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RE: PEBB - Place for input?

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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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn 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

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Offer a plan with the Medical Home

concept.

s.fuchs dc

From: Sears

[mailto:dm.bones@...]

Sent: Friday, February 25, 2011

11:46 AM

Sharron Fuchs

Cc:

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

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why do you think we are spending so much time knocking on the brains of legislators?!

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: To: sharronf@...From: dm.bones@...Date: Fri, 25 Feb 2011 11:45:41 -0800Subject: 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

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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

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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 AM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 11:50:36 -0800

Subject: 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 AM

Sharron Fuchs

Cc:

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

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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

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Posted
Posted

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 PM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 12:17:20 -0800

Subject: 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 AM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 11:50:36 -0800

Subject: 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 AM

Sharron Fuchs

Cc:

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

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Dear Dr. Kierstyn,We define in order to create. Can you contribute to the definition? Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 25, 2011, at 11:50 AM, Sunny Kierstyn wrote: why do you think we are spending so much time knocking on the brains of legislators?! 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: To: sharronf@...From: dm.bones@...Date: Fri, 25 Feb 2011 11:45:41 -0800Subject: 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

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Sent from my U.S. Cellular BlackBerry® smartphoneFrom: Sharron Fuchs <sharronf@...>Sender: Date: Fri, 25 Feb 2011 12:48:29 -0800Cc: < >Subject: RE: PEBB - Place for input? But now the panel is MD, DC, ND examiningand formulating a diagnosis and plan. This in and of itself changes everything. s. fuchs dc From: Sunny Kierstyn[mailto:skrndc1@...] Sent: Friday, February 25, 201112:30 PMSharron FuchsCc: Subject: RE: PEBB- Place for input? The 'mandate' for a yearly exam hasbeen around for years. People show up totheir MD frequently(!!!!!!!) for their 'yearly' only to be told that 'there is nothingwrong'. Meantime, they are walking with an antalgic lean and endure painevery day at their midback with a headach happening more than severaltimes/week (or some such scenario).... but they are sent away with 'nothingwrong'. Looking for structural or nutritional influences doesn'toccur 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 arefighting so hard to keep us out. But the bottle is open and the Oregon legislature issurrounded by (chiropractic) genies! They are learning! Sunny Sunny Kierstyn, RN DC Fibromyalgia CareCenter 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 headover. 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 towriting, whatever you come up with, and submit it… My own thoughts werefor a mandatory yearly physical exam with a panel of Drs. MD, ND, DC. Diagnosesare made, if there are ones to be made. A plan is developed for care andimplemented. ( you think of the care plans to submit). Think simple as reallymost people are relatively healthy and need little help. Those needing moreneed a little more help. Those truly sick need a bunch of help that may be outof our hands to help. Get the idea mandated for a pilot study of at least 3years. Keep data and go from there. That is so lacking in details itisn’t funny. But basically the mandate is to cover more people with lessmoney. I see our society as a ‘do over’ for the wellness conceptstarting with pre-pregnancy counseling. s. fuchs dc From: Sunny Kierstyn[mailto:skrndc1@...] Sent: Friday, February 25, 201111:52 AMSharron FuchsCc: Subject: RE: PEBB- Place for input? how could/would that work Sharon? SunnySunny Kierstyn, RN DC Fibromyalgia CareCenter 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 Homeconcept. s.fuchs dc From: Sears[mailto:dm.bones@...] Sent: Friday, February 25, 201111:46 AMSharron FuchsCc: Subject: Re: PEBB- Place for input? If we could be so fortunate professionally to be mandated by the OHA tobe part of an annual examination process for all Oregon citizens, from a chiropractic POV, itwould be a huge step for both us and the State. The big hurdle forpatients 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, weneed to be an upfront part of examinations, not a referral based on other lessinformed examiner's POV, before we can influence patient unhealthy habits. Sears, DC, IAYT1218 NW 21st AvePortland,Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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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

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Not sure what you are after ...my only point is that we are diligently working - through contacts with the legislature - to do just what you are defining ..... come and join us!

