The International Chiropractors Association (ICA) has posted a draft document of its Chiropractic Clinical Guidelines and Practice Parameters* on its website (www.chiropractic.org ) for review and comment by the chiropractic profession.
(* Not to be confused with the Council on Chiropractic Guidelines and Practice Parameters (CCGPP), the group coordinating the updating of the Mercy Guidelines.)
The draft for comment is the work of more than 50 people over the last two years. Dr. Gary Walsemann is the chairman of the ICA guidelines. The committee members are:
Dr. Francis Corbin
Dr. Ian Grassam
Dr. Samuel Haley
Dr. Christopher Kent
Dr. Henry Rubenstein
Dr. Brian Burns
Dr. Michael Petrie
Mr. James Harrison
Mr. Ronald Hendrickson
The ICA's objective of the comment and review period is to "gather objective input, new data and perspective" prior to the publication of a first edition. The intention is go beyond the assessments expressed by the ICA's self-selected group. It is the ICA's pledge to "review in detail and carefully consider the merits of all comments and to collect and make available a summary of information gathered in the comment period."
The ICA hopes in particular to add data and references on which the recommendations are based, but invites written comments on any aspect of the guidelines. Address your comments to:
Via Mail:
Gary Walsemann
Guidelines Chairman
International Chiropractors
Association
1110 North Glebe Road, Suite 1000
Arlington, VA 22210
Via Fax:
703-528-5023
Attention: Dr. Gary Walsemann
Via E-Mail:
Dr. Walsemann
Many relevant diagnostic signs are not performed deliberately by the examiner or by the patient at the examiner’s direction. They are observed as the patient reacts to their condition. Fortin’s finger sign, Minor’s sign, and Vanzetti’s sign are three examples of this principle.
Spearheaded by burgeoning scientific and clinical research literature, psychedelics have reached a level of media coverage and popular interest that has not been seen for over half a century. By “psychedelics,” we are referring to the unique class of substances that includes psilocybin (the active compound found in so-called “magic mushrooms”), LSD, dimethyltryptamine (DMT), ayahuasca, 5-MeO-DMT, and mescaline – each of which occurs in the natural world (except for LSD, which is a semi-synthetic compound).
While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.
