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Ask the Doctor ... Things in My Email Inbox

Regularly, I receive an email from a patient asking a health question. Well, most of the time anyway.

Sometimes these emails are sharing a recipe, sometimes talking about the latest Hawkeye news, many times a funny joke, and sometimes an invite to a cool event happening in the area. But mostly, about health.

I have decided to write a weekly blog entitled "Ask the doctor...things in my e-mail inbox."  Each week I will choose one of these emails and answer it right here.

You don't have to be a patient to ask a question...just send me an e-mail to karrie@vandersluischiropractic.com.

I will post your question and an answer (without your identifying information, of course). If you have a joke to share, do so! If you have a burning question that you have over-Googled and still want to know more, just ask! So with no further delay, here we go!!!

This week's email reads..."Dr. Karrie, I heard a chiropractic joke today. Q: How many chiropractors does it take to change a lightbulb? A: Only 1, but it will take you 40 visits!..."

Hahahaha, ol' patient of mine! Although funny, this joke is also contains a very negative stereotype of chiropractic treatment, brought on by chiropractors themselves, no doubt.

Have you ever heard the old saying "once you go to a chiropractor, you have to go forever"? Does it take 40 chiropractic treatments to see a benefit in health? Absolutely not. Do you have to go to a chiropractor forever once you begin treatment? Of course not! 

In my office, treatment plans are written depending on the patient's goals. For example, if their goal is pain relief, it may very well only take the patient a couple of visits. But let me be clear here, and I tell my patients this as well...just because you are out of pain, doesn't mean you have fixed the problem. 

Look at all of the abuse we put our bodies through from the time we are born until whatever age you are. Typically, by the time you are in pain, you are years past the point of injury! I can relate this to something everyone will understand. Weight. 

You skip a workout. Do you immediately gain 20 pounds? That's ridiculous! You start skipping more and more workouts and before you know it, well, hello 20 new pounds! Now you decide to start doing something about it. So you get back into the gym. You feel great after the first, second and third workout. But that extra 20 pounds is not going away so easily. The same is true with chiropractic adjustments. It takes work and committment to ensure that your spine is in line and your nervous system is functioning the way it should be.

Now let's use another analogy. The dentist. You take care of your teeth. You brush, floss, use mouthwash and visit the dentist a couple of times a year to prevent problems.

If you have been doing these things religiously, things can still go awry in your mouth. However, using prevention, it will take the dentist much less time and fewer visits to correct the problem.

The same is true with your chiropractor. You eat right, work out, have your own form of stress relief, and get regular spinal checkups and chiropractic adjustments. But one day, you notice a twinge in your lower back because you were moving and lifting lots of heavy stuff. Off to the chiropractor you go. Three to four visits and you are feeling normal again. 

Let's say the same person doesn't eat right, doesn't work out, has a high stress level, and does not take care of his/her spine. Still off to the chiropractor you go. Now it will more than likely take twice as many visits to correct the same problem!

It's your choice. Would you choose not to see a dentist until your teeth are falling out? No. 

Should you choose not to see a chiropractor until surgery has been recommended to you? I hope not! 

So the "answer" to your joke, dear patient, is: treatment plans are made on an individual basis and dependent on the patient's health goals. See your chiropractor regularly. Take care of your spine. It is the foundation on which the rest of your body is built!

David Leonard

11:25 am on Friday, June 22, 2012

There's a lot of truth in that joke. Several years ago I learned that my obese sister was going to a chiropractor on at least a weekly basis, month after month, because her knees hurt. If her knees really did hurt and she wasn't just going for the attention and sympathy she craved, they undoubtedly hurt because she was way too heavy.
That chiropractor should have told her to come back if her knees still hurt after loosing 75 pounds. Medicare was getting billed for each visit, and I'm betting that a lot of chiropractors live off Medicare payments. I told my sister to quit going to the chiropractor, and I reported him to Medicare. Guess what. My sister writes to me every week and she never says anything about her knees hurting. Go figure.

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Karrie Vander Sluis, DC

12:28 pm on Friday, June 22, 2012

David,
Thanks for your reply - I want to address a couple of your statements.
1) "...I'm betting that a lot of chiropractors live off Medicare payments." No. MC does not reimburse well for chiropractic care and covers very few chiropractic services. I am sure there are a few chiropractors who predominantly see MC patients, but most of us could not survive, much less "live off" MC patients.
2.) "...should have told her to come back if her knees still hurt after losing 75 pounds". No. As a part of her healthcare team, the chiropractor should have given lifestyle advice (nutritional/exercise), performed rehabilitative exercises with her in conjunction with adjustments and encouraged your sister to make healthy choices. Do you know, for certain, that he never made such suggestions? I don't. And I am not saying that he did either, but patient compliance is a problem that spans ALL health disciplines. Ask a physical therapist. I would never deny chiropractic care to someone because they are overweight.
Look, I'm not ignorant. I know the chiropractic profession, as with ALL professions, has its share of bad apples. It won't change. Please don't cast a shadow over all of us. I work hard to treat my patients ethically & with respect. My treatments plans are individualized to each person, and I take pride in being honest.
And I'm out of room-if you would like to discuss this further, feel free. Thanks again for your reply...Dr. Karrie