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: sharronf@...; From: dm.bones@...Subject: Re: PEBB - Place for input?Date: Fri, 25 Feb 2011 13:14:56 -0800skrndc1@...Dear Dr. Kierstyn,

We define in order to create. Can you contribute to the definition?

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 11:50 AM, Sunny Kierstyn wrote:

why do you think we are spending so much time knocking on the brains of legislators?! 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: To: sharronf@...From: dm.bones@...Date: Fri, 25 Feb 2011 11:45:41 -0800Subject: 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

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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 PM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 12:48:29 -0800

Subject: 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 PM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 12:17:20 -0800

Subject: 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 AM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 11:50:36 -0800

Subject: 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 AM

Sharron Fuchs

Cc:

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

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Share on other sites
Guest guest

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Posted
Posted

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

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Share on other sites
Guest guest

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Posted
Posted

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 PM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 14:10:20 -0800

Subject: 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 PM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 12:48:29 -0800

Subject: 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 PM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 12:17:20 -0800

Subject: 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 AM

Sharron Fuchs

Cc:

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, 7C

Eugene, Oregon,

97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com

CC:

From: sharronf@...

Date: Fri, 25 Feb 2011 11:50:36 -0800

Subject: 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 AM

Sharron Fuchs

Cc:

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

Link to comment
Share on other sites
Guest guest

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Posted
Posted

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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Okay, without the word "genetic": “Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:I'd remove genetic otherwise I like it. Post to list serve?SharronSent from my iPhoneOn Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Do we want to still maintain our place as the profession with the most training in adjusting bony articulations? Our patients and much of the public see us as spine specialists; I would think we want to keep that. We don't want to throw the baby out with the bathwater....How about incorporating some of our current definition and keeping wording that clearly allows us to do all that we currently do. If we don't spell it out, someone else may take it as theirs and we could lose some of what we have.

Janet L Rueger, DCCertified in CraniopathyCertified BodyTalk Practitioner149 Clear Creek Dr., # 105Ashland, OR, 97520541-690-6799bodytalk@...

On Feb 26, 2011, at 1:33 PM, Jamey Dyson wrote:

Okay, without the word "genetic": “Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:I'd remove genetic otherwise I like it. Post to list serve?SharronSent from my iPhoneOn Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Yes, it is wonderful to have adjusting language in our definition because that is our primary service, but we have to understand that it is only ONE component of restoring and maintaining a person's overall health. I want DCs to be looked at as the place to go to get HEALTHY, not only to get adjusted. I believe if we are going to survive in the future as a profession, we have to RETAIN our spine specialist role AND become primary care wellness & prevention experts. The combination of chiropractic care and wellness lifestyle change could take care of most of the chronic illness people are suffering from. To me, it's ALL about getting sick people well again - patient outcomes. How can we define ourselves as the go-to profession to get sick people well? Right now, the naturopaths definitely have the edge in Oregon. When people realize drugs aren't the answer to their chronic illness, they are turning to the naturopaths, not chiropractors. They are still getting a lot of sickness care with naturopaths, but naturopaths have the correct philosophy and they are working toward removing toxicity and deficiency.Nationally, however naturopaths are licensed in only 15 states, so they do not have the ability at this point to affect the direction of health care nationally. Chiropractors are licensed in ALL states. We work with the correct philosophy of health. We are the ONLY natural, wellness-minded profession that has the ability to impact health care across the country. We need to step up and take responsibility for our own health, our family's health, and our patient's health. We KNOW how to get sick people well. Most Oregonians DON'T KNOW what we know! That needs to change. How can we change that?(By the way, if you don't know how to get sick people well, then go to Dr. Chestnut's wellness seminars - he is coming to Portland this year.)Jamey Dyson, DC On Feb 26, 2011, at 8:01 PM, Janet L Rueger, DC wrote:Do we want to still maintain our place as the profession with the most training in adjusting bony articulations? Our patients and much of the public see us as spine specialists; I would think we want to keep that. We don't want to throw the baby out with the bathwater....How about incorporating some of our current definition and keeping wording that clearly allows us to do all that we currently do. If we don't spell it out, someone else may take it as theirs and we could lose some of what we have.Janet L Rueger, DCCertified in CraniopathyCertified BodyTalk Practitioner149 Clear Creek Dr., # 105Ashland, OR, 97520541-690-6799bodytalk@...On Feb 26, 2011, at 1:33 PM, Jamey Dyson wrote:Okay, without the word "genetic": “Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:I'd remove genetic otherwise I like it. Post to list serve?SharronSent from my iPhoneOn Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Jamey,

