Editors Note: The information provided here was forwarded to Planet Chiropractic by a chiropractor in Texas. Far too many people (including chiropractors) are not aware of historical events that took place during the 1917 � 1918 Spanish Flu years, which involved chiropractors caring for thousands that suffered influenza infection during those times. With such a firestorm of media coverage and fear surrounding the Swine Flu Pandemic, it would be irresponsible not to attempt seeking knowledge regarding influenza events of the past.
The Official History of Chiropractic in Texas By Walter R. Rhodes, DC
Published by the Texas Chiropractic Association � 1978
CHAPTER VI: THE THREE GREAT SURVIVAL FACTORS [Excerpts by Dan Murphy, DC]
�The 1917 � 1918 influenza epidemic swept silently across the world bringing death and fear to homes in every land. Disease and pestilence, especially the epidemics, are little understood even now and many of the factors that spread them are still mysterious shadows, but in 1917-1918 almost nothing was known about prevention, protection, treatment or cure of influenza. The whole world stood at its mercy, or lack of it.�
�But out of that particular epidemic, the young science of chiropractic grew into a new measure of safety. While many struggles would lie ahead this successful passage of the profession into early maturity assured its immediate survival and made the eventual outcome of chiropractic a matter for optimism. If there had been any lack of enthusiasm among the doctors of chiropractic, or a depleting of the sources of students then the epidemic took care of them too. These chiropractic survivors of the flu epidemic were sure, assured, determined, and ready to fight any battle that came up. The effect of the epidemic becomes evident in interviews made with old-timers practicing in those years. The refrain comes repeatedly,�
�I was about to go out of business when the flu epidemic came � but when it was over, I was firmly established in practice.�
�Why? The answer is reasonably simple. Chiropractors got fantastic results from influenza patients while those under medical care died like flies all around.� �Statistics reflect a most amazing, almost miraculous state of affairs. The medical profession was practically helpless with the flu victims but chiropractors seemed able to do no wrong.�
�In Davenport, Iowa, 50 medical doctors treated 4,953 cases, with 274 deaths. In the same city, 150 chiropractors including students and faculty of the Palmer School of Chiropractic, treated 1,635 cases with only one death.�
�In the state of Iowa, medical doctors treated 93,590 patients, with 6,116 deaths � a loss of one patient out of every 15. In the same state, excluding Davenport, 4,735 patients were treated by chiropractors with a loss of only 6 cases � a loss of one patient out of every 789.�
�National figures show that 1,142 chiropractors treated 46,394 patients for influenza during 1918, with a loss of 54 patients � one out of every 886.�
�Reports show that in New York City, during the influenza epidemic of 1918, out of every 10,000 cases medically treated, 950 died; and in every 10,000 pneumonia cases medically treated 6,400 died. These figures are exact, for in that city these are reportable diseases.�
�In the same epidemic, under drugless methods, only 25 patients died of influenza out of every 10,000 cases; and only 100 patients died of pneumonia out of every 10,000 cases. This comparison is made more striking by the following table:�
Influenza Cases Deaths � Under medical methods � Under drugless methods �In the same epidemic reports show that chiropractors in Oklahoma treated 3,490 cases of influenza with only 7 deaths. But the best part of this is, in Oklahoma there is a clear record showing that chiropractors were called in 233 cases where medical doctors had cared for the patients, and finally gave them up as lost. The chiropractors saved all these lost cases but 25.�
�Statistics alone, however, don�t put in that little human element needed to spark the material properly. Dr. S. T. McMurrain [DC] had a makeshift table installed in the influenza ward in Base Hospital No. 84 unit stationed in Perigau, in Southwestern France, about 85 kilometers from Bordeaux [during WWI]. The medical officer in charge sent all influenza patients in for chiropractic adjustments from Dr. McMurrain [DC] for the several months the epidemic raged in that area. Lt. Col. McNaughton, the detachment commander, was so impressed he requested to have Dr. McMurrain [DC] commissioned in the Sanitary Corps.�
�Dr. Paul Myers [DC] of Wichita Falls was pressed into service by the County Health Officer and authorized to write prescriptions for the duration of the epidemic there � but Dr. Myers [DC] said he never wrote any, getting better results without medication.�
Dr. Helen B. Mason [DC], whose �son, when only a year old, became very ill with bronchitis. My husband and I took him to several medical specialists without any worthwhile results. We called a chiropractor, as a last resort, and were amazed at the rapidity of his recovery. We discussed this amazing cure at length and came to the decision that if chiropractic could do as much for the health of other individuals as it had done for our son we wanted to become chiropractors.�
Dr. M. L. Stanphill [DC] recounts his experiences: �I had quite a bit of practice in 1918 when the flu broke out. I stayed (in Van Alstyne) until the flu was over and had the greatest success, taking many cases that had been given up and restoring them back to health. During the flu we didn�t have the automobile. I went horseback and drove a buggy day and night. I stayed overnight when the patients were real bad. When the rain and snow came I just stayed it out. There wasn�t a member of my family that had the flu.�
When he came to Denison he said: �I had a lot of trouble with pneumonia when I first came. Once again took all the cases that had been given up. C. R. Crabetree, who lived about 18 miles west of Denison, had double pneumonia and I went and stayed all night with him and until he came to the next morning. He is still living today. That gave me a boost on the west side of town.�
�And when interviews of the old timers are made it is evident that each still vividly remembers the 1917-1918 influenza epidemic. We now know about 20 million persons [recent estimates are as high as 100 million deaths] around the world died of the flu with about 500,000 Americans among that number. But most chiropractors and their patients were miraculously spared and we repeatedly hear about those decisions to become a chiropractor after a remarkable recovery or when a close family member given up for dead suddenly came back to vibrant health.�
�Some of these men and women were to become the major characters thrust upon the profession�s stage in the 20�s and 30�s and they had the courage, the background and the conviction to withstand all that would shortly be thrown against them� [including being thrown in jail for practicing medicine without a license].
�The publicity and reputation of such effectiveness in handling flu cases also brought new patients and much acclaim from people who knew nothing of chiropractic before 1918.�
�The first survival factor for chiropractic: they were the legal and legislative salvation. But the fabulous success of chiropractic in combating the 1917-1918 influenza outbreak was the public relations breakthrough that can certainly be called the second great survival factor. Better acceptance by the public followed and more patients meant financial safety for practicing chiropractors. Dedicated chiropractors came into the profession in increasing numbers and they had a sure sense of certainty, heady conviction, and a great willingness to fight for the cause.�
Other Texas Chiropractic History (view more at chirotexas.com)
1916 � Texas State Chiropractic Association Formed
1916 � First TSCA annual convention held at the St. Anthony Hotel in San Antonio
1917 � First chiropractic bill introduced into Texas Legislature
1923 � Second chiropractic bill introduced into Texas Legislature
Chiropractic received a boost from some major national sources in recent months. Here�s a recap.
1. American College of Physicians issues new guideline for low-back pain treatment
The American College of Physicians (ACP) published a new low-back pain treatment guideline recommending first using non-invasive, non-drug treatments, including spinal manipulation, before resorting to drug therapies. The guideline was published Feb. 14, 2017 in the Annals of Internal Medicine. For more information, see the American Chiropractic Association news release on the guideline.
On May 1, 2017, the New York Times published an editorial by Aaron E. Carroll, M.D., that mentions the new guideline in a generally positive light. The article appeared in a major, mainstream publication read by millions of people. �Spinal manipulation�along with other less traditional therapies like heat, meditation and acupuncture�seems to be as effective as many other more medical therapies we prescribe, and as safe, if not safer,� he wrote.
Talking points on new ACP guideline:
The chiropractic profession has advocated for decades that conservative care choices such as chiropractic be the first line of treatment for low-back pain. Now, with this new guideline, the medical profession is recognizing the benefits of conservative care for this common problem.
Thanks to this guideline, it�s possible more medical doctors will choose to refer their patients with low-back pain to chiropractors.
The ACP guideline was adopted by the American Chiropractic Association, which also adopted the Clinical Compass guidelines on chiropractic for LBP at its HOD meeting in March.
2. Article�and editorial on spinal manipulation published in JAMA
The April 11, 2017, issue of the Journal of the American Medical Association(JAMA) featured the article �Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain.� This systematic review and meta-analysis found that of the 26 eligible RCTs identified, 15 RCTS (1,711 patients) provided moderate-quality evidence that SMT has a statistically significant association with improvements in pain. Twelve RCTs (1,381 patients) produced moderate-quality evidence that SMT has a statistically significant association with improvements in function. One of the RCTs included in this analysis, �Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study,� was led by investigators at the Palmer Center for Chiropractic Research.
