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Monthly Archives: January 2010

Electro-Convulsive Therapy and Pregnancy

Please pinch me because I think I’m in the middle of a nightmare! I thought I was up on all the crazy ideas that psychiatrists have to make money by swindling their patients. Then someone told me that psychiatrists are giving electro-convulsive therapy to pregnant women. So I did a google search for “ect and pregnancy” and found a blog written by a psychiatrist giving all the whys and wherefores of how and when you should shock babies and women. One of the main topics was whether or not it was proper procedure to sedate the fetus before the atrocity was performed! Then he goes on to state that out of 339 patients of which there exists 25 reports, 11 of the fetuses died! To avoid these death the proper protocol would be to raise the right hip of the pregnant woman to avoid the deaths.

This is for real, I couldn’t have made this up. And to top it all off his blog title is “Dr. Shock, MD, Phd.”  Look him up at http://www.shockmd.com and be prepared to scream at the top of your lungs as I am doing now.

What will they do next? They are already drugging our children and now they are going after the unborn babies!

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Psychiatry and Big Pharma

Miami Herald

HEALTHCARE | DR. FERNANDO MENDEZ-VILLAMIL

Miami psychiatrist defends his record over prescriptions

A state senator said a Miami psychiatrist `should be a poster boy’ for tougher enforcement, while the doctor says he’s been unfairly targeted

January 16, 2010

By John Dorschner

A Miami psychiatrist who wrote 284,908 prescriptions over the past six years has cost Florida taxpayers $43 million, and a state senator said Friday that “he should be a poster boy” for a legislative inquiry into whether “tougher enforcement provisions are needed.”

The practices of Fernando Mendez-Villamil, who has an office on Coral Way, came to light last month when Sen. Charles Grassley, R-Iowa, complained about him to federal authorities for writing prescriptions at a rate of 150 a day, seven days a week. Grassley, like many in Congress, is concerned about reducing America’s high healthcare costs to reform the system.

The Florida Agency for Health Care Administration has released data showing that those prescription-writing practices were expensive, too — since the patients had Medicaid, the state-federal insurance for the poor.

State Sen. Don Gaetz, R-Destin, chairman of the Senate healthcare committee, told The Miami Herald on Friday that the Legislature has “a tough law already on the books” that requires state regulators to investigate outliers like Mendez-Villamil, who writes twice as many anti-psychotic drugs as any other doctor in the state. But his case may mean the law needs to be tougher.

Mendez-Villamil prepared a lengthy response to Grassley, defending his record. He said he is a dedicated doctor helping many poor patients, often working 11 or 12 hours a day, six days a week.

“I may be an oddity as a physician because I do not play golf, I do not have a boat and I seldom leave my practice for extended vacations,” Mendez-Villamil wrote in the letter provided to The Miami Herald by a publicist. “That is not to solicit sympathy or to appear `noble.’ I am simply committed to my patients, profession and enjoy what I do and do not seek distractions.”

Mendez-Villamil also disputed earlier Herald stories, which said that he was under investigation by state regulators and that Medicare, the federal program for the elderly and disabled, had stopped paying his claims because of the investigation.

“The information received from this agency [AHCA] advised that I am not under any sort of investigation,” Mendez wrote in a letter dated Monday, Jan. 11.

However, AHCA on Friday forwarded The Herald a letter sent Thursday to Robert Pelier, the doctor’s lawyer, stating “an agency investigation is underway.”

Pelier told The Herald on Friday that AHCA was sending out mixed signals. He pointed to the first Herald story on the doctor, published Dec. 17, in which an AHCA spokeswoman said the high prescription rate does not “indicate that there is anything improper regarding his prescribing.”

A day later, the state told The Herald there was indeed an investigation.

Mendez also wrote: “I was very surprised to read in The Miami Herald [in a Dec. 18 story] that Medicare had supposedly stopped payment for my services; and I am very pleased to confirm with Medicare officials that this was NOT true.”

Pelier, Mendez’s lawyer, said Friday that the doctor as late as Dec. 21 had received a Medicare payment.

Medicare spokesman Peter Ashkenaz said Friday, “When I said he wasn’t being paid back in December it was because we were reviewing all of his claims. It’s likely that he received a Medicare payment, but nonetheless, we are continuing to review all of his claims because he has not been excluded from Medicare by the OIG,” the Office of the Inspector General.

The Mendez-Villamil case comes at a time when reformers are seeking to reduce the nation’s healthcare costs, which are twice as much per capita as in European countries. Reformers believe these costs can be reduced without affecting quality of care.

