Just an issue ago, we posed the question of whether the Secretary of Defense would comply with Section 704 of the National Defense Authorization Act for Fiscal Year 2009, which mandated that the secretary "provide chiropractic services to active-duty military personnel at 11 additional military treatment facilities that do not currently provide chiropractic services" no later than Sept. 30, 2009. According to a June 30 press release from the U.S. Department of Defense Military Health System announcing the 11 new locations, that mandate is being followed.
Active-duty service members will have access to chiropractic services this fall at six new Army medical treatment facilities, four Navy facilities and one Air Force facility, including - for the first time - several overseas locations; two in Germany and one in Japan. According to the release, chiropractic care will be up and running at the 11 sites by the Sept. 30 deadline stipulated by last year's legislation. Here are the 11 new sites by service branch and location:
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"Increasing the number of military men and women with access to the essential services provided by doctors of chiropractic is an accomplishment we can all be proud of, especially with the long-overdue expansion to overseas facilities," said Dr. Glenn Manceaux, ACA president. "Research has shown that the most common pain complaint among injured soldiers is low back pain, and let there be no doubt, doctors of chiropractic are the ideal providers to not only treat back pain, but also to help our service members prevent injuries."
The 11 new facilities join 49 military clinics and hospitals that currently provide chiropractic services to active-duty personnel. For a complete list of facilities, visit www.tricare.mil/ChiropracticCare. The ACA suggests doctors of chiropractic monitor www.usajobs.gov for information on applying positions at one of the new sites.
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.
