January 29, 2010 by Avery Jenkins.

One of the things I like about being the type of doctor that I am is that patients feel free to speak their mind to me.

As happened today, while I was performing trigger point therapy (a highly effective but admittedly somewhat painful technique for some muscle problems), my patient said to me:

Patient: “Doc, that #$%^&! hurts!

Me: “Yeah, I know, sorry about that.”

Patient: “That’s your bike out front, right?”

Me: “Yeah. Rode it in this morning.”

Patient: “Yeah, well, when you’re done with me, I’m taking care of it. You’re walking home tonight.”

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January 19, 2010 by Avery Jenkins.

There is some very good news today for parents of special needs children in the Litchfield area. I received an email today from Krizta Moon, a very talented musician, music teacher and musical therapist, which said that she will be offering a music therapy program at the Litchfield community center.

If you are unfamiliar with music therapy, it is  “the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program,” according to the American Music Therapy Association website.

Anyone who has fallen in love, lost a loved one, grieved or celebrated — that is, all of us — knows the power that music has to influence our mood and our minds. Amazing, isn’t it, how a few bars from a half-forgotten song bring back to us in 3D living color the gestalt of a period in our lives?

Well, music is capable of far more than that. In the right hands, music therapy can not only help children cope with pain and stress, but also speed their progress in physical therapy programs. Music therapy can reach out and touch the untouchable, engage the unengaged.  In fact, a recent Cochrane Review, largely considered the gold standard of evidence-based medicine, found that “music therapy may help children with autistic spectrum disorder to improve their communicative skills.”

Ms. Moon said that she will be having an introductory “meet and greet” session open to everyone on Sat., January 23 at the Litchfield Community Center.

Music therapy sessions are specifically designed around the child’s age and developmental abilities, Ms. Moon said. Sessions will be held each Saturday between the hours of 9am-1pm. Each session runs for 45 minutes, starting on February 20th and will conclude on April 10th for a total of 8 sessions. Total cost is $150.00. Sign-up for this event will begin at 10am at the Litchfield Community Center. From 11-11:45, be there to participate in a large group session for parents and special needs children ages 4-18.

“An advantage of music therapy,” Ms. Moon’s email said, “is that it is an inherently nonthreatening and inviting medium. It offers a child a safe haven from which to explore feelings, behaviors and issues ranging from self-esteem to severe emotional dysregulation. Music therapy techniques can be designed to address more complex issues such as grief, abandonment or deeply conflicted emotions. As a medium, music therapy has enormous range and scope in targeting multiple clinical needs across the gamut of childhood developmental stages. It can set the occasion for a child to establish a meaningful relationship with an adult through musical play and interaction. Music therapy can also facilitate the development of pro-social skills, trust and feelings of positive attachment. Developmentally, almost all children respond to music. This greatly assists in laying a strong foundation for engaging in deeper therapeutic work. A child’s natural interest in music is enhanced by the fact that they are occupied in stimulating motor and auditory activities more associated with play or fun than work or therapy. The careful and repetitious orchestration of such multi-sensory experiences, in the context of a skillful and nurturing relationship, has a remarkable range of clinical benefits.”

On a personal note, I would just like to add that Krizta Moon has been my daughter’s singing teacher for several years. I know whereof I speak when I say that she is an extraordinarily talented, caring and skilled teacher, and I am glad that she has extended her talents into the realm of music therapy. I have no doubt that she will be of great benefit to many children here.

If you would like to attend, please call 860-484-9080 to confirm. You can also contact Ms. Moon via email, at lunazsoul (at) hotmail.com.

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January 18, 2010 by Avery Jenkins.

In a classic set-up, the Hartford Courant published an online poll asking readers if chiropractic patients should be required to sign special consent forms, as I mentioned in a previous post.

The poll question was placed directly across from a Rick Green anti-chiropractic screed, in which Mr. Green manages to disclose both an appalling lack of understanding of scientific research as well as feeble rabble-rousing skills in his attempts to mislead the public about this topic.

I wouldn’t mind so much about the anti-science bent of his column if Mr. Green was at least able to generate some fire underneath his supporters.

But, alas, he could not even do that. Normally, the placement of a survey as the Courant did in this situation virtually guarantees that the results are skewed in favor of the opinion of the columnist. Not so in this case. Here are the most recent poll results:

I’m sorry, Mr. Green, but it looks like the public has spoken.

And they think you, and the proposed regulation, is wrong.

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January 15, 2010 by Avery Jenkins.

That fount of modern female wisdom, Cosmopolitan magazine, inadvertently highlighted the fundamental problem with modern healthcare in its recent online article, Hairstyles Men Love.

Next to this picture of an undeniably-photogenic Anna Faris:

The article notes that “From an evolutionary perspective, guys subconsciously like hair that looks clean and healthy, like Anna Faris’s blond locks. “Hair that’s in top condition shows that you have a balanced diet and good health — signs of an ideal mate,” says biological anthropologist Helen Fisher PhD.”

