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How to Market Woo PDF Print E-mail
Swift
Written by Naomi Baker   

Last week a friend of mine was given a flyer from a local chiropractor, which she forwarded to me.  The flyer, photocopied onto fluorescent pink paper, carried a banner "Optimal Health University™" and proclaimed the top ten ways that chiropractic can improve your life. It was liberally sprinkled with the chiropractor's name, address, and phone number, and included such gems as "Chiropractic Prevents Other Conditions" (high blood pressure, colic, ear infections, and Parkinson's diseases), "Chiropractic Boosts Immunity", and "Chiropractic May Make You Smarter" by improved cortical processing, as measured by testing volunteers' response time to various stimulations  The chiropractor flyer states:

Many people find that they actually save money on their health care expenses by seeing a chiropractor. Another way to save. Studies show that chiropractic can double your immune capacity, naturally and without drugs. The immune system fights colds, the flu, and other sicknesses. So you may not be running off to the doctor as much.

The flyer also claimed that Tiger Woods and Lance Armstrong rely on chiropractic to "reach optimal performance capacity."  A brief search on Google seems to confirm this claim, although I don't recommend anyone take health advice from celebrity endorsements, no matter how many testimonials they give.

The only evidence cited in support of its claims, probably banking on the fact that most patients would not research it, is the Journal of Manipulative Physiology Therapy. A review of the journal online indicates a publication with a nearly unbiased view of chiropractic as a legitimate medical field.

The bottom of the flyer contained small print with a copyright symbol. It referred to Preventicare Publishing.   Preventicare is a company that publishes weekly flyers for chiropractics to use in marketing their services.  For a year's subscription, one will receive 52 issues, each written around a specific health theme, and each in the form of a single master copy that the practice can then photocopy onto its own paper, inserting the name and contact information of the chiropractor. The chiropractor is advised to remove all other publications from their waiting rooms.  Sample issues can be viewed by visiting their web site.

The promotional material on Preventicare explains how chiropractics can build their practices by using the flyers as ‘theme-a-week' resources that will encourage customers to drop in and pick them up.  One endorsement on the site claimed that the flyer "opened their eyes to different things, and then they would actually make an appointment to go and see the chiropractor!  It's a practice builder!"  In other words, like marketing a new-generation iPod or potato chips, you create a perceived need and then sell the remedy.  A strong current running through all of the literature is how to encourage patients to maintain regular chiropractic care.  For example, one flyer advises pregnant women to visit their chiropractor throughout pregnancy to diminish lower back pain, and another suggests ongoing treatments will improve the immune system by boosting levels of polymorphonuclear  neutrophils and monocytes - white blood cells.

In a related website, practitioners are directed to various companies that provide chiropractic marketing lectures.  Note, these are not medical conferences a chiropractor attends to learn the latest science and techniques, but rather on how to boost new patient volume, how to get referrals from patients or get patients to bring in friends and family at a next visit, or how to hold weekly seminars for patients that might get them to seek additional treatments.  Two of the sites, which readers may investigate, are www.learningcurves.us and www.perfectpracticeweb.wordpress.com

Anyone with a business needs to market and promote their business.  Medical doctors operating a private practice want to increase the number of patients they have in order to cover their costs, pay their employees, and make an income for themselves, and there is nothing unethical in this.  However, so many chiropractors believe in pseudoscientific subluxation and must create a perception of need in the public in order to stay in business.  When a chiropractor tells me that he began ‘adjusting' his own children shortly after their births and they remained cold-free, I understand that he truly believes in what he is doing.  But the proliferation of marketing counselors indicates that they are struggling to be accepted as a legitimate medical field.

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written by daveg703, August 11, 2009
I have a problem with the ambiguous use of the term "medicine", and its derived forms- such as medical, medically and medicinal. It is my understanding that chiropractors are not allowed to either supply or prescribe "medicines", however they may be defined. Thus, I don't see how chiropractors could or should struggle to have their field accepted among legitimate "medical" practitioners. Further enlightenment on this topic would be much appreciated.
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written by Kuroyume, August 11, 2009
Most of my friends who have used chiropractors swear by them. Why? I don't know. There isn't a shred of evidence that chiropracty has any benefits beyond a good massage when done caringly while having detractions of injury or death when taken too far, especially when involving the spinal chord and vertebrae as foci.

