Dr. Hoffman:
Yeah. Again, I think it's important that the doctors understand that this isn't something that they need to shy away from. Years ago, I was taught that when there is something that's sensitive, bring it up now. Bring it up on the front end because otherwise the patient's going to hear something somewhere down the road. The last thing you need is for them to hear a story on television and then never show up again, and you don't know why they turned around the corner when you are in the supermarket. It's better to handle this and what we've done, Dan, and what we've described and sent out to our doctors is some of the documentation that you are talking about in terms of these research papers that have been published, so that the doctors have an understanding and have an education themselves, and can talk fluently without having to sound defensive when they talk about these things. We both know that when it comes to strokes, or at least a dissection that could lead to a stroke, that the patients aren't aware, they could come into the office as you described, already in an episode. The doctor didn't cause it, but they can still get associated with it, and either which way, I was so happy that you just described, "Hey, if in doubt, call 9-1-1 because everyone that hears me speak, hears me say, 'Don't call me when you have a patient on the floor dizzy and vomiting, you call 9-1- 1. Call me later, but first call 9-1-1 because ultimately, you have to get the proper medical attention.'" Everybody knows that if it is a stroke, the quicker the appropriate medical attention is given, the better outcome, or at least statistically speaking. As Dan said, that's the first and only concern at that moment in time. After that, then we look and see what needs to be done to make sure you've done everything that you're supposed to do. I think that that's right on, Dan, and I cannot overemphasize that. Okay, and that one covered a few more. Next one; disc herniation, so I put that in bold. "Disc herniations that create pressure on the spinal nerves or the spinal cord are frequently and successfully treated by chiropractors and chiropractic adjustments, traction, etc. This includes both in the neck and back, yet occasionally, chiropractic adjustments, traction, etc. will aggravate the problem and, rarely, surgery may become necessary for correction. These problems occur so rarely that there are no available statistics that quantify their incidence." By the way, when I say there are actual studies that say that chiropractic adjustments as mono-therapy, adjustments alone can help people with disc herniations and compressive neruopathology, that is true. It's been alleged that if there is a herniation with compressed neruopathology that chiropractic adjusting is contraindication, this is not true. There are good studies, well put together in the best journals talking about how chiropractic spinal adjusting or manipulation by other providers can actually help these people. I know when I was in school, one of the things we would hear is, "Yeah, the disc is intolerant to a rotational maneuver and that you can tear it and herniate it," it is interesting that there are great studies that would disagree with that. There are studies that would say that it is impossible to hurt even a degenerated disc as a consequence of a rotational maneuver because of the protection and the limitation of the motion that would be reported
Dr. Murphy:
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