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finthechat , to til in TIL in 1893, the US Supreme Court held 9–0 that the tomato should be classified as a vegetable rather than a fruit in Nix v. Hedden, 149 U.S. 304, for purposes
@finthechat@kbin.social avatar

I like the truncated version of the title: "for purposes"

AtmaJnana ,

Because reasons.

themeatbridge ,

Here I will cite the precedence established in The United States v Go Fuck Yerself.

bionicjoey ,

State of California v Nunya B.

ook_the_librarian , to til in TIL in 1893, the US Supreme Court held 9–0 that the tomato should be classified as a vegetable rather than a fruit in Nix v. Hedden, 149 U.S. 304, for purposes
@ook_the_librarian@lemmy.world avatar

instead of the technical botanical meaning.

What is the technical botanical meaning of vegetable? A tomato is a vegetable. It’s fine. It’s also a fruit. So what?

Aatube OP ,
@Aatube@kbin.social avatar

If it were a fruit, it would fall under a different section of tariffs. The tariff has rules for rectangles but has an exemption/special case for squares.

ook_the_librarian ,
@ook_the_librarian@lemmy.world avatar

That’s a matter of law. Hence the 9-0 decision. It’s still a fruit; it’s still a vegetable.

Aatube OP ,
@Aatube@kbin.social avatar

Nah, it's not a fruit under law.

ook_the_librarian ,
@ook_the_librarian@lemmy.world avatar

I wasn’t talking about the law. I asked, “What is the technical botanical meaning of vegetable?”. And you start talking about squares and rectangles.

Aatube OP ,
@Aatube@kbin.social avatar

Seemed like a rhetorical question to me, but sure. The technical botanical meaning of vegetable is any plant you can eat safely.

In this case, if the technical meanings were taken, the fruit rules would take precedence over the vegetable rules.

ook_the_librarian ,
@ook_the_librarian@lemmy.world avatar

And did you get that from a botany textbook?

angrystego ,

There’s no botanical meaning of vegetable. That’s a cooking term. In botany, you have different parts of the plant, like fruit, stem or root, you have different groups of plants, like the ginger family or monocots. And you can say a plant is edible or useful.

ook_the_librarian ,
@ook_the_librarian@lemmy.world avatar

Exactly. I don’t why it’s always surprising to people that court battles are fought over legal definitions. That’s how legal definitions are made.

Vegetables are not anything that is not a fruit. Tomatos are both, as are cucumbers. When you say “technically a fruit is blah blah blah”, it says nothing about whether something is vegetable. The definition is from a different domain. The definition of vegetable seems to have to due with human digestion. The botanical definition of fruit doesn’t care about the existence of humans. Vegetables are culinary and to some extent cultural. “Fruit” also has a culinary meaning, but its not technical in that domain. There is no way to “technically” distinguish between fruit and vegetables as “vegetable” isn’t technically botanically defined.

londos ,

“Vegetable” is a societal construct, separate from biological classification. Quite progressive, really.

Son_of_dad , to til in TIL Bob Barker was an enrolled member of the Sioux Tribe and grew up on a reservation in South Dakota

How do people in the u.s get tribe status when they’re like 1/60th native, and I’m 57% and my government says that’s not enough?

laylawashere44 ,

Barker was apparently 1/8 native.

Appropriate_Rate ,

Explain to me how you’re 57%.

surewhynotlem ,

73 of his 128 great great great great great grandparents were native Americans.

davidgro ,

Realistically, they probably got that number from 23andMe or similar.

Mine is 2.6% for Indigenous American, which is well within margin of error of what I heard from my family. (Note that those tests actually have very wide error bars anyway)

PeleSpirit ,

In the US, it depends on the tribe and they decide how much you need. Some are stricter than others. Canada and the US have been competing for worst treatment of first nations for a long time.

Blastasaurus ,

I mean, not true at all. Various Asian and African nations are still committing genocide to this day.

ALoafOfBread ,

It’s handled by individual tribal governments. Some are very strict about who they let in, others are much more liberal about it. Basically it isn’t our federal government that makes that determination.

niktemadur ,

Just below you somebody posted that Barker was of 1/8 Native heritage.
Yet he grew up on a reservation, and even strict tribal elders should (and probably did) take into consideration Barker’s positive accomplishments for society in general, such as his campaign of awareness to spay/neuter pets to help keep the population under control humanely, and he was never afraid of using his microphone and airtime to remind his large audience every day, for decades.

What I’m saying is, even if 1/8 wasn’t technically enough, he could have made it in just like accomplished artists often receive honorary PhDs from prestigious Universities, even when they did not have (or finish) their formal education when younger.

ArgentRaven ,

57% of which tribe? With more than half, I would expect you to have a fairly strong upbringing in the tribe with various customs and your parents likely know how to get you enrolled.

ThunderclapSasquatch ,

Not always that simple. My father has tried for years but gets stonewalled because of who his father was, my grandfather was disowned for marrying a white woman rather than leave her a single mother. In the end I think being cut off like that is what killed my grandfather really.

freecandy ,

@lemmy.dickbutt/autobio50words

weariedfae ,

Some tribes have been in legal battles over the past few decades because they’re trying to disenroll people no matter how “native” they are. IIRC at least one tribe was limiting membership to only the descendants of the families that signed a specific treaty and then only if they had the paperwork to back it up. Which, if you know anything about the history of natives in this country, is really fucked up to require.

Not the one I remember but here’s an example of a tribe disenrolling people regardless of their “blood quantum”:

seattletimes.com/…/united-nations-watchdogs-raise…

yenahmik , to youshouldknow in YSK that chiropractors are not medical doctors and "Systematic reviews... have found no evidence that chiropractic manipulation is effective"

Anything a chiropractor can do that will actually help, a PT can do better. They’ll also teach you what exercises to do to prevent needing to see them again.

