Dr. Perry Nickelston, a 1997 graduate of Palmer College of Chiropractic, practices in Ramsey, N.J., serving as clinical director of the Pain Laser Center and focusing on performance enhancement, corrective exercise and metabolic fitness nutrition. He has been a regular contributor to DC for several years and writes for various other industry trade publications dedicated to health and fitness.
Dr. Nickelston has been involved in the fitness industry for more than 20 years and is currently in the process of publishing several books on health, fitness and laser therapy.
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.
