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	<title>Comments on: Chiropractic Strokes Again: An Update</title>
	<atom:link href="http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/</link>
	<description>Exploring issues and controversies in the relationship between science and medicine</description>
	<lastBuildDate>Sat, 25 May 2013 19:54:25 +0000</lastBuildDate>
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	<item>
		<title>By: Weekend Reading (Thanksgiving Edition) &#171; Science-Based Pharmacy</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-2/#comment-101294</link>
		<dc:creator>Weekend Reading (Thanksgiving Edition) &#171; Science-Based Pharmacy</dc:creator>
		<pubDate>Sat, 06 Oct 2012 04:34:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101294</guid>
		<description><![CDATA[[...] Chiropractor forged consent form after patient&#8217;s stroke. More on chiropractic and stroke risk. [...]]]></description>
		<content:encoded><![CDATA[<p>[...] Chiropractor forged consent form after patient&#8217;s stroke. More on chiropractic and stroke risk. [...]</p>
]]></content:encoded>
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	<item>
		<title>By: Harriet Hall</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-2/#comment-101253</link>
		<dc:creator>Harriet Hall</dc:creator>
		<pubDate>Fri, 05 Oct 2012 18:18:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101253</guid>
		<description><![CDATA[@rwk,
&quot;Where do you get the bit about failed treatment from another chiropractor ?&quot; 

Chris&#039; interpretation is correct. I didn&#039;t say that he had been treated by a chiropractor. I said &quot;apparently&quot; and meant that if chiropractic were all it&#039;s cracked up to be, manipulation could presumably have restored him to normal function..]]></description>
		<content:encoded><![CDATA[<p>@rwk,<br />
&#8220;Where do you get the bit about failed treatment from another chiropractor ?&#8221; </p>
<p>Chris&#8217; interpretation is correct. I didn&#8217;t say that he had been treated by a chiropractor. I said &#8220;apparently&#8221; and meant that if chiropractic were all it&#8217;s cracked up to be, manipulation could presumably have restored him to normal function..</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Chris Repetsky</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-2/#comment-101246</link>
		<dc:creator>Chris Repetsky</dc:creator>
		<pubDate>Fri, 05 Oct 2012 17:39:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101246</guid>
		<description><![CDATA[I can&#039;t speak on Dr. Hall&#039;s behalf, but I think she was including a reference to the shoulder as a little tongue-in-cheek dig at the fact that Chiropractors consider themselves MSK/Spinal specialists, yet the Chiropractor in question wasn&#039;t (presumably) able to utilize the services of a colleague-in-quackery to repair his MSK injury, since it&#039;s affecting his ability to work.

Dr. Hall can correct me if I&#039;m wrong.]]></description>
		<content:encoded><![CDATA[<p>I can&#8217;t speak on Dr. Hall&#8217;s behalf, but I think she was including a reference to the shoulder as a little tongue-in-cheek dig at the fact that Chiropractors consider themselves MSK/Spinal specialists, yet the Chiropractor in question wasn&#8217;t (presumably) able to utilize the services of a colleague-in-quackery to repair his MSK injury, since it&#8217;s affecting his ability to work.</p>
<p>Dr. Hall can correct me if I&#8217;m wrong.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rwk</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-2/#comment-101244</link>
		<dc:creator>rwk</dc:creator>
		<pubDate>Fri, 05 Oct 2012 17:26:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101244</guid>
		<description><![CDATA[@HH,
   poor detective work on your part. From Stiles&#039; website it says:

Dear Guest,
 
As of June 7th, 2012 - Dr. Stiles has reinjured his shoulder (torn rotator cuff) and is unable to continue adjusting at this time. The physically demanding aspect of adjusting has aggravated and worsened the injury.