The patient may think it is wonderful until the N.D. puts his hands on their back and attempts to administer a chiropractic adjustment. That is when the excitement of the new loses some of it's luster and they have to return to their D.C. for a correction of the N.D.s' screwup (A scene that has been repeated numerous times in my office.)

It is then that they realize that their newfound doctor has limited abilities and is not in possession of a panacea

that will cure all that ails them.

Herb Freeman D.C.

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

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One of the reasons I see us not becoming a go-to doc is the lack of emphasis that we, as a profession, has done about marketing our nutrition and/or herbal usage. Allopathic medicine has taught the populace to 'take something', so that mentality is already built in. We've been basically marketing 'drug free' that somehow got seems to have been extrapolated into a 'no pills' concept. The populace knows that NDs will suggest pills - feeding into their already established habit - so they go that direction first. We haven't yet reaced the 100th monkey with the 'think structure first' mentality. Ann Goldeen and I are going to be doing a session on her radio show on just that subject on April 26: how the current diseases get named so as to prevent one from thinking of it as a structural or nutritional problem....We'll figure out how to turn that thought around to a positive one between now and then but that's the gist....teaching people to think structure, either first or at least with! 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: SharronF@...; To: bodytalk@...From: drjdyson1@...Date: Sun, 27 Feb 2011 07:35:04 -0800Subject: Re: PEBB - Place for input? Yes, it is wonderful to have adjusting language in our definition because that is our primary service, but we have to understand that it is only ONE component of restoring and maintaining a person's overall health. I want DCs to be looked at as the place to go to get HEALTHY, not only to get adjusted. I believe if we are going to survive in the future as a profession, we have to RETAIN our spine specialist role AND become primary care wellness & prevention experts. The combination of chiropractic care and wellness lifestyle change could take care of most of the chronic illness people are suffering from. To me, it's ALL about getting sick people well again - patient outcomes. How can we define ourselves as the go-to profession to get sick people well? Right now, the naturopaths definitely have the edge in Oregon. When people realize drugs aren't the answer to their chronic illness, they are turning to the naturopaths, not chiropractors. They are still getting a lot of sickness care with naturopaths, but naturopaths have the correct philosophy and they are working toward removing toxicity and deficiency.Nationally, however naturopaths are licensed in only 15 states, so they do not have the ability at this point to affect the direction of health care nationally. Chiropractors are licensed in ALL states. We work with the correct philosophy of health. We are the ONLY natural, wellness-minded profession that has the ability to impact health care across the country. We need to step up and take responsibility for our own health, our family's health, and our patient's health. We KNOW how to get sick people well. Most Oregonians DON'T KNOW what we know! That needs to change. How can we change that?(By the way, if you don't know how to get sick people well, then go to Dr. Chestnut's wellness seminars - he is coming to Portland this year.)Jamey Dyson, DC On Feb 26, 2011, at 8:01 PM, Janet L Rueger, DC wrote:Do we want to still maintain our place as the profession with the most training in adjusting bony articulations? Our patients and much of the public see us as spine specialists; I would think we want to keep that. We don't want to throw the baby out with the bathwater....How about incorporating some of our current definition and keeping wording that clearly allows us to do all that we currently do. If we don't spell it out, someone else may take it as theirs and we could lose some of what we have.Janet L Rueger, DCCertified in CraniopathyCertified BodyTalk Practitioner149 Clear Creek Dr., # 105Ashland, OR, 97520541-690-6799bodytalk@...On Feb 26, 2011, at 1:33 PM, Jamey Dyson wrote:Okay, without the word "genetic": “Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:I'd remove genetic otherwise I like it. Post to list serve?SharronSent from my iPhoneOn Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Thank you, Dr. Dyson, for your good efforts in clarifying our objectives during this critical reform period. We need such clarity if we are to tell a public