So far, so good. Sociobiology, or the description of human behavior from a evolutionary perspective, has come a long way since its introduction 40-odd years ago, and is now a widely accepted (if oft-misused) theory. It is quite probable that in matters as fundamental as procreation, we are hard-wired to respond in certain ways just as much as the female Western Tanager will always go for the guy with the big red top.

But then Cosmo blows the lid off of the secret behind looking healthy:

“Work a silicone-based straightening serum through damp hair before blow-drying,” Cosmo advises. “Clip locks in 4-6 sections depending on how thick your hair is. Then tackle one at a time with a paddle brush and a blow-dryer equipped with a nozzle pointed straight down. Finish with a light shine spray.”

Ok, let me see if I’ve got this right. The secret to attracting guys, Cosmo says, is to develop that healthy glow, which presumably indicates a fecund future of healthy, bouncing babies to carry the genetic line forward. And the secret to attaining that health is a silicon-based straightening serum?!?

Not a word about the things that I associate with good health, like, maybe, good nutrition, exercise, sanitation — all that stuff that actually does give a person that healthy glow, instead of simply imitating it.

In the same way, mainstream medicine mistakes appearing healthy for looking healthy. Instead of looking at the person, they look at the numbers:

Cholesterol low?                   Check.

Thyroid hormone normal?     Check.

BMI “normal”?                      Check

All well and good. But the fact of matter is, manipulation of the numbers does very little to change a person’s health. You can have a normal body mass index and still be highly prone to cancer and heart disease. You can have normal thyroid hormone levels, yet still have a thyroid that is dysfunctional. And don’t even get me going on cholesterol. Cholesterol levels are no indicator of any kind of health whatsoever.

So, by manipulating the numbers, the modern MD thinks they are creating health in their patients. But, like the two ounces of straightening serum, they are only creating the appearance of health.

Reducing your cholesterol level has no effect on your overall lifespan. None. Zero. Zip.

Normalizing your thyroid hormones does not mean your “thyroid” symptoms will go away.

A normal BMI does not mean you are fit.

Just like two ounces of straightening serum will give the appearance of health without the reality, the statin drug or the synthetic hormones will make pretty pictures — but, in the long run, won’t change your health for the better.

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January 12, 2010 by Avery Jenkins.

I’ve just been selected as one of the on-line experts at MDinfo.com.

Don’t be confused by the name. There are a lot of smart doctors on there handing out good advice.

If I do say so myself.

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January 7, 2010 by Avery Jenkins.

I am writing regarding the hearings in Hartford on the requirement for chiropractic physicians to disclose to patients the risk of harm from cervical manipulation.

I am troubled in two ways by the legislation. First, I am concerned that the legislation is based on unsubstantiated fear and rumor rather than established science. Second, I am troubled by the way in which it singles out one medical provider among all others for this invasion into the doctor-patient relationship.

Stroke due to cervical manipulation is an exceedingly rare event. In fact, the most in-depth examination of this topic, a study published in the journal Spine in 2008, concluded that stroke due to chiropractic manipulation may be a non-event. The authors of the study reviewed 10 years worth of hospital records, involving 100 million person-years. Those records revealed no increase in stroke risk with chiropractic.

Even if you argue that spinal manipulation can result in injury, it is exceedingly rare. Another study, reviewing 10 years’ worth of malpractice claims in Canada, concluded that the risk of stroke following chiropractic treatment could be only 1 in 5.85 million cervical manipulations. Another way of looking at this number is that it would occur only once in a chiropractor’s lifetime if he were in practice for 1,430 years. And even then, the study did not find that chiropractic manipulation caused stroke.

Thus, I must ask the question: Will the government require that chiropractic physicians lie to their patients about the risks of chiropractic-induced strokes, when, in fact, the best science available shows that none exists?

Any good doctor, whether chiropractic or medical, cares sufficiently for his patients to inform them of the significant risks and consequences of their chosen course of treatment. This is simply good patient care, respectful of the patient and his rights and the doctor and his responsibilities. And any therapeutic intervention carries with it some degree of risk, although, as in the case of cervical manipulation, it may be extremely small, and the injury typically limited to a pulled muscle.

There is no need whatsoever for the legislature to involve itself in this process and begin the micro-management of the doctor-patient relationship, nor should it single out one single provider for its intrusiveness. The legislature would never even consider mandating that every medical specialty disclose in writing specific but rarely occurring abreactions to their treatment.  Why then would chiropractors be held to a different standard? 

Or, if a 1in 5.85 million risk of injury is sufficient to require specific notification, will the legislators also require an MD to obtain specific written consent every time he tells a patient to take an anti-inflammatory? That is not a low-risk treatment. Anti-inflammatory medications are the 15^th leading cause of death in the country today.

Will the thousands of other procedures conducted by medical doctors with much higher risk of serious injury or death also come under the scrutiny of the legislators?

After all, during the two days in which your hearings were held, 4,296 people died as a direct result of their medical care.

Who provided the informed consent for that?

Very Truly Yours,

Avery L. Jenkins, D.C.

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