Monday, March 26, 2012

Heart problems

Seems as though in the past couple weeks, lots of patients are having heart problems and not knowing what to do. First of all, if you are asking ME, I am the wrong person. If you have any question or even think you are having a heart attack, you need to call 911 or be taken to the emergency room NOW.

Having said that, I've realized that many people know the symptoms commonly portrayed on TV and the "not-so-obvious" symptoms are overlooked. Obviously, intense chest pressure/pain is the most common known symptom of heart attacks.

Here are the "not-so-obvious" symptoms: fatigue, sweating, can't-catch-your-breath feeling, indigestion, arm pain (most commonly the left) along the little finger side, jaw pain, middle back pain, nausea, and dizziness.

Now the hard part is this: you can't run to the hospital every time you have a symptom. If you just ate a load of food and have indigestion, it's likely indigestion. If you just lifted something and your arm hurts, it's probably that you lifted something too heavy. The main concern is IF YOU HAVE THESE SYMPTOMS, AND THERE'S NO REASON WHY.

Notice that some of the symptoms above could be chiropractic problems. It is my job to know when it's a chiropractic problem or a heart problem. So if I tell you to go across the street to the hospital, it's because I have determined that you do not have a problem that chiropractic can help. If I suspect you are having trouble with your heart, you should listen and go.

It's better to be safe than sorry.

Monday, March 12, 2012

Anti-depression medication and back pain

A number of patients tell me that they are given anti-depression medication for their back pain. I often ask "are you depressed?" and they answer "no."

I do not understand why these medications are given to you. In health care, you want a treatment that hits the problem in the bullseye. These means that you want antibiotics for a bacterial infection, not a fungal infection. You want a muscle treatment for a muscle problem and a tendon treatment for a tendon problem.

If I gave you an antibiotic for your spinal curves, you would think I was nuts. The treatment doesn't match the problem. This should make sense.

There is a limited list of structures that could possibly cause lower back pain. Here they are: muscle, bone, disc, ligament, cartilage, nerve, and bone are the most common. The rarer forms of back pain could be caused from blood vessels (aneurysms, etc), kidneys, prostate, ovary, uterus, and liver.

One of these structures is causing you pain. Find that and you are half way to proper treatment, or at least something close to the bullseye.

This "anti-depression medication-for-back-pain" seems to be very common.

Monday, March 5, 2012

The $6000 Chiropractor

There is a trend in Chiropractic that is, in my opinion, wrong. I have had patients that have moved out of the area and asked me "how do I find a chiropractor that's good?" My usual answer is to ask around and if a doctor's name keeps popping up, and he's been in practice for over 10 years, he's likely pretty good.

I've learned that there are more questions to ask than just that.

Every month, we get new patients that were told that they needed to see the doctor 50-70 times for $6000. That's six grand paid up front. They're in our office because their gut instinct told them that something was wrong with that other doctor.

Here's the truth behind the $6000 chiropractor. They learned a "script" or a pre-written speech to say to each patient in an effort to try to sell them tons of visits for insane amounts of money. They learn this in weekend seminars...kind of a "how to get rich" type of program.

You can usually tell who these doctors are: They're very charismatic, almost as charming as a hot-shot real estate agent. They take x-rays and will explain to you the severe findings on the x-rays (usually a loss of curve- most common in the neck). Without their special one-of-a-kind therapies, your spine will likely crumble. Then the money transaction: normally $7200, but if you pay today, it'll only be $6000.

Hook. Line. Sinker.

So if you need to find a chiropractor, keep your gut instincts about you, and keep your credit card safe. If they take x-rays and emphasize curves in your neck, require excessive amount of treatment for your condition, and want you to pay insane amounts of money upfront, then find someone else. These doctors are using their authority inappropriately and I think it's wrong.

We obviously don't do this.

P.S. This is not exclusive to chiropractic. I've changed dentists in the past because within 6 months it became apparent that my dentist and his staff became experts in teeth whitening. I was given the "script" each visit how doctor XYZ was now an expert in teeth whitening and how I can schedule next time for his program.