There seem to be two broadly split genre of pseudo-medicines: those that distract from proper treatment and have no medicinal value (homeopathy, acupuncture, psychic surgery) and those that distract from proper treatment and have possibly adverse or fatal consequences. Chiropracty is of the latter genre. It is not only of no use but can be detrimental when misapplied.

Similar to most pseudo-medicinal fields, chiropracty is based upon unevidenced assumptions about physiological properties (subluxation of the vertebrae, chakras, qi, humors, meridians, etc.). Whenever a practice is based upon such things and fails to investigate its own foundational claims it is doomed to be valid. Worse when external investigations damn the foundational claims on sound evidential and experimental bases - see homeopathy et al.
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written by Kuroyume, August 11, 2009
That should be "doomed to be invalid". Sorry. smilies/smiley.gif
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Medicine? Who mentioned medicine?
written by jcwept, August 11, 2009
If you visit those two sites you'll find not a single reference to medicine, nor to healing people - which is as it should be, I suppose. You will find roundabout references in every paragraph to harvesting money from the converted, and the whole thing comes over as nothing more than a second-generation Anthony Robbins "I got success thru this program - send money now and you too can learn to scam people" scheme. Not so much woo-woo as screw-woo.
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Oh for goodness' sake...
written by jcwept, August 11, 2009
From subluxation.com:

She told me just the other day that she has had issues for years with her hair falling out and since I have been adjusting her, it is starting to grow back!!! Rogaine has nothing on chiropractic.

The sit is full of outrageous nonsense like this, straight out of the snake oil manual.
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Chiro-quack-tick...
written by Michael K Gray, August 11, 2009
Chiropractic is ASSURED, nay GUARANTEED to improve your lifestyle if you are the Bank Manager for a Chiro-quack's circus tent*.
Even P.T. Barnham would be turning in his grave at the unashamed hucksterism of these Chiro-impractic freaks.
There should be a law against it.
(Oh: hang on! There IS!)

______
* Insulting Rooms/Chiropractic Practise.
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written by MadScientist, August 11, 2009
It doesn't matter if people genuinely believe the bullshit they're peddling, it's still bullshit and we know it. If we can't convince the practitioners (and CAM ex-practitioners like Edzard Ernst are extremely rare), then it's best to work on making the public aware of the issues. Even if we could convince a few practitioners that it's all nonsense, there will be others who step up and take their place. Chiropractic is over 100 years old and I get the impression that it's far more popular now than it was in the 1970s. The folks I grew up with all knew it was a load of crap and said so, but the yournger generations seem to be less sensible.
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Devil's Advocate...
written by Michael K Gray, August 11, 2009
Much as I usually admire your considered responses, this one is flavoured with extract of Logical Fallacy.
I only need change a few terms to illustrate my point:

"It doesn't matter if people genuinely believe the bullshit they're peddling, it's still bullshit and we know it.
If we can't convince the Darwinists (and ex-Darwinists like Kirk Cameron are extremely rare), then it's best to work on making the public aware of the issues.
Even if we could convince a few practitioners that it's all nonsense, there will be others who step up and take their place.
Creationism is over 100 years old and I get the impression that it's far more popular now than it was in the 1970s.
The folks I grew up with all knew it (Darwinism) was a load of crap and said so, but the yournger generations seem to be less sensible."

Point made?
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written by Mark P, August 11, 2009
"The flyer also claimed that Tiger Woods and Lance Armstrong rely on chiropractic to "reach optimal performance capacity."


Mr Woods engages in a sport which as a matter of course twists his back asymmetrically. Even if chiropractic only gives short term relief it would be worth it for him. That's not a "cure" though, merely relief of symptoms. A nasty allopathic thing to do. It says nothing, if true, about the value of chiropractic to cure illnesses.

Mr Armstrong meanwhile adopts a terribly bad position for hours on end (his riding style is very unnatural). I can see that his back might hurt horriblly. Again chiropractic might relieve symptoms.

I think it entirely reasonable that spinal manipulation can cure spinal distortions. No more though.
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@ Michael K Gray
written by Human Person Jr, August 12, 2009
Your offering brought nothing of merit to the discussion. Furthermore, you bolloxed up your own "analogy" by inadvertently switching sides halfway through. Hint: For a thing to be considered an analogy, the elements should be analagous to another circumstance. Yours wasn't.

At the end, you coyly asked, "Point made?"

Well, no.
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written by Otara, August 12, 2009
I tried going to a chiropractor about 15 years ago as he was offering free initial consultations and I couldnt resist.

