Narrative description of clinical practice and special interests:

 

I am grateful for a health care practice in which engaged and informed patients form healing partnerships with respectful and collaborative practitioners who are offering a wide range of safe and effective approaches, a health care practice in which all of us learn to take better care of ourselves and one another.

 

I believe that Doctors of Chiropractic must be holistic doctors who emphasize the patient as the center of all they do, recognizing the inherent self-regulating and self-healing qualities of the human organism.

 

It is the goal of this Doctor of Chiropractic to optimize human health by encouraging internal harmony within the human being, and by teaching the patient the value of disease prevention and the development of healthy habits.

 

While spinal manipulation is the centerpiece of Chiropractic therapeutic benefit, it is just that, and it is supported and under-girded by many other "natural" therapies such as the application of nutrition, diet, supplementation, botanical remedies, manual muscle balancing techniques, cranial respiratory fault correction, therapeutic exercise, acupuncture, and others. 

 

I believe that a wide diversity of factors impact the body such as biomechanical dysfunction, altered energy patterns, genetics, trauma, hygiene, microorganisms, nutritional status, exercise, motion, posture, environment, stress, emotion, and human relationships. The practice of the alternative and complementary healing arts must embrace the whole person.  Some (I believe more fortunate) Doctors of Chiropractic are taught in Chiropractic Colleges to be more than just “back doctors.”  In addition to our training as musculoskeletal specialists, we have also been given a broad science-based education so that we are able to diagnose human ailments at a level that qualifies us to function as primary care providers in managed care settings.

 

When providing health care in this manner, we can enhance the body’s ability to self-regulate and self-heal without the use of drugs or surgery. This Doctor of Chiropractic receives patients with a wide range of conditions and cares for them using a variety of treatment measures with spinal manipulation as the keystone.

 

When a patient’s condition arises that is beyond the scope of my abilities, this doctor refers patients to the appropriate health care professional.  Not all members of the chiropractic profession adhere to this philosophy. Some believe in “straight chiropractic”, that all ailments stem from a lack of normal nerve function caused by spinal subluxations (misalignments) and that spinal manipulation alone will restore the body to health.  While it has been widely accepted by most in the profession of Chiropractic since it’s inception over 100 years ago that the spine primarily affects the internal organs of the body, I believe that the opposite is more commonly true. Many times we must go back to what the Chinese have known for over 2500 years and “get people healthy from the inside-out.”

 

Many people have chronic and reoccurring neck, back and other joint problems that do respond well to care, but continue to return often for a lifetime of chronic disability and pain.  Muscle weakness and imbalance is one of the missing links to spinal instability.  I believe that chronic and reoccurring structural joint problems are the result of muscle weakness and imbalance from muscle injuries that have never properly healed, and also from internal organ dysfunction that causes muscle weakness and imbalance. 

 

Muscles move bones, and muscles are the primary stabilizers of the joints.  When muscles do not properly support the joint, that joint is unstable, and will not function properly, and will be more predisposed to additional joint injury.  I am using very specific and specialized deep tissue techniques to very quickly, effectively and efficiently reset muscle strength.  This allows me to stabilize many joint conditions quickly and long term.  This type of treatment is typical for every joint in the body. 

 

In recent years, the trend in health care has been to look beyond (before) just the treatment of illness to focus on preventive measures that maintain wellness. Consequently, some managed care insurers, such as Chicago’s Alternative Medicine, Inc. (AMI), are now giving their clients the option of choosing as their primary care doctor, a specially credentialed Doctor of Chiropractic (Chiropractic Physician) who specializes in alternative and complementary medicine. 

Since the inception of its relationship with HMO Illinois, a Blue Cross HMO, AMI has tracked more than 7,500 member months of outcome data (12/01). When compared to outcomes of conventional Western medicine, AMI member’s hospital admissions have decreased by 65 percent, hospital stays have decreased by 69 percent, outpatient surgery and procedures have decreased by 85 percent and pharmaceutical use is down more than 56 percent.

I am practicing in a philosophy termed Functional Medicine. This is a relatively new field of health care that employs laboratory assessment and early intervention to improve physiological, emotional/cognitive, and physical function. This health care approach focuses attention on biochemical individuality (genetics), metabolic balance, ecological context and unique personal experience in the dynamics of health.

 

The following are some basic tenets of Functional Medicine:

 

Unlike conventional medicine, functional medicine emphasizes the physiological uniqueness of each patient. To paraphrase a famous literary quote, proponents of functional medicine believe that each patient’s physiological system marches to the beat of a different drummer. Thus, effective treatment should be custom-tailored specifically to meet each patient’s unique needs. Newly developed lab tests support this fundamental principle by analyzing subtle differences in an individual’s molecular biochemistry, hormonal secretion patterns, cellular environment, immune responses, etc, allowing for focused, precise, and individualized therapy.

 

Even slight imbalances in the body can set the stage for more serious diseases down the road. This often happens by virtue of a “ripple effect,” whereby a “minor” imbalance sets into motion a cascade of biological triggers that eventually leads to sub-optimal health, chronic illness, and degenerative disease. For this reason, a “let’s-wait-and-see-if-this-develops-into anything-serious” attitude is not an acceptable approach in functional medicine. By implementing the most advanced and sensitive technology available, these lab tests can reveal the subtlest imbalances within the body, allowing for timely intervention to prevent more profound health problems in the future.

 

The body is best examined and treated as an integrated whole, not simply an isolated set of parts. For accurate diagnosis and effective treatment, a clinician must consider ALL the possible long-reaching effects of various therapies/treatments on the entire body. Moreover, by assisting and augmenting the body’s natural mechanisms of healing, the physician works with the dynamic process of homeostasis, rather than against it. 

