MD, PhD, FMedSci, FRSB, FRCP, FRCPEd.

Chiropractors will never cease to amuse and amaze me. Today, I received this comment to a recent post of mine; its author is a chiropractor by the name of SD White (I never met the man [surely it’s a man] and don’t know where he’s from):

Someone is suffering from a love of credentials (small penis?) and a sour disposition who has zero actual information about a profession of which he is not a member. So this is how you choose to spend your days? What a royal disappointment you must be to family, friends, and others with your extremely disjointed and disgruntled opinions. Which no one requested. Rating: 1/10

This type of hilarity encouraged me to write a post about chiropractic which fulfils some of SD White’s criteria: no one requested it, and it has zero actual information. But I hope it adds to the hilarity chiropractic so often creates.

The article it refers to is entitled ‘Chiropractic in global health and well being’.  When I read such a headline, my BS-detectors starts running amok, and my BS-corrector automatically springs into action.

In the following, I will show you some excerpts from this paper – first in its original version and subsequently in the version altered by my BS-corrector.

ENJOY

_______________________________________________________________________________________________________ 

 

The abstract:

The World Federation of Chiropractic supports the involvement of chiropractors in public health initiatives, particularly as it relates to musculoskeletal health. Three topics within public health have been identified that call for a renewed professional focus. These include healthy ageing; opioid misuse; and women’s, children’s, and adolescents’ health. The World Federation of Chiropractic aims to enable chiropractors to proactively participate in health promotion and prevention activities in these areas, through information dissemination and coordinated partnerships. Importantly, this work will align the chiropractic profession with the priorities of the World Health Organization. Successful engagement will support the role of chiropractors as valued partners within the broader healthcare system and contribute to the health and wellbeing of the communities they serve.

Passage from the paper:

The WFC’s Public Health Committee has committed to an expanded agenda that focuses on three new priority areas of public health: healthy ageing; opioid overuse and misuse; and women’s, children’s, and adolescents’ health. These were chosen for their alignment with WHO priorities, and the chiropractic profession’s ability to uniquely contribute to each through the lens of musculoskeletal health. The goal is to enhance the ability for chiropractors to actively engage in health promotion activities in alignment with WHO priority areas and pursue collaborative work to increase global attention on these important public health issues. As a first step, the WFC will focus on providing key strategies that chiropractors in primary care settings can focus on bridging their work in primary care and population health. The WFC has developed position statements and proposed public health strategies for each priority area, as described below.

The conclusion

The WFC commits to promoting and facilitating public health strategies for chiropractors to implement in practice. Healthy ageing, opioid misuse, and supporting women’s, children’s and adolescents’ health are priority areas of initial focus. This work builds on the shared goal of primary care and population health, through the prevention of illness, promoting health, improving patient care, and addressing contextual factors in a collaborative and evidence-based manner. Future work in public health for the chiropractic profession should also focus on broader roles such as community engagement and the creation of sustainable systems, engaging key stakeholders locally and globally.

______________________________________________________________________________

VERISON BY BS-CORRECTOR

The abstract:

The World Federation of Chiropractic supports the involvement of chiropractors in fleecing the public, particularly as it relates to musculoskeletal health. Three topics within chiropractic wealth have been identified that call for a boost in our cash flow. These include healthy ageing; opioid misuse; and women’s, children’s, and adolescents’ health. The World Federation of Chiropractic aims to enable chiropractors to proactively participate in misinforming the public in these areas, through coordinated partnerships with anyone who can be fooled. Importantly, this work will be camouflaged such that it seemingly aligns the chiropractic profession with the priorities of the World Health Organization. Successful engagement will support the wealth of chiropractors within the broader healthcare system but will contribute little to the health and wellbeing of the communities they pretend to serve.

Passage from the paper:

The WFC’s Public Health Committee has committed to an expanded agenda that focuses on three new priority areas for generating chiropractic wealth: healthy ageing; opioid overuse and misuse; and women’s, children’s, and adolescents’ health. These were chosen even though there is no good evidence to show that chiropractic might meaningfully contribute to any of them. The goal is to enhance the ability of chiropractors to actively engage in wealth creation activities in alignment with their financial aspirations. As a first step, the WFC will focus on providing key strategies that chiropractors in primary care settings can focus on for misleading the public. The WFC has developed position statements and proposed wealth strategies for each priority area, as described below.