A chiropractor will just tell you to come to them more often, and take more of your money over time.

Shadywack ,
@Shadywack@lemmy.world avatar

You can save a lot of money by just going to a masseuse instead of a chiropractor. People attribute the positive feeling they get from attention to well being improvements, and pseudoscience practitioners certainly achieve that at a premium price. If it’s attention you want, get a massage, otherwise go to a PT and get some real help.

rdyoung ,

This. I’m seriously considering finding the money for an at home sauna. Get my muscles nice and warm and relaxed and then stretch the shit out of them.

logi ,

then stretch the shit out of them.

Just be careful. There is such a thing as over stretching. I fucked up my knees stretching after a hot yoga session and could barely walk for a couple of years.

Everything in moderation.

SocialMediaRefugee ,

One of the worst overstretches I did was in a pool. With my body weight canceled out I could get into deeper stretches, like by putting my leg up on the edge of the pool. Afterwards I realized I’d overdone it. lol

rdyoung ,

You don’t have to tell me anything, seriously. I have fucked up my back no less than 3 times. The last time I fucked my back up was about a year ago and I busted my shoulder at the same time. My back is still tight and off in a few places and while my shoulder isn’t at 100% I have like 90% of rom back and more to come as I keep working on it. I have and continue to fix myself all without the help of a pt.

I had hoped that a line like that wouldn’t be taken at face but I guess the Amelia Bedelias are making there way from reddit.

Zevlen ,

That must have sucked/hurt 🤕 … But it sounded like a real funny story for some reason…

Mi bad…

shootwhatsmyname ,
@shootwhatsmyname@lemm.ee avatar

Also I think a massage therapist will tend to be more educated on the muscles and how they work together than a masseuse

Gregorech ,

A massage therapist tends not to provide the “extras” that you can get from a strip mall masseuse.

ski11erboi ,

I come for the extras.

betterdeadthanreddit ,

Just make sure they’re not a cop first.

deadsenator ,
@deadsenator@lemmy.ca avatar

That would not be a happy ending to the story.

betterdeadthanreddit ,

Depends on for whom. A good bust makes nearly everybody happy.

Socsa ,

Busting makes me feel good

deafboy ,
@deafboy@lemmy.world avatar
TheFriar ,

I don’t care, I’ll come on a cop.

betterdeadthanreddit ,

In some places and depending on the specific details, the punishment for that offense wouldn’t include jail time. Instead of a crime, it’s just a penile code violation.

TacoNissan ,

🤨

SacrificedBeans ,

Or after the extras.

starman2112 ,
@starman2112@sh.itjust.works avatar

That’s what they’re for

KneeTitts ,
@KneeTitts@lemmy.world avatar

do you want happy ending?

yes, heck you know what, lets have a happy middle too… and a happy beginning… ok make the whole thing happy please!

Socsa ,

My wife, bless her innocent heart, still doesn’t get this. She’s been to every strip mall, Groupon massage studio in the area and is constantly like “wow, I can’t figure out why these $75/hr massages are so hit or miss.”

I have tried explaining to her that it’s because she doesn’t have a penis, but she still doesn’t get it.

frokie ,

How prevalent are these? I’ve always wanted to try but can never tell which is a safe place to approach

SomeRandomWords ,

I can’t believe I know this, but RubMaps used to (might still be?) a thing. If you looked at the outside of them on Google Maps you could very quickly start to pick up on the patterns among the listed locations.

Duranie ,

As a massage therapist that used to work in education (director of education at a massage school and taught anatomy/pathology) results will vary wildly across the States. The majority of states only started licensing in the last 10-15 years, and of course requirements for licensing and supervision varies. Some schools teach enough anatomy to get their students to pass the tests, then focus their time teaching spa type massage (aromatherapy, wraps, hot stones, etc.) or energy work. Not saying there’s anything wrong with that, but it serves a different purpose.

There are definitely schools that exist that focus more on therapeutic/rehabilitative work, but even then the challenge is finding a therapist with an up to date approach who doesn’t buy the old school “no pain no gain” who kicks the shit out of you. Massage shouldn’t hurt. But if your find the right therapist for you, they’re worth their weight in gold.

EatYouWell ,

Massages should hurt if your body is full of deep tissue knots like mine is. My rhomboids and forearms are basically just knots most of the time.

But that’s largely on me for not stretching.

EatYouWell ,

Yup. At my first massage appointment, before I even got on the table, she told me where I hurt and why I was hurting that way. And she was 100% correct.

DrMango , (edited )

Just FYI, the generally preferred term these days is “massage therapist.” Last I heard “masseuse” and “masseur” (the masculine version) have an implicit sexual connotation that “massage therapist” does not. Unless that’s what you were recommending instead of chiropractic, in which case carry on!

Moneo ,

Also it has a more professional connotation. RMTs go to school and work hard to be qualified and capable of their jobs.

SomeRandomWords ,

As my sister who is a MT always said: “A massage therapist gives you a massage, a masseuse gives you a happy ending.”

rdyoung ,

A lot of it can be done at home without a pt. Foam rollers and yoga mats are your friend. Even better if you can get a second pair of hands that know how to pop a back properly.

Chetzemoka ,

Physical therapists have definitely taught me reparative exercises that I would never in a million years have thought of on my own. PT is a god damned miracle drug.

rdyoung ,

I’m not saying that they aren’t and can’t be helpful. What I’m saying is that thanks to the internet and tons of books on the subject you can do a lot of stuff yourself without spending the money or the time going to a therapist.

If you need it, you need it, but some of us can learn most of this stuff elsewhere and/or go to a pt for a few lessons and then handle the rest at home.