Where do you get the bit about failed treatment from another chiropractor ?]]></description>
		<content:encoded><![CDATA[<p>@HH,<br />
   poor detective work on your part. From Stiles&#8217; website it says:</p>
<p>Dear Guest,</p>
<p>As of June 7th, 2012 &#8211; Dr. Stiles has reinjured his shoulder (torn rotator cuff) and is unable to continue adjusting at this time. The physically demanding aspect of adjusting has aggravated and worsened the injury.</p>
<p>Where do you get the bit about failed treatment from another chiropractor ?</p>
]]></content:encoded>
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		<title>By: Harriet Hall</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-101240</link>
		<dc:creator>Harriet Hall</dc:creator>
		<pubDate>Fri, 05 Oct 2012 16:55:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101240</guid>
		<description><![CDATA[Why is the shoulder irrelevant? At least some chiropractors are still claiming that the body will heal itself if the spine is kept in optimal alignment. The fact that this chiropractor was providing preventive and maintenance adjustments to Sandra Nette shows that he was one of those rather than a reform chiropractor who provided manipulation for legitimate indications.

Why did the chiropractic associations not speak out and call for him to be prosecuted for his criminal forgery?]]></description>
		<content:encoded><![CDATA[<p>Why is the shoulder irrelevant? At least some chiropractors are still claiming that the body will heal itself if the spine is kept in optimal alignment. The fact that this chiropractor was providing preventive and maintenance adjustments to Sandra Nette shows that he was one of those rather than a reform chiropractor who provided manipulation for legitimate indications.</p>
<p>Why did the chiropractic associations not speak out and call for him to be prosecuted for his criminal forgery?</p>
]]></content:encoded>
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		<title>By: rwk</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-101238</link>
		<dc:creator>rwk</dc:creator>
		<pubDate>Fri, 05 Oct 2012 16:49:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101238</guid>
		<description><![CDATA[no one here is defending that chiropractor. the shoulder bit is irrelevant though.]]></description>
		<content:encoded><![CDATA[<p>no one here is defending that chiropractor. the shoulder bit is irrelevant though.</p>
]]></content:encoded>
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		<title>By: Harriet Hall</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-101236</link>
		<dc:creator>Harriet Hall</dc:creator>
		<pubDate>Fri, 05 Oct 2012 16:33:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101236</guid>
		<description><![CDATA[There is more to the Sandy Nette story. The chiropractor admitted that he had forged Sandra&#039;s name on a consent form after her stroke. This was a clearly criminal act, yet he is not being prosecuted. Ironically, the chiropractor is not currently practicing because he has shoulder pain that apparently chiropractic was unable to successfully treat.]]></description>
		<content:encoded><![CDATA[<p>There is more to the Sandy Nette story. The chiropractor admitted that he had forged Sandra&#8217;s name on a consent form after her stroke. This was a clearly criminal act, yet he is not being prosecuted. Ironically, the chiropractor is not currently practicing because he has shoulder pain that apparently chiropractic was unable to successfully treat.</p>
]]></content:encoded>
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		<title>By: rwk</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-101233</link>
		<dc:creator>rwk</dc:creator>
		<pubDate>Fri, 05 Oct 2012 15:47:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101233</guid>
		<description><![CDATA[http://summaries.cochrane.org/CD001824/injection-therapy-for-subacute-and-chronic-low-back-pain

Too bad the &quot;Doctors&quot; didn&#039;t read this (especially  the last bit) to the patients before injecting.

They were practicing scientifically proved medicine weren&#039;t they?
 They probably even  said something like &quot; Oh,let&#039;s try this,
it might help you&quot;.]]></description>
		<content:encoded><![CDATA[<p><a href="http://summaries.cochrane.org/CD001824/injection-therapy-for-subacute-and-chronic-low-back-pain" rel="nofollow">http://summaries.cochrane.org/CD001824/injection-therapy-for-subacute-and-chronic-low-back-pain</a></p>
<p>Too bad the &#8220;Doctors&#8221; didn&#8217;t read this (especially  the last bit) to the patients before injecting.</p>
<p>They were practicing scientifically proved medicine weren&#8217;t they?<br />
 They probably even  said something like &#8221; Oh,let&#8217;s try this,<br />
it might help you&#8221;.</p>
]]></content:encoded>
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		<title>By: SkepticalHealth</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-101227</link>
		<dc:creator>SkepticalHealth</dc:creator>
		<pubDate>Fri, 05 Oct 2012 14:13:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101227</guid>
		<description><![CDATA[I always appreciate that flawed argument from chiropractors and other such quacks. You simply cannot comprehend the risk of practicing legitimate medicine because the concept is completely foreign to you. You operate in a world where almost everything you do is of minimal consequence to your &lt;i&gt;customer&lt;/i&gt;, and I operate in a world where almost everything I do is of maximal consequence to my &lt;i&gt;patient&#039;s&lt;/i&gt; life. 