Additionally, an editorial by Richard A. Deyo, M.D., M.P.H., titled �The Role of Spinal Manipulation in the Treatment of Low Back Pain,� was published in the April 11 issue of JAMA. �If manipulation is at least as effective and as safe as conventional care, it may be an appropriate choice for some patients with uncomplicated acute low back pain,� Dr. Deyo wrote. �This is an area in which a well-informed patient�s decisions should count as much as a practitioner�s preference.�
A National Public Radio story on April 11 quoted Dr. Paul Shekelle, an internist with the West Los Angeles Veterans Affairs Medical Center and one of the study authors, as saying the JAMA study found patients undergoing spinal manipulation experienced a decline of one point in their pain rating. He added that the study also found spinal manipulation modestly improved function.
3. Article�and editorial on spinal manipulation published in JAMA
An article published April 4 in STAT News, a medical journal, discussed the ACP guideline and how it�s bolstering the cause of non-pharmaceutical pain control methods like chiropractic and acupuncture. Another article published May 10 in STAT News covered proposed FDA recommendations that physicians learn more about chiropractic, acupuncture and other drug-free pain treatments as therapies to help patients avoid prescription opioids.
4.�Article posted May 19 on Psychology Today website about new research on chiropractors helping people with low-back pain
This article, �The Evolving Evidence on Chiropractors for Low Back Pain,� covered the ACP guideline and its recommendation for conservative care first, as well as the Annals of Internal Medicine systematic review that found evidence spinal manipulation helps to reduce pain for people with chronic low-back pain. It concluded by saying, �On the whole, the evidence suggests that seeing a chiropractor can reduce pain levels and increase function for people with chronic low back pain.�
Remote doctor appointments could be coming soon to the school nurse’s office.
Starting Sept. 1, a new law will allow physicians to get paid for seeing children over a sophisticated form of video chat, as long as the student is at school and enrolled in the state’s Medicaid program for the poor and disabled. The law’s supporters say it could lead more schools around the state to set up nurse’s offices equipped to handle remote doctor visits — and save parents time and money.
They say adults shouldn’t have to take time off work and kids shouldn’t have to miss school to get routine health care, like when a child has an ear infection or skin rash, because modern technology allows a remote doctor to get high-quality, instantaneous information about patients. An electronic stethoscope allows the doctor to hear a child’s heartbeat, for example, and a digital otoscope offers a look into the child’s ear — all under the physical supervision of a school nurse.
Then, if the doctor makesa diagnosis, parents can pick up their child’s prescription from the pharmacy on their way home from work, said state Rep. Jodie Laubenberg, a Republican of Parker and the bill’s author.
“You want to talk about access? You want to talk about affordability? This is their access,” Laubenberg said. “We can treat the child, have him ready to go, and we can leave him here.”
“You don’t have to take off work,” she said. “He doesn’t have to leave school. It’s less disruptive.”
Texas is not the first state to pay doctors for school-based telemedicine for Medicaid patients. Georgia and New Mexico have similar laws on the books, according to the American Telemedicine Association.
Laubenberg said she wrote the bill to support programs like one put on with Children’s Health hospital system in North Texas. There, children from 27 grade schools in the Dallas-Fort Worth region have electronic access to three health care providers — one doctor and two nurse practitioners — while school nurses sit in on the visits. A spokesman for Children’s said the program will soon expand to 30 more schools.
In that program, school nurses — health care workers who don’t necessarily hold a nursing degree — can examine children, and, if they have an apparent health problem, send their information to Children’s to schedule an appointment. The program is currently funded by a five-year pot of mostly federal money.
Children’s says the new law will allow its program to remain financially viable when that funding source goes away, and allow similar programs to take hold across the state.
“Children’s Health in our programming is not going to be the [primary care provider] for every kid that walks through the door, so in order to sustain the program, we needed to be able to bill for that service,” said Julie Hall Barrow, senior director of healthcare innovation and telemedicine for the hospital system.
Other programs may follow suit. Texas Tech University’s medical school has partnered with the school district in Hart to run a school-based telemedicine clinic for more than a decade. That, supporters say, has expanded access to health care in the rural community north of Lubbock.
“Ninety percent of what you would see in a general pediatric clinic, we can handle it by telemedicine,” said Richard Lampe, chairman of the Department of Pediatrics at the Texas Tech University Health Science Center. He said that included sports injuries, strep throat — and among middle and high school students especially, mental illnesses like anxiety and depression.