 

Newly developed functional lab tests support this principle by offering a broad range of functional assessments covering every major system in the body. By promoting the maximum functioning of all of the body’s most important functional parameters, functional laboratory assessments allow the practitioner to effectively guide the patient toward restoring inner balance and establishing optimal health. This powerful strategy offers a much more effective way of achieving long-range results than that afforded by temporary damage control. 

 

Evaluating organ “function” versus organ “pathology” is one of the principles of functional medicine, and functional lab tests have developed a number of laboratory assessment tools that allow practitioners to understand a patient’s functional status.  Our tests are non- or minimally invasive, using samples of stool, urine, saliva, blood, and hair. Our results focus on how well the body is doing its job in six important areas: digestion (gastrointestinal), nutrition, detoxification/oxidative stress, immunology/allergy, production and regulation of hormones (endocrinology), and heart and blood vessels (cardiovascular).

 

Functional laboratory profiles are designed to uncover the root causes of symptoms, allowing the physician to recommend intervention strategies that will solve the chronic problem. Many of our tests use special substances and protocols to “challenge” organs, giving the physician an opportunity to evaluate the function of an organ system while it is stressed, thereby providing information that often is missed using conventional laboratory testing. The unique combination of the individual results provides an integrated analysis that promotes a deeper, more fundamental understanding of many health conditions. 

 

In the not too distant future, we may look back on conventional primary care medicine as at best a “chances are” way of helping patients avoid the serious chronic diseases encountered by healthcare practitioners on a regular, even daily basis. That’s because breakthroughs in genetic research and genomic testing now make it possible to determine genetic predisposition for developing disease before it manifests - and to do something effective to modify its expression. 

 

We now even have an entirely new model of personalized, predictive medicine that allows the diseases encoded on the genes to be “seen” early in life.  This allows us another method to intercept organ dysfunction decades before disease occurs.  That’s what is so exciting about the new line of GENOVATIONS™ genomics profiles. After thoroughly investigating the growing number of genetic variations associated with common health conditions, over thirty single nucleotide polymorphisms have been selected that can help practitioners individualize preventive treatments.

 

These markers meet important criteria:

v     RELEVANT: Each polymorphism is backed by evidence linking it to serious, chronic diseases that are commonly encountered in primary care medicine - such as cardiovascular disease, osteoporosis and altered bone metabolism, and defects in immune regulation and defense.

v     PREVALENT: Each polymorphism is relatively common among the general population.

v     MODIFIABLE: The expression of each polymorphism can be modified through changes in the patient’s’ environment - by altering lifestyle, improving nutrition, avoiding environmental toxins, and using targeted pharmaceuticals.

v     MEASURABLE: The polymorphisms can be precisely measured with greater than 99.7% accuracy, using state-of-the art signal amplification technology. Furthermore, the beneficial effects of targeted therapeutics can be monitored with follow-up laboratory testing.

 

Three new profiles are currently being utilized: Cardio Genomic Profile, Osteo Genomic Profile, and Immuno Genomic Profile. There is a special web site (www.genovations.com) on the new genomic profiles where kits may also be ordered. Requests for more information can also be directed to Clinical Support Representatives at 800-522-4762.

I use a tool that has shown to bring together all the forms of human examination that have been discussed here that is called Applied Kinesiology.  Applied Kinesiology (AK) is a system of analysis, which aids in the diagnostic process.  AK provides a means for the physician to dialogue with the human body and its nervous system via muscle testing indicators.  In most cases, the patient’s symptom and the cause of those symptoms are quite different - one from another.

AK is especially helpful in difficult cases.  It gives the doctor an important additional avenue down which to seek meaningful information about the patient’s physiology and its functional status.  Now, doctors can quickly access all areas of the patient’s reality: Chemical, Structural, and Energetic via the body’s muscle system.

 

AK has become a very important common denominator in “alternative” health care.  Doctors of Chiropractic with a holistic and eclectic frame of mind have discovered that, as a technique, it allows for the easy integration of all other techniques.  In AK, it is not uncommon to find a chiropractic physician utilizing vitamins, herbs, acupuncture (meridian therapy), minerals, flower remedies, color, microcurrent stimulation, aromatherapy, homeopathy, exercise, colonic therapy, mental exercises, diet and lifestyle modification, muscle reeducation, and more.

The word has spread on AK so that these chiropractors were joined by dentists, osteopaths, medical doctors, optometrists, psychologists, and others.  Today, AK is practiced all around the world by individuals in just about every possible profession. 

 

We are currently experiencing a time of conflicting trends.  On the one hand today, a great number of Americans are now selecting “alternative” health care as their provider mechanism of choice.  While on the other hand, employers are climbing on the Managed Care bus almost a quickly as they can make the arrangements to do so.  And, few in Managed Care include anything more than vague lip service regarding “alternative” approaches to patient care.

 

In today’s health care world, there are two parallel realities.  One is the insurance company arena of the HMOs and PPOs, with non-physician types determining how much may be spent and what a doctor may or may not do for the patient in need.  The other arena is peopled by those of us who choose to put the patient’s needs first.  AK is a healthy alternative and a boon for the patient.  America was built upon freedom of choice.  And this freedom, like all others, works best when well exercised.

My desire would be to be fully involved in my patients’ health care literally from womb to tomb.  We have seen a paradigm shift in how best to deliver health care.  We are now in a position to make the most difference in our patient’s health that has previously seemed unimaginable.  Leaders in CAM predict 90% health care cost savings if/when this model of health care is fully implemented. 

 

We could never need this model of health care more than we now do with our unhealthy choices of lifestyle, eating habits and the horrific amount of toxins in our environment acting on already generations of weakened human genetics.