The conclusion

The WFC commits to promoting and facilitating wealth strategies for chiropractors to implement in practice. Healthy ageing, opioid misuse, and supporting women’s, children’s and adolescents’ health are priority areas of initial focus. This work builds on many years of misleading the public into believing that chiropractors do more good than harm in any of these areas. Future work in generating wealth for the chiropractic profession should also focus on broader roles such as community engagement and the creation of sustainable systems, exploiting key stakeholders locally and globally.

 __________________________________________________________________________

Yes, I know, my BS-corrector is very harsh, impolite and sarcastic. You must forgive it, please. I nevertheless hope this is a small contribution – not to chiropractic, but to its hilarity.

53 Responses to If you don’t like satire and sarcasm (or happen to be a chiropractor), please don’t read this

  • And should he deign to respond, perhaps Chiro CD White will explain to us why he chose to study and train in ‘chiropractic’ (“Founded on different principles to those of medicine”, as DD Palmer stated) – rather than a conventional healthcare profession such as physiotherapy, nursing or medicine. Or even osteopathy.

    • Wow, I’m almost famous!

      First, it is SD. Precision matters if you’re going to call someone out. Second, not a male! But how amusing that was everyone in this thread’s assumption. Am I a chiropractor? Or, own an advertising sales firm? Maybe write and teach basic science courses for graduate health programs? A circus performer in training? Retired from the daily grind? Or maybe travelling in a macdaddy RV and working remote in IT? 😉 Have a lovely time dissecting further, if that’s your gig. Happy summer!

      • It is a regrettable phenomenon of the last 15 or 20 years that it became fashionable to be proud of being ignorant. This with remarkable success, being famous nowadays seems to be more important than being knowledgeable or promoting beneficial human values.
        The unfortunate attitude that every opinion should be respected equally, even if it´s stupid and expressed by a moron (male or female), is promoted by many politicians and TV/movie stars and has even led to Donald Trump being elected to the most powerful positions in the world. I am old enough to remember the time before Paris Hilton and the Kardashians, when people tended to be embarrassed when called out for being ignorant.
        It is my sincere hope that this regrettable current development will only be a brief period in time and that future generations will look back at it with amazement and a certain degree of disbelieve.
        Until then, enjoy your fame, SD White, you deserve it.

    • Apologies to S D White – that’s the problem with posting without a clear identity.
      But are you a ‘chiropractor’.
      If so, can you answer my questions?
      If not, why not?

      Many thanks.

      Richard
      Sometime Consultant Charlatan but also a registered medical practitioner (GMC UK)

    • Since moving to France from the UK over ten years ago, I am constantly amazed that, despite their very high quality health system here, there are so many alternative practitioners of all kinds. Woo is rampant here.
      Interestingly, one of the reasons seems to be the control exerted by Social Services over the numbers trained of, amongst other professions, physiotherapists.
      Because of this harsh and irrational control, many who wish to become physiotherapists cannot do so. Thus they are almost forced to look at the ‘alternatives‘. Many of those will, of course buy into their particular form of magic.
      The other side of the coin is obviously the resulting shortage of physiotherapists. To get an appointment often takes longer than the natural course of the problem! These patients are effectively pushed into the welcoming arms of the alternative crowd. Lo and behold, many of them get better. As they would have if receiving no treatment. This then adds positive feedback into the whole deranged system. I know several people who think that a few weeks of night classes can give you the skills to diagnose and treat potentially serious diseases.
      It’s a crazy world here.

  • If you can suppress your gag reflex – behold this satanic brew of christian evangelism & chiropractic colonialism…sorry “outreach” in Haiti.

    https://worldchiropracticalliance.org/united-nations-containers/

    Nausea +++.

  • I find it rather interesting that many people are experiencing chronic pain. Allopathic medicine offers primarily a pharmacutical approach, which focuses on symptoms. Chiropractic utilizes ossious and soft tissue manipulation to create flexibility and restore movement patterns to the body- often assisting with the reduction of pain due to the simple mechanical understanding that most pain comes from tension within the joint and connective structures. Any form of body work is ultimately accomplishing that goal-first create flexibility, then add strength, and if you really want to get even better results nutrition/diet upgrades. Chiropractic, like all other forms of health care has improved over the course of it’s evolution. We employ multiple techniques, many of which the general public is unaware- Cox decompression traction, impulse instrument manipulation tools( low force/repetitive percussive), various therapies such as deep tissue laser, radial shockwave therapy, vibration platform exercises, pemf, drop mechanisms(to promote speed rather than force), etc. My point being- many people who discuss chiropractic have opinions about what they are already looking to prove. If you look for the benefits, they are also easily found. Chiropractic is not defined by what you think you know about it.

