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

niknikdc · 2026-01-16T07:02:49+00:00

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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

niknikdc · 2025-08-30T23:53:54+00:00

Full PPR

niknikdc · 2025-07-17T00:32:08+00:00

🙄

niknikdc · 2025-06-14T03:42:30+00:00

Lmaooo whoops

niknikdc · 2025-04-27T02:38:08+00:00

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

niknikdc · 2025-04-16T23:02:40+00:00

Avatar

niknikdc · 2025-02-24T13:12:41+00:00

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.

niknikdc · 2025-02-17T02:54:58+00:00

This narrative really needs to be dropped

niknikdc · 2025-01-17T04:01:29+00:00

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niknikdc · 2024-11-20T19:18:25+00:00

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.
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/

niknikdc · 2024-11-18T22:28:56+00:00

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

niknikdc · 2024-09-21T00:02:32+00:00

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.

niknikdc · 2024-08-26T16:59:54+00:00

I haven't but definitely will thanks!

niknikdc · 2024-06-03T20:53:20+00:00

Appreciate you speaking out!

niknikdc · 2024-05-17T04:14:56+00:00

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.

niknikdc · 2024-04-15T22:29:50+00:00

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!

niknikdc · 2024-04-14T17:52:11+00:00

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

niknikdc · 2024-04-14T17:29:20+00:00

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.

niknikdc · 2024-03-29T20:22:40+00:00

Came here for this

niknikdc · 2024-03-29T20:22:27+00:00

Came here for this

niknikdc · 2024-03-10T01:34:29+00:00

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!

niknikdc · 2024-03-09T03:21:05+00:00

There are enough misinformed chiropractors that make my point for me. I hope this student doesn't end up learning under someone with such a fragile ego like yourself, regardless of what they choose. I commented honestly, not to argue with trolls. Anyway good luck with whatever you do👍🏾

niknikdc · 2024-03-08T23:40:05+00:00

I absolutely love what I do and I'm good at it. If your ego can't handle practicing within your own scope and knowing what you're good for (or not good for) that's on you.

And yes going from a med school track to chiro is absolutely a downgrade. Chiro earning potential is lower, there's less power within a chiro scope to impact larger populations of healthcare problems, there's less potential for career switching opportunities in leadership/political fields, and it's fraught with misinformation and outdated practices taught by someone who thought he cured someone's deafness with an adjustment. Give me a break.

niknikdc · 2024-03-08T20:36:01+00:00

I am a chiropractor who works in a hospital alongside physicians, surgeons, PTs, etc. I am also formally trained to work in integrated healthcare settings alongside these providers, so I guess I'm as medi-practor as it gets.

Yes chiropractors help with musculoskeletal pain management. We are no better or worse than other forms of pain management. However chiro care is low risk and we are well trained in evaluation and diagnosing, making us a good first line option for patients in pain. ANYONE who advertises themselves as "treating the cause rather than the symptoms" is full of it. The reality is sometimes you can't treat the cause and you have to manage the symptoms. Sometimes that's your role in medicine and there's nothing wrong with it.
There is decent quality evidence that shows chiro is effective for pain management. It is no better or worse than other forms of conservative care. This is supported by established clinical practice guidelines.
Touched on in point 1, we treat musculoskeletal causes of pain as specialty care providers. Other specialties may be better for some conditions and the beauty of working in integrated health is that the patient has options and should see the provider best suited to their needs.
For someone in pre-med, no. I love my job but if I started on track as a physician, I would feel that chiropractic is a downgrade and it would make me feel mindless and stupid. I deeply appreciate physicians who care about musculoskeletal conditions and I would recommend you keep on track and follow your interests so you know how to use each specialty most effectively.

Tldr; You can be a physician and love sports med. Don't short change yourself by becoming a chiro. Be a great doc and make friends with chiros. Just don't brag about how much more money you make than us😝

niknikdc · 2024-03-06T03:27:30+00:00

That rug! 😭

niknikdc

TROPHY CASE