By and large, if you perform any of your treatments incorrectly, your client would never know the difference, because most likely they will not improve except slowly over the natural course of whatever is causing their pain (unless of course you are doing cervical spine manipulations, in which case you should be put in jail.) If I make an equivalent mistake, people can die. Medicine is hard, and it&#039;s based around taking calculated risks to save lives. 

To answer your question, in my years yes I have made mistakes, and anyone who says differently is lying. I have never permanently harmed anyone (knock on wood.) The difference between you and me is that I was treating someone with scientifically proven medicine for legitimate disorders that, in some cases, would have killed them within several weeks if not hospitalized. You, on the other hand, are treating people with ineffective and/or disproven methodologies for disorders that, while sometimes debilitating, are not life threatening and are more often than not self-limited and would improve without your quackery.]]></description>
		<content:encoded><![CDATA[<p>I always appreciate that flawed argument from chiropractors and other such quacks. You simply cannot comprehend the risk of practicing legitimate medicine because the concept is completely foreign to you. You operate in a world where almost everything you do is of minimal consequence to your <i>customer</i>, and I operate in a world where almost everything I do is of maximal consequence to my <i>patient&#8217;s</i> life. </p>
<p>By and large, if you perform any of your treatments incorrectly, your client would never know the difference, because most likely they will not improve except slowly over the natural course of whatever is causing their pain (unless of course you are doing cervical spine manipulations, in which case you should be put in jail.) If I make an equivalent mistake, people can die. Medicine is hard, and it&#8217;s based around taking calculated risks to save lives. </p>
<p>To answer your question, in my years yes I have made mistakes, and anyone who says differently is lying. I have never permanently harmed anyone (knock on wood.) The difference between you and me is that I was treating someone with scientifically proven medicine for legitimate disorders that, in some cases, would have killed them within several weeks if not hospitalized. You, on the other hand, are treating people with ineffective and/or disproven methodologies for disorders that, while sometimes debilitating, are not life threatening and are more often than not self-limited and would improve without your quackery.</p>
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		<title>By: rwk</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-101223</link>
		<dc:creator>rwk</dc:creator>
		<pubDate>Fri, 05 Oct 2012 13:53:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101223</guid>
		<description><![CDATA[They should De -license the quacks responsible for this:
http://www.webmd.com/news/20121003/4-dead-tainted-spinal-steroids?src=NEWS

How much do you pay a year for malpractice SH ?

I don&#039;t suppose you&#039;ve ever harmed anyone though.]]></description>
		<content:encoded><![CDATA[<p>They should De -license the quacks responsible for this:<br />
<a href="http://www.webmd.com/news/20121003/4-dead-tainted-spinal-steroids?src=NEWS" rel="nofollow">http://www.webmd.com/news/20121003/4-dead-tainted-spinal-steroids?src=NEWS</a></p>
<p>How much do you pay a year for malpractice SH ?</p>
<p>I don&#8217;t suppose you&#8217;ve ever harmed anyone though.</p>
]]></content:encoded>
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		<title>By: SkepticalHealth</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-101216</link>
		<dc:creator>SkepticalHealth</dc:creator>
		<pubDate>Fri, 05 Oct 2012 11:51:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-101216</guid>
		<description><![CDATA[Just a small update. Sandy Nette, a victim of chiropractic cervical manipulation, was awarded over $4,000,000 in her lawsuit. While the money should help pay her medical bills and make the rest of her life somewhat easier, this poor lady will never have her life back. It was ruined by a selfish chiropractor practicing absurd quackery. De-license these despicable quacks now before they hurt more people with their useless treatments.

