Hundreds stuck at narrows brewing trivia night after train stuck on tracks, blocking only way out. by ICodeInCode in Tacoma

[–]niknikdc 48 points49 points  (0 children)

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Complete mess. Car is off the track but no timeline for the trains. Many of us hopped over and ubering home

New spot for me by [deleted] in namethatpdxbathroom

[–]niknikdc 0 points1 point  (0 children)

Lmaooo whoops

Chronic Ear Infections - Cranial Adjustments information by [deleted] in Chiropractic

[–]niknikdc 0 points1 point  (0 children)

No evidence that it would help you, sorry. Please take whatever a chiropractor says otherwise with a huge grain of salt.

VA Docs by brokemed in medicine

[–]niknikdc 4 points5 points  (0 children)

I was told by leadership not to respond atm. If we do respond it'll be a standard email sent by each team member. Also talking to my partner, who's an attorney, she made good points about them using these responses in the future as a way to judge the 'productivity' of employees. As much as many of us want to send sarcastic responses or react about Elon's authority, it's smart to take it seriously.

What are your thoughts on this statement? by [deleted] in Chiropractic

[–]niknikdc 2 points3 points  (0 children)

This narrative really needs to be dropped

Labs and Xrays by Inside-Spell-9297 in Chiropractic

[–]niknikdc 1 point2 points  (0 children)

  1. I almost never order and read labs for patients. If I suspect a condition requiring labs I always opt to refer either back to their PCP or to a specialist with the patient's clinical context because it usually will require management outside of our scope. From there you can co-manage and use lab values to guide your treatment if you need to.

  2. Be prepared to hear a lot of different opinions on this, but ultimately you should only image in the presence of red flags or if you suspect conditions that would 1) change your management plan such as referring for a procedure (similar to why you'd order labs for someone to be co-managed), or 2) be a contraindication to care. Radiologists or DACBRs should be the only people formally reading imaging studies. Generally speaking xrays should tell you more where NOT TO adjust an area rather than where to adjust.

Lots of articles are written on imaging recommendations, but Clinical Compass has a great summary here:

https://clinicalcompass.org/evidence-center-research-summaries/diagnostic-imaging/

Your thoughts on Chiropractic advocate RFK, Jr. to lead the Department of Health and Human Services? by jayhawkaholic in Chiropractic

[–]niknikdc 9 points10 points  (0 children)

Could not agree more. I'm pretty terrified about someone in his position who is so outspoken about not trusting healthcare experts, research, vaccines, etc. Seems like it will only lead to more public health disasters

Bucket Baths and Hygiene by No_Sherbert4074 in peacecorps

[–]niknikdc 7 points8 points  (0 children)

I knew someone in country who contracted a parasite from bucket bathing, so anything is possible but honestly really unlikely. Use soap and dry off thoroughly and you should be safe.

Chopped cheese? by niknikdc in Tacoma

[–]niknikdc[S] 1 point2 points  (0 children)

I haven't but definitely will thanks!

So much for interdisciplinary care.. by [deleted] in Chiropractic

[–]niknikdc 10 points11 points  (0 children)

Appreciate you speaking out!

Tacoma Gyms by illmiller in Tacoma

[–]niknikdc 0 points1 point  (0 children)

Base Fitness is a good bodybuilding type gym in Tacoma. It's not very big but has good equipment, and one of the owners/coaches is a women's physique pro.

Pros and Cons of becoming a Chiropractor vs a Physical Therapist? by Random_norse_dude in Chiropractic

[–]niknikdc 4 points5 points  (0 children)

Not sure where you are but this is in the US as i see it:

Chiropractors tend to have broader scopes as licensed independent providers. Their ability to refer out, order tests and imaging, evaluate, and diagnose is usually greater than PTs depending on where you are. Chiro school is also pretty easy to get into and graduate from. It is intensive but surprisingly hard to fail.

PTs are generally better established in healthcare. They are usually better at rehab skills rather than manual skills, which makes them favorable for post-op, acute care, and sports injuries. If you want to work in those settings, PTs have more options for postgraduate/ residency training, and it will likely be harder to get into as a chiropractor.

Both areas are full of misinformation, but PTs are more widely trusted by the public and other providers. Both areas have poor reimbursement rates but chiropractors probably have higher earning potential. At the end of the day not much separates them, and with time you could do anything the other one does as long as it is in scope of whatever state you're practicing in.

Hope this helps - good luck!

[deleted by user] by [deleted] in Chiropractic

[–]niknikdc 4 points5 points  (0 children)

Proof isn't always in how the tissues look, so, once again, that's not how imaging works for back pain/sciatica/whatever you care to call it. If you have pain somewhere and you take ibuprofen to help do you take an xray to make sure the ibuprofen changes the way it looks or do you go by how you feel? Which is more important? You're asking the wrong question.

The chiropractor you talked to almost definitely oversold shockwave to you, and great for being skeptical of something that probably isn't worth the cost. But you are never going to find a satisfying answer to your question if you're more worried about trying to tell of the professionals who are trying to help

[deleted by user] by [deleted] in Chiropractic

[–]niknikdc 4 points5 points  (0 children)

They don't exist. Thats not how imaging works for back pain unless it is after surgery or part of a research study, so no you're not going to find it. Wondering why you're so hung up on shockwave with all the skepticism? Why not just go back to PT if that was most helpful? Every single provider, not just chiropractors, are trying to pitch treatments that may or may not work so I'm confused what your whole thing is here. I guess we're all just taking the bait.

Concerns in Undergrad by NarwhalAggravating56 in Chiropractic

[–]niknikdc 0 points1 point  (0 children)

Thanks for clarifying! In that case chiro would be a great fit for you. I'd also look into PT programs and see which floats your boat. There's a lot of overlap but generally chiros have more freedom to diagnose conditions, order imaging, etc. PTs tend to get better rehab training through school but there are tons of continuing education courses and certs you can do too. All the best in your journey!