Chiropractic Register
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Generally Speaking
An FDA safety review has shown that fluoroquinolones are associated with disabling and potentially permanent serious side effects that can involve the tendons, muscles, joints, nerves, and central nervous system, the FDA said. Fluoroquinolone antibiotics should not be used to treat uncomplicated infections the FDA announced. Only patients with these conditions who can't be treated with other agents should receive fluoroquinolones, the agency said.
An recent panel discussion between the CMS Chief Medical Officer (CMO), the AMA CEO, and several major health system CEOs, was interrupted with applause when the CMS CMO asked the panel to identify the biggest barrier to better care delivery and one of the Health system CEOs responded, "I think the biggest barrier is that we're completely worried about our own turf," calling it "a crisis in America, the type of healthcare we deliver, who gets it, the quality, who doesn't get it and the cost. Physicians are worried about what's happening to them, you know. The systems are worried about what’s happening to them, the insurance guys...the pharma people, and it's never really been the year of the patient, right? And if we're going to fix this, it's going to take a huge dose of selflessness, and I don't see this industry talking about that."
There are nightmare stories in healthcare. Lest you assume those cases are exceptions, a new study by patient-safety researchers demonstrates that "medical errors" in hospitals and other health-care facilities are incredibly common and may now be the third-leading cause of death in the United States — claiming 251,000 lives every year, more than respiratory disease, accidents, stroke and Alzheimer’s. The calculation of 251,000 deaths equates to nearly 700 deaths a day — about 9.5 percent of all deaths annually in the United States.

Another element of harm that is often overlooked is the number of severe patient injuries resulting from medical error. Some estimates would put this number at 40 times the death rate. It boils down to people dying from the care that they receive rather than the disease for which they are seeking care.
A yellow fever outbreak in Angola has the potential to become a global emergency, the World Health Organization warns.

The CMS has approved the Spine IQ Low Back Pain Registry as a Qualified Clinical Data Registry for the PQRS program in 2016.

A Congressional House committee had questions about whether VA staffers involved in the deliberate manipulation of official waiting times at various VA facilities had been disciplined, and whether current data was still being manipulated. David Shulkin, MD, undersecretary for health for the Department of Veterans' Affairs, stressed that the VA's core problems were structural, not cultural. "I teach my students that there are bad systems, not bad people," he said.

In Colorado, where marijuana has become legal, the CDC has found that 16% of children with bronchitis younger than age 2 had marijuana metabolites in their urine. They also had tobacco metabolites indicating a significant association between children who were exposed to marijuana smoke and those exposed to tobacco smoke.
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Chiro Texpo '16
TCA’s Chiro Texpo ’16—the chiropractic event of the year in Texas—is right around the corner, June 10-12 at the Arlington Convention Center. There’s still time to join your fellow DCs and chiropractic professionals from Texas and surrounding states. 

Don’t miss the film that everyone is talking about! The Texas Chiropractic Association is hosting a red carpet event and exclusive screening of Undoctored, including a special appearance by director Jeff Hays, on the opening night of TCA’s Chiro Texpo ’16 conference in Arlington. Hays will be available for a Q-and-A session afterwards.

Other highlights in what should be an action-packed evening include a Panel Discussion/CE Session moderated by Fabrizio (Fab) Mancini on how public health is impacted by chiropractic. Come experience why chiropractic may be the answer that everyone is looking for in order to truly have a health care system instead of a sick care system. Don’t miss Alumni Opening Reception or the Chiro College Cup. Will Parker’s student team defend its Cup title or is it TCC’s turn to hold the trophy?
The Chiro Texpo ’16 opens next week.  The final schedule is published, and we express our thanks to the TCA sponsors and the nearly six dozen exhibitors who will be exhibiting at the Chiro Texpo '16.  Thank you to our Chiro Texpo '16 sponsors and exhibitors!
Is your practice looking to hire now or in the new future? Don’t miss the College Career Fair at TCA’s Chiro Texpo ’16.  There’s no cost to participate, but please RSVP by sending an email to by Wednesday, June 8. 
To avoid Medicaid disenrollment and possible disruption in claims payment on Sept. 25, 2016, providers should submit a re-enrollment application to the state or TMHP today.
Access 2 Integration
The U.S. DOT, the FMCSA and the FRA are seeking public input through June 8 on the impacts of screening, evaluating, and treating rail workers and commercial motor vehicle drivers for obstructive sleep apnea.  
Lawmakers should consider simplifying the rules for health insurance subsidies if they want more people to apply for coverage under the Affordable Care Act (ACA). "On the provider side, we need to consider policies to create alternatives to consolidating physicians around single hospitals. Healthcare reform should be aimed at increasing choice and competition," said one suggestion.  We have an inefficient delivery system, spending 30% of the healthcare gross domestic product GDP on wasteful and unnecessary care. "The ACA should replace its convoluted subsidy system with transparent ... tax credits," and encourage the use of health savings accounts.
In other national news:

The United States Surgeon General notes "medicine is a profession in which emotional well-being is sorely lacking."His office has found that "many prescribers were never really trained in how to treat pain safely and effectively." Also, Health and Human Services Secretary Burwell said that her department has launched a "challenge grant" program intended to create a standard format for medical bills that is easier for patients to understand as well as other programs.

UnitedHealthcare, the nation’s largest health insurer is displaying physician’s patient satisfaction scoresas compiled by Healthgrades, including a five-star rating for the likelihood of recommending the physician to others.

Drucker Labs
PEMF / The Edwards Group
Chiropractic News
The USCG panel of 7-9 common physicians has refused to recommend a change in current USCG regulations prohibiting DCs from performing physical exams on merchant mariners.  TeamCME President Michael Megehee, DC, sought through a relatively unknown federal regulation to directly petition the U.S. Coast Guard to allow DCs who are certified in the DOT National Registry to perform physical exams on merchant mariners.  The Coast Guard has ruled that it will not grant the petition to begin a rulemaking change. There is no current avenue for recourse.
Once upon a time we cured our patients.  When we told the Medical doctor such they would get mad.  Their view was that we cured no one.  All anyone could do was treat conditions.   In the philosophy class that I had 98 years ago the instructor of this class, an old man of about 50 or more, came out to teach his class of 75 students sitting in front of him. "THINK! Nothing just happens.  There is a cause for everything – so THINK!"  He then walked off and left us there to think for the rest of the hour.
This study assessed whether 12 weeks of chiropractic care was effective in improving sensorimotor function associated with fall risk, compared with no intervention over 12 weeks.  The chiropractic group improved compared with the control group.

In other chiropractic news:

Why does chiropractic have to continually defend itself against organized medicine? Because they have publicly stated that they"will continue to develop programs to educate the public about the differences in education and professional standards between physicians and non-physician health care providers." Not only that, but they publicly state that theywill continue to pursue appropriate regulatory, legislative and legal means to oppose any efforts to permit non-physician health care professionals to prescribe substances used for medical treatment. Though there are number of "non-physician" prescribers of medication, why do they hold that it is suitable for some "non-physician" providers with appropriate training but not for others? Chiropractic doctors must join together to defend our profession against the continued assaults of organized medicine.

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