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Dynamic Chiropractic
September 12, 1995, Volume 13, Issue 19

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Title: The Doctor of Chiropractic

Publisher:    Kansas Chiropractic Association
Publication:  Videotape
Category:     Patient and general public education
Price:        $89 (available in PAL for additional $40)
Please see number V-443 (or V-443P for PAL version) on the Preferred Reading and Viewing List, page 37, for ordering information.

In this second edition, the Kansas Chiropractic Association has improved on a good product and made it better. While the first video was a reaction to the unfavorable media blitz, this second edition takes a more proactive approach.

There is a systemic approach to explaining what chiropractic is, its safety when compared to medical procedures, and the training, testing and licensing of doctors of chiropractic. The tape shows both chiropractors and chiropractic students in a working setting caring for patients. This videotape demonstrates to laypersons that chiropractors aren't strange or unusual in what they do or what their offices look like.

The spokespeople on the video, including Dr. Carl Cleveland III and Dr. George Goodman, are articulate and sincere in their explanations of chiropractic education, testing, and patient care. The scenes of chiropractic students and colleges show the professionalism present among our colleges and their student bodies.

I did feel the information on the number of deaths occurring from medical causes was still pushed a little too forcefully. My concern would be to that it would foster a fear of all providers among the viewing public. I believe the point could have been made with fewer references to death by various medical causes. I think the time saved by eliminating this part of the tape could be used to further reinforce the positive image of the chiropractic profession.

Overall, I found the tape well done. At 15 minutes, it's long enough to present the relevant information, but not so long that a patient or potential patient would lose interest. The Kansas Chiropractic Association has produced a first-class patient education tool for our profession. I would recommend chiropractors strongly consider it in making their decisions on where to spend patient education dollars.

Savoie Rating: 9 out of 10


Title: Textbook on Chiropractic and Pregnancy Author: Joan Fallon, DC Publication: Hardcover, 222 pages Publisher: ICA, 1110 North Glebe Rd., Arlington, VA 22201 Category: Student and field practitioner education Price: $56 for ICA members, $62 for non-members, $5 s/h

It was with great anticipation that I reviewed Dr. Fallon's textbook on the role of chiropractic in management of the obstetrical patient. With the recent onslaught of anti-chiropractic invective relating to pediatrics, the availability of a definitive work on obstetrics might open new doors. The introduction sets the intent of the work: "The chiropractor is an appropriate and necessary health care partner in the care of the pregnant woman." With an initial browsing, I was impressed with the extensive references at the terminus of each chapter as well as excellent quality original graphics by Joy Marlowe. Terms are well-defined, both in the text and appended glossary. Chapters outline major anatomic and physiologic transitions in mother and child as well as common subluxation complexes, congenital malformations and case reports.

On thorough examination of the text many errors and concerns come to light. Typographical and punctuation errors as well as frank misspellings abound, some significantly altering the intent of the text (i.e., glands vs. glans, sights vs. sites, etc.) Comparative photographs illustrating maternal physical changes are of different models, rather than the same person in differing stages of pregnancy.

Of greatest concern is the propensity to make unfounded claims, "leaps of faith" based on projection of physiologic fact and the use of unpublished empirical observations as "statistics." Many claims are made of what chiropractic can accomplish without reference or source. Quotes such as "the most likely cause of Bell's palsy is subluxation" are dangerous. We have all had varying degrees of success with such conditions, but I thought we had (as a profession) matured beyond the single causation ideology. The sole subluxation model cited is from 1947.

The references appended to the end of each chapter are not footnoted, therefore the ability to check sources for particular statements or claims is difficult, at best. Included in the references are many self-citations from "multimedia presentations" and other unpublished works.

The author states: "Simple adjusting cannot harm the fetus, nor will it produce spontaneous abortion when not indicated for other reasons." Source? Concept of informed consent? Risk factors?

Several chapters recount the normal birth process, infantile automatisms, congenital defects, and birth injuries. These are excellent reviews and sources for the student, but hardly an exhaustive resource. The chapter on adjusting the pregnant patient covers the basic subluxation categories known to all chiropractic practitioners. Detail regarding the doctor's stance, line of correction and patient position is in depth. Cautions and tips regarding changes in ligamentous pliability are duly supplied. Unfortunately, the adjusting procedures are not illustrated skin-on-skin, so determining exact contact points from the photographs is difficult.

In conclusion, this textbook goes far to summarize valuable normal and abnormal aspects of pregnancy and birth. It recounts many common conditions and complications seen in the obstetrical patient. It does not go far enough in separating fact from projection and observation from research. It is imperative that the student and the practitioner be apprised of the source of the information which they are using on the pregnant patient for the benefit and edification of both the doctor and the patient.

Silvestrone Rating: 6 out of 10

DC

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Dynamic Chiropractic
September 12, 1995, Volume 13, Issue 19

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