Firstly he moved my legs around a bit and looked at me with a 'surprised' look saying 'one of your legs is slightly longer than the other!' to which I of course replied - isnt almost everyones? He didnt reply then went on to bend me in lots of ways and ask 'did that hurt' to which I replied 'no' - I was pretty fit then and I expect this normally resulted in people going 'ow' at some point as they were fairly extreme ranges of motion compared to normal movement.

He then basically said 'thats great then' and suggested regular monthly maintenance was important to keep at that level of health - to which I of course replied, why do I need to start doing maintenance so regularly it if Ive never ever had it before and dont seem to need anything yet?

Was classic FUD selling from start to end. Im sure many of you find this all too familiar but I was just surprised at how utterly banally obvious it all was, Id never even done much in skepticism then and it still seemed so obviously shlock based it wasnt funny.
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written by daveg703, August 12, 2009
Is there the remotest chance that someone would address the question I posed at the start of this thread, concerning the relationship (if any) between chiropractic and the "medical" fields?
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written by Caller X, August 12, 2009
written by daveg703, August 12, 2009
Is there the remotest chance that someone would address the question I posed at the start of this thread, concerning the relationship (if any) between chiropractic and the "medical" fields?


Is there the remotest chance that you could pose your question in a way that makes sense and is susceptible of an answer?

written by daveg703, August 11, 2009
I have a problem with the ambiguous use of the term "medicine", and its derived forms- such as medical, medically and medicinal. It is my understanding that chiropractors are not allowed to either supply or prescribe "medicines", however they may be defined. Thus, I don't see how chiropractors could or should struggle to have their field accepted among legitimate "medical" practitioners. Further enlightenment on this topic would be much appreciated/
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written by GeekGoddess, August 12, 2009
@daveg703

I don't understand your questions. There is no real relationship between chiropractic and medicine - although I assume chiropractics must study anatomy in their schools, but even that I don't personally know as a fact. I do notice that chiropractors want to be viewed by the public as legitimate health care providers, and it was their lobbying efforts that got insurance companies to start covering chiropractic treatments. Some companies even force employees that apply for Workman's Comp to see a chiro FIRST, because it's much cheaper than actual medical care.

On a related note, a chiropractor near me is having a 'seminar' next week on how vaccinations are harmful. Anyone with Facebook can see the ad for this here: http://bit.ly/S0WGa. I alerted the members of the Houston Skeptics group and posted this on Facebook, and people have been responding with science-based information. Fortunately, the owner of the FB site has not deleted these comments.

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written by GeekGoddess, August 12, 2009
Readers may also note that I never refer to chiropractors with the honorific 'doctor'. I realize that it is a term awarded to anyone with certain degrees, from medical, dental, and veterinarian schools as well as PhD recipients. I just don't want to add to the confusion in people's minds that chiropractors are in any way 'real' doctors, i.e., medical. I'm from an old school of etiquette where you do not use the title "Doctor" in social or non-academic settings except specifically for medical/dental/vet.
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written by daveg703, August 12, 2009
I seem to have muddied the waters of this discussion without meaning to confuse anyone- other than myself, of course. Perhaps I should have addressed my comments directly to Ms. Baker, the author of the article. It was her last line:
But the proliferation of marketing counselors indicates that they are struggling to be accepted as a legitimate medical field.
that prompted my response. I'll re-phrase:
How can a profession that does not deal with medicines strive to become accepted as a legitimate medical field? I hope that will serve as balm to soothe those that took umbrage at my previous two posts. smilies/smiley.gif
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written by GeekGoddess, August 12, 2009
@daveg703

They get insurance companies to cover their treatments, they get companies to refer injured employees to them for treatment. They get to call themselves 'doctor' and their practices as 'alternative medicines' and 'health care'.

Which is sort of the point of the skepticism directed against them.
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written by Kuroyume, August 12, 2009
How can a profession that does not deal with medicines strive to become accepted as a legitimate medical field?


Surgeons don't deal with medicines directly, do they? I think we are confusing 'medicine' with 'medical'. We routinely (and correctly) refer to treatment of illnesses or other physical problems as 'medical'. That is, being under the care of a physician or hospital institution. Medicine has dual meanings: something given as treatment and as a general description of physical treatment (see Merriam-Webster if you don't concur!).