story that best serves us all, docs and citizens alike. Because gravity is so ubiquitous, we tend to forget it's importance to our profession. Nobel laureate brain researcher Speery tells us that "better than 90% of the brain's activity just goes to keeping us upright in gravity; the better our posture, the more energy we have for self-healing."This is an important link that connects chiropractic with deep self-healing capacities: we are the ones who tend to the care of the human frame. Other professions deal with good nutrition and appropriate exercise, but chiropractic is seen by the public as the leader in treating pain arising from the body. We can choose to be the pain relievers, and we can choose to be the teachers of how that body pain arises and can be overcome by personal responsibility.Gravity and injuries train our bodies via the nervous system to lean into compensated comfort for relief, rather than onto our bones with soft muscles worn like a fine tailored suit. The compensations drive people to our offices for pain relief. It is fundamental to our continued success to be deeply engaged in teaching the "feeling tone" of a good relationship to gravity. We can take away that pain by passive attention to the patient, but we must also teach the personal responsibilities associated with deep levels of self-healing needed to truly reform American health care. It should include simply sitting upright daily, aligned in gravity as easily as possible, combined with daily resting in aligned postures that open the spine intentionally at critical angles. This is the ground of chiropractic's history and the direction consistent with it's integrated future. No other profession can claim such history with the health of the human frame. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 27, 2011, at 7:35 AM, Jamey Dyson wrote: Yes, it is wonderful to have adjusting language in our definition because that is our primary service, but we have to understand that it is only ONE component of restoring and maintaining a person's overall health. I want DCs to be looked at as the place to go to get HEALTHY, not only to get adjusted. I believe if we are going to survive in the future as a profession, we have to RETAIN our spine specialist role AND become primary care wellness & prevention experts. The combination of chiropractic care and wellness lifestyle change could take care of most of the chronic illness people are suffering from. To me, it's ALL about getting sick people well again - patient outcomes. How can we define ourselves as the go-to profession to get sick people well? Right now, the naturopaths definitely have the edge in Oregon. When people realize drugs aren't the answer to their chronic illness, they are turning to the naturopaths, not chiropractors. They are still getting a lot of sickness care with naturopaths, but naturopaths have the correct philosophy and they are working toward removing toxicity and deficiency.Nationally, however naturopaths are licensed in only 15 states, so they do not have the ability at this point to affect the direction of health care nationally. Chiropractors are licensed in ALL states. We work with the correct philosophy of health. We are the ONLY natural, wellness-minded profession that has the ability to impact health care across the country. We need to step up and take responsibility for our own health, our family's health, and our patient's health. We KNOW how to get sick people well. Most Oregonians DON'T KNOW what we know! That needs to change. How can we change that?(By the way, if you don't know how to get sick people well, then go to Dr. Chestnut's wellness seminars - he is coming to Portland this year.)Jamey Dyson, DC On Feb 26, 2011, at 8:01 PM, Janet L Rueger, DC wrote:Do we want to still maintain our place as the profession with the most training in adjusting bony articulations? Our patients and much of the public see us as spine specialists; I would think we want to keep that. We don't want to throw the baby out with the bathwater....How about incorporating some of our current definition and keeping wording that clearly allows us to do all that we currently do. If we don't spell it out, someone else may take it as theirs and we could lose some of what we have.Janet L Rueger, DCCertified in CraniopathyCertified BodyTalk Practitioner149 Clear Creek Dr., # 105Ashland, OR, 97520541-690-6799bodytalk@...On Feb 26, 2011, at 1:33 PM, Jamey Dyson wrote:Okay, without the word "genetic": “Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:I'd remove genetic otherwise I like it. Post to list serve?SharronSent from my iPhoneOn Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Great stuff Dr. Sears! Makes me think of one of my favorite quotes, "The doctor of the future