Also I’m talking about what a chiropractor would do, not what a pt would do. To put both on the same level is an insult to everyone who isn’t a chiropractor.

krashmo ,

A chiropractor is way cheaper than PT. Money is such a limiting factor for so many people that, while your advice is true, it has a similar vibe to telling a broke person with car trouble to just pay a mechanic to fix it. It’s the best option but I don’t blame them for trying something less expensive.

betterdeadthanreddit ,

Paying money to get nothing and still have the original problem is not the inexpensive option though. These con artists are just stealing from people who can’t afford to be stolen from.

clif ,

But maybe you get a bonus, worse, problem from the chiro? Got to look on the bright side : D

nevernevermore ,

I stopped reading at bonus, where do I sign??

kool_newt ,

Paying money to get nothing and still have the original problem is not the inexpensive option though.

But a person can indeed fix their car effectively, and sometimes a chiropractor can help.

My mom had an issue in her shoulder that caused her to literally sob in pain and went to various regular doctors for about a year (it was a while ago so unsure of the exact timeframes). Those doctors gave her steroids which helped the pain but ultimately exacerbated the problem. She went to PT with limited success and was about to have surgery when she decided to try a chiropractor. Note that throughout this, affordability was not a concern. The first treatment helped significantly and several more treatments essentially resolved the issue whatever it was.

The foundations of chiropractic are indeed BS, but that doesn’t imply that any action taken by a chiropractor is inherently unsound. Regular medicine has a history of being wrong, it’s unlikely that in 2023 we figured it all out 100% and anything of any use is part of standard medicine.

betterdeadthanreddit ,

Medicine has a history of being wrong while we learn which things work and which things don’t. Supplementary, Complementary and Alternative Medicine has a history of being wrong while its practitioners try to carve out a niche in the dark spots that we haven’t figured out yet and then dig in to fight to the death (of their patients) once their foundations are shown to be wrong. Look at homeopathy, for example: proven to be wrong time and time again but still you’ll find homeopathic products on shelves in stores across the world, even in areas with regulated markets.

Just because there are things we haven’t fully explained or discovered yet doesn’t mean that the first snake oil salesman to stake a claim on the unknown owns it. Being right takes time and new age woo-woo garbage isn’t a shortcut worth taking.

kool_newt ,

Let’s see, on one side you have conventional medicine, where doctors where doing lobotomies as recently as the late 1960s, the Sackler family who just recently pretty much literally got millions addicted to opiates and are using corporate law to shield them, while other corporations operating within the realms of conventional medicine are selling them drugs to help them shit (opiates make you constipated). Doctors tell kids they are hyper and need meth because they can’t sit still and quietly learn to become a capitalist slave.

I don’t know that conventional medicine is in a place where they can claim the moral high ground. For every BS chiropractor there are 500 BS pharmaceutical reps or paid off doctors/scientists raking in millions. Have you not seen TV lately? Are those drug ads all noble and the chiropractor is the only bad guy?

There are so many more examples of the fucked up nature of conventional medicine but somebody’s gotta smoke that pile of weed next to me.

I want to be clear - the theoretical foundations for chiropractic are BS, but some of the treatments may indeed be helpful, homeopathy is BS 100%.

neanderthal ,

When is the last time you went to a hospital and saw a chiropractic department? When was the last time you went to a hospital and saw an orthopedics department? I have never had an MD recommend I see a chiropractor, but I have been sent to an orthopedist who sent me to PT. It worked.

krashmo ,

That’s entirely beside the point. The question is, when was the last time you left a doctor’s office with a $40 bill? If you don’t have money to pay a doctor then you’ll never even hear their advice much less be in a position to take it.

neanderthal ,

Which is completely irrelevant to the legitimacy of chiropractic.

Rhynoplaz ,

I also wouldn’t blame someone for trying a cheaper option, but I WOULD blame the “cheaper option” mechanic if he sold you a $100 pair of aura cleansing fuzzy dice to keep your engine from overheating?

krashmo ,

Then blame the healthcare system that charges people thousands of dollars for a routine doctor’s appointment.

Rhynoplaz ,

I already do.

But I don’t see how that disaster justifies selling snake oil.

krashmo ,

Jesus fuck, it’s like you guys are intentionally misunderstanding what I’m saying. All I’ve said is that I get why people go see chiropractors instead of doctors. I’m not advocating anything. I’m trying to have a discussion with you people and all you’ll do is set up straw men and virtue signal at them. Consider me done with this bullshit

Rhynoplaz ,

All I’ve said is that I get why people go see chiropractors instead of doctors.

If that’s all you said, I agreed with that part. Why did you keep arguing with me?

MediumGray ,
@MediumGray@lemmy.ca avatar

If that’s all you said, I agreed with that part. Why did you keep arguing with me?

I see people doing this so often (on the internet especially) and it honestly baffles me. The best I’ve ever been able to rationalize it is that people are often far more interested in arguing their own points and saying what they believe than actually listening to and understanding others or having a real debate. That may be overly simplistic but it’s how I cope.

EncryptKeeper ,

PTs are also broadly not very helpful with very limited knowledge. I don’t think I’ve ever met somebody who was genuinely helped by PT, though I’m sure some of them out there take their jobs seriously.

SocialMediaRefugee , (edited )

Like any profession that is service based it is “your results may vary”. My pt has helped me with exercises that have helped me get past tennis elbow and shoulder tendonitis.

TheHolyChecksum ,

Have you met somebody that ACTUALLY does their PT suggested exercises? I do know some people who said that PT isn’t working but then again, they don’t even follow basic recommendations.

EncryptKeeper ,

Yes, several. Including myself for a couple different issues growing up. Eventually I learned enough about the human body to realize how useless the exercises were for the problems I was having exercised properly which finally sorted me out. I just figured I’d gotten unlucky with the two I had, but the more people I meet who’ve spent time in PT the more I realized they might not be as competent as you’d hope they’d be.

nevernevermore ,

in my country a PT is a personal trainer, so I understand where you’re coming from if that’s what you mean. But I think in this instance PT means physiotherapist

EncryptKeeper ,

Oh no I’m referring to physiotherapist

Kase ,

Physical therapy changed my life. Not just that, but my PTs actually had knowledge and experience with my rare condition – more so than any doctor I’ve ever seen to this day. I’m sorry that hasn’t been your experience, but I assure you that there are serious PTs out there.

