The three-year Chiropractic Health Care Demonstration project, created by the 1995 National Defense Authorization Act, is in full swing at 10 military treatment facilities. Three other military sites not offering chiropractic are being used to compare outcomes. Chiropractic care is being put to the test for treatment and cost effectiveness.
Active duty members, active duty family members, retired members, and retired family members participating in the demonstration project go through a screening process to determine if their conditions are neuromusculoskeletal. It they are, they have the option of receiving chiropractic or traditional medical care. Patients under 17 and those who are pregnant are excluded from receiving chiropractic.
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.
