Above is the title of an article which appeared in the January 30, 2019, issue of Specialty Medical Dialogs. The report was based upon a study published in the Journal of the Pediatric Infectious Diseases Society on January 17, 2019.
The Mayo Clinic website describes bronchiolitis by saying, “Bronchiolitis is a common lung infection in young children and infants. It causes inflammation and congestion in the small airways (bronchioles) of the lung. Bronchiolitis is almost always caused by a virus.” Recommended medical treatment does not involve antibiotics unless there is a secondary bacterial infection. Medical care is focused primarily to help if breathing is significantly hampered by the condition.
Antibiotics are used to treat bacterial infections and have no effect on viruses. In fact, they may be harmful to the child. An article in Medical News Today from 2011 stated the threat by saying, “Did you know that taking antibiotics when you or your child has a virus may do more harm than good? According to the US Centers for Disease Control and Prevention, where children are concerned, antibiotics are the most common cause of emergency department visits for adverse drug events.”
The inappropriate use of antibiotics has been well documented over the years. However, this most recent study suggests that the warnings have still gone unheeded. An article in Healio Pediatrics on this new study gave an overview of the findings by saying, “A quarter of children aged younger than 2 years with bronchiolitis who visited U.S. EDs between 2007 and 2015 received antibiotics, even though 70% of those patients had no bacterial coinfection.”
In the Healio article, Brett Burstein, MD, PhD, MPH, FRCPC, FAAP, and one of the study coauthors, commented on the study in Infectious Diseases in Children: “Bronchiolitis is a viral infection that does not respond to or require antibiotic treatment, and guidelines of the AAP (American Academy of Pediatrics), first published in 2006 and reiterated in 2014, recommend against the use of antibiotics for this illness. He continued, “Also, since 2013, reducing antibiotic prescribing for viral respiratory illness, including bronchiolitis, has become the top priority of the AAP’s Choosing Wisely national campaign. Despite these recommendations, we found that rates of antibiotic use did not decrease significantly in the decade following the guidelines.”
The Healio article concluded with, “So, in addition to overprescribing, inappropriate antibiotic selection must be addressed,” Burstein said. “Targeted interventions are necessary to translate these guidelines into practice, particularly among nonacademic hospitals, where most infants with bronchiolitis are evaluated and where the use of antibiotics was found to be higher.”
The headline above comes from a January 14, 2019, article in USA Today. The article is reporting on a study published by Injury Facts on the same day with the title “For the First Time, We’re More Likely to Die From Accidental Opioid Overdose Than Motor Vehicle Crash.”
Everyone should have heard by now that the U.S. in in the grips of an opioid crisis. As more studies are done, the evidence continues to mount that this problem is only getting worse. Now a new study shows that more people in the U.S. are dying from accidental opioid overdoses than from motor vehicle crashes. This makes accidental opioid overdose the most common form of preventable injury death in this country.
According to the study, in 2016, there were 37,814 deaths from accidental opioid overdose. This number grew alarmingly to 43,036 deaths for the year 2017. In comparison, there were 40,327 deaths due to motor vehicle accidents in 2016. But in 2017, that number decreased slightly to 40,231 deaths. Currently the odds of a person dying from an opioid overdose have risen to 1 out of every 96 people in the U.S.
Maureen Vogel, a spokeswoman for the National Safety Council, commented in a email to CNN by stating, “Too many people still believe the opioid crisis is abstract and will not impact them. Many still do not see it as a major threat to them or their family. These data show the gravity of the crisis. We have known for some time that opioid overdose is an everyday killer, and these odds illustrate that in a very jarring way.”
Ken Kolosh, the National Safety Council’s manager of statistics and who has been working at the NSC for nearly 20 years added, “I look at a lot of data, particularly I look at a lot of historic trends. This advent of opioid overdoses and the quickness of its rise, I believe, is unprecedented.” He continued, “This was something that was not on our radar at all, and now for it to be a leading cause of death is truly startling.”
“There are many proposed attempts at a solution to the growing opioid epidemic.” States Robert Braile, a chiropractor, author and past president of the International Chiropractors Association. What needs to be addressed first is the culture of taking medications to treat pain instead of looking at ways to correct the cause.” Dr. Braile continued by explaining, “All to often health care professionals to not consider non-drug approaches for chronic pain patients because it falls outside their area of expertise or training.”
“Chiropractic has created zero opiod addictions and is responsible for zero opioid deaths,” Braile pointed out. “Additionally, chiropractic has helped millions of people find a way out of chronic pain without the use of drugs of any kind. Think of how many lives can be saved by turning people toward a non-drug approach like chiropractic.”
On January 14, 2019, the Journal of Pediatric, Maternal & Family Health published a case study documenting the resolution of chronic bilateral ear infections in a toddler through chiropractic care. The technical name for ear infections is otitis media.
