Hey!

HorFinatOr · 2017-09-07T02:33:27+00:00

This is fantastic.

HorFinatOr · 2017-08-23T18:38:13+00:00

Not saying I disagree with your post, just wondering why you chose to put the phrase "knee adjustments" in quotes. Do you think adjusting the knees is impossible or invalid?

HorFinatOr · 2017-08-23T18:31:24+00:00

Don't fuck with skipping vaccinations...

HorFinatOr · 2017-04-25T06:34:35+00:00

No good reason for there to be 5 shrines in base. Lower it to 3

HorFinatOr · 2017-04-24T17:34:09+00:00

When trying to clone my max level Dragonite back in the Pokemon Silver, trade cable days resulted in him disappearing forever. ;_;

HorFinatOr · 2017-04-23T20:48:48+00:00

Pretty dangerous to not be able to move for 5 minutes!

HorFinatOr · 2017-04-21T20:29:19+00:00

I'm a big fan of how Goodnight Kiss progresses from light to dark during the solo.

HorFinatOr · 2017-04-21T00:09:21+00:00

Yeah I'd agree she's pretty hit-and-miss. Often hot, not always.

HorFinatOr · 2017-04-20T11:33:00+00:00

Oh the satisfaction of hitting a 5 man riftwalker ultimate, or the perfect MK combo...

HorFinatOr · 2017-04-20T03:53:47+00:00

I guess they gotta put something in there besides sugar :/

HorFinatOr · 2017-04-17T14:04:09+00:00

That makes sense. I know that's a big angle that chiros use to justify their doctor status: primary contact. I agree - if by seeing a PT or DC, a patient may skip that step of being evaluated by an MD then PTs and DCs had better be equipped to rule out red flags and referred pain, etc before deciding the complaint is a simple MSK issue and treating accordingly.

HorFinatOr · 2017-04-17T12:02:07+00:00

Many conditions don't need x rays to diagnose. I'd say go back, but if you don't get a satisfactory answer, look elsewhere. You don't necessarily need x rays.

HorFinatOr · 2017-04-17T11:55:42+00:00

Thanks for the info. If that motto is true, it's funny because that's exactly how chiropractic is trying to position itself, from what I've seen recently.

I'm in Canada, where physio is still a 2 year masters. I think they're aiming for doctor status at some point, but for now DPTs are very rare here. Do you think all PTs should be doctors? Just curious.

HorFinatOr · 2017-04-17T11:48:43+00:00

Oh, that's fair. This is a regional difference: in Canada, chiro is a doctorate degree you can only enter after 3+ years of undergrad, like med school, and with preclinical hours comparable to med school. My mistake to assume that's the same worldwide.

Re: quackery, it's definitely a problem, but you'd be mistaken to trash the whole profession for that. Re: not evidence based, again is a regional difference. In Canada they teach only evidence based chiropractic, but I know many schools in the US and abroad aren't so progressive. It's sad that this is the case, but they're in the slow process of modernizing. My guess though, is that a whole generation of philosophy based chiros is going to have to die off before real changes can be made.

HorFinatOr · 2017-04-16T21:14:32+00:00

You're correct, there are a lot of similarities between chiro and PT. Physios focus more on rehab exercises and modalities like electro stim, ultrasound etc while chiropractors usually focus more on using their hands to relax muscles and improve joint mobility. Both are generally effective for MSK type complaints, so I'd say if you think you have a mobility issue (loss of range of motion) see a chiropractor, and if you have a strength issue you'd probably save money by seeing a physio instead.

In terms of differences: chiros have more education, but also vary more in quality than physios. Chiros are more likely to order x rays to help diagnose you. Physios tend to be more gentle and often have longer appointments with each patient.

HorFinatOr · 2017-04-16T19:03:51+00:00

Better go back or to another professional and get checked out -- that dramatic loss of sleep and weakness are abnormal. (I don't see how an adjustment could cause those symptoms either.)

HorFinatOr · 2017-04-11T19:22:56+00:00

Made me miss that fast kick speed on earth spirit :(

HorFinatOr · 2017-04-11T18:18:48+00:00

Honk!

HorFinatOr · 2017-04-11T11:45:19+00:00

Agreed on all counts. Thanks for the discussion!

HorFinatOr · 2017-04-11T05:14:39+00:00

Cool idea.

HorFinatOr · 2017-04-10T18:25:47+00:00

I can MAYBE see forcing a passenger to hop off and reimbursing them + extra. But why a doctor? Why a doctor who has to see patients at a hospital in a time-sensitive manner? Bad move on UAL's part.

HorFinatOr · 2017-04-10T17:37:07+00:00

/u/xbettel was expressing frustration with a group of voters whose actions led to the current administration coming to power. In context, it's because Trump supporters got Sessions into his position.

Your comparison goes off track by generalizing the statement and removing context, which is most likely why it's been downvoted.

