723 petitions

Update posted 9 hours ago

Petition to Representative Singer - Colorado House

Protect Patient Choice - Support the Physical Therapist Practice Act in Colorado

Physical Therapists have provided dry needing for over fifteen years in Colorado, for tens of thousands of patients, with an overall reported benefit of more than 90% and a reduction in medication use by more than 75%. Surveying more than 2000 Colorado patients noted that 96% of recipients reported that they would of not of received the same functional improvement under the treatment of a PT without the inclusion of dry needling. Currently the use of dry needling is authorized under Rule in Colorado for PT's, and has been supported multiple times by the legislature. This is currently under assault by acupuncturist groups and associations with the legal and legislative intent to change the practice of Physical Therapists in Colorado. Since 2011 PT's have undergone formal post-graduate education, at a post-Doctoral level, after over 3500 hours of formal education with a focus to neuromusculoskeletal impairments, to become a PT, to achieve the additional procedures and knowledge to integrate dry needling into their practice. The CO APTA has received reporting on over 25000 patient treatment sessions (from patients), indicating a substantial health benefit, pain reduction and functional gain for over 95%. Physical Therapists utilize dry needling as part of an overall approach to the individual management of patients and clients which is based upon a western medicine framework to primarily address trigger points and impairments in muscles and soft tissues. Efforts to represent dry needling performed by PT's as harmful ignore the data. The infection rate in Colorado for PT's utilizing dry needling is 0.004% per episode, and 0.006% per episode for a puncture to a lung filed. This is very similar to decades of published data on needle/filament insertion by other health care providers, representing a very low risk of serious complication. HB 18-1155 will ensure the ongoing regulation of Physical Therapists in Colorado, this bill will codify into statute the use of dry needling by Physical Therapists, affirming the Rule already in place, along with other key provisions to modernize the regulation of PT Practice in Colorado.  Patient's in Colorado speak clearly as to the benefit of dry needling from PT's: “I think it's the best treatment I've ever had for back pain.” Colorado Resident “I was able to stop using pain relief meds immediately as a result of dry needling. Overall  improvement of my conditions were immediate.” Colorado Resident “I feel that it helped me deal with the pain without having to take some kind of pain medicine or narcotic.” Colorado resident "I have recommended DN to MANY people, telling them of the positive results I have had, when other treatments did not help.” Colorado Resident Please write to Representative Singer, the Sponsor of HB-1155 to express your support: We the signatures of this petition, ask the Colorado Legislature to support the ongoing and unchanged practice of physical therapy in the state of Colorado, to continue providing optimal and pain reducing care for Colorado Constituents. HB 18-1155, as amended to include a codification of dry needling into statute, will protect the public by ensuring optimal access to highly trained health care professionals in Colorado.    

APTA Colorado
4,255 supporters
Update posted 1 day ago

Petition to Scott Gottlieb MD, Jeff Shuren, Sybill Storz, Managing Director, Hal Lawrence, William Maisel MD

Health Alert: Many Women Have Died Unnecessarily Because Dangerous Cancers of the Uterus and Ovaries Are Being Spread using MORCELLATORS. Stop MORCELLATION in Minimally Invasive Gynecological Surgery.

Friends of the Public, Many women have been harmed and have died prematurely or unnecessarily because of a routine but avoidable gynecological practice known as MORCELLATION. This world-wide practice has devastated many families for well over two decades now. More than 600,000 hysterectomies are done in the US every year. By the age of 70, one out of every three American women will have had a hysterectomy. About 90% of these surgeries are done for what is presumed to be a benign condition called fibroids. More and more of these surgeries are done with minimally invasive techniques.  Usually, to get the uterus out of the body using the "minimally invasive" technique, it is cut into small pieces with a machine called a morcellator.  However, a devastating problem happens if in fact the woman did NOT have fibroids – but if she actually had cancer.  Unfortunately, the tests that are done before a hysterectomy do not identify these cancers well.  Many gynecologists don't even bother getting any tests. In fact, morcellating cancer spreads the cancer inside the woman’s body.   This is called ‘up staging’ the cancer.  It is important to understand: 1) The average life span following accidental morcellation of sarcoma is only 24-36 months. 2) Only 15% of woman who have leiomyosarcoma (LMS) that has spread (stage 4) will be alive after 5 years. 3) Women with sarcoma who are morcellated are about 4 times more likely to die from sarcoma than if they had not been morcellated.  This is an avoidable disaster. This problem has been recognized for more than two decades.  A review of the literature, by the Food and Drug Administration, revealed that 1 in 350 women who go for fibroid surgery actually have sarcoma.  This means that everyday 2-5 women in the US – and more around the world are susceptible to having a deadly cancer spread because of morcellation. This catastrophic problem has happened in my family and we are fighting to stop this dangerous activity called morcellation.  A chance of 1 in 350 for such a devastating outcome is much too high to accept.  Women should be told the truth and the practice should stop. Please help us bring an end to spreading cancer with morcellation.  This is a totally AVOIDABLE practice.  People need to understand their options, which include hysterectomy through a mini-lapartomy incision or trans-vaginally – but – up until recently, most women never heard anything about morcellation or about the possibility of cancer upstaging. And, if they do, this risk is down-played by most minimally invasive gynecologists. We can tell you based on our experience, when cancers are spread by morcellation, the outcomes can be devastating - because the cancer is upstaged. We need your help. Please sign our petition so we can get the word out.  We want the American College of Obstetricians and Gynecologists and the American Board of Obstetrics and Gynecology to change this "standard of care" by ending the needless waste of life caused by spreading cancer with morcellation. For more information and original references see: ) (also see: (also see: The attached video below shows an example of morcellation The following companies manufacture and distribute uterine morcellator devices: 1) ETHICON: Gynecare morcellator 2) Storz: Rotocut Morcellator 3) Richard Wolf Medical Instrumentation Company 4) LiNA: LiNA Xcise Cordless Laparoscopic Morcellator 5) Blue Endo MOREsolution Tissue Morcellator 6) Pneumoliner Power Morcellation System by Olympus Corporation. Intuitive Surgical's Da Vinci Robot deserves special mention, as the frequency of robotic hysterectomies performed by minimally invasive gynecologists is currently on the rise across the United States. Note that Intuitive Surgical builds and markets the DaVinci robot, which is not itself a "morcellator". However, use of the DaVinci robot almost invariably appears to require that the uterus be minced up, or morcellated, into smaller pieces inside the woman's belly cavity in order to extract from the abdomen. A clear example is shown in the following YouTube video of DaVinci being used to perform a robotic hysterectomy and manually morcellating the uterus using the endo-wrist component of the robot (morcellation is being performed at minute 5:30 of the video).  Without morcellation using equipment manufactured by Intuitive Surgical, robotic hysterectomies would, likely, not be possible using the DaVinci Robot. It is noteworthy that the DaVinci robot does not appear to have a readily available warning label advising against its use to morcellate tumors with malignant potential inside the body. The company's Chief Medical Advisor, Dr. Myriam Curet, a surgeon herself, has been informed and advised of this severe hazard in the use of DaVinci for robotic hysterectomy and the absence of a readily available warning label.

Hooman Noorchashm
93,927 supporters