EncryptKeeper ,

There are always unicorns in every profession, though I’m glad it worked out so well for you.

JaymesRS ,

You can also search out a GP that is a DO Instead of an MD in the US.

They still learn osteopathic manipulation, which is a broader form of manipulation not limited to the spine that helps with stretching-type exercises. But they are certified (often with the same board exams even) and licensed on par with MDs. Many clinics have DOs among their providers.

evasive_chimpanzee ,

Important caveat of “in the US”. In most countries, osteopaths are basically the same as chiropractors. In the US, DO licensing is the same as MD licensing, so they do have to learn real science and medicine in addition to the fake science and medicine of osteopathy. Personally, I wouldn’t aim for a DO as my Dr., but if I already had one that I liked, I wouldn’t worry about it too much. Osteopathic schools are easier to get into than medical schools, cause we have more people that want to get their MD than we have schools to teach them, so plenty of those people become DO’s.

JaymesRS ,

That’s why I specifically said in the US. You have to be careful, though, some DO schools are easier to get into than some MD schools but there are also DO schools that are harder to get into than some MD schools (MD schools in the Caribbean for example) so unless you are being hyper vigilant about which school your GP went to, you’re still just relying on the fact that they all passed the same or equivalent boards anyway.

Alue42 ,

This is incorrect. You are likely confused due to the fact that the names of the fields are similar.

Osteopathy /=/ osteopathic

I'll discuss the fields as the are in the US, as I am not aware of how they are in other countries.

  • Chiropractors go through their own degree programs through their own colleges.
  • Osteopaths are homeopathic practitioners (not doctors, and they refer to their customers as clients, they are legally not allowed to refer to them as patients) and are alternative medicine practicioners.
  • MDs receive a medical degree and are doctors.
  • DOs receive a medical degree (an MD) as well as an additional 300+ hours of osteopathic study through their medical school to receive a second medical degree certification - this is NOT the same as the homeopathic study, this is the study of the bones, joints, nerves, and how they all work together as a whole.
evasive_chimpanzee ,

The AOA only recently (2010) decided to recommend that DO’s no longer be called osteopaths. As they still practice and teach osteopathic manipulation, it’s not inaccurate to still refer to them as osteopaths. When they abandon that pseudoscience and turn completely to evidence based medicine, I’ll refer to them as DO’s. Right now, all DO’s are osteopaths, but not all osteopaths are DO’s.

roguetrick ,

It doesn't have to do with homeopathy. Osteopathy is it's own pseudoscience alternative medicine and it is what they're trained as a side to their medical training. They do act like this training somehow makes them more holistic than MDs, but that's been proven to be largely false and they generally do not use that osteopathic manipulation in their practice.

Some non-doctor osteopaths might use homeopathy, but the basic theory of what osteopathy is remains pseudoscience even when it's done by DOs.

Osteopathy = Osteopathic.

Alue42 , (edited )

Thank you, I didn't realize that homeopathy was not general term - I thought it was a generalized term for alternative medicine that wasn't eastern medicine, but I was wrong.

Anyway, I do still have some things to clear up for you.

You still seem to think that DOs are spending their 300+ additional hours after the MD learning the pseudoscience, which isn't the case. Those hours are spent with neurologists, orthopedics, physical therapists, and other fellowships and residencies only provided by the MEDICAL SCHOOL - which would absolutely not allow any pseudoscience within their walls. Yes, they might do very minor manipulation in their practices, but it's what's learned through neurologists, physical therapists, or orthopedists, etc. (in addition to their MD residenciea just like the MDs in family practice, OB, surgery, dermatology, oncology, etc). The goal of a DO is to treat a patient as the sum of their parts rather than symptomatically.

Patient-first rather than symptom-first. (DO vs MD)

Osteopathic rather than allopathic. (DO vs MD)

-If I go to an MD with an earache, I'll have my ear checked out and maybe find nothing wrong but walk out with Prednisone to see if it helps. Prednisone does nothing but make me gain water weight.
-If I go to a DO with an earache, I'll have my ear checked out and maybe find nothing wrong, but he might think since there was nothing obvious that maybe there's a nerve pinched near the top of my neck so he'll have me stand to look at my posture and notice that I'm standing awkwardly with my hips not level, checks out my ankles and realizes I've started to lean in on one of my ankles and writes an Rx for a custom insole and exercises to strengthen my ankle. The issue with the ankle was causing my hips to lean, which caused my back to curve the other way to compensate, which pinched a nerve in my neck, which caused an earache. Wear the insole while strengthening the ankle, earache goes away.

(This is a true story of something that happened to me, not an example of every experience with a MD or a DO)

There is nothing precluding and MD from also searching for the underlying cause, but allopathic medicine looks to treat symptoms.

Osteopathy is 100% the movement of muscles and bones and not taught in medical school.

Osteopathy /=/ osteopathic

roguetrick , (edited )

What you're describing is a pseudoscience. It's a pseudoscience that IS allowed in osteopathic medical schools because, you guessed it, they're osteopathic. It is not evidence based medicine. I understand that DOs proclaim thatt they are more holistic than other practitioners. As I said, studies have shown that is not the case.

https://www.degruyter.com/document/doi/10.7556/jaoa.2014.166/html
https://www.acpjournals.org/doi/10.7326/M22-3723

Edit: To be clear, I'm an RN, and we're taught a whole hell of a lot more pseudoscience than DO's are.