The study begins by reporting on how common otitis media is. It is estimated that by three years of age, 80% of children will have experienced at least one episode of otitis media. By the age of five years, it is estimated that 40% of children will have had multiple episodes of the condition.
Some of the more common symptoms of otitis media include ear pain, fever, headache, irritability, and listlessness. If left unaddressed, the problem could lead to hearing impairment, a loss of sleep, and a decrease in the overall quality of life not only for the child but also the parents.
Although antibiotic treatment has been a medical main-stay of treatment. Recent concerns for overuse of antibiotics resulting in resistant strain of bacteria have led to more physicians taking a “wait and see” approach to ear infections. All of these factors have driven many parents to seek alternative care approaches for their children, of which chiropractic is the most popular practitioner-based approach.
In this case, a one-year-old girl was brought to the chiropractor by her parents for an evaluation and possible care. The infant’s primary problem was she was suffering from reoccurring ear infections. It was reported that over the previous five months, the girl had suffered from 4 bouts of bilateral ear infections. Each time, she had been diagnosed with otitis media and placed on antibiotics. Each time, the ear infection would seem to subside and her symptoms reduce, only to return again a month later after the antibiotic treatment was concluded.
The girl’s ear infections were affecting her ability to sleep and causing her to be agitated. In addition to the ear infections, it was noted that the infant girl also suffered from frequent colds, sinus congestion, and food allergies.
A chiropractic examination of the infant led to the conclusion that subluxations were present in the child’s spine, especially in the upper neck area. With agreement from the parents, specific age-appropriate chiropractic adjustments were started to address the infant’s subluxations. The girl received a total of 9 adjustments over the initial 6-week period. After the initial care, the child was seen on a less frequent basis.
After six months of care, a follow-up assessment was performed to monitor the progress. At that time, the parents reported that their baby girl had not had an ear infection or symptoms of an ear infection since she began chiropractic care.
In their discussion and conclusion, the authors of this study stress the importance that chiropractic care could play in this health issue. “Acute OM is such a common condition that it is considered one of the leading causes of visits to medical clinics and for prescription antibiotics. Despite differences in research design and disease definitions, the World Health Organization (WHO) estimated that 28 thousand deaths yearly is attributable to complications (i.e., death through meningitis and brain abscess) of OM.” They concluded, “This case report adds to the growing literature on the effectiveness of subluxation-based chiropractic care in children presenting with a history of medically diagnosed OM.”
Above is the title of a case study published on January 10, 2019, in the Annals of Vertebral Subluxation Research. In this case, a patient who had been involved in a whiplash-type automobile accident and was suffering with dizziness, neck pain, and headaches, was helped by chiropractic.
This study begins by explaining that whiplash injuries fall under the umbrella of traumatic brain injuries. The authors point out that 1.7 million people in the United States currently suffer from a traumatic brain injury (TBI). They also report that 35.4% of U.S. adults over the age of 40 suffer with vestibular dysfunction, of which vertigo can be a result. They explain that people who suffer whiplash often then develop vertigo.
In their description of whiplash, the Mayo Clinic website states, “Whiplash is a neck injury due to forceful, rapid back-and-forth movement of the neck, like the cracking of a whip. Whiplash most often occurs during a rear-end auto accident, but the injury can also result from a sports accident, physical abuse or other trauma. Common signs and symptoms of whiplash include neck pain, stiffness and headaches.” Additional symptoms that can occur from whiplash include tingling or numbness in the arms, dizziness, ringing in the ears, blurred vision, irritability, and depression.
In this case, a 44-year-old woman with the complaints of vertigo, neck pain, and headaches, presented herself to the chiropractor. She had been suffering with these issues for three years which began immediately after being involved in a car accident. It was reported that the woman was stopped at a red light and was hit from behind by another vehicle which totaled her car. Immediately after the accident, the woman felt dizzy and had an elevated blood pressure. Shortly thereafter, she developed vertigo, neck pain, and daily headaches, all of which she had never experienced prior to the accident.
An examination was performed by the chiropractor which included vital signs, a postural analysis, thermographic heat readings, both static and motion spinal palpation, range of motion examinations, and several orthopedic and neurological examination procedures. Prior spinal x-rays taken a year earlier did not reveal any medically diagnosable issues, but assisted in the chiropractic analysis. From the findings, specific forms of chiropractic care were started.
It was noted that when care initially began, the woman was unable to stand up straight with her feet together and eyes closed without immediately losing balance. After 9 chiropractic visits, the woman was able to perform this activity for 93 seconds before losing her balance. As her care continued, the woman continued to improve with all her symptoms including her neck pain and headaches.
The authors of the study summed up the results the woman got from her chiropractic care by saying, “Overall, the patient demonstrated improvements in virtually all aspects of care. The frequency and severity of her symptoms improved to their best status since the initial onset of her complaints. Not only were her symptoms markedly improved, but also her general affect was much more positive and cheery.”