http://www.edmontonjournal.com/Woman+injured+chiropractor+gets+millions+settlement/7346971/story.html]]></description>
		<content:encoded><![CDATA[<p>Just a small update. Sandy Nette, a victim of chiropractic cervical manipulation, was awarded over $4,000,000 in her lawsuit. While the money should help pay her medical bills and make the rest of her life somewhat easier, this poor lady will never have her life back. It was ruined by a selfish chiropractor practicing absurd quackery. De-license these despicable quacks now before they hurt more people with their useless treatments.</p>
<p><a href="http://www.edmontonjournal.com/Woman+injured+chiropractor+gets+millions+settlement/7346971/story.html" rel="nofollow">http://www.edmontonjournal.com/Woman+injured+chiropractor+gets+millions+settlement/7346971/story.html</a></p>
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		<title>By: rockies</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-98927</link>
		<dc:creator>rockies</dc:creator>
		<pubDate>Fri, 07 Sep 2012 03:09:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-98927</guid>
		<description><![CDATA[@windriven

&quot;I think we need to convince physicians to burn incense in their offices, serve waiting patients herbal teas with a twist of lemon and shake caduceus-inscribed marimbas while repeating incantations in a vaguely disturbing monotone.&quot;

Your comment about shaking a caduceus-inscribed MARIMBA is rather funny....a Marimba is a rather large version of xylophone which weighs approximately 75 pounds and would be interesting to see someone shake...

Anyway, all the comments about quackopractors is rather a shame. Have any of you been to a chiropractor?  I had been plagued with a constant low-level dizziness/vertigo for over 20 years and it had gotten to a point that I could not drive, work, or do anything other than sit like a lump in my chair. I had been to all the &quot;normal&quot; medical specialists you could possibly imagine all over the country and all I got was &quot;we don&#039;t know what&#039;s wrong - here take this drug and let me know if it works&quot; and nothing ever did. After going to a chiropractor, she adjusted me many times - OH, NO! with neck manipulation - and was able to make the spinning stop! And it hasn&#039;t returned!  Many professional athletes - football, basketball, tennis, golf, etc., get chiropractic adjustments.  If it wasn&#039;t doing any good, would they still go?

