This afternoon, I did two things: the first was to read the recent March 24 edition of Dynamic Chiropractic; the second was to perform a literature search. Neither effort was particularly noteworthy, as both are common parts of my professional life, but the results were quite interesting.
On the front page of DC, I saw the photo of Charles DuVall Jr., DC, and the article discussing the Penn and Teller Showtime cable program, in which Dr. DuVall's now-well-known attitudes were aired. ["Penn and Teller Take Cheap Shot at Chiropractic, Alternative Medicine": www.chiroweb.com/archives/21/07/17.html] That article triggered my literature search - and some reflection.
I had a few encounters with Drs. DuVall Jr. and Sr. in the early-to-mid 1980s. DuVall Sr. used to call me on infrequent occasion at my practice in the late 70s to discuss research, back in the days when chiropractic research was more meager, and nearly anything you did (reasonable or not) attracted attention. Based on these rare communications, it seemed we shared some common concerns about the practices and behaviors of some of our colleagues.
Several years later, at one of the early North American Spine Society (NASS) meetings, I ran into the Drs. DuVall. Being one of the only two DCs to attend the inaugural and subsequent few meetings of NASS, I was excited initially to see that there were other DCs who were going to make a presentation. I arrived at the session a few minutes late, as there had been a leadership meeting of NASS in which DC membership, originally open and under consideration to be reopened, was assaulted by politics to remain closed. As I tried to enter the conference room where the DuVall Duo (DD) was presenting, I was met with a steady exodus of medical physicians. One, who knew me from earlier presentations at the inaugural meeting of NASS (then NASA ... Gee, I wonder why that changed!), asked, "Who are these guys? Are they friends of yours? There may be a place for the kind of garbage they are putting out, but it isn't here!"
When I finally got into the room, I was appalled to see the DD beaming from the stage as they played a videotape of their latest television exposé, which assassinated our profession and its members with invective, defamation and calumny. My initial response was speechlessness (a novelty for this Italian), followed rapidly by intense fury at this misguided, poorly informed and destructive activity and commentary that accomplished nothing to resolve the DD's perceived problems within the profession. When the Duo approached me afterward in the lobby, it was all I could do to hold my tongue and simply glare down at them as the escalator carried me up to my next meeting. My memory of that encounter is vivid to this day.
Since that time, it has been interesting to observe the conduct of the Duo's professional careers from a distance. I often have asked myself how any thinking person, regardless of his or her views on the conduct of some within our discipline, could be persuaded by the likes of the DuValls. (By the way, I ask that same question to a few others on the opposite end of the chiropractic diversity spectrum.) Now, with the passing of DuVall Sr., a few years ago, the son has ascended, displaying the same arrogance and apparent absence of substantive contribution to the discipline on which he relies.
This was the set of questions for which I sought answers in the literature and my recollections:
Some people go through life and have little they can look back on and say, "I helped make a positive change. " Congratulations, Dr. DuVall. You now have flirted with satirists in the performance with Penn and Teller; a new notch for your belt. There is so much constructive work that needs to be done in our profession; perhaps it will never occur to you that the final laugh is on you.
John J. Triano, DC, PhD
Plano, Texas
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.