Your premise is incorrect. Any field involved in treatment of human physical problems is correctly deemed 'medical'. The question is whether or not chiropracty is to the degree claimed. It is not! It may be good for relieving muscle, tendon stress (massage) but subluxation has not been shown to be effective at any of the claimed properties.
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written by daveg703, August 12, 2009
@Kuroyume
Whose premise is incorrect- Mine, or Ms. Baker's? I had no premise, but was simply hoping for clarification- or at least comments regarding the final line of her article. Instead, I got a flurry of comments directed at me- but no clarification until I complained. smilies/wink.gif
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written by daveg703, August 12, 2009
@Kuroyume
Surgeons don't deal with medicines directly, do they?

They absolutely do- at least here in the USA. Each of the three eye surgeons that worked on my orbs over the years - mostly successful - prescribed medications to take for a certain period after the operations. My current eye specialist is also a surgeon, and tho he did not operate on me, he still managed to save my eye with an intensive regimen of several different medications- three of which I will be on for the rest of my life.
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written by Kuroyume, August 12, 2009
Again, and not directing any anger towards you, you seem to be making a distinction between 'medicine' (as in some form of medication) and medical treatment (which need not involve medication). Chiropracty wishes to establish itself as a MEDICAL treatment (void of or including medication, it does not matter one notch). Medical treatments involve the entire plethora of treatments to treat human physical problems (even those that are psychological at times and they do NOT need to involve medications). There is no evidence that chiropracty has any medicinal efficacy ('legitimate medical field') as a treatment for the claimed illnesses beyond temporary relief of sore muscles and back pain. The claims of 'subluxation' to realign the spine in order to resolve other problems are not only unsubstantiated but proven false.

My analogy is that chiropracty aiming to become a standard MEDICAL practice is akin to a masseur doing the same. Massages are very lucrative business in sports but they do not gain the pedigree of medical practitioner because they simply apply physical pressure to relieve soreness temporarily. Masseurs do not prognose or diagnose or prescribe medicines. They are not doctors or nurses. They are masseurs and that is it. Bluntly, chiropractors are elaborate masseurs trying to be given doctoral status. Not by my consent ever. smilies/smiley.gif
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written by redwench, August 12, 2009
Medicine need not involve the prescribing of medications. You do consider nurses, radiologists, physical therapists, and assorted other people working in hospitals to be in medical fields, do you not? Surgery is not medical? Podiatry? Psychology?

The word medicine has multiple meanings, beyond drugs. I shall refer you to wiki, which while not always the most scientific of writings, generally covers the overall picture fairly well. http://en.wikipedia.org/wiki/Medicine

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written by Kuroyume, August 13, 2009
My words in the last post should have been "equivalence between" instead of "distinction between". I had already recommended referral to a dictionary. Merriam-Webster's has two major definitions for 'medicine':

1 a : a substance or preparation used in treating disease b : something that affects well-being
2 a : the science and art dealing with the maintenance of health and the prevention, alleviation, or cure of disease b : the branch of medicine concerned with the nonsurgical treatment of disease


Note that the second infers no substances (medicines) involved in treatment. Even the first definition's secondary sub-definition allows for non-substance treatments. I'll repeat this again, more clearly hopefully: the practice of medicine is not simply the prescribing the introduction of substances into or onto the body.
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written by GeekGoddess, August 13, 2009
@daveg703

Thus, I don't see how chiropractors could or should struggle to have their field accepted among legitimate "medical" practitioners. Further enlightenment on this topic would be much appreciated.


Dave, chiropractors want to be seen as legitimate medical practitioners and be considered equal to nurses, doctors, surgeons, physical therapists, and other real medical professionals.

You say you don't see how they should, or could, struggle to be accepted as legitimate medical care providers. That's the point! They should not be doing this. But they are constantly pushing the ideas that what they do is real science, really beneficial, real health care. They are succeeding when they can get insurance companies to include chiropractic costs in their policies. Or when they have successfully convinced employers to require an injured worker to see a chiropractor instead of a medical care provider - by which I mean therapist, doctor, physician's assistant, etc. They like being called 'doctor.'