But there are still questions under the new law about how schools will decide which students are eligible to have virtual doctor visits. The state will only pay doctors for seeing kids if they’re enrolled in the Medicaid program.
“I think the question goes to, what happens if the kid gets sick and they don’t have Medicaid?” said Quianta Moore, a researcher at Rice University’s Baker Institute for Public Policy, who has written about school-based telemedicine.
That could raise questions about equity and access, Moore said, because doing “health intervention in school is actually very effective.”
Critics said expanding remote doctor visits into schools could lead to more doctors practicing medicine inappropriately on children.
“You’ll end up sometimes with a doctor that’s not adequately informed as to the patient’s history or allergies,” said Lee Spiller, the policy director for the Texas branch of the Citizens Commission on Human Rights, a nonprofit mental health watchdog. “How can you expect a kid to really be aware of risks, their allergies, medical history?”
Spiller also said he worried parents who signed blanket consent forms at the beginning of the school year would not fully understand what they were signing their children up for.
In Dallas, at Uplift Peak Preparatory, health office aide Ruby Jones said some parents chose not to sign consent forms, but if their children got sick and came to visit her, she would try to talk to them about the “amazing tool” of telemedicine.
Said Jones: “There’s nothing more rewarding when … you see a scholar walking down the hall and they say, ‘Thanks, Ms. Jones. I feel better.’”
Throughout August, The Texas Tribune will feature 31 ways Texans’ lives will change because of new laws that take effect Sept. 1. Check out our story calendar for more.
The month of September is designated as National Childhood Obesity Prevention Month and the City of El Paso Department of Public Health’s Eat Well! El Paso program is helping to make it easier for families to take steps to improve their health.
These and existing Eat Well! El Paso restaurants commit to improving their menu options specifically for children by improving entrée and side offerings, using healthier cooking methods, and offering healthier beverage options. Owners receive assistance from nutrition professionals, at no cost, to create a new children’s menu with healthier selections.
By becoming an Eat Well! El Paso restaurant, these businesses are not only responding to current industry and customer trends toward healthier and fresher foods, they also help create a healthier food environment for our community.
“We are so pleased to have these new restaurants on board and to see the enthusiasm they have for improving our community’s well-being,” said Joy Leos, Health Project Coordinator. “In addition to adding restaurants our program continues to evolve with the addition of new adult menus that include more fruits and vegetables and healthier ingredients.”
A total of 25 restaurants are now part of the Eat Well! family. The 11 new participating restaurants are:
9787 McCombs St
El Paso, TX 79924
The Pizza Joint
500 N Stanton
El Paso, TX 79901
The Grooovy Smoothie
702 Wyoming Ave
El Paso, TX 79902
800 N Zaragoza Rd
El Paso, TX 79907
5100 Doniphan Dr
El Paso, TX 79932
Zino’s Greek and Mediterranean Cuisine
6590 Montana Ave, Ste H
El Paso, TX 79912
910 E Redd Rd, Ste A
El Paso, TX 79912
3429 Montana Ave
El Paso, TX 79903
El Jacalito Restaurant
2130 Myrtle Ave
El Paso, TX 79901
Good Luck Café
3813 Alameda Ave
El Paso, TX 79905
The Mustard Seed Café
1140 N St Vrain St
El Paso, TX 79902
Restaurants with new Eat Well! adult menu options include: Gonzalos G&R Restaurant, Garufa Argentinean Restaurant, T-Coasters, and The Grooovy Smoothie.
The El Paso Restaurant Association, the El Paso Academy of Nutrition and Dietetics, and the College of Health Science at UTEP endorse Eat Well! El Paso. The program is made possible through a Healthy Eating Active Living (HEAL) grant from the Paso del Norte Health Foundation.
Background on National Childhood Obesity Prevention Month
About 1 of every 5 (17%) children in the United States is obese and certain groups of children are more affected than others. While there is no single or simple solution, National Childhood Obesity Awareness Month provides an opportunity for learning about ways to prevent and address this serious health concern.
Children who are obese are more likely to be obese as adults. This can lead to lifelong physical and mental health problems, including diabetes and increased risk of certain cancers.
Childhood obesity is influenced by many factors. For some children and families, factors include too much time spent in sedentary activities such as television viewing, a lack of bedtime routine leading to too little sleep, a lack of community places to get adequate physical activity, easy access to inexpensive, high calorie snacks and beverages, and/or a lack of access to affordable, healthier foods.
