RE: PEBB - Place for input?

[Guest guest]

I agree with Dr. Rueger's response. Perhaps to your first definition below, we can add how we accomplish this: through physical therapy, adjusting of bony articulations particularly of the spine in order to optimize neurological function and expression.......

ph Medlin D.C.

From: Jamey Dyson

Sent: Saturday, February 26, 2011 1:33 PM

Sharron Fuchs

Cc: Oregon

Subject: Re: PEBB - Place for input?

Okay, without the word "genetic":

“Doctor of Chiropractic†means

A primary care physician who’s objective is to help a person restore and maintain optimal physical, bio-chemical, mental/emotional, and social health by addressing the stressors that interfere with the normal expression of health.

Additional proposed language:

Doctors of Chiropractic may or may not provide diagnosis and treatment of specific conditions or diseases, as restoration of optimal health involves restoring function beyond measurable signs and symptoms of disease. Functional measurements of physiology, lifestyle choices, behavior patterns, and psycho-social patterns are used to assess a person's level of health.

Other suggestions?

Jamey Dyson, DC

On Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:

I'd remove genetic otherwise I like it. Post to list serve?Sharron

Sent from my iPhone

On Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:

Here's something I came up with:

“Doctor of Chiropractic†means

A primary care physician who’s objective is to help a person restore and maintain optimal physical, bio-chemical, mental/emotional, and social health by addressing the stressors that interfere with the normal genetic expression of health.

Jamey Dyson, DC

On Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:

Can you write a definition for us to look at?Sharron

Sent from my iPhone

On Feb 26, 2011, at 9:01 AM, "Jamey Dyson" <drjdyson1@...> wrote:

I think we currently fit in as alternative neuro-musculoskeletal specialists. Just look at our ORS definition:

“Chiropractic†is defined as:

(a) That system of adjusting with the hands the articulations of the bony framework of the human body, and the employment and practice of physiotherapy, electrotherapy, hydrotherapy and minor surgery.

( The chiropractic diagnosis, treatment and prevention of body dysfunction; correction, maintenance of the structural and functional integrity of the neuro-musculoskeletal system and the effects thereof or interferences therewith by the utilization of all recognized and accepted chiropractic diagnostic procedures and the employment of all rational therapeutic measures as taught in approved chiropractic colleges.

Our main competition, as we currently fit in, is with physical therapists who are doing many of the same things we are doing. They are obviously in the mainstream and are not viewed as "alternative". They are the standard specialists that MD's and DO's refer to. We get all the dissatisfied people who have tried other things and didn't get results OR we get the few brave souls who are willing to think for themselves and try something new (this usually comes via patient referrals). We have not allowed ourselves to integrate into the mainstream... I think this is good, because the mainstream has the wrong health paradigm (treating the symptomatic effects of unhealthy lifestyles).

Looking at our ORS definition, it is difficult to see us as PCP wellness lifestyle experts. Let's look at the naturopath's ORS definition:

“Naturopathic medicine†means the

discipline that includes physiotherapy,

natural healing processes and minor surgery

and has as its objective the maintaining of

the body in, or of restoring it to, a state of

normal health.

I like this definition. It's simple, clean and easy to understand. Our definition is all over the place. If we want to step up and play a bigger role in health care in Oregon, then I think we need to start by defining our profession in a more simple, clear, and easy to understand way that encompasses our potential role as PCP wellness lifestyle experts. This is the type of doctor that is needed to fix the health care system... this is the doctor of the future.

We have the right philosophy for health (the body is self healing as long as nothing is interfering with that process) - are we ready to step up and practice according to that philosophy by helping people remove the interferences (lifestyle toxicity and deficiency)?

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic - a licensed

Eat Well Move Well Think Well ® Center

1295 Wallace Rd NW â— Salem, OR 97304

Phone 503-361-3949 â— Fax 503-763-6444

www.advanced-chiropractic-west-salem.com

On Feb 25, 2011, at 2:22 PM, Sharron Fuchs wrote:

The Naturopaths are everywhere. Linked up. Rotating around. They still have some problems but they are EVERYWHERE.

You are NOT going to change the allopathic mentality. We are fighting over limited dollars. You have to figure out how to fit in. Either you want in the system or you don’t. If you don’t that is fine. If you do then you have to mesh. Work collaboratively. Change hearts and minds from the inside.

s. fuchs dc

From: Sunny Kierstyn [mailto:skrndc1@...] Sent: Friday, February 25, 2011 2:17 PMSharron FuchsCc: Subject: RE: PEBB - Place for input?