I'm not sure how more clear I or the other comments can be.
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written by daveg703, August 13, 2009
Well it sure took long enough to get to the point of clarification- which is all that I asked for in my first post. Thankfully, Kuroyume and GeekGoddessmanaged to forge their way through the muddling throng of commenters- and deliver. I thank you smilies/smiley.gif
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I swear to the non-existent christ
written by Human Person Jr, August 13, 2009
I believe the pretense of stupidity annoys me more than stupidity itself.
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Unacceptable
written by Jefoid, August 13, 2009
"...like marketing a new-generation iPod or potato chips, you create a perceived need and then sell the remedy"

I will not stand for the obviously biased anti-potato chip agenda of the JREF.
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It is precisely because of some holdover BS promulgated from within the chiropractic profession that too many DCs still struggle. And it's so unnecessary, benefiting no one.
written by perfectpractice, August 15, 2009
"Anyone with a business needs to market and promote their business. Medical doctors operating a private practice want to increase the number of patients they have in order to cover their costs, pay their employees, and make an income for themselves, and there is nothing unethical in this."

This is exactly what our company does, help the private practitioner build and promote their practices, based upon solid principles. I invite you to visit our clinic in person, and see how modern chiropractic interfaces with neurosurgeons, PTs and pain management specialists that see the real clinical results of what we do, measurable by outcomes and objective findings each and every day. That's why hospitals put us in EDs and physical medicine clinics.

But lets also remember too many MDs are struggling too, sick of the insurance BS, staffing and compliance demands, malpractice, and some are disenchanted, leaving medicine, sick of being paid poorly for giving up a real substantial part of their lives. Pick up the books McFly Goes to Med School and Losing My Patience, On The Take, etc.

I know Ms Goddess disagrees with my position from her posts elsewhere, and that's OK, this discourse is good for all.

And it's no wonder what her impressions are, given some of the crap that still circulates. But, alas, there are good and not so good in any calling. And no, I am not making excuses.

I write and speak to our docs about this extensively.

The fact of the matter is chiropractic manual therapies are very powerful when properly applied, after excluding pathologies and contraindications and combined with appropriate supportive procedures and patient education. Good care fosters patient independence.

With long term supportive care in some patients keeping them out of the ED, ambulances and off narcotics. The chiropractic adjustment is unique as a low-amplitude manual therapy, often attempted by untrained persons with potentially disasterous consequences

Perfect Practice Web provides business advice to licensed health care professionals of all disciplines. We abhor pseudoscience as much as you do. We do not provide patient lectures.

It is precisely because of some holdover BS promulgated from within the chiropractic profession that too many DCs still struggle. And it's so unnecessary, benefiting no one.

We are changing that by providing solid business and marketing advice.

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written by GeekGoddess, August 15, 2009
@perfectpractice

You didn't research this web site before you posted, eh?

The point is, you are helping market snake oil. Over and over and over, science and medicine has proved that chiropractic 'therapy' offers no benefit beyond placebo.

People feel better after taking sugar pills, if they truly believe it's going to help them.
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puedo sentir la enrgia de cualquier manera
written by campos walttuoni, August 15, 2009
saludos señor randi mi nombre es diego y necesito ayuda , pero una ayuda que me entienda como la de usted e seguido su investigacion , y he visto amochos farsantes que usted a puesto al descurbierto, pero yo soy una caso diferente yo puedo sentir la energia puedo sentir si un artefacto es ta encendido o esta apagado no puedo dormir hasta que todo en mi casa se apague porque cuando algo expresa energia mi mente se atrofia no se lo que me sucede por favor ayudame por favor me quieren enviar a un centro de rehabilitacion por favor yo y usted sabemos que no estoy loci por favor se lo pido llorando no dejen que me encierren en un centro de rehabilitacion usted es mi ultima esperanza que esta dispuesto ha hacer para probar que si existe un sexto sentido por favor pongame a prueba se lo ruego llorando .
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siento la energia
written by campos walttuoni, August 15, 2009
buenos dias señor randi de nuevo mi nombre es diego alberto campos walttuoni mi telefono es 991481818 o 991209253 señor por favor contacteme para demostrarle que el sexto sentido si existe yo puedo sentir la energia por favor contacteme se lo ruego pongame a prueba no lo defraudare se lo juero por favor ayudamea comprender que es lo que siento por favor
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siento una energia diferente la siento siento la energia
written by campos walttuoni, August 15, 2009
buenos dias señor randi de nuevo por favor quiero hablar personalmente con usted me quedan pocos dias por favor ayudame a entender porque siento la energia y porque me creen loco por favor ayueme por favor se lo pido llorando pooooor favorrr
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@ Dr. John Hayes, Jr. and your great ideas on helping charlatans thrive, using your PerfectPracticeWeb.com techniques...
written by Human Person Jr, August 15, 2009
Tell me, "DOCTOR," what sort of "DOCTOR" are you? You look really snazzy on the cover of your book, Living and Practicing by Design (Saving the Hearts that Care for Our Lives. With the stethoscope at the ready, you actually look competent to "save" a heart, particularly since there's your name a couple of inches below, "Dr. John Hayes, Jr."