And as others have said, if the vertebral artery has an inherent weakness, then couldn&#039;t anything that twists the neck at an unusual angle such as looking up or to the side do this too?  It seems to me that if the medical community stuck with only so-called safe and proven ideas and theories, then we wouldn&#039;t move forward.  What about all the drugs that have been scientifically studied yet have shown horrendous side-effects, even death, that have been accepted and people don&#039;t think twice about taking because &quot;my doctor said I could&quot;.  Common sense, logic and intitution will usually be appropriate guidance for most everyone.  If you don&#039;t want your body &quot;adjusted&quot; don&#039;t go!  But don&#039;t damn them because you don&#039;t believe in them.  This is still a free country!]]></description>
		<content:encoded><![CDATA[<p>@windriven</p>
<p>&#8220;I think we need to convince physicians to burn incense in their offices, serve waiting patients herbal teas with a twist of lemon and shake caduceus-inscribed marimbas while repeating incantations in a vaguely disturbing monotone.&#8221;</p>
<p>Your comment about shaking a caduceus-inscribed MARIMBA is rather funny&#8230;.a Marimba is a rather large version of xylophone which weighs approximately 75 pounds and would be interesting to see someone shake&#8230;</p>
<p>Anyway, all the comments about quackopractors is rather a shame. Have any of you been to a chiropractor?  I had been plagued with a constant low-level dizziness/vertigo for over 20 years and it had gotten to a point that I could not drive, work, or do anything other than sit like a lump in my chair. I had been to all the &#8220;normal&#8221; medical specialists you could possibly imagine all over the country and all I got was &#8220;we don&#8217;t know what&#8217;s wrong &#8211; here take this drug and let me know if it works&#8221; and nothing ever did. After going to a chiropractor, she adjusted me many times &#8211; OH, NO! with neck manipulation &#8211; and was able to make the spinning stop! And it hasn&#8217;t returned!  Many professional athletes &#8211; football, basketball, tennis, golf, etc., get chiropractic adjustments.  If it wasn&#8217;t doing any good, would they still go?</p>
<p>And as others have said, if the vertebral artery has an inherent weakness, then couldn&#8217;t anything that twists the neck at an unusual angle such as looking up or to the side do this too?  It seems to me that if the medical community stuck with only so-called safe and proven ideas and theories, then we wouldn&#8217;t move forward.  What about all the drugs that have been scientifically studied yet have shown horrendous side-effects, even death, that have been accepted and people don&#8217;t think twice about taking because &#8220;my doctor said I could&#8221;.  Common sense, logic and intitution will usually be appropriate guidance for most everyone.  If you don&#8217;t want your body &#8220;adjusted&#8221; don&#8217;t go!  But don&#8217;t damn them because you don&#8217;t believe in them.  This is still a free country!</p>
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		<title>By: The Danger of Choosing Alternative Therapies over Conventional Care &#124; The SkeptVet Blog</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-98194</link>
		<dc:creator>The Danger of Choosing Alternative Therapies over Conventional Care &#124; The SkeptVet Blog</dc:creator>
		<pubDate>Sun, 26 Aug 2012 17:14:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-98194</guid>
		<description><![CDATA[[...] contaminants (1, 2, 3). And other CAM therapies can be directly harmful, such as chiropractic (4), herbal remedies (5), and even acupuncture (6). But even for therapies that are inherently safe [...]]]></description>
		<content:encoded><![CDATA[<p>[...] contaminants (1, 2, 3). And other CAM therapies can be directly harmful, such as chiropractic (4), herbal remedies (5), and even acupuncture (6). But even for therapies that are inherently safe [...]</p>
]]></content:encoded>
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		<title>By: jhawk</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-97989</link>
		<dc:creator>jhawk</dc:creator>
		<pubDate>Tue, 21 Aug 2012 22:06:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-97989</guid>
		<description><![CDATA[SH,

&quot;ADJUSTING!?!?!?!?!?!?! ARGH! *MELTDOWN* WHAT ARE YOU ADJUSTING!?!?&#039;

 Adjusting, manipulation, mobilization are all pretty much the same thing. What am I adjusting....hypomobile joints.

&quot;I always find it *so* interesting how our resident chiropractors will chime in for certain things, but when asked a certain string of questions always just disappear. But then they’ll creep back to the forum with the same username, only to disappear again when asked a similar line of questioning. It’s always half-truths, no-truths, and obfuscation. The complete opposite of both medicine and science. Hope you’re all de-licensed.&quot;

Was this directed at me? I have answered all of your questions and you had no wothwhile response. Sorry if not in a timely fashion as I do have a life outside of SBM!]]></description>
		<content:encoded><![CDATA[<p>SH,</p>
<p>&#8220;ADJUSTING!?!?!?!?!?!?! ARGH! *MELTDOWN* WHAT ARE YOU ADJUSTING!?!?&#8217;</p>
<p> Adjusting, manipulation, mobilization are all pretty much the same thing. What am I adjusting&#8230;.hypomobile joints.</p>
<p>&#8220;I always find it *so* interesting how our resident chiropractors will chime in for certain things, but when asked a certain string of questions always just disappear. But then they’ll creep back to the forum with the same username, only to disappear again when asked a similar line of questioning. It’s always half-truths, no-truths, and obfuscation. The complete opposite of both medicine and science. Hope you’re all de-licensed.&#8221;</p>
<p>Was this directed at me? I have answered all of your questions and you had no wothwhile response. Sorry if not in a timely fashion as I do have a life outside of SBM!</p>
]]></content:encoded>
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		<title>By: pmoran</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-97958</link>
		<dc:creator>pmoran</dc:creator>
		<pubDate>Tue, 21 Aug 2012 07:10:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-97958</guid>
		<description><![CDATA[SH, I don&#039;t think anyone comes here unless they wish to test out certain viewpoints.   Anyone with purely fraudulent intent couldn&#039;t care less what we think.  We would also quickly identify the frankly deluded and ignore them.       

