Wednesday, January 26, 2011

And the answer is...

Last Friday, I issued the first DocAltMed IQ Test, with a reward of 10% off any supplement purchase from our Dispensary. The question was:

What institution provided the first acupuncture education for doctors in the U.S.? 

Before revealing the answer, I would like to first thank the many competitors who submitted a response. Your answers were thoughtful, informed, and well-researched.

This was a difficult question to answer, however, because of the many competing claims for “first.” For example, one organization claims that it “has the unique distinction of being the first acupuncture course for physicians in North America,” by virtue of its first course in 1979.
Wikipedia, in a marvelous display of acupuncture misinformation, reports on no postdoctoral programs whatsoever. Of course, that Wikipedia page is so filled with half-truths and innuendo that only about every third word is believable. (Overall, I have found that when it comes to Wikipedia, the entries on alternative medicine are dominated by a few skeptics lacking any credibility (and also, presumably jobs, since it would appear that their main calling in life is to disseminate crowdsourced falsehoods)).

The American Academy of Medical Acupuncturists was presented to me as a possible candidate; however, it was not formed until 1987, and restricts training and membership to a subset of physicians, as only MDs and DOs are eligible. DCs, despite being physicians, are not participants in the AAMA.


The physicians who practice acupuncture the most are chiropractic physicians, and may be board certified by two agencies. One is the recently-formed ACA Chiropractic College of Acupuncture, and the other is the International Academy of Medical Acupuncture (I am a Fellow of the latter organization, through which I obtained my postgraduate education). Interestingly, the chiropractic interest in acupuncture extends  way beyond James Reston’s re-introduction of acupuncture to the West, as I described in my earlier post.

In fact, the modern founder of chiropractic, DD Palmer, mentions acupuncture in his 1910 textbook, The Art and Science of Chiropractic. Other investigators since that time have noted the coincidence of chiropractic manipulation’s success with visceral diseases, and the presence of acupuncture points along either side of the spine which can influence those very same conditions. From 1910 until 1972, however, acupuncture utterly disappears from the printed page in the U.S.

It is not terribly surprising then, that chiropractors be among the vanguard of doctors who adopted this new and powerful technique. Thus, it was at the Columbia Institute of Chiropractic, in New York, which began the first postgraduate program in acupuncture in the fall of 1972. Columbia has since become New York Chiropractic College, and has moved from the city to beautiful Seneca Falls, NY.

Dr. John Amaro, founder of the IAMA, recalls it this way:

“I am personally proud to have been in that very first acupuncture certification program which was taught by masters of acupuncture who were physicians from the United States, Great Britain, The Republic of China and Japan. As few early Asian educators of acupuncture spoke English the lectures and demonstrations were translated. Chinese acupuncture practitioners from Communist People’s Republic of China would not begin the introduction of Traditional Chinese Medicine (TCM) in the United States for as much as an entire decade later when communication was established. Virtually all acupuncture in North America from 1972 to 1982 was performed through Japanese or Taiwanese “Meridian Style” influences. Likewise, virtually all acupuncture in North America was performed by chiropractic and medical physicians as “acupuncturists” as a profession would not become a reality until the National Commission for the Certification of Acupuncture was established in 1985.


The Chiropractic profession had always taken the lead in acupuncture education and certification. Even though the National Commission for the Certification of Acupuncture would not become established until 1985, the State of Arizona established Board Certification in Acupuncture through the Arizona State Board of Chiropractic Examiners as early as 1983.”
So, interestingly, not only did the chiropractic use of acupuncture predate any other health profession, but chiropractic doctors were the first to properly certify and regulate its members who practice the art, a full 4 years before the medical profession even started to form its acupuncture college, and 2 years before the acupuncture-only profession was created. Today, over 35,000 chiropractic doctors practice acupuncture.

Surprised? I thought you would be. Chiropractic is full of interesting history which is rarely reported or discussed.

Thank you very much to all who participated, and since nobody won, everybody is eligible to participate in next week’s Alternative Medicine IQ Test.

Dr. Avery Jenkins is a chiropractic physician specializing in the treatment of people with chronic disorders. He can be reached at alj@docaltmed.com or by calling 860-567-5727.