will give no medicine, but will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease." - Edison, 1902. Maybe that's how we should define ourselves: "a primary care physician who gives no medicine, but provides services and education in the care of the human frame, in diet, and in the cause and prevention of disease." Jamey Dyson, DCOn Feb 27, 2011, at 9:36 AM, Sears wrote:Thank you, Dr. Dyson, for your good efforts in clarifying our objectives during this critical reform period. We need such clarity if we are to tell a public story that best serves us all, docs and citizens alike. Because gravity is so ubiquitous, we tend to forget it's importance to our profession. Nobel laureate brain researcher Speery tells us that "better than 90% of the brain's activity just goes to keeping us upright in gravity; the better our posture, the more energy we have for self-healing."This is an important link that connects chiropractic with deep self-healing capacities: we are the ones who tend to the care of the human frame. Other professions deal with good nutrition and appropriate exercise, but chiropractic is seen by the public as the leader in treating pain arising from the body. We can choose to be the pain relievers, and we can choose to be the teachers of how that body pain arises and can be overcome by personal responsibility.Gravity and injuries train our bodies via the nervous system to lean into compensated comfort for relief, rather than onto our bones with soft muscles worn like a fine tailored suit. The compensations drive people to our offices for pain relief. It is fundamental to our continued success to be deeply engaged in teaching the "feeling tone" of a good relationship to gravity. We can take away that pain by passive attention to the patient, but we must also teach the personal responsibilities associated with deep levels of self-healing needed to truly reform American health care. It should include simply sitting upright daily, aligned in gravity as easily as possible, combined with daily resting in aligned postures that open the spine intentionally at critical angles. This is the ground of chiropractic's history and the direction consistent with it's integrated future. No other profession can claim such history with the health of the human frame. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 27, 2011, at 7:35 AM, Jamey Dyson wrote:Yes, it is wonderful to have adjusting language in our definition because that is our primary service, but we have to understand that it is only ONE component of restoring and maintaining a person's overall health. I want DCs to be looked at as the place to go to get HEALTHY, not only to get adjusted. I believe if we are going to survive in the future as a profession, we have to RETAIN our spine specialist role AND become primary care wellness & prevention experts. The combination of chiropractic care and wellness lifestyle change could take care of most of the chronic illness people are suffering from. To me, it's ALL about getting sick people well again - patient outcomes. How can we define ourselves as the go-to profession to get sick people well? Right now, the naturopaths definitely have the edge in Oregon. When people realize drugs aren't the answer to their chronic illness, they are turning to the naturopaths, not chiropractors. They are still getting a lot of sickness care with naturopaths, but naturopaths have the correct philosophy and they are working toward removing toxicity and deficiency.Nationally, however naturopaths are licensed in only 15 states, so they do not have the ability at this point to affect the direction of health care nationally. Chiropractors are licensed in ALL states. We work with the correct philosophy of health. We are the ONLY natural, wellness-minded profession that has the ability to impact health care across the country. We need to step up and take responsibility for our own health, our family's health, and our patient's health. We KNOW how to get sick people well. Most Oregonians DON'T KNOW what we know! That needs to change. How can we change that?(By the way, if you don't know how to get sick people well, then go to Dr. Chestnut's wellness seminars - he is coming to Portland this year.)Jamey Dyson, DC On Feb 26, 2011, at 8:01 PM, Janet L Rueger, DC wrote:Do we want to still maintain our place as the profession with the most training in adjusting bony articulations? Our patients and much of the public see us as spine specialists; I would think we want to keep that. We don't want to throw the baby out with the bathwater....How about incorporating some of our current definition and keeping wording that clearly allows us to do all that we currently do. If we don't spell it out, someone else may take it as theirs and we could lose some of what we have.Janet L Rueger, DCCertified in CraniopathyCertified BodyTalk Practitioner149 Clear Creek Dr., # 105Ashland, OR, 97520541-690-6799bodytalk@...On Feb 26, 2011, at 1:33 PM, Jamey Dyson wrote:Okay, without the word "genetic": “Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:I'd remove genetic otherwise I like it. Post to list serve?SharronSent from my iPhoneOn Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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Jamey, you are right on! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724CC: SharronF@...; To: bodytalk@...From: drjdyson1@...Date: Sun, 27 Feb 2011 07:35:04 -0800Subject: Re: PEBB - Place for input? Yes, it is wonderful to have adjusting language in our definition because that is our primary service, but we have to understand that it is only ONE component of restoring and maintaining a person's overall health. I want DCs to be looked at as the place to go to get HEALTHY, not only to get adjusted. I believe if we are going to survive in the future as a profession, we have to RETAIN our spine specialist role AND become primary care wellness & prevention experts. The combination of chiropractic care and wellness lifestyle change could take care of most of the chronic illness people are suffering from. To me, it's ALL about getting sick people well again - patient outcomes. How can we define ourselves as the go-to profession to get sick people well? Right now, the naturopaths definitely have the edge in Oregon. When people realize drugs aren't the answer to their chronic illness, they are turning to the naturopaths, not chiropractors. They are still getting a lot of sickness care with naturopaths, but naturopaths have the correct philosophy and they are working toward removing toxicity and deficiency.Nationally, however naturopaths are licensed in only 15 states, so they do not have the ability at this point to affect the direction of health care nationally. Chiropractors are licensed in ALL states. We work with the correct philosophy of health. We are the ONLY natural, wellness-minded profession that has the ability to impact health care across the country. We need to step up and take responsibility for our own health, our family's health, and our patient's health. We KNOW how to get sick people well. Most Oregonians DON'T KNOW what we know! That needs to change. How can we change that?(By the way, if you don't know how to get sick people well, then go to Dr. Chestnut's wellness seminars - he is coming to Portland this year.)Jamey Dyson, DC On Feb 26, 2011, at 8:01 PM, Janet L Rueger, DC wrote:Do we want to still maintain our place as the profession with the most training in adjusting bony articulations? Our patients and much of the public see us as spine specialists; I would think we want to keep that. We don't want to throw the baby out with the bathwater....How about incorporating some of our current definition and keeping wording that clearly allows us to do all that we currently do. If we don't spell it out, someone else may take it as theirs and we could lose some of what we have.Janet L Rueger, DCCertified in CraniopathyCertified BodyTalk Practitioner149 Clear Creek Dr., # 105Ashland, OR, 97520541-690-6799bodytalk@...On Feb 26, 2011, at 1:33 PM, Jamey Dyson wrote:Okay, without the word "genetic": “Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 12:40 PM, Sharron Fuchs wrote:I'd remove genetic otherwise I like it. Post to list serve?SharronSent from my iPhoneOn Feb 26, 2011, at 11:43 AM, "Jamey Dyson" <drjdyson1@...> wrote:Here's something I came up with:“Doctor of Chiropractic†meansA 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, DCOn Feb 26, 2011, at 10:27 AM, Sharron Fuchs wrote:Can you write a definition for us to look at?SharronSent from my iPhoneOn 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.(B) 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 thediscipline that includes physiotherapy,natural healing processes and minor surgeryand has as its objective the maintaining ofthe body in, or of restoring it to, a state ofnormal 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, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well ® Center1295 Wallace Rd NW ◠Salem, OR 97304Phone 503-361-3949 ◠Fax 503-763-6444www.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. SunnySunny 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'? skSunny 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! SunnySunny 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? SunnySunny 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, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.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

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