Alue42 , (edited )

I have to ask: what do you think "holistic" means? You've said twice (once in each comment I've know replied to) that DOs "think they are more holistic than others"
Do you think it relates to holy?
It doesn't. It means that's parts of something are interconnected and can only be considered in reference to the whole of itself.
Which is the key difference between osteopathic and allopathic medicine, so of course they believe they are more holistic.

I'm not sure what you were trying to prove with those links. The first explains that while evidence based medicine uses statistics, it is a specific way of using data to determine clinical care - that it can determine the best route of care for the largest group of people that works most of the time, which is great for most people most of the time...but what about when you fall outside that group (my addition - yes, they could try the second choice when the first doesn't work or the third next, but that takes time and suffering). Whereas DOs consider the the first choice option as well as the outside options by evaluating everything. Consider the story above of my earache. That's what the link was describing. I'm not sure what you got from it, or what that has to do with being holistic (though considering outside treatment options that might involve other parts of the body would be considered holistic). The thing is, statistics are great to describe how a population reacts to treatments, not an individual. Appendectomies have a 95% success rate, but that doesn't mean that you have a 95% chance of surviving one. But evidence based treatments are based on the success rates, not the individual - that's where the patient-first idea come into play, DOs consider the patient as a whole rather than only the statistics when the statistics don't line up with the patient.

The second link says that healthcare costs between MDs and DOs are similar. Neither is more expensive, neither is less expensive. I'm not sure what that has to do with being holistic (either the actual definition or whatever you may think it means).

You're making the claim that what I described previously is pseudoscience because a DO saw that my ankle has turned inward and offered ankle strengthening exercises. Ankle strengthening exercises aren't pseudoscience, there is data behind it - the idea that it could cause ear pain due to the other issues it causes certainly would not be common, but it is explainable. Pseudoscience is something that uses no explanatory reasoning and avoids peer review. DOs routinely publish their findings.

roguetrick ,

I understand exactly what holistic means, and I provided that outcome based study (and I promise you, if you look in the literature there are many more), to prove that MDs (allopathic medicine) are treating the whole body as well. I provided that horses mouth osteopath description of why they can't quite match up to evidenced based medicine because it is as hollow as it sounds.

Patronizing me like I don't know what the words I use mean is incredibly tiresome. I said I was a nurse. One of the key claims of the nursing profession is that we provide holistic care over more medicine focused disciplines. It is horseshit when we say it and it's horseshit when the osteopaths say it.

Alue42 ,

I understand that's what you wanted to show with that article, but that's not the information that the article provided. That article did not provide any information about either MDs or DOs being holistic or not. It was about the use of statistics in their respective practices. Which is why I questioned knowledge of the definition.

But damn, I hope I never get you as a nurse. I used to teach in one of the top nursing graduate universities in the country, and your attitude is definitely not what we would aim for. Yes, we encouraged away from the pseudoscience and focused on research based approaches, but damn. Osteopathic is different than allopathic, but neither is exclusive to evidence based, nor is either inclusive to it.

mvilain ,

Actually, outside the US, the DO training is 7 years, same as a medical doctor. I chose a DO for my primary care doctor because they have papatory skills (i.e. they actually touch someone) that regular doctors refer out.

evasive_chimpanzee ,

Really depends on the country, though. Many countries don’t have “DO” as a profession cause they only need one type of evidence based medical degree, so anyone who does osteopathy is basically equivalent to a chiropractor or other type of witch doctor.

I can definitely respect the perception that they interact with you more, and I’m glad you have a doctor that works well for you.

CarlCook ,

In my corner of the world, most CPs are also PTs. Or rather the other way around: they use chiropractic as one of many therapeutic means in their portfolio. I have to say, I very much appreciate this approach, as it relives the initial pain/discomfort but also addresses the underlying problem.

Dvixen ,
@Dvixen@lemmy.world avatar

I go to a sports physiotherapy group. Much better results when the goal is to help me recover so I don’t need to come to them.

Umbraveil ,

That’s not exactly the truth.

Yes, there are plenty of medical practitioners that poorly represent their profession. I’m sure you could easily apply the same logic here to PT, NP, DO, MD, etc.

What should be emphasized is that Chiropractic has heavily evolved, like any other healthcare field and there is a high degree of overlap between PT and DC methodologies. So much so, PT has lobbied for adoption of joint manipulation.

A good DC won’t limit themselves to 5 minutes visits for a quick adjustment. A good DC is evidence-based, incorporates rehab and education, and provides care to the body and systems.

rayyy ,

A chiropractor will just tell you to come to them more often,

If you are going to one that does, you are going to the wrong one. There are a lot of quacks in professions and some of them are AMA licensed doctors too.
I was very skeptical of them until a friend recommended one he personally knew for my painful shoulder - he even offered to pay for the visit if it didn’t help. I was amazed when I walked out of the office completely pain free.
Many professional sports athletes seek out massage and chiro with good results because they cannot afford miss events and can’t test positive for the drugs that many conventional doctors would push.
There is a place for all avenues of remedies depending on the problem. Incompetents can be found in all professions. That said, is far too easy for a poser to set themselves up as a chiropractor.

KneeTitts ,
@KneeTitts@lemmy.world avatar

Incompetents can be found in all professions

seems like thats the crackocracker industry problem, they simply dont have any standards. I’ll grant you there may be some crackocrackers who actually have some skills… maybe, but if a patient has to go to 20 of them to find “that one good one”, then that industry is garbage

KneeTitts ,
@KneeTitts@lemmy.world avatar

I would also point out that any pro quackocracker post you see here is the one time they might have helped someone just out of random chance, those people are loud and tell everyone how great their quackocracker is. Its simple confirmation bias, they have a sample size of one, themselves, this is not how data works.

ElBarto ,
@ElBarto@sh.itjust.works avatar

I see my chiropractor once ever couple of years, I do most my own chiropractic stuff myself so I only visit her when I can’t deal with it. She knows I’m not gonna come back for a mother year or 3 so she doesn’t even tell me to book.