You simply cannot expect to change deeply entrenched beliefs overnight, especially while they are being constantly reinforced within their native tribal environment, and also by compelling patient responses.   The evidence can sometimes be a little murky, also.     

Even frankly silly beliefs may thus have to be chipped away at over a very long time, and they may never be dislodged in our lifetimes.   The question is: &quot;Do insults help?&quot;]]></description>
		<content:encoded><![CDATA[<p>SH, I don&#8217;t think anyone comes here unless they wish to test out certain viewpoints.   Anyone with purely fraudulent intent couldn&#8217;t care less what we think.  We would also quickly identify the frankly deluded and ignore them.       </p>
<p>You simply cannot expect to change deeply entrenched beliefs overnight, especially while they are being constantly reinforced within their native tribal environment, and also by compelling patient responses.   The evidence can sometimes be a little murky, also.     </p>
<p>Even frankly silly beliefs may thus have to be chipped away at over a very long time, and they may never be dislodged in our lifetimes.   The question is: &#8220;Do insults help?&#8221;</p>
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		<title>By: SkepticalHealth</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-97955</link>
		<dc:creator>SkepticalHealth</dc:creator>
		<pubDate>Tue, 21 Aug 2012 02:40:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-97955</guid>
		<description><![CDATA[I always find it *so* interesting how our resident chiropractors will chime in for certain things, but when asked a certain string of questions always just disappear. But then they&#039;ll creep back to the forum with the same username, only to disappear again when asked a similar line of questioning. It&#039;s always half-truths, no-truths, and obfuscation. The complete opposite of both medicine and science. Hope you&#039;re all de-licensed. :)]]></description>
		<content:encoded><![CDATA[<p>I always find it *so* interesting how our resident chiropractors will chime in for certain things, but when asked a certain string of questions always just disappear. But then they&#8217;ll creep back to the forum with the same username, only to disappear again when asked a similar line of questioning. It&#8217;s always half-truths, no-truths, and obfuscation. The complete opposite of both medicine and science. Hope you&#8217;re all de-licensed. <img src='http://www.sciencebasedmedicine.org/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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		<title>By: marcus welby</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-97916</link>
		<dc:creator>marcus welby</dc:creator>
		<pubDate>Mon, 20 Aug 2012 09:41:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-97916</guid>
		<description><![CDATA[The apparent reason for so many chiropractors using neck manipulation to treat obviously unconnected ailments is some variety and combination of the following factors:
1. They believe in the &quot;hole in one&quot; theory that all ailments are caused by the dysfunction they imagine to occur at the foramen magnum.
2. They have little else to offer and charge for to someone with shoulder pain or coccyx pain, or bed wetting or ear infection, so they twist their neck.
3. Some utilize high neck manipulation as the only treatment for virtually every &quot;diagnosis&quot;.]]></description>
		<content:encoded><![CDATA[<p>The apparent reason for so many chiropractors using neck manipulation to treat obviously unconnected ailments is some variety and combination of the following factors:<br />
1. They believe in the &#8220;hole in one&#8221; theory that all ailments are caused by the dysfunction they imagine to occur at the foramen magnum.<br />
2. They have little else to offer and charge for to someone with shoulder pain or coccyx pain, or bed wetting or ear infection, so they twist their neck.<br />
3. Some utilize high neck manipulation as the only treatment for virtually every &#8220;diagnosis&#8221;.</p>
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		<title>By: Harriet Hall</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-97914</link>
		<dc:creator>Harriet Hall</dc:creator>
		<pubDate>Mon, 20 Aug 2012 06:50:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-97914</guid>
		<description><![CDATA[@nwtk2007,

No ibuprofen doesn&#039;t save lives, and neither does neck manipulation. I don&#039;t know why you even raise the question.