    • “… assisting with the reduction of pain due to the simple mechanical understanding that most pain comes from tension within the joint and connective structures…”ANY EVIDENCE?
      “Chiropractic is not defined by what you think you know about it.”
      SEE ALSO: https://edzardernst.com/2018/07/the-royal-college-of-chiropractics-pathetic-attempt-at-re-inventing-chiropractic/

    • @ Mark Colligan

      I think you made a couple of misaligned statements in your last sentence.

      “Chiropractic is not defined by what [chiropractors] think [they] know about it.”

      There. I’ve adjusted it for. Please come back next week to make sure this adjustment is maintained.

    • Mark, would you care to answer my questions and explain to us why you chose to study and train in ‘chiropractic’ (“Founded on different principles to those of medicine”, as DD Palmer stated) – rather than a conventional healthcare profession such as physiotherapy, nursing or medicine. Or even osteopathy.

      If not, why will you not explain? Just what are you up to?

      Being a doctor (MD) or physiotherapist (or conceivably, an osteopath or ‘allopathic practitioner’) would not prevent use of any of the techniques you outline – unless the evidence for benefit from them was close to zero.

  • Perhaps it would be a better idea to follow the medical model of treating conditions like hypercholesterolemia with statins. LOL great idea! Treat the symptoms rather than the cause.

  • I am truly amazed by people that make claims about how chiropractic is not effective. This profession is based on the treatment of musculoskeletal conditions. I can have a patient go through range of motion testing for example lumbar spine flexion, extension, rotation, and lateral fexion, and find a certain movement pattern that is painful and/ or restricted. Immediately following a chiropractic adjustment I can retest them and their particular movement has improved. How can you logically argue about that? When it comes to pharmacology and surgery, this isn’t a chiropractor’s expertise, but musculoskeletal conditions are our specialty. I know their are some odd people in our profession arguing about vaccines, but don’t discredit the effectiveness of spinal manipulation, even osteopaths value spinal manipulation.

  • I do.

    I can honestly say I genuinely hate chiropractors. If you want to know why I can give you a list;

    – Encouraging dependence in people for financial profit.
    – Never ending maintenance treatment.
    – Telling parents that pain free children need treatment to prevent future problems.
    – Increasing the number of people with chronic pain by instilling fear in patients about their backs.
    – Stupid ideas; one cause, one cure.
    – Unnecessary x rays.
    – Evangelical Christian chiropractors exploiting and indoctrinating vulnerable peoplei n third world countries in order to promote the profession.

    Hope that helps.

    • I can honestly say that I don’t hate people you describe.
      I criticise their actions but I do not hate them as persons.

    • @James. I don’t do any of those things in my practice. Yet you still hate me?

      • Well, it seems many people don’t agree with your stance fella lol. End of the day it’s the people that matter. You can be as indignant as you like about people going to CAM practitioners but it seems to me you have lost the argument. People are still going for CAM treatments and now it is slowly being integrated into the NHS. http://www.dailymail.co.uk/health/article-55405/Why-alternative-treatment-NHS.html#axzz2Kh8Q1amo

        • oh, I see!
          the DAILY MAIL as evidence.
          you ARE in the know!

          • Where’s your evidence to the contrary then? There are a whole lot of articles from different sources saying the same as the mail survey. I suppose they must all be wrong then. You know and I know that more and more people are turning to CAM. Sorry if that hurts you. Still just suck it up fella.

          • have you heard about the notion that the one who makes a claim first ought to provide the evidence for it?
            anyway, homeopathy prescribing down by over 90% in UK – see Nightingale Collaboration (can’t find the link and don’t see why I should spend my evening on this)

          • “have you heard about the notion that the one who makes a claim first ought to provide the evidence for it?
            anyway, homeopathy prescribing down by over 90% in UK – see Nightingale Collaboration (can’t find the link and don’t see why I should spend my evening on this)”

            Nope, never heard that notion. Keep searching I’m sure the link is out there somewhere. Evidence? What evidence? I was just quoting the Mail. Ask them for the EVIDENCE. Door and shut on way out comes to mind. By the way “have” at the beginning of your post should have been a Capital H, Just saying lol. I know. I’m annoying aren’t I?

      • They don’t hate you. They hate what you do. However more and more peple are using CAM. There must be a reason for that. If it didn’t work, no one would use CAM.

        • any evidence for the assumption that “more and more people are using CAM”?
          I know evidence to the contrary – but you are of course in the know, aren’t you?