But wait! There's more! You're an Evvy Award Nominated Author. Wowser! Really? From the Emerson College website: "The EVVY Awards honors Emerson [College] student work [for] superior student achievement in communication and performing arts..."

Who could guess the truth from the cover of this "Evvy-nominated" book"? You're neither a doctor nor qualified to "save" anyone's heart. You're a chiropractor. The stethoscope is merely a prop. I know, I know, chiropractors need stethoscopes, too. One use to which you "doctors" put stethoscopes is to (ineffectively) screen to see who's at risk of dying on your table from stroke following neck manipulation.

The blurb for the book never mentions chiropractic once. Isn't that special! It does mention, however, that you've been President of DABCO (Diplomates of the American Board of Chiropractic Orthopedics), which is truly special.

People are disgusted with chiropractors because, for the most part, chiropractors are disgusting people.

At the risk of offending our gentle readers, I must confess that I've founded a whole new discipline of "medicine," which I've dubbed chiro-proctology. It combines the worst elements of pseudo-healthcare chiropractic and actual-healthcare proctology. At present, all I've really created is the slogan (hey, I, too, could become a "doctor") I plan to put over the clinic door. "We'll crack your bones and vice versa."
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written by GeekGoddess, August 16, 2009
I speak about three words of Spanish, but using babelfish:

greetings Sir randi my name is Diego and needs aid, but one aid that understands to me like the one of you and followed its investigation, and has seen amochos farsantes that you to position to descurbierto, but I am I marry different I I can feel energy I can feel if a device is ta ignited or this extinguishing I cannot sleep until everything in my house goes out because when something my mind expresses energy atrophy not what ayudame happens to me please please they want to me to please send to a disciplinary center I and you know that I am not loci please I request it crying do not leave lock up me in a disciplinary center you are my you complete hope that this ready has to make to try that if pongame exists a sixth sense please on approval the request crying itself


ummm....
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i feel energy really
written by campos walttuoni, August 16, 2009

greetings Sir randi my name is Diego and needs aid, but one aid that understands to me like the one of you and followed its investigation, and has seen amochos farsantes that you to position to descurbierto, but I am I marry different I I can feel energy I can feel if a device is ta ignited or this extinguishing I cannot sleep until everything in my house goes out because when something my mind expresses energy atrophy not what ayudame happens to me please please they want to me to please send to a disciplinary center I and you know that I am not loci please I request it crying do not leave lock up me in a disciplinary center you are my you complete hope that this ready has to make to try that if pongame exists a sixth sense please on approval the request crying itself

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i feel energy
written by campos walttuoni, August 16, 2009
siento una energia diferente la siento siento la energia
written by campos walttuoni, August 15, 2009

buenos dias señor randi de nuevo por favor quiero hablar personalmente con usted me quedan pocos dias por favor ayudame a entender porque siento la energia y porque me creen loco por favor ayueme por favor se lo pido llorando pooooor favorrr


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siento la energis
written by campos walttuoni, August 16, 2009
saludos señor randi mi nombre es diego y necesito ayuda , pero una ayuda que me entienda como la de usted e seguido su investigacion , y he visto amochos farsantes que usted a puesto al descurbierto, pero yo soy una caso diferente yo puedo sentir la energia puedo sentir si un artefacto es ta encendido o esta apagado no puedo dormir hasta que todo en mi casa se apague porque cuando algo expresa energia mi mente se atrofia no se lo que me sucede por favor ayudame por favor me quieren enviar a un centro de rehabilitacion por favor yo y usted sabemos que no estoy loci por favor se lo pido llorando no dejen que me encierren en un centro de rehabilitacion usted es mi ultima esperanza que esta dispuesto ha hacer para probar que si existe un sexto sentido por favor pongame a prueba se lo ruego llorando .
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Thank you
written by Shyloh Medical Practice Mangement , April 05, 2011
Thank you for sharing this information! I am going to forward it to a friend of mine who is in medical practice management! I am sure they could benefit greatly from what you have said here.
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