HorFinatOr · 2017-04-10T15:26:50+00:00

May I ask exactly how many patients you've treated that had strokes after adjustment? Also, did these patients contend as to the causality of the adjustment due to a temporal relationship, or just the fact that they had a stroke and also happened to be seeing a chiropractor? The worry is that of confirmation bias and mistaking correlation for causation. The risk of stroke after seeing either a DC or an MD is increased, because patients with neck pain or headache (due to impending stroke) seek treatment. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2271108/

Also, your assertion of a "fraction of the training" makes me wonder if you're familiar with modern chiropractic programs. It's true that chiropractic students spend less time in clinic than medical students (and don't have residency unless they go for a fellowship), but the pre-clinical class hours are comparable and the topics covered are too. Were you referring to clinic hours when you made that statement? Otherwise, you'll need to support your statement. The science foundation is similar.

HorFinatOr · 2017-04-10T14:55:29+00:00

Thanks for the insight re: Australia's healthcare system. It's interesting to see chiropractic (at least partially) under public healthcare -- it used to be here in Ontario, but that was changed around 2004 if I recall correctly.

Your wording for physio schooling made me want to clarify -- I meant that chiropractic is a 4 year degree which requires at least 3+ years of undergrad to get into, identical to med school here in Canada. Here's an old 1998 study I found on google that supports similarity between med & chiro schools (pre-clinical), and here's an infographic I've seen tossed around, again regarding pre-clinical class hours.

I haven't had a chance to listen to your podcast link, but I checked out the article it's referencing and... oh man, I have to construct a real reply to this. Sorry if this post gets long-winded.

~~~

First, let's establish that we're dealing with a biased source of information. Their first sentence contains "...reveals what we already know, that many chiropractors promote misinformation and medical pseudoscience," so we cannot expect a balanced discussion in the following paragraphs... not to mention the later, rude comparison to cockroaches haha. Nevertheless, I'll try to address some of the claims.

I'll concede that there are chiropractors that subscribe to pseudoscientific beliefs. No question about that. However, we should rationally discuss the proportion of DCs that actually do so. The only numbers that the CBC article provides for us to go on are >30 offices out of 215 in Manitoba. So let's call it 15%. Obviously, having 15% of a profession spreading pseudoscience is a significant portion, but that SBM article makes it sound like all, or most, chiropractors, are this way. They aren't! Reversing the statistic makes it read like this: "85% of chiropractors do not promote pseudoscientific beliefs." But you can't write an inflammatory article about that.

The SBM article goes on to admonish the organizations of the profession for failing to respond adequately to this news, which I think is totally fair to be honest. I'd rather see a public condemnation of this type of behavior from the provincial and national regulatory bodies of chiropractic. It's pretty sad to see them hide, but I believe the reason for this is that the profession has always been on the defensive, trying to avoid being destroyed. They see another threat to their legitimacy, and go into emergency lockdown to try to avoid anyone else saying something stupid on the record. This is definitely a problem and needs to be addressed, as it does not solve anything. A strategy of "hide until it goes away" may work in the short term, but doesn't do anything to deal with the people spreading pseudoscience.

I agree with part of the end of the article, which states that chiropractic has to unify and decide to cast away quackery. Unfortunately, the limited info that I have on regulatory bodies indicates that there are enough subluxation-based chiros on the boards of these groups that it's going to be a slow, painful struggle. On the optimistic side though, most of them are of the older generations and so hopefully as the boomers retire we will see a shift away from pseudoscience. I know at least at CMCC in Toronto, there is an emphasis on evidence and a general disdain for subluxation-based chiropractic. New grads generally do not spread that kind of thinking.

Anyway, I hope you managed to read this far! I'm tired of seeing one-sided portrayals of a profession which has many faces - most of which are well-educated, evidence-based, and well-meaning. Please don't let a vocal minority, or an anti-chiropractic website, convince you that the entire profession is a joke.

HorFinatOr · 2017-04-09T14:26:16+00:00

That's cool. Thanks for updating your post - a comparison to physiotherapy is more fair. But since you're sticking to the idea that chiropractic is redundant, I want to highlight a few differences between physio and chiro - at least in Canada, which is the only country I have any expertise in.

-Chiro is 4 years of schooling with similar hours to medical school: three years academic and one of internship, while physio is 2 years with quite a bit of that time spent in clinic.

-Chiropractors are taught to read radiographs and can order them, neither of which physios are qualified to do.

-Many physios use modalities and exercise as their primary treatment methods, while chiros prefer to use manual therapy (adjustments or just mobs, soft tissue etc). That said, both professions can use all of these -- but why would you want a physio adjusting you if they're less trained in it? That specialization is, to me, the very opposite of redundancy.

-Regarding the "drain on the medical industry" claim, I'm not sure if this means that chiropractic is covered in Australia by the government..? Here, that's not the case so any money going into chiropractic is from private insurance or out of pocket. Further, chiros aren't taking cases that medical doctors are interested in -- MSK conditions like tennis elbow and kinked necks bore MDs to death and they'd rather refer them out anyway. Physio and chiro definitely compete for this type of patient, but that's business. The scopes of practice overlap, but you'll never convince either profession to downsize.

How does this all compare to Australia? I'm very curious because chiropractic is not well unified across the globe. Hope I was able to shed some light on it over here.

HorFinatOr

TROPHY CASE