more easily be demonstrated?
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Post by Dr FJ on Jul 26, 2011 10:28:19 GMT -5
You kind of made my point exactly. Patients should be aware of how their chiropractor is assessing them and why he is doing what he is doing. Instead of what usually happens, which the chiro tells the patient what to do and the patient blindly follows.
A diplomat would make a world of difference. They are usually 1-2 year programs specializing in 1 area. Pediatrics, Radiology, Sports Medicine, etc. There are many children seeing chiropractors and I would want that chiro to have an extra year of training specificially with children. In my school we had 1 trimester of pediatrics and we didn't even go over how to assess or adjust an infant or a child.
Its the same with my kids. If they have an issue I want them to go to a Pediatric doctor not a General Practioner.
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Post by thetruthasiseeit on Jul 26, 2011 13:35:51 GMT -5
Perhaps a better analogy would be a physical therapist. Does a physical therapist have to have a diplomat in pediatrics to treat a child for neck or back pain? I am a chiropractor without a diplomat and don't feel that I am doing anything wrong by treating children for neck or back pain which usually resulted from a motor vehicle accident.
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Post by Dr FJ on Jul 26, 2011 13:59:08 GMT -5
Not sure what school you went to but my school didn't show us how to assess or treat anybody under the age 5 or 6. Now my 4 year old has been around enough that he holds still for leg checks and knows exactly how I'm going to adjust him.
I am referring to infants and small children. I do feel that chiropractors should have specialized training if they want to treat that age group and the problems associated with that age group. My school had 2 trimesters of PT. Does that mean I'm qualified to treat sports injuries let alone diagnose them. I don't think so unless I have put in the extra time to specialize in that.
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Post by Dr FJ on Jul 26, 2011 14:03:33 GMT -5
I would also add that if you get taught everything in school then why do they have diplomat programs?
Actually PT does have speciality Pediatric PT programs. So I would say that if somebody advertises that they see children or can help children then a PT should go through that pediatric course.
There is a reason why there are specialities within the Medical Field.
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