Grassley has pressured the U.S. Department of Health and Human Services, which provides Medicare and Medicaid funding, for an explanation on how one doctor could write so many prescriptions. So far, HHS has yet to respond to the senator.

On the state level, Sen. Gaetz said he has long been concerned with Medicaid expenditure patterns that seem to make no sense — such as the average Miami patient getting five times as many home healthcare visits as a similar patient in Ocala.

Gaetz said he views the Mendez-Villamil case as a way of revealing whether the present law is adequate of if it’s an “enforcement problem and the state agencies are not doing enough.”

If the law needs tightening, “then we will tighten the screws as many times as necessary” because “providers like him should not be draining money out of the pockets of taxpayers,” Gaetz said.

Pelier, the attorney, said that the state was wrongly preoccupied with saving money on the atypical anti-psychotics, which can cost more than $800 for a month’s supply per patient. He said that only 1 percent of the doctor’s patients are hospitalized. If they weren’t taking the drugs and ended up in the Jackson psych ward, for example, the cost to taxpayers would be far higher.

State records indicate that Mendez-Villamil was paid $46,238 by Medicaid to see patients in 2007 and $31,735 in 2008. He received $14,579 in the first quarter of 2009, but then payments dropped down to $3,472 in the third quarter.

“I want you to know that I take very good care of my patients,”’ the doctor said in his letter. “My top priority is to improve their conditions. In more then 10 years of practice I have worked with thousands of afflicted individuals.”

 

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Enthusiasm is Selling


You must have enthusiasm for the service you are selling. If you have this, the prospect will feel and respond to it.

 

Enthusiasm is the mysterious electric current that flows from seller to buyer. It can’t be seen any more than electricity can, but it can be felt.

Enthusiasm is one quality that must appear in every step of the sales talk.

The history of selling is crowded with examples of men who sold for one primary reason – that they were enthusiastic.

Enthusiasm comes from the Greek and means: “Possessed by a God, inspired.” EN; in + THEOS, God. This means a flow of emotion, known as enthusiasm is poured into the body from a spiritual source, to inspirit.

This flowing of emotion is translated into enthusiasm in the body. A person who is enthusiastic is more alive, has more life in him. He has such an abundance of life energy that he can flow it out from himself to another person who receives it and in turn becomes enthusiastic.

The only difference from person to person is that one may need more inflow of enthusiasm than another before he in turn becomes enthusiastic. It’s not that the second person cannot become enthusiastic, he just needs more inflow of enthusiasm before he overcomes and rises above his present lack of enthusiasm.

I was consulting one Doctor on the west coast who had such a lack of enthusiasm that he was acting like a vacuum and sucking the energy from not only himself but also his three staff present in the room. This fellow was driving us all mad with his low energy level and moodiness.

However, we didn’t give up on him. We kept on creating enthusiasm about
Chiropractic and the results he was obtaining with his patients. Finally, he opened up and drank freely. He drank to the point of exuberance, started dancing in the room with his hands flailing in the air. The condition was obviously new to him because he had a funny look on his face. He was drunk with enthusiasm.

So enthusiasm is a created emotion which translates into energy in the body. The more enthusiasm, the more energy. The more energy created, the more that can be passed on to others. The more passed on to others, the more sales will soar.

How to raise sales? Create enthusiasm in the service you are selling and pass it on. The Doctor I spoke of above went back to his practice and the very next week went from 139 patient visits to 248; his collections went from $3,400 to $15,000. It could not have been possible for him to promote or advertise in seven days to cause that much of a rise. The only answer could be that he was more enthusiastic for himself, his profession and his ability to get sick people well, which inspired his patients to go out and enthuse others about Chiropractic.

Let’s give the opposite example so that this becomes real. Take a Doctor whose created emotion is anger. Anger is energy of a coarser nature than enthusiasm. This Doctor is filled with anger, so much so that he must discharge some of it in order to remain sane. He turns to his assistant who is pleasantly going about her business and discharges anger on her. Now she’s overcharged. She turns to the assistant next to her and dumps on her. Now she has to get rid of it. Where is she going to unload? Right! Onto the Doctor the next time she sees him. The Doctor having discharged earlier is now starting to pull out of it when he receives another load. It’s late in the day so he can’t fire it back. He goes home and throws it at his wife and thinks “Here, you handle it.” She turns and whacks little Bobby who’s quietly playing with his crayons on the wall. Result, one unhappy marriage and the world loses one up and coming artist.

Looking at this, the only solution would be to create enthusiasm rather than anger. Enthusiasm is constructive and anger is destructive.

Enthusiasm can be developed by anyone who is willing to follow a few simple rules – and to practice. You develop enthusiasm as you develop your muscles; by exercising them.