Telorand ,

This is a great point. My MiL is a chiropractor (a non-quacky one), and she incorporated a lot of PT into her practice. Additionally, I read a couple years ago that PTs are beginning to incorporate the good things from chiro (whatever they are. I’m not a doctor) into their own practice.

A roundabout way of saying that we learned some things from chiro, but PT was always the future.

someguy3 , to til in TIL in 1893, the US Supreme Court held 9–0 that the tomato should be classified as a vegetable rather than a fruit in Nix v. Hedden, 149 U.S. 304, for purposes

Knowledge is knowing tomato is a fruit.

Wisdom is not putting it in a fruit salad.

Sowhatever ,

Charisma is convincing you to eat the fruit salad anyway.

Gigan , to til in TIL in 1893, the US Supreme Court held 9–0 that the tomato should be classified as a vegetable rather than a fruit in Nix v. Hedden, 149 U.S. 304, for purposes
@Gigan@lemmy.world avatar

It was a simpler time

homesweethomeMrL , to til in TIL in 1893, the US Supreme Court held 9–0 that the tomato should be classified as a vegetable rather than a fruit in Nix v. Hedden, 149 U.S. 304, for purposes

Charging that the Agriculture Department “not only has egg on its face, but ketchup, too,” Budget Director David A. Stockman said yesterday he had ordered the withdrawal of proposed federal rules that would have listed ketchup and pickle relish as vegetables in school lunches. . . . Stockman’s rough-edged remarks were an obvious effort at damage-control. The proposed redefinition of the school lunch has let the Democrats embarrass the administration as rarely before. . . . The guidelines were supposed to help schools that provide free or reduced-price lunches to lower-income students as they try to deal with a $1 billion cut in federal support for the fiscal year that begins next Thursday.

washingtonpost.com/…/9ffd029a-17f5-4e8c-ab91-1348…

Reagan took a billion dollars (in 1981, that’s $3.4 billion today), away from school lunches for children. We know many of them needed that food but republicans said the hell with kids, let’s give lockheed-martin $1,200 for a hammer.

Nothing has changed in the GQP. Well, the descent into utter madness, but they really weren’t that far off in 1981.

AlwaysNowNeverNotMe , to til in TIL in 1893, the US Supreme Court held 9–0 that the tomato should be classified as a vegetable rather than a fruit in Nix v. Hedden, 149 U.S. 304, for purposes
@AlwaysNowNeverNotMe@kbin.social avatar

Webster {attempting to standardize spelling across the English speaking world}

Everyone: oh hey thanks for defining all reality for us.

cyberpunk007 , to youshouldknow in YSK that chiropractors are not medical doctors and "Systematic reviews... have found no evidence that chiropractic manipulation is effective"

I know this but I still don’t understand it. I started visiting a chiropractor for my first time last year and I’m old. I couldn’t sit for a week. I couldn’t get my socks on. I couldn’t lay in any position in bed except on my back. I went, and I was immediately 80-90% better. Had to do followups for about 6 weeks and I haven’t been back 😂.

I don’t understand why they aren’t.

Of course core strengthening is always better but that’s preventative.

qooqie ,

Same boat as you, it at least helped me a bit.

0oWow ,

OP is just spouting misinformation that was/is spammed on Reddit for years with nothing concrete to back them up.

jack55555 ,

Glad you came up with great counter evidence though!

NataliePortland OP ,
@NataliePortland@lemmy.ca avatar

Ya! OP is just hiding behind this Wikipedia article on chiropractors loaded with all those so-called “sources” from scientific journals. I bet she doesn’t even have a nice story about a time she went to a chiropractor and felt better.

0oWow ,

If you read long enough, you’ll realize that all these studies essentially suggest whatever idea they are trying to promote. Often it is with bias.

The takeaway is that you should not just blanket ban a whole profession just because someone says they aren’t a doctor. That’s nonsense. There are way more factors than that.

Caesium ,

it’s a temporary fix. A patch up. If you don’t focus on proper posture and stretching excersizes, it’s very likely you could end up in that same situation again

cyberpunk007 ,

This is what I am saying. Maybe I wasn’t clear.

JCreazy , to youshouldknow in YSK that chiropractors are not medical doctors and "Systematic reviews... have found no evidence that chiropractic manipulation is effective"

I know people that swear by it which I can kind of understand if you have pain and they “pop” something and you feel better. But is it really helping if you have to keep going back?

finestnothing ,

My wife went to a chiropractor weekly for the last few months of her pregnancy (the chiro office specialized in pregnancy chiropractic). It helped with managing some of the back pain she already had plus the new ones. The best way she described it was like a massage for your bones, feels good and alleviates pain in the short term but doesn’t fix anything long term

Dvixen ,
@Dvixen@lemmy.world avatar

I used to see a chiro, stopped while I was pregnant after he ‘treated’ PGP. (I’m hypermobile, and pregnancy made everything ready to dislocate.) Daily pain went from 5/6 (manageable, barely) to a 9 and severe mobility limitations.

I was slowly moving, but able to move before that appointment. Could barely walk, and climbing stairs was not happening for months after.

A physio realigned everything, and I walked out of the first appointment and could take stairs again. Ended up at a specialist dealing with the aftermath of that chiros treatment.

Physiotherapy is my first stop now, and I will never set foot in a chiropractor’s office ever again.

KrummsHairyBalls ,

I don’t believe in it, and I’ll never go, but my girlfriend does.

Yes, she has to keep going back, but when they “pop” the correct thing, she’s pain free for weeks. When she holds off going, she’s in pain and can’t sleep until she goes.

I personally don’t trust them, and it’s a lot of money for temporary relief, but I guess it kinda works? As long as you’re fine with the trade-off being fucking paralyzed when they crank your neck at the speed of sound.

