In article <[email hidden]>,
Dave Wickware said:Science vs. scientism
by Dr. Christopher Kent
[Snip]
Quoted message said:I have heard many chiropractors parroting the misconception that patients
and insurance companies will only pay for care rendered to symptomatic
patients.Such utter nonsense has caused many to promote the notion that D.C.s should
treat pain syndromes only. In fact, chiropractic may be the only health care
discipline which sports a faction that does not consider early detection of
an asymptomatic, progressive process a virtue, if not a necessity.
Of course. Because if the patient remains asymptomatic, then
chiropracters can take credit for their remaining asymptomatic.
Quoted message said:Abnormalities can exist in the absence of symptoms! Consider asymptomatic
breast cancer, asymptomatic dental caries, or the "silent killer"
hypertension. Basing outcome assessments for these conditions on patient
symptomatology would have disastrous results.
These abnormalities also can be detected at the asymptomatic stage. For
instance, breast cancer can be detected by mammography and then treated.
We know that if not treated it will continue to grow. We also know that
the tumor is removed because the mammographic abnormality is gone and
the pathology report tells us we got the whole tumor. What specific
asymptomatic condition is chiropracty treating and how do we know
patients actually have it if they're asymptomatic? What tests show it?
What test show it getting better with adjustment?
Quoted message said:I find it repugnant to force an asymptomatic patient to wait for pain to
manifest before receiving an adjustment.
I find it repugnant to con an asymptomatic patient into adjustments if
one cannot demonstrate with objective tests (similar to a mammogram, a
blood pressure reading, or a dental X-ray) a pathologic condition that
adjustment will help and then show with objective tests that the
adjustment did indeed help it.
Quoted message said:Clinical strategies must be based
upon subluxation-based outcome assessments which address aspects of health
beyond the amelioration of symptoms.\
In other words, chiropracters should line their pockets off of
asymptomatic patients.
--
Orac |"A statement of fact cannot be insolent."
|
|"If you cannot listen to the answers, why do you
| inconvenience me with questions?"