How can you become enthusiastic as a Chiropractor? It’s quite simple:

Homework:

  1. Get testimonials from your patients and read them on a daily basis.
    1. Read the testimonials to your staff at least once a week.
    2. Concentrate on the 90 to 95% of the patients that you are getting well.
    3. Realize that the other 5 to 10% of your patients who are not responding to the adjustments need intensive care, i.e., adjusted every day until they do respond.
    4. Realize that there is nothing wrong with you or your technique if you are getting 90 to 95% improvement in your patients’ health in their own estimation.
    5. If the patient is not responding, look into their life to see what is going on. Perhaps their husband is brow-beating them twenty-four hours a day for wasting his hard earned money on Chiropractic. Or, the son was just arrested for drug dealing or the daughter is pregnant. There will be something that is stopping the patient from responding.
    6. Look outward, not inward.
    7. Drill your practice procedures until you are an expert.
    8. Do not spend too much time studying the science of salesmanship, but spend more time practicing the art of selling.
 
 

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Chiropractic Education

Today we have the “Pinched Nerve Model” which easily explains the idea of Subluxation. The model to get is the one that changes from a green fast pulsating light to a slow red pulsating light when subluxated.

When you’re out on the town and you don’t have your model with you, you could simply take a person’s finger and tell them to imagine it is a nerve going to their stomach. Pinch the finger at the middle joint with your fingers and ask the person “What is happening in your stomach because of this pinched nerve?” Get them to describe the symptoms that would be going on in their stomach if they had a pinched nerve, i.e. indigestion, heartburn, diarrhea, constipation, ulcers, etc. Ask them, “What would I have to do to correct this condition?” They will say, “Remove your fingers!” Then tell them the same thing happens in the body wherever you have a “pinched nerve” or “Subluxation.”

Another way to get them to adopt your point of view is to palpate their neck and find a Subluxation. Ask them, “How did you injure this area?” or “How did you whack your head?” Have them give you all the injuries they can remember for that subluxation. Then palpate for the next one and ask the questions over again. By the time you reach the low back the person will be saying, “Boy I’m really messed up!” or “I didn’t realize how many times I’ve been injured!” or “I forgot about that roller skating accident, do you think

that is what’s causing my headaches?” This method should also be used on a new patient as part of your examination. Palpate first then confirm with any other test you may want to do. The purpose is to raise the awareness of the person or patient that they have been injured and they are subluxated.

Chiropractic Education

EDUCATION IS USEFUL IF IT IS SIMPLE.
IF EDUCATION IS SIMPLE IT IS USEFUL.

“Chiropractic was BORN a simple principle and practice. When ChiropracTIC  WAS simple and ChiropracTORS  WERE simple, Chiropractic and Chiropractors were getting sick people well.”

“Those who lived simple Chiropractic succeed.” “Those who lived complexed fail.” “Simple makes; Complex breaks!”

Excerpt from the book Up from Below The Bottom by B.J. Palmer pg. 704

Making anything really simple is difficult enough; but keeping it simple is just about three times as hard. Someone is eternally at it to add to, amplify, or in some fashion complicate any idea or product or service or plan. So-called “improvements” seem to attach themselves, like barnacles to the hull of a ship. A case in point is the simple Brain/Body/Diagram. It was designed by him to simply demonstrate to the patient how the body functions. Because of its simplicity, the patient would retain the information and when asked, could draw it back. This ensures that the patient will draw it for others and get them interested in Chiropractic. Any complication of this diagram defeats its purpose.

One Doctor when drawing the Brain/Body/Diagram would go into cell division. This caused his patients to go into a coma or shut off mentally.

“Simple makes; Complex breaks!”

Are you making your educational steps too complex? Do you show patients videos that do not define the terms that are used? Have you ever quizzed your patients to see if they actually understood the material you explained to them?

 

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Salesmanship by B.J. Palmer

Ask yourself: Must I learn how to sell? The Doctor should never talk money with the patients; it’s unprofessional! Wouldn’t it be better for my assistant to ask for money?

The idea of not accepting money directly for your services goes back hun­dreds of years to the legal system in England. The legal system in England is divided into two classes of lawyer, the Barrister, who attends court and argues the case, and the Solicitor who acts as a clerk, managing the finances, doing legal research, interviewing clients, etc. It was the custom at that time that the Barrister could not accept money directly for his services. It was below his station to be seen accepting money. “Not proper, you know!” However, it was the Barrister who was out and about in the public. So he had on the back of his gown a pouch. If you wanted the services of a particular Barrister, you would come up behind him and place a few gold coins in his pouch. Then you could come around front and address him. To this day in America, Canada and Great Britain you will see a patch on the back of the lawyer’s gowns signifying the “pouch of old.” It has only been recently in Canada that lawyers were allowed to advertise their services in the media. Chiropractors are still limited to what they can say in their advertisements.

