Our Blog
Townson is 8 days old
I just felt like writing about my son. He is 8 days old today. My wife and I cannot be any more happy with life itself as he is now part of ours. I feel different. I look at life and people differently. There is a weakness that comes over me when I see him. I can't stop smelling and touching him. He may or may not be getting sick of the same Bob Dylan and John Lennon songs I continue to sing to him (Forever Young and Beautiful Boy, respectively). I love him like nothing else.
Post by: Dr. Green on 2009-08-05 13:50:17
Baby very close, new website and other changes in the office
Hello everyone.
Welcome to the first ever blog entry for Chiropractic Care and Rehab Center. These are exciting times around here!
First off, my wife, Dr. Giroux, and I are expecting our first child very soon. Our midwife informed us yesterday Michelle is already 2cm dilated and 80% effaced. We may have the baby a week prior to the given 'due' date. We are very happy and excited. We are also trying to get as much sleep as possible.
Also, we have a new website. This site has more video applications for patients to watch and educate themselves. We also have this blog format. In the future, I will add sites for links to different spine literature and exercise sites.
Last but not least, we are proud to welcome our new front desk manager, Michelle Tisch, to the practice. Michelle is originally from Brooklyn, NY. She lives in Naples with her husband, Michael, and two daughters, Brandy 14 and Nicki 12. Myself, Dr. Giroux, Lynette and Natalie are also still here. Stop in and say hello.
Go out and make it a great day!
Post by: Dr. Green on 2009-07-30 15:07:39
Townson Michael Green
Hello everyone.
Mom and baby are resting and recovering.
If you'd like to see some pictures, go to
www.naplesbirthcenter.com/ShowPicture.asp?id=300
We couldn't be happier.
Chris
Post by: Dr. Green on 2009-07-29 12:33:35
It's a boy!!!!!!
Michelle gave birth to a 6lb, 13 oz, 19 in baby boy this morning at 11:34 am.
She was strong and beautiful throughout.
We welcome Townson Michael Green into the world.
Mom and baby are healthy, happy and resting.
Post by: Dr. Green on 2009-07-28 19:33:05
No baby yet, Dr. Green close to completion of PES and ChiroVoice.org
Hello everyone. We hope you are enjoying your summer. We are however, to date, we have no new baby news. I guess any day now. We'll keep you all posted as best we can.
Wanted to let you know I am quite close to completing some advanced studies online. I have two more modules before I earn a PES or Performance Enhancement Specialist Certification. The course is throught NASM or The National Academy of Sports Medicine. This PES Cert is similar to an athletic training cert however it not only focuses on injury treatment but more importantly or injury prevention, stabilization, strength, and power building for today's athlete. I have already taken some of this knowledge and applied it to my normal treatment routines for some of you, my patients. If anyone is interested in building a training regimen for sports, golf, running, weight training or contact sports, I am all the more willing to help. I'll let you know when I finish the course.
Lastly, with some of the changes taking place with the Obama Administration, namely the mobilization toward a national health care initiative, it is all the more imperative chiropratic supporters and patients voice their support for inclusion and expansion of covered services in all national health care reform. This office has taken steps to act on our patients behalf. We are asking anyone interested in standing up for chiropractic to go to www.ChiroVoice.com or www.AdjusttheVote.com for information about how you can stand up and be counted for chiropractic.
All the Best,
Dr. Green
Post by: Dr. Green on 2009-07-27 11:17:38
Baby update and Shaking up the status quo
Hello everyone out there. No new developments on the baby front. Mom still looks beautiful and is handling each day swimmingly. A little fatigue and tiredness here and there.
In other, more clinical news, after a major evidence review, the UK's National Institute of Health and Clinical Excellence (NICE) has issued a new guidline on early management of persistent non-specific low back pain. It recommends several treatment approaches. According to the guideline, your health care provider should recommend one of three main therapeutic paths: 1) a structured exercise program; 2) a course of manual (hands-on) therapy, either chiropractic, PT or massage: or 3) accupuncture. The guides are appropriate for persons symptomatic more than six weeks but less than a year. The guides recommends an intensive physical and psychological treatment program for those who have completed the less intensive treatment, or all 3 treatments, and yet still have high levels of diability and significant psychological distress over their pain. See
Post by: Dr. Green on 2009-07-14 22:23:27
Lumbar Discograms and MRI imaging
Two recent studies were presented in the most recent The Backletter this month, July 2009, Vol. 24, No. 7.
First, Eugene Carragee, MD and colleagues from Stanford found that discography speeds disc degeneration over a 7 to 10 follow up period...(discograph) "resulted in accelerated disc degeneration, disc herniation, loss of disc heigth...". Discography is both radiography and a pain provoking procedure where a contrast medium is injected into the disc to see it better while taking a picture and to see if this injection reproduces pain. It is usually done to identify candidates for surgery. This new studysuffests that puncturing the disc has far greater risks than previously thought.
Two, THE OVERUSE OF SPINAL IMAGING HAS LITTLE TO DO WITH PATIENT'S CLINICAL CHARACTERISTICS
H.H. Pham, MD and colleagues analyzed Medicare claims from 2000 to 2002 and 2004 to 2006 assessing the appropriateness of imaging based on National Committee on Quality Assurance (NCQA) protocols. They found significant overuse of imaging in the Medicare population with 88% getting xrays and 11% getting CT or MR scans. Of interest, large group practices were more likely to order early imaging than small group practices. It was pointed out by Richard Deyo, MD, that 'giving into patient demands for imaging may send the wrong message' for example in a 1987 study, Deyo, et al. it was found that when xrays were performed for low-risk patients with back pain, it heightened patients' expectations that imaging should be a standard part of the back care process.
Of note, one month ago I wrote a paper about this exact same topic, how Xrays and MRs should not always be the first thing your doctor does because MANY times, there are false positives or no disctinct pain generator shows up on the picture.
Happy Fourth. Happy Birthday America!
Post by: Dr, Green on 2009-07-03 13:32:24
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