Integration: A Conversation with the Neuroscience Institute
SOURCE: ACA News ~ October 2013
By Christina Acampora, DC
It’s happening! More and more we see examples of outreach from the medical community to doctors of chiropractic (DCs). In February 2013, the physicians and staff of the Neuroscience Institute and Comprehensive Spine Center at Advocate Illinois Masonic Medical Center invited all local DCs to a dinner and case presentation by Stephen Troyanovich, DC. The physicians who attended the presentation were seeking information and evidence on the proven health benefits of chiropractic. As someone who spends her days educating and assisting DCs with how to become more integrated, I am always intrigued as to what the mechanisms are behind this phenomenon. I asked for an interview, and, in keeping with its friendly February outreach, the Neuroscience Institute was more than accommodating in granting me time in June 2013.
• John Song, MD, Neurosurgery
• Raina Gupta, MD, Neurology
• Emily Jakacki, director, Neurosciences Institute & Hospital Based Programs
DR. ACAMPORA: It seems that despite evidence based research illustrating the benefits of manipulation, chiropractic care continues to be a medical treatment of last resort or one into which patients often self-refer. Why do you think that is?
DR. CANDIDO: I think, by and large, people who do interventional pain medicine were always aware of [chiropractic as] the other side to the coin — in other words, alternative therapies — but we had very little appreciation or knowledge of these therapies during our training and early on in our practices. We tend to refer to the people we are most familiar with, to send our patients where we expect we’ll have easy access to them and have them referred back to us in a timely fashion. Chiropractic, while it’s something I have always been interested in, is something we don’t have immediate access to. We don’t have chiropractors on our faculty, in our pain practices or in our neurology or neurosurgery clinic. It’s been difficult to forge a bond or a relationship with people we don’t have immediately on our radar screens.
DR. SONG: For me, in my practice, it’s still about offering patients alternative therapies when they are not a surgical candidate, then letting them help guide their own care plan: chiropractic, physical therapy, acupuncture, yoga. It’s their choice.