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October 2006, Vol. 16, No. 4
Table of Contents
Do 90% of Acute Low Back Pain Episodes Resolve Within Two Months Regardless of Treatment Rendered? • Blues Already Using CCGPP to Cut Claims! • CBP® Annual Awards • Chiropractic, Disease, Adjustments and Other Voodoo! • Effective Initial Exam • It's Don's Opinion • Letters to the Editor • Neurosurgeon Heralds Posture Pump® MRI Study • New PCCRP X-ray Guidelines Will Protect Your Rights • Association of NJ Chiropractors OPEN LETTER to the CCGPP • PosturePrint® Head Manuscript Accepted by JMPT • Research Corner • The Benefits of Short Duration Whole Body Vibration • Triano and CCGPPs Will Give You Six Visits Part II • PostureRay™: Digital X-ray Digitization and Analysis has Finally Arrived
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It's Don's Opinion
by Donald D. 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 three CBP® textbooks, a CBP® x-ray workbook, and more than 70 articles in peer-reviewed indexed journals.
During the past two months, my son, Christopher Kent, and I have been feeding each other information in order to combat propaganda from the administrators, Team Leads, and Team Members of CCGPP. Their propaganda is designed to influence hundreds of DCs on chat rooms to believe that the new Low Back Document from CCGPP is the best thing ever for Chiropractic.
We all know that it will be the best thing for 3rd party payers against chiropractic. In fact 3rd party payers are already using CCGPP to cut claims, which means someone from CCGPP released an unfinished document to insurance companies already. This is exactly what happened with Mercy, as the insurance companies had copies of it and used it to cut claims before it was even officially printed.
I probably made several people mad at me, but DCs were sending me forwards on CCGPP administrators’ propaganda campaign comments, and I could not help but counter these. I don’t practice any more and CCGPP cuts will not affect my income, but I get so mad when I see what these people are doing to ruin our profession. What I am trying to say is that sometimes my language was a little “colorful.”
I especially got riled when CCGPPers were claiming that Triano only worked with Work Loss Data Institute (WLDI) for four months in 2003. CCGPP has on their web site that WLDI will publish CCGPP (and thus WLDI will sell CCGPP Guidelines to insurance companies). Firstly, WLDI is a company run by MDs, who sell restrictive guidelines to insurance companies. Secondly, on their WLDI web site, they have a Frequency and Duration of 6 visits in 2 weeks (if you have severe pain NRS = 7,8,9, then you “may” qualify for “up to 12 more visits”). Thirdly, why would a Chiropractic organization (CCGPP) be associated with an MD IME company instead of publishing their “CCGPP Guidelines” on ACA’s website or COCSA’s web site?? Fourthly, we found archived internet WLDI web sites that listed Triano on the Advisory Panel for 2003, 2004, 2005, and we ourselves saw his name listed up to June 2006. Fifthly, Triano is the Chairman of CCGPP.
Now I ask you
(1) What is the Chairman of CCGPP (Chiropractic Guidelines) doing being associated with an MD company that sells guidelines to insurance companies?
(2) Should we believe CCGPP’s, WLDI’s, and Triano’s Gobbledygook, or the archived web site data?
(3) What is CCGPP doing in association with WLDI in the first place?
Next, Christopher Kent located a 2004 WLDI statement that really “opened our eyes”:
“• CCGPP Chiropractic Practice Guidelines — Development by WLDI and the Council on Chiropractic Guidelines and Practice Parameters is underway, and this joint protocol for frequency and duration of effective chiropractic treatment is expected later in the year.”
Note two important things from this 2004 WLDI announcement.
(1) WLDI is developing Chiropractic Guidelines with CCGPP and
(2) they have a joint “frequency and duration of effective chiropractic treatment”. This is in direct conflict with the Gobbledygook spread by CCGPPers on the chat rooms. CCGPP claims that they have no “frequency and duration,” while their associate company, WLDI, claimed they do. We choose to believe the archived web sites for the 6 visits in 2 weeks.
It’s time for CCGPP to be withdrawn. We discovered and pointed out their possible financial and other conflicts of interest. We pointed out their use of Level 1 (RCTS) and Level 5 (opinion) evidence while leaving out Levels 2, 3, and 4. I continued to counter their gobbledygook each time they wrote it, because I did not want the hundred or so DCs on the different chat rooms to think that CCGPPers were telling facts. In fact, we caught them in many untruths and then they would switch their defenses to a different story.
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