Saturday, January 22, 2011

The DocAltMed IQ Test

(Note to new readers: This blog is a continuation of the DocAltMed blog found at www.averyjenkins.com.  All posts previous to this one can be found there; from this time forward, all posts will be published in both locations simultaneously. Thanks for checking in!)
 ***

The word “doctor” comes from the root latin word, docere, which means “to teach.” So, at the heart of it, a doctor’s primary job is to teach. That is one of the reasons that I started this little blog, and why I send out my monthly DocAltMed newsletter to my patients and other interested people. I try to educate people, so that they know what the research really says about mainstream and alternative medicine, as well as give some insight as to what makes a doctor working in alternative medicine tick, and how he thinks about health, his patients, and their problems.

For several years now, I have written about everything from the folly of flu vaccines to the extraordinary success chiropractors have had as primary care physicians. But there is one thing I have never done for my faithful readership which is now, I am told, quickly approaching the double digits.

I’ve never given a quiz.

And if my job is, truly, to teach, then one of my primary responsibilities is to test. Because, through testing comes understanding, as China knows well. And I confess that I have clearly fallen down on the job, in letting all of this time pass without administering some kind of test.

So the time has come. But rather than present some complex multi-answer multiple choice test with an added essay at the end, I have settled on something decidedly more prosaic. A single-question quiz. The topic will be, as always, related to alternative medicine. The answer may be searchable on the internet, through the auspices of Mr. Google or Cap’n Bing. But it won’t be easy to find, lest the winner of the quiz simply be the person with the most Google-fu. It will help if you are a frequent visitor to this blog or you subscribe to the DocAltMed newsletter, as the answers may have been alluded to previously.

Wait. Did I say winner? In fact, I did. Because accomplishment deserves recognition, and anyone who can answer one of these quizzes correctly deserves something more than the distant approbation of one’s fellow readers.

Hold up just a minute. Did I say quizzes, as in more than one? Indeed, I did. Because their will be multiple quizzes, multiple winners and multiple prizes to be handed out.

Backup a second. Did I say prizes? Quite so. Because everybody loves a prize.

So here’s the deal. Every Friday around 2 p.m., I will post a new quiz; we’ll call it the DocAltMed IQ Test. The quiz will remain open to answers until Wednesday, but the first person to submit the correct answer will claim the prize! I will add a post on Wednesday with the answer to the quiz.

I can hear you now, saying “Ok, doc, that’s all just dandy, but get to the good stuff. What’s the prize?”
If you are the first person to answer the quiz, you get a one-time 10% discount on any supplements purchased from our Dispensary. This includes supplements from any one of the following manufacturers (in alphabetical order):
  • Biotics Research
  • Designs for Health
  • Integrative Therapeutics
  • Kan Herb
  • Mayway
  • Mediherb
  • Nordic Naturals
  • Standard Process
You can purchase any amount, and any available product from one of these companies, even if I do not have it in stock at the dispensary.
Now, as with any contest, there are some rules, and those rules are as follows:
  1. You can’t be an employee of the Center for Alternative Medicine (sorry Teresa) or related to me (sorry, kids, but I pay for all your vitamins anyway).
  2. You must claim your prize within two months of winning.
  3. If you have won within the past month, give your keyboard a rest.
  4. You must be a resident of the U.S. Though I know I have a small European fan club, exporting herbs is not someplace to which I’m really willing to go.
  5. You must be 18 or older.
Please note that you do not have to be a patient of Dr. Jenkins in order to enter or win! You can be anybody and win!

So that’s it. If you have any questions about eligibility or anything else, feel free to email me.

Now, on to the first ever DocAltMed IQ Test:

In 1972, President Richard Nixon opened diplomatic relations with China, from whom the U.S. had been estranged for the better part of its existence. As part of that process, President Nixon visited China, and of course was accompanied by a large retinue of reporters.

One of them was a rather famous reporter for the New York Times named James Reston. Mr. Reston — to his detriment and our edification — suffered a case of acute appendicitis on that trip, which necessitated immediate surgery. The Chinese surgery team used only acupuncture as an anaesthetic, which astounded Mr. Reston to the extent that he wrote about the experience upon his return to the states. That, coupled with the renewed interest in things Chinese in general, brought great public interest in this “alternative” health care discipline. The first acupuncturists in this country were doctors who obtained post-graduate education in the discipline.

Your question is: What institution provided the first acupuncture education for doctors in the U.S.? Submit your answer to me at alj@docaltmed.com.

Dr. Avery Jenkins is a chiropractic physician specializing in the treatment of people with chronic disorders. He can be reached at alj@docaltmed.com or by calling 860-567-5727.