  • If their actions make people better, that’s job done isn’t it? It doesn’t matter how it’s achieved. If you only make one person better throughout your whole life that is fantastic. You can quote all the trials etc, etc but doesn’t matter a jot to the people who get relief from any modality.

    • you are re-inventing healthcare!?
      if a pharma firm produces a pill that makes some people feel better, that’s job done isn’t it? It doesn’t matter how it’s achieved. If you only make one person better throughout your whole life that is fantastic. You can quote all the trials etc, etc but doesn’t matter a jot to the people who get relief from any modality.
      BRAVE NEW WORLD OF BARRY!

    • So, as I understand your argument, chiropractors are basically in the business of providing executive relief. If it feels good in the moment its ok. That at least, is plausible. Very clever too. Doesnt show up on credit card statements as anything criminal.

  • Sorry if that hurts you. Still just suck it up fella.

    What a busy little troll we have here.

    it is quite interesting to contemplate the psychology behind internet trolling. Here’s an excerpt from one of the many essays that can be found on this phenomenon:

    An integral part of the antisocial behavior is that trolls must have an audience to witness their antics—and this aspect appears to play a major part in the pleasure they experience. If trolls do not receive gratification, they will simply move on to the next social media platform and continue baiting to find their next victim.

    Best not to feed the trolls, i.e. totally ignore their pathetic attempts at lighting irritated responses… Ooops, I gave the troll in question a heaping tablespoon to chew on just now 😀

    • How am I trolling? What I am doing is telling it as I see it. It’s all too easy to accuse someone of being a troll when you don’t like the posts. If you don’t like my posts then skip over them simple isn’t it?

      • “How am I trolling?”
        VERY BADLY, I’D SAY
        ” If you don’t like my posts then skip over them simple isn’t it?”
        I COULD JUST NOT POST THEM – BUT I THINK YOU ARE HILARIOUS AND THUS DESERVE TO BE READ.

        • Ha, ha, you love me really. If people didn’t think Cam worked they wouldn’t go and that’s the be all and end all .It’s not what you or any other person on here thinks about whether Cam works or not. It’s up to the people who use Cam to decide for themselves and that’s what they are doing. If they are being scammed then it’s up to them to make that decision because to be honest whatever you say on here won’t make any difference at all. I’m sure most people don’t even know of this blogs existence..

          https://yougov.co.uk/news/2015/03/06/many-believe-alternative-medicine-effective/

          • If people didn’t think BLOOD-LETTIN worked they wouldn’t NOT HAVE USED IT FOR CENTURIES and that’s the be all and end all???

          • That’s right but at the end of the day it’s their decision and really has nothing to do with anyone else. Their decision whether or not to use CAM has absolutely nothing whatsoever to do with you. You can talk all you like about whether it works or is a scam, it will make no difference at all to the millions that use it World wide. IT’S THEIR DECISION TO MAKE. You are not a law maker. You are just someone who has a right to an opinion just like I and many others do. You are just one person spitting in the sea. Until it’s banned (Which won’t happen) Nothing will ever change.

          • “Their decision whether or not to use CAM has absolutely nothing whatsoever to do with you.”
            correct!
            but some experts still feel the responsibility to inform and stop dangerous nonsense, misconceptions and woo merchants like your good self.

          • Who are these experts? And what are they experts in? As I have said before I have experienced Osteopathy and The Bowen technique and it worked. Now if that makes me a woo merchant (What a stupid saying that is by the way so childish) So be it. I really couldn’t care less.

          • Who are these experts?
            I AM ONE
            And what are they experts in?
            ALTERNATIVE MEDICINE

          • Well, we’re all experts then. And in my experience CAM worked. Just out of interest did Homeopathy work on your patients when you were a therapist and if so what was the ratio between success and failure?

          • “Well, we’re all experts then”
            YES OF COURSE!
            [provided you studied the subject for >25 years, published over 100 Medline-listed articles and several books on it]

          • Was my question too hard for you?

          • A troll is someone who tries to make people mad by saying things on the Internet.[1] The purpose is to excite strong emotion in an online community.[2] This is to get a reaction from other online users,[2] or to cause problems.[3]
            Sometimes trolling can get a user banned as it can be disruptive. Some users do it to be humorous when they know others will be angry. The best solution is to ignore trolls and to not give them the attention they want.
            GREAT ADVICE FROM WIKI!

          • “You are just one person spitting in the sea.”

            That would be a 12C dilution. Perhaps you have just discovered a new treatment for sialorrhoea?

          • Still not answered the question I put to you Edzard. I wonder why. I also wonder why you have deleted it? No in actual fact I know why you deleted it.

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