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July 2006, Vol. 16, No. 3
Table of Contents
Autism and Glutathione • CBP® Nonprofit has 24 publications in 12 months • CBP® Research Presented at the International Spine Conference in Norway • CBP® to File Lawsuit Against Quackwatch • CCE Weathers the Storm • Chiropractic Culture • Dr Don Harrison is ICA's Chiropractor of the Year • Dr Jim Gudgel to Co-Instruct With Neuromechanical Innovations • Dr Deed Harrison Speaks at Palmer West • Experimental or Medical Necessity • Fine Tune Patient Communication • From Screening to the Value of Proper Posture • ICA at the Table • ICA's Newly Elected Board Members • Instrument Adjusting's Mechanical Advantage • It's Don's Opinion • Letters to the Editor • My New Whiplash Text is Available • Patient Expectation and Retention • Principles, Ethics and Other Bygone Ideals • Problematic Decision Spectrum • Research Corner • Triano and CCGPP's Will Give You Six Visits
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It's Don's Opinion
CCE's Power is Scaring Chiropractic College Administrators
by Don Harrison, PhD, DC, MSE,
originator of CBP® Technique
Don Harrison received his B.S. (Mathematics) from the University of Washington in 1968, his M.S. (Mathematics) from the University of Texas at El Paso in 1971, a Secondary Teaching Certificate in education from Western Washington State University in 1973, and his DC degree from Western States Chiropractic College in 1979. He received his M.S.E. (Mechanical Engineering) in 1997 and his Ph.D. (Mathematics) in 1998, both from the University of Alabama in Huntsville. He has taught mathematics in junior high, high school, two community colleges in Washington and Oregon, and at Washington State University. He had private practices in Sunnyvale, California and Evanston, Wyoming from 1979-1993.
He originated CBP® Technique in 1980 and is the author of two CBP® text books, a CBP® x-ray workbook, and more than 60 articles in peer-reviewed indexed journals.
During the past two years, it has been reported to us that CCE’s COA Site Teams have been making up their own X-ray “Standards”, and pressing Chiropractic College Clinics to abide by them. Chiropractic College Clinics were told by COA Site Team members to reduce x-ray utilization to or below 50 percent of patients seen at the clinics.
This is NOT printed CCE “Standards” and not legal for COA Site Teams to do. COA Site Teams can only compare Chiropractic Clinics to the printed CCE “Standards”. They are NOT allowed to make their own Standards and then force the Colleges to comply.
This is an illegal and irresponsible action by COA site team members who have been unduly influenced by the false statements of DACBRs and 3rd party IMEs. There is a group of DACBRs, who are not associated with ACN and ASHN, but who still believe that taking x-rays is associated with an increase risk of cancer (despite a plethora of Radiation Hormesis research). Then there are others who are directly associated with ACN, ASHN, and other 3rd party payers, who are helping Managed Care Organizations (MCOs) reduce chiropractic benefits and coverage.
Some DACBRs (including the new Radiology Policies of the Chiropractic College of Radiologists Canada, Inc.) have not been reading their DACBR Colleagues’ Website at http://www. accr.org/CDI_guidelines_for_use_or_radiography.pdf (ACCR = American College of Chiropractic Radiologists).
While the ACCR X-ray Guidelines are mostly reasonable for practicing clinicians, the new Canadian Guidelines are not. Interestingly, the 30,000 MD Radiology members (ACR = American College of Radiology: ACR Guideline for the Performance of Spine Radiography in Children and Adults. January 2003. www.acr.org.) are quite good for practicing clinicians:
Radiographic “Indications include, but are not limited to:
A. All anatomic regions
1. Trauma to, or potentially involving, the spine.
2. Pain or limitation of motion.
3. Planned or prior surgery on the spine.
4. Evaluation of suspected primary and secondary malignancy.
5. Arthritis.
6. Suspected congenital anomaly of the spine and syndromes associated with spinal abnormality.
7. Evaluation of spinal abnormality seen on other imaging studies.
8. Follow-up of previous spinal abnormality.
9. Suspected spinal instability.
B. Cervical spine
1. Shoulder or arm pain suspected to result from radiculopathy.
2. Occipital headache
C. Thoracic Spine
1. Pain radiating around the chest wall
2. Osteoporosis; compression fractures.
3. Evaluation of scoliosis and kyphosis
D. Lumbar spine
1. Pain radiating into the legs.
2. Osteoporosis; compression fractures.
3. Evaluation of scoliosis and kyphosis
4. In children, limping or refusal to bare weight and in children with hip pain.”ACR
It is easy to understand the greed of some DACBRs and IMEs who get paid to reduce Chiropractic X-ray usage and treatment visits by MCOs, but I still wonder why our other Chiropractic Radiologists stand by and watch our x-ray rights, mandated by State and Provincial laws, be taken from us?
After seeing what happened to Life, other Chiropractic College administrators are reluctant to have us use their names and institutions, in this x-ray reducing agenda, for fear of reprisals by CCE. When the situation reaches this level of fear, it is time to take some action. The “artificial governing Board”, that CCE made when it moved from Wisconsin to Arizona, needs to be eliminated and control put back to the vote of ONLY the College Presidents. If not, then we will make complaints to USDE at CCE’s follow-up evaluation in June 2007.
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