Wogi ,

There are good chiropractors who are just trying to treat pain. 95% of them are woowoo worshipping morally bankrupt bastards. Even those guys can be helpful if what you’re looking for is short term care for an injury that’s in the process of healing.

They are not good for treating chronic pain. They may be able to help you manage your pain in the short term while you seek real treatment. But over time, your risk of injury from a chiropractor only goes up. You should limit your exposure to chiropractic ‘therapy’ to as few sessions as possible, and the second they suggest they can treat anything other than a temporary injury, find someone else. It won’t be hard they’re fucking everywhere.

ipkpjersi ,

Physiotherapy is generally recommended for acute (and I believe chronic) injuries by actual medical doctors, so you should generally go to that over chiros.

SoleInvictus ,
@SoleInvictus@lemmy.world avatar

Oh yeah. I have chronic pain, I’ll be doing physiotherapy until the day I die.

HelixDab2 ,

Honestly, your girlfriend would be far, far better off going to a competent physical therapist. It sounds like there’s a muscular weakness that’s allowing a joint to not stay in place.

In almost all cases, people will get better long-term results by doing physical therapy rather than going to a chiropractor.

DogMuffins ,

The thing is, this study is talking about “chiropractic manipulation” which is a very specific thing. (With that clicker thingy I think?) The thing is, chiropractors tend do do lots of different therapies, like stretching and massage. So you could go to a chiropractor who performs some kind of massage which is effective at temporary pain relief.

Rodeo ,

Sounds like the chiropractor has no reason to fix her for good. It’s for-profit healthcare, and she keeps coming back. If he fixes her properly he’s going to lose income.

Arfman ,

I wonder if it’s a placebo effect. Like I go for a back massage every month or so and feel good for a few weeks but I’m fully aware it’s just muscle pain relief and not some permanent fix.

elscallr ,
@elscallr@lemmy.world avatar

Muscle pain relief is pain relief. I don’t go to a chiropractor and I’m confident most of them are selling snake oil but I kinda view them as a next level masseuse.

If I were more comfortable with strangers touching me a massage might be nice. A chiropractor sounds like a next level up. I feel relief when I get a good back crack.

Rodeo ,

Massage therapy requires significantly more training than chiropractic does, at least in my area.

ADON15 ,

hey even if it is just the placebo if it still works and its not harmful who cares

ChronosWing ,

That’s the problem, chiropractors routinely injure and kill people.

ADON15 ,

I wasn’t mentioning chiropractors in specific, although I can see how it’d come across as such. I have no idea how safe or unsafe it is

ChronosWing ,

Then you should educate yourself and never visit one if you value your well being. It’s an incredibly unsafe practice. Ask any Orthopedic Surgeon how many near permanent injuries they’ve had to fix from a botched chiropractic adjustment.

afraid_of_zombies ,

They get paid a lot less per hour, have less support staff, and less equipment. Hence any given unit of time they spend with you costs less. Additionally you have more options of which to choose.

Been to a doc recently? Think of how fast they try to get you out of the room. Feels like you are begging them to please listen to you. Well a chiropractor can spend the time talking to a patient. Of course you feel better, someone heard you complain for over 30 seconds and really listened to you. And if you weren’t listened to you, you just go find another one.

piecat ,

Feeling listened to doesn’t mean the same thing as treatment.

DogMuffins ,

It doesn’t, but it might be perceived as treatment.

Suppose you ask your GP to make it rain because your garden is dry and they tell you to go away. Then you go to a chiropractor that talks to you about your garden and then performs a complex ritual that takes a half hour or so. 2 days later it rains.

SoleInvictus ,
@SoleInvictus@lemmy.world avatar

I think people are misunderstanding your comment.

I don’t think you’re suggesting this proverbial chiropractor made it rain, only that the patient felt listened to, which may make them initially view the treatment favorably. When their symptoms later get better, as they always would have, they attribute it to the chiropractic treatment, not just healing over time

afraid_of_zombies ,

Of course not but it makes you feel a bit better.

ChronosWing ,

Clearly you’ve never been to a physiotherapist. It’s usually always a 30-60min appointment and they spend the entire time with you, bonus is they are actually trying to fix your problem instead of just temporary pain relief so you keep coming back forever. Not to mentioned they are board certified and didn’t get their certificate from a cracker jack box.

afraid_of_zombies ,

I have not been to a chiropractor either. I am repeating what other people told me about them.

Snekeyes ,

I messed up my hip once… couldn’t get it right … super painful. Chiropractor did it up and was ok from then on. Who knows!

shalafi ,

Ex had an issue. 6 treatments and she was done for good, never went back. So yes, sometimes they know what they’re doing sometimes it works.

Painting the whole profession as witch doctors? Meh, they’re not touching my neck, but I’ll listen to what they say. Educated and licensed doctors and nurses can be total fruitcakes as well.

Zevlen ,

“fruitcakes” is a slur for homosexuals. . .

NOT_RICK ,
@NOT_RICK@lemmy.world avatar

First hit isn’t even free

Kase ,

I will add, as someone with a connective tissue disorder, that a quick “pop” can help a subluxated/dislocated joint, but that’s something that can and should be done by an actual physician. And if someone has joints that are especially unstable (for example, bc of a connective tissue disorder), subluxations/dislocations can happen pretty regularly.