This point of view has obviously crept into the profession of Chiropractic. The truth is, that if the Doctor intends for his patients to get corrective care, he must be an expert salesman. Life itself is a matter of salesmanship. Everybody is a salesman to some degree.

The Chiropractor is selling something all the time, his talent, knowledge, ability and health.

Hand in hand with the ability to accept money is the willingness and ability to sell. In our modern times this word has taken on a derogatory meaning. Chiropractors do not want to be viewed as “salesmen.” I would prefer to call them “Educators,” for this is what they truly do. A patient who adopts the point of view of the Chiropractor as to the value of Chiropractic care would immediately be sold on the idea of receiving care.

Therefore, salesmanship in Chiropractic could be defined as:

“The transferring of a conviction by the Chiropractor to the patient by means of education. It implies a definite effort in educating the patient to adopt the Chiropractor’s point of view of the value of Chiropractic care; it aims to create in the patient’s mind a sense of value equal to, or greater than, the money price of the service for sale. The essence of salesmanship is the transferring of an idea or conviction from his own mind to the mind of a patient or prospective patient and having that person adopt it as his or her own. This conviction in the other person would cause them to tell others and thus Chiropractic would grow.”

In the book Up from Below the Bottom by B.J. Palmer on pages 839 and 840, the section entitled Must Sell Chiropractic tells you how to educate a person so that he adopts your point of view of Chiropractic:

“However, it is not sufficient to study Chiropractic in the world’s best school, to know it thoroughly and to go back to your hometown with a diploma in your trunk. You must SELL Chiropractic! And how can this be done? First and foremost, you must be sold on it yourselves…”

“To be sold on Chiropractic yourselves and to be able to sell it to others, you must thoroughly UNDERSTAND ITS PRINCIPLES and not merely

words in which its principles are couched. You have to sell IDEAS, not words. Consequently, learn ideas and grasp them. The mere words “mental impulse,” “innate intelligence” and other Chiropractic expressions will not get you to first base unless you grasp and thoroughly master the IDEAS that those words convey.”

“And this brings us to the matter of explaining Chiropractic to prospective patients. By all means, explain it so people can UNDERSTAND what it is all about. Remember that your patients are not Chiropractic students. Therefore, if you speak to them in Chiropractic terms without TRANSLATING those terms for them, you are wasting your breath, for they will not understand you. If you speak to them of a “subluxation, ” an “axis,” or “mental impulse” without explanation, you are talking over their heads. Technical terms are proper when you are speaking to technical men. But when you are talking to ordinary people you have to use ordinary language. Get the

IDEA across in THEIR terminology, and then you can begin to apply the technical names; but always careful to translate them into ordinary language.”

Use Simple Language

“Were I a Chiropractor I would use the term “misplaced vertebra” for “subluxation; ” “first bone in the neck” for “atlas; “second bone in the neck” for “axis;” “flow of life-giving energy” for “mental impulse,” in explaining Chiropractic to a new patient or to someone wishing to know Chiropractic. And I know that it works, because only recently I explained the principles of Chiropractic to an insurance adjuster who was trying to get an explanation of it for his company. The Chiropractor whom he consulted was a number one man and knows his business. He rattled off from memory the definition found on the front inside cover of “The Chiropractor;” but he failed to give the adjuster a concept of what Chiropractic is, what it does or why it does it. I then volunteered to explain it and did so without technical terms, and the adjuster went out of the office with something definite to write his company.”

“While it is an excellent idea to have a human spine in the office to help in your explanations, I am convinced that you also need an “occiput­atlas-axis” matched set to convey an adequate idea of the “hole-in-one” technique…”

“I wish that I had a Neurocalometer to carry around with me also, for I feel that, with the occiput-atlas-axis set of bones and the Neurocalometer, I could make quick converts to Chiropractic, because people believe what they SEE AND LOOK AT more readily than what they are told.”

Exerpted from Up From Below the Bottom by B.J. Palmer

 
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Posted by on January 13, 2010 in B.J. Palmer, Chiropractic, Purpose

 

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Immortality by B.J. Palmer

“What is life, disease, death and immortality?”

“These questions have been asked of savants of all ages. They have remained unanswered until the advent of Chiropractic, which will, in time, lift the curtain that hangs between this life and the one beyond. This science has given an intelligent explanation of disease, and now, I shall attempt, for the first time, to give a comprehensive explanation to the other three questions.”