Ibuprofen has been shown effective in relieving pain and inflammation, reducing fevers, and in other uses like treating patent ductus arteriosus. Its mechanism of action is known. The efficacy of neck manipulation has not been established for any indication.

Ibuprofen was approved by the FDA after the usual phase I, II and III trials, and post-marketing studies have confirmed its efficacy and safety to the point that it was approved for OTC sale.  You can&#039;t seriously compare the amount and quality of evidence for ibuprofen to that for manipulation.

The real point is the balance between risks and benefits. Ibuprofen is the safest of all the NSAIDs. It is sold with a package insert containing appropriate warnings. It would be safest to never use any treatment that might cause serious side effects, but a lot of people are willing to take the small risk of ibuprofen side effects to get the benefits it offers. Attitudes towards risk vary. If patients are informed that there is a small risk of stroke and no good evidence of efficacy for neck manipulation, they might still choose to try it. But those who offer it with false assurances of effectiveness and safety are unethical.]]></description>
		<content:encoded><![CDATA[<p>@nwtk2007,</p>
<p>No ibuprofen doesn&#8217;t save lives, and neither does neck manipulation. I don&#8217;t know why you even raise the question.</p>
<p>Ibuprofen has been shown effective in relieving pain and inflammation, reducing fevers, and in other uses like treating patent ductus arteriosus. Its mechanism of action is known. The efficacy of neck manipulation has not been established for any indication.</p>
<p>Ibuprofen was approved by the FDA after the usual phase I, II and III trials, and post-marketing studies have confirmed its efficacy and safety to the point that it was approved for OTC sale.  You can&#8217;t seriously compare the amount and quality of evidence for ibuprofen to that for manipulation.</p>
<p>The real point is the balance between risks and benefits. Ibuprofen is the safest of all the NSAIDs. It is sold with a package insert containing appropriate warnings. It would be safest to never use any treatment that might cause serious side effects, but a lot of people are willing to take the small risk of ibuprofen side effects to get the benefits it offers. Attitudes towards risk vary. If patients are informed that there is a small risk of stroke and no good evidence of efficacy for neck manipulation, they might still choose to try it. But those who offer it with false assurances of effectiveness and safety are unethical.</p>
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		<title>By: nwtk2007</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-97908</link>
		<dc:creator>nwtk2007</dc:creator>
		<pubDate>Mon, 20 Aug 2012 03:51:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-97908</guid>
		<description><![CDATA[HH - &quot;As Pmoran pointed out, if neck manipulation were a drug it would not be on the market. A drug with that amount and quality of evidence for efficacy and safety would never have been approved&quot;

That is an interesting point.  Given the risks of ibuprofen, and I doubt it saves lives, couldn&#039;t the same argument be made?  Or does it save lives?  This is not a que quo what ever, just a simple question.

And yes SH, I have been monitoring your transmissions.]]></description>
		<content:encoded><![CDATA[<p>HH &#8211; &#8220;As Pmoran pointed out, if neck manipulation were a drug it would not be on the market. A drug with that amount and quality of evidence for efficacy and safety would never have been approved&#8221;</p>
<p>That is an interesting point.  Given the risks of ibuprofen, and I doubt it saves lives, couldn&#8217;t the same argument be made?  Or does it save lives?  This is not a que quo what ever, just a simple question.</p>
<p>And yes SH, I have been monitoring your transmissions.</p>
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		<title>By: SkepticalHealth</title>
		<link>http://www.sciencebasedmedicine.org/index.php/chiropractic-strokes-again-an-update/comment-page-1/#comment-97905</link>
		<dc:creator>SkepticalHealth</dc:creator>
		<pubDate>Mon, 20 Aug 2012 00:27:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=22072#comment-97905</guid>
		<description><![CDATA[ADJUSTING!?!?!?!?!?!?! ARGH! *MELTDOWN* WHAT ARE YOU ADJUSTING!?!?]]></description>
		<content:encoded><![CDATA[<p>ADJUSTING!?!?!?!?!?!?! ARGH! *MELTDOWN* WHAT ARE YOU ADJUSTING!?!?</p>
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