There are ways parents can help prevent obesity and support healthy growth in children. To help ensure that children have a healthy weight, energy balance is important. To achieve this balance, parents can make sure children get adequate sleep, follow recommendations on daily screen time, take part in regular physical activity, and eat the right amount of calories.
Parents can substitute higher nutrient, lower calorie foods such as fruit and vegetables in place of foods with higher-calorie ingredients, such as added sugars and solid fats. They can serve children fruit and vegetables at meals and as snacks and ensure access to water as a no-calorie alternative to sugar-sweetened beverages. Parents can help children get the recommended amount of physical activity each day by encouraging them to participate in activities that are age-appropriate and enjoyable.
The efforts and services offered by the Department of Public Health support the City of El Paso’s strategic goal to nurture and promote a healthy, sustainable community.
For more information on the programs and services offered by the Department of Public Health, please visit www.EPHealth.com or dial 211.
Ronnie Reagan� almost 30 years ago to the day, the 40th president of the United States�signed away the rights�of Americans to sue vaccine makers, replacing them with a law that forces families who have suffered vaccine injury or death to sue the U.S. government instead of a pharmaceutical company.
As a result,�special masters�from the�United States Special Claims Court,�also known for our purposes as the vaccine court, are given full authority as judge with no jury to decide the fate of Americans who have had the unfortunate �luck� to be stricken by a vaccine injury � which can range from chronic, mild symptoms to death.
Once a year, this non-traditional court provides the public with a glimpse into its inner workings, by issuing an�annual report on its website�� a ritual that happens every January.� The report is sent to the President of Congress, otherwise known as the Vice President of the United States, where it is intended to serve as a bell weather monitoring reactions the American public may be having to vaccinations that are increasingly becoming forced by government mandates around the country.
However, the report, which is consistently ignored by mainstream media/politicians/health officials and the CDC,�lies dormant on the reports page of the U.S. Special Claims Court website. While it is most definitely at the very least a deterrent from having anybody actually sit down and analyze the report, the circle of doctors did and they found several things.
Here’s what was discovered in the thorough examination of the report:
Vaccine court settlement payouts�increased in total $91.2 million in 2015, up from $22.8 million in 2014 to $114 million in 2015 � a 400% increase.
Vaccine court settlement payments for flu shots increased the most, from $4.9 million in 2014 to $61 million in 2015 �� an increase of more than 1000%, despite autumnal onslaughts every year of media/pr/advertising campaigns urging Americans to �get your flu shot,� with total abandon for the statistical facts coming out of the vaccine court.
Varicella (chicken pox) had the third biggest increase � from $0 in 2014 to�$5.8 million in 2015.� (No surprise shingles is on the rise among the elderly population, as recently vaccinated grandchildren continuously shed live virus to their unsuspecting elders.)
Hepatitis B was the fourth largest increase in vaccine court settlements, increasing 321% in 2015 to more than $8 million in 2015 from $1.9 million in 2014.
TDap/DTP/DPT and D/T shots were the fifth largest increase, leaping 75% in 2014 from $5.5 million to $9.8.
The rest of the settlements not pictured here are:�Tetanus, $4 million; HPV $3.4 million, up from almost nothing in 2014 (one to watch in January when the 2016 report is issued); MMR, which actually decreased from the number one position last year to under $1 m � an 88%+�decrease�in payouts; pertussis, $1.7 million; thimerisol $1.5 million; HIB, $345k, menginococal $500k, HEP A $408k, DPT & Polio, $210k & rotovirus $76k.
You may have noticed we omitted the second place winner, �other.�� Here�s why.
In 2015, the �other� category was the second largest increase in vaccine settlement payments, totaling $21.5 million in payouts, up 388% from $4.4 million in payouts the year before.
Also, a hand full of settlements in the payout are based on annuities � that means that the payouts (many of which total more than $1 million) reoccur annually.� That�s because life as they knew it for some plaintiffs disappeared after their vaccine injury occurred, and the costs to care for them in perpetuity for the life of the plaintiff requires an annual sum that is often extensive. Share far and wide people, it�s time to turn the tide.
Sourced through Scoop.it from: circleofdocs.com
The U.S. Special Claims Court was assigned to settle legal cases involving vaccine injuries, issuing an extensive collective report of these for anyone who wishes to analyze it. However, after conducting a full breakdown of each case in the report, the statistics of vaccine injuries over the years was demonstrated to have indeed increased tremendously.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
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