This is NOT a defense of chiropractors. And chiropractors are even more dangerous for people like me because it’s easier for them to seriously damage our joints. Go to a PCP, a rheumatologist, a physical therapist, it doesn’t matter, just go to a real doctor.

slazer2au , (edited ) to til in TIL the earliest recorded use of the @ symbol was from a religious text from 1345

I see you also were recommended this YouTube video on the history of the @ symbol.

www.youtube.com/watch?v=MjE03a8PGko

Demdaru , to youshouldknow in YSK that chiropractors are not medical doctors and "Systematic reviews... have found no evidence that chiropractic manipulation is effective"

I read about one of these guys breaking sick arm bone lol. On the other hand, where I live, these guys have to literally go through similiar shit like physiologists so theyre as safe as any other quack with paper is. I have mixed feelings.

lolcatnip ,

Yeah, that’s kind of where I’m at. I don’t want to give any credit to pseudoscience, but but I also know chiropractors receive at least some real medical training, at least in regards to basics like anatomy. I’ve known people who studied chiropractic medicine (and acupuncture, which I put in the same category), and they were not idiots or scammers. And of course so many people swear by their chiropractors. I don’t consider patient testimonials a replacement for scientific studies, but until I see a study that explains why so many people feel that way (in specific terms, not just a general reference to the placebo affect), I find it hard to completely dismiss their experiences.

For the sake of not sounding totally gullible, I should probably mention I’ve never seen any kind of alternative medicine practitioner, and I probably wouldn’t except as an act of total desperation.

sukhmel ,

As an anecdotal evidence, I’ve visited chiropractors twice. One was pretty wierd and didn’t do much in terms of massage but succeeded to make my muscles relax somewhat. Another one was applying quite a lot of force but hopefully didn’t make any damage. Both were somewhat successful for very short-term neck ache improment.

Long term I should do gymnastics, that works better and is safer, but as of lately I don’t 😞

max641 ,

Did you have any bone issues in neck or just muscle pain.

should do gymnastics can you include the details.

sukhmel ,

I do have scoliosis, but issues were purely with muscles.

Well, I’m not sure how that’s called, like stretching neck muscles, doing different exercises with elastic rope that loads neck and spine, and such. It seems to be different complex with every other practitioner that’s teaching what to do, but what worked best for me is standing on elastic rope holding it in both hands and lifting hands to T-pose (not an advice, consult a medic insted)

max641 ,

Sure, thanks.

RizzRustbolt , to til in TIL the earliest recorded use of the @ symbol was from a religious text from 1345

@Iehova: Yer a jerk!

MummifiedClient5000 , to til in TIL the earliest recorded use of the @ symbol was from a religious text from 1345

Sounds fake, who would they even @ back in 1345?

EmoDuck OP ,

It had a bit if a different meaning back then. In that text it was used as a stylist a for the word Amen

It wasn’t untill 1572 that Saint Emailius of Corsican invented Email in order to share cat videos in his monetary that it became what it is today

FooBarrington ,

Oh, when I draw cool stuff around my writing I get yelled at, but when those guys do it it’s fine? What the fuck Mrs. Smith?

edgemaster72 ,
@edgemaster72@lemmy.world avatar

monetary

Immediately enshittified, it was always going to be this way

Rentlar ,

Who do you think the G in Gmail stood for?

rebelsimile ,

“Oh also @Brother Ignatius, when you read this — how about you scribe deez nuts??”

WrenofDelpan , to youshouldknow in YSK that chiropractors are not medical doctors and "Systematic reviews... have found no evidence that chiropractic manipulation is effective"

Generally agree with this, but one time when I was little landed on my back on the edge of a trampoline and really hurt my back. After some back and forth my parents took me to a chiropractor who fixed my pain, saying I probably moved a disk onto a nerve or something like that.

So I think pain caused by physical movement of the spine like my injury is totally legit as a reason to go to one

DragonWasabi ,

Glad they worked for you. One thing I would add: Maybe make sure they’re actually skilled/qualified and not a chiropractor-in-training using you as a test dummy.

DoomBot5 ,

Enough facilities offer fully certified doctors and technicians on the same level you would find in any other medical facilities.

DragonWasabi ,

Yes, there are. But there also some clinics that have chiropractors in training who aren’t as qualified to do chiropractic as experienced chiropractors. I know a place where they use chiropractors who are still in training and developing experience, and lots of people say to avoid it and go to more professional chiropractors.

betterdeadthanreddit ,

Skilled at what? Qualified by whom? What’s the difference between a nothing and a nothing-in-training?

Go to a doctor.

DragonWasabi ,

There are literally some clinics that have chiropractors in training who aren’t as qualified to do chiropractic as experienced chiropractors. I know a place where they use chiropractors who are still in training and developing experience, and lots of people say to avoid it and go to more professional chiropractors.

betterdeadthanreddit ,

I will be more clear. The skills and qualifications of a chiropractor are nothing. If I were more charitable, I’d say that their treatments do not work the way they say they do. It’s based on assertions that are at odds with reality and so far in testing, reality has always won. You can not be skilled at a thing when that thing is not real so a chiropractor and chiropractor-in-training are six of one and half a dozen of the other.

You can study fantasy for years and interact with people who play along with your fantasy. Pretending that fantasy is medicine is dangerous and unconscionable.

Reddfugee42 ,

Astrology works the same way. Anecdotal evidence is really effective but the data clearly show you’ll get more consistent relief with real doctors and real physical therapists.

WrenofDelpan ,

I don’t disagree with you. For me there is a fine line for appropriate and inappropriate use. Those who swear by chiropractors definitely cross it

betterdeadthanreddit ,

I don’t doubt whether you and your parents believe that going to a chiropractor fixed your pain. Can’t exactly zip around with a time machine and see what would have happened in that scenario if you’d gone to a doctor, done some stretching on your own, or just gone about your day ignoring it (among other options). Anecdotes like yours suggest that there’s a helpful effect from going to chiropractors but when it’s studied by competent professionals, those benefits disappear because chiropractic practitioner beliefs and performances are not constrained to the narrow limits of reality.

If someone is injured beyond the simple stuff like cuts that you can slap a band-aid on or sprains/strains to be treated with RICE (Rest, Ice, Compress, Elevate), go to a doctor. Head, neck or back injuries in particular are not something to gamble on but I’m glad your case turned out okay.

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