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David Leonard

3:08 pm on Friday, June 22, 2012

Karrie, I know YOU aren't a bad apple, but I think your profession has its share of them. I've always been skeptical of some of the claims that chiroproctors make. However, I must admit that I'm skeptical of lots of beliefs that others take for granted.

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Karrie Vander Sluis, DC

9:21 am on Monday, June 25, 2012

David, I think that being skeptical (to an extent) is normal for anyone. It is a way that we protect ourselves from things we don't understand! My advice to anyone undergoing chiropractic care, or considering it should do some research. If a chiropractor ever claims to "cure" something...run. Not only are they making false claims that have not been proven, they are illegally advertising. On the other hand, chiropractic has been shown to help with a multitude of conditions that you may not even think about! I didn't say "cure" :) In response to your later post, I am sorry that you did not see the outcome that you wanted to with chiropractic care. Some people, especially with disc problems do not, while others do great! There are several different ways of treating a bulging disc and treatment outcomes vary by individual. Sometimes chiropractic will help, other times surgery is the only option. We are here to try and prevent unnecessary surgery, medication, etc. Thanks again for your comments...I love it that people are reading and can't wait to see the responses to this weeks post!

Anne Carothers-Kay

5:17 pm on Friday, June 22, 2012

Karrie: I'm currently seeing a chiropractor after seeing my doctor several times and a physical therapist for back problems. I admit I also was skeptical. I'm still waiting to see. I'm curious about this: when should a patient say they think they may need extra help besides chiropractic; ie: physical therapy exercises, etc. What's a reasonable expectation?

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Karrie Vander Sluis, DC

9:22 am on Monday, June 25, 2012

Anne, I will write about this topic in my next blog. Stay tuned :) Thanks for your question.

David Leonard

10:22 am on Saturday, June 23, 2012

I had a back problem ten years ago. I went to a chiropractor and got no relief after a few visits. I don't know how long he would have continued seeing me. My doctor referred me for an MRI, I took the results to a surgeon, and he recommended surgery because of a bulging disc. The surgery was completly successful, and I have had no back problems since.

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Angela Bowman

10:44 am on Saturday, June 23, 2012

Right before I was to get married two years ago I hurt my back during strength training. I went to my chiropractor and found out I had misaligned low back and disc issues. There was no way I was going through surgery. I am not a doctor, but I knew that if I were to have one surgery, statistics show that the likelihood of having multiple surgeries would be greatly increased. I followed the strict regimen my chiropractor prescribed and within a few visits my pain went away. Most importantly, however, I followed my treatment plan even after "the pain" was gone. My motivation was to strengthen my back, correct the misalignments, and eliminate any chance of ever needing surgery. Two years later I see my chiropractor for maintenance (just as one goes to a dentist for routine checkups) and my back is in great shape. Following a treatment plan and taking control of one's own health and wellness instead of popping a magic pill requires self-discipline, a trait that as a fitness coach I see is all too lacking in our society.

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Karrie Vander Sluis, DC

9:23 am on Monday, June 25, 2012

Angela, that's great! As far as your views on maintenance care and treatment plans, couldn't have said it better myself!

LMCS

10:28 am on Saturday, June 23, 2012

Hi Karrie. Can you please explain the benefits/advantages and disadvantages of treatment by a chiropractor for Fibromyalgia and Chronic Fatigue Immune Disorder? Thanks.

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Karrie Vander Sluis, DC

9:24 am on Monday, June 25, 2012

LMCS, sure. You are the second blog topic in line, I should have my answer to your question up by the end of the week. Thanks for your question!

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Karrie Vander Sluis, DC

11:38 am on Monday, July 2, 2012

LMCS...I have just posted a new blog entry addressing your question. Thanks again for reading! Dr. Karrie

Kathy Sanders

6:26 pm on Saturday, June 23, 2012

Karrie, I will email you privately in the morning. I've already had one neck surgery (2001) and never want to have to go through that again if there's another way to fix it. Not sure where you are located, so want to get some info. Thanks! K

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Karrie Vander Sluis, DC

9:26 am on Monday, June 25, 2012

Kathy, I would love to give any information you want on your neck pain. We always offer a free consultation at the office, so give me a call any time to schedule one and we can talk about what chiropractic can/cannot do for you! 515-278-1218. Thanks for reading and I hope to hear from you/meet you soon!

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