“What is life? How did it create this human mechanism, and continue it as a living entity? From whence does it come, and whither does it go? What is it? ”

“We are acquainted with the outward manifestations of life, disease and death, but these are only the symptoms of something real which the human race has desired to know. We have an instinctive longing to get back of these. We want to know comprehensively the cause of each.”

“Last, but not least, we possess an inherent craving, an aspiration to know what there is beyond this life, what of the immortality of the soul, spirit, the Innate conscious living intelligence, that never had a begin­ning, nor will it have an ending?”

“Man is a dual entity. He is composed of the mortal, and immortal – the everlasting – that which always existed, and always will.”

“The Innate Intelligence, known by the names, soul, spirit, nature, instinct, subconscious mind and intuition, has the duplicate senses in Educated Intelligence.”

“Innate has its own consciousness; it is not dependent upon the body for its existence, any more than we are on the house we live in; its immortality, its external existence, does not rely upon the life of the body it inhabits. It is invincible, cannot be overcome by material changes. It is invulnerable, and not subject to wounds or injuries.”

“Innate is not the mind, the thinking quality with which we are familiar. The functions of the brain, upon which the mind depends for outward expressions, are like other functions, under the control of Innate. It is behind that and expresses itself by that means. It can set aside for consideration, the sensations, emotions, passions, desires, or any other mental phenomena, or physiological functions, and thereby receive educational impressions thru it. ”

“Innate is self-existent, remains unchanged, is not a part of mental or physical manifestation; but instead controls these, when not hindered by diseased conditions, caused by displacements of the skeletal frame.”

“The life, of which we are acquainted, is of the physical which exists as long as Innate occupies the body. To be able to perform the functions of the body, is to live.”

“Disease consists in deranged functions. Functions may become so extremely abnormal, that Innate cannot maintain control, making the body untenable. This dissolution, we call death.”

“Immortality is the life entered by Innate at its birth. The former birth being that of the physical, the latter of the spiritual.”

Excerpted from the book The Science of Chiropractic by B.J. Palmer – 1906

What if you are immortal? Would that change anything in your life? I would think so.

 
 

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Integrity!

Who was the Father of Medicine? What did he have to say about the use of drugs? Among the Greeks around 400 B.C. there lived a man who was convinced that the body had a built-in wish to be well. His name was Hippocrates, the Father of Medicine.

“A strong case could be made for the fact that he was by all contempo­rary standards, a drugless practitioner. The remedies he prescribed were preparations concocted from vegetables, spices, oils and herbs. Among his “folk medicine” cures were gargles, inhalants, and various brews of grain, moderate and effective, especially when administered with traditional Hippocratic faith in the body’s compulsive wish to be well.” Marcus Bach – The Chiropractic Story

Hippocrates also reminded his students that,

“Where there is love of man, there is also a love of healing.”

History says he was the greatest Greek physician that ever lived, and “physician” was by no means confined only to medicine. The word had its root in physis which meant nature and implied a thorough knowledge of the development and growth of things, especially as these related to the health and wholeness of the life of man.

Hippocrates wrote an Oath of Integrity for physicians, a code of standards and ideals to which they must swear to adhere in the practice of their pro­fession. This Oath could be adopted by Chiropractors who see in it, the truth of how to practice. Here it is in its entirety:

“I do solemnly swear by that which I hold most sacred:

That I will be loyal to the profession of medicine and just and generous to its members;

That I will lead my life and practice my art in uprightness and honor; That into whatsoever house I shall enter, it shall be for the good of the sick to the utmost of my power, I holding myself aloof from wrong, from corruption, and from the temptation of others to vice;

That I will exercise my art solely for the cure of my patients, and will give no drug, perform no operation for a criminal purpose, even if solicited, far less suggest it;

That whatsoever I shall see or hear of the lives of men which is not fitting to be spoken, I will keep inviolably secret.

These things I do promise, and in proportion as I am faithful to this my oath may happiness and good repute be ever mine – the opposite if I shall forsworn.”

Integrity by definition is: “strict adherence to a code of moral values, artistic principles, or other standards; complete sincerity or honesty.”

Would the integrity of man play a more important role in his life if he truly knew he was immortal? That what he did today had an affect on him tomorrow. Three-quarters of the population of earth believes that man is spiritual in nature and that he will live on after the death of the matter that he inhabits.

Galileo was born the day that Michelangeo died; the year of his death was the year that Sir Isaac Newton, the discoverer of the law of gravitation, was born.

Paul Turnbull

 

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