Your last sentence seems not quite right to me .... 'light years ahead' seems a bit of an exaggeration. Getting an 'all clear' from an MD means he can't/didn't find any disease markers. That is ALL he/she is looking for. Getting the populace tpimderstand that disease doesn't/can't happen without (usually longstanding) structural dysfunctions and according that dysfunction with power enought to create disease seems to be where we are today. My talks around town are wrapped around that perception. A few light bulbs go one as I talk but too many still look back at me with incomprehending stares...."aw, that can't be or my doctor would have told me about it' seems to be the underlying belief. The marketing of the allopathic system has caused people to believe they are the portal.THAT's what we need to change. Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

CC: From: sharronf@...Date: Fri, 25 Feb 2011 14:10:20 -0800Subject: RE: PEBB - Place for input?

Good point. I believe the Health Transformation Team is laying the foundation for all Oregonians in National Healthcare Reform. We have to fit in. Yearly physicals can bring people in to start getting them healthy and therefore reduce costs. It is all about reducing costs. Plus you have to fit in with other practitioners. We are not going to replace MD PCPs. We have to work with them. So how to do it is the question. Figure that out. Write it down and submit it. Working with legislators is great but a lot is going on now that they don’t involve themselves with. Nor will they mandate your inclusion unless you have a record of being part of the solution. The NDs are light years in front of us.

s. fuchs dc

From: Sunny Kierstyn [mailto:skrndc1@...] Sent: Friday, February 25, 2011 2:03 PMSharron FuchsCc: Subject: RE: PEBB - Place for input?

When was the last time anyone here had someone in for 'a yearly physical'? sk

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

CC: From: sharronf@...Date: Fri, 25 Feb 2011 12:48:29 -0800Subject: RE: PEBB - Place for input?

But now the panel is MD, DC, ND examining and formulating a diagnosis and plan. This in and of itself changes everything.

s. fuchs dc

From: Sunny Kierstyn [mailto:skrndc1@...] Sent: Friday, February 25, 2011 12:30 PMSharron FuchsCc: Subject: RE: PEBB - Place for input?

The 'mandate' for a yearly exam has been around for years. People show up totheir MD frequently (!!!!!!!) for their 'yearly' only to be told that 'there is nothing wrong'. Meantime, they are walking with an antalgic lean and endure pain every day at their midback with a headach happening more than several times/week (or some such scenario).... but they are sent away with 'nothing wrong'. Looking for structural or nutritional influences doesn't occur to an MD. Remember what we were taught?: If no pain, there is no problem. People still buy that belief. There is a reason why the allopaths are fighting so hard to keep us out. But the bottle is open and the Oregon legislature is surrounded by (chiropractic) genies! They are learning! Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

CC: From: sharronf@...Date: Fri, 25 Feb 2011 12:17:20 -0800Subject: RE: PEBB - Place for input?

That is what I have been knocking my head over. Anything we think of has to be with the ‘Medical Home’ concept. I gave some suggestions to Vern for the Health Transformation Team. Get a group of first rate thinkers together , which I am not. I would put in to writing, whatever you come up with, and submit it… My own thoughts were for a mandatory yearly physical exam with a panel of Drs. MD, ND, DC. Diagnoses are made, if there are ones to be made. A plan is developed for care and implemented. ( you think of the care plans to submit). Think simple as really most people are relatively healthy and need little help. Those needing more need a little more help. Those truly sick need a bunch of help that may be out of our hands to help. Get the idea mandated for a pilot study of at least 3 years. Keep data and go from there.

That is so lacking in details it isn’t funny. But basically the mandate is to cover more people with less money. I see our society as a ‘do over’ for the wellness concept starting with pre-pregnancy counseling.

s. fuchs dc

From: Sunny Kierstyn [mailto:skrndc1@...] Sent: Friday, February 25, 2011 11:52 AMSharron FuchsCc: Subject: RE: PEBB - Place for input?

how could/would that work Sharon? Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

CC: From: sharronf@...Date: Fri, 25 Feb 2011 11:50:36 -0800Subject: RE: PEBB - Place for input?

Offer a plan with the Medical Home concept.

s.fuchs dc

From: Sears [mailto:dm.bones@...] Sent: Friday, February 25, 2011 11:46 AMSharron FuchsCc: Subject: Re: PEBB - Place for input?

If we could be so fortunate professionally to be mandated by the OHA to be part of an annual examination process for all Oregon citizens, from a chiropractic POV, it would be a huge step for both us and the State. The big hurdle for patients undertaking changes in lifestyle habits is accessibility. "How do I get better (without spending a bunch of money), doc?" should be the question we are each asking ourselves now. But first, we need to be an upfront part of examinations, not a referral based on other less informed examiner's POV, before we can influence patient unhealthy habits.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Feb 25, 2011, at 10:13 AM, Sharron Fuchs wrote:

http://www.thelundreport.org/resource/state_employees_impacted_by_rising_healthcare_costs?

s. fuchs dc