medical care

32 petitions

Update posted 14 hours ago

Petition to Colorado State House, Colorado State Senate, Colorado Governor, Jonathan Singer, Daniel Pabon, John Hickenlooper

Protect the Public from Permanent Injury due to “Dry Needling” by Inadequately Trained PTs

Colorado State Senators and House Representatives:  Protect the Public from Permanent Injury due to “Dry Needling” by Inadequately Trained Physical Therapists in Colorado Do you know what “dry-needling” is?   It is acupuncture.   The American Medical Association (AMA) confirms it.  But, physical therapists in Colorado are using the term “dry needling” to practice acupuncture without having to meet state-required education and training standards for it.  Do you know that Colorado has the highest percentage of serious dry-needling injuries caused by physical therapists in the United States?  At least 34 serious “dry needling” injuries caused by non-acupuncturists have occurred in the United States in recent years.  The number jumped exponentially from 1 injury between the years of 2005-2009 to at least 21 injuries during 2010-2014.  At least 6 documented injuries, up to 20% have occurred in Colorado. What kinds of injuries?  Collapsed lungs (requiring surgery and hospitalization), permanent bowel dysfunction (such as incessant diarrhea), permanent partial paralysis, permanent loss of limb function, permanent nerve damage, and more. A physical therapist, with no training whatsoever in the insertion of acupuncture needles, can walk into weekend course on Friday and start inserting acupuncture needles up to half-a-foot long (6 inches) into patients on Monday morning.  There are NO national education standards, training standards, certification exams, accredited programs or schools for dry needling.  None.  That is why we are seeing these injuries.  Here are few examples of recent serious dry needling injuries: ●     In Colorado in November 2013, 17-year-old professional freeskier Torin Yater-Wallace suffered a penetrating right lung injury caused by a physical therapist performing dry needling. The injury resulted in a traumatic pneumothorax (a collapsed lung). He was treated for the traumatic pneumothorax at the emergency department of the St. Anthony Summit Medical Center in Frisco, Colorado, and was admitted to that hospital on the same day. The traumatic pneumothorax required medical and surgical intervention. He was hospitalized for five days. Colorado resident 17-yr-old Torin Yater-Wallace hospitalized after dry needling by an inadequately trained physical therapist ●     In Boulder, Colorado on April 30, 2015, a woman’s left lung was punctured by a physical therapist.  After experiencing pain and vomiting, she went to the emergency room at Good Samaritan hospital.  Multiple tests were conducted and imaging scans showed a collapsed left lung.  She required surgery and three days of hospitalization, plus four days of bed rest.  She lost five days of work and had to cancel a trip to Hawaii among other birthday plans.  Her physical therapist denied any responsibility for the event. ●     In Colorado in June 2015, 41-year-old clinical social worker Lisa Kerscher suffered a penetrating lung injury caused by a physical therapist performing dry needling. The lung injury resulted in a traumatic pneumothorax. She was treated at the emergency department of the Rose Medical Center in Denver, Colorado. ●     In February 2016 in Ohio, 47-year-old Anong Pipatjarasgit suffered a penetrating thoracic spinal cord injury caused by a physical therapist performing dry needling. The injury resulted in a traumatic spinal epidural hematoma (an accumulation of blood in the spinal epidural space). She was treated for the spinal hematoma at the emergency department of the ProMedica Toledo Hospital in Toledo, Ohio, and was admitted to that hospital on the same day, requiring medical and surgical intervention.  After recovering from emergency surgical decompression and evacuation of the hematoma, she underwent extensive inpatient and outpatient rehabilitation. She now has permanent severe neurologic problems, including paraparesis (partial paralysis of the lower limbs), sensory deficits, bowel dysfunction, and persistent severe back pain. ●     In January 2018, a case study documented permanent radial nerve injury to a 27-year-old female receptionist by a physiotherapist practicing dry needling in Ireland.  Despite intensive rehabilitation, she remains permanently unable to flex or lift her left wrist.  Are we really going to do nothing and wait for this to happen to one of our own Colorado citizens, a working mother who will no longer be able to lift her toddler? 27-yr-old woman with permanent nerve damage due to dry needling by an inadequately trained physiotherapist (physical therapist) With proper education and training, these injuries are preventable.  Because of the inherent risks of acupuncture needles, acupuncturists in Colorado are required to have over 1,905 hours of training, including a minimum of 705 hours of acupuncture-specific education (during which acupuncturists learn needle insertion angle, needle length, indications, and warnings for each of thousands of points), and a minimum of 660 hours of clinical needling observation and supervised needling internship.  (These numbers are in addition to the medical courses acupuncturists share with other doctorate-level medical colleagues, such as anatomy, physiology, and biochemistry.)  The mere 23 hours of training the Physical Therapy Board requires before physical therapists start inserting acupuncture needles into the public is a significant risk to public safety. Education and training standards exist for public safety. Do electrician license requirements unfairly limit plumbers from doing electrical wiring in an innocent person’s home?  Of course not. Plumbers who want to do electrical wiring simply need to get their electrical license.  Professional medical standards protect the public.  This issue is about holding medical professionals to their pledge to:  “Do no harm.”  This issue is about putting innocent people before quick profits.  This issue is about making sure health professionals are adequately trained in how to use specialized tools and perform acupuncture before they permanently damage unsuspecting Colorado citizens. Dry needling IS acupuncture.  It is an acupuncture needle inserted into an acupuncture point.  We want the Colorado legislature to remove amendment L.001, the “Dry Needling Amendment” from HB18-1155, the Physical Therapy Practice Act renewal bill.  This would remove all “dry needling” language from the Bill.  It would not change the current practice of Physical Therapy in Colorado.  There is currently a judicial appeal regarding the insufficient training required for physical therapists practicing acupuncture (i.e., dry needling) in Colorado.  Amendment L.001 attempts to circumvent the judicial process.  Removing Amendment L.001 from HB18-1155 honors the right to civil appeal before the courts and will let the courts decide this issue. With this petition, we ask our Colorado State House Representatives and Senators to please remove Amendment L.001 from HB18-1155 in the interest of public safety, and out of respect for the civil right to appeal before the courts.      

Acupuncture Assocation of Colorado
3,915 supporters
Update posted 2 weeks ago

Petition to JD Hickey MD, Andrea D. Willis MD, Blue Cross Blue Shield

Blue Cross Blue Shield of Tennessee: allow my husband the appropriate care he needs.

February 1,2017 my husband went into cardiac arrest after a month long stay in the hospital for pancreatitis. From his cardiac arrest, he obtained an anoxic brain injury. He has been in 6 different facilities, during this he has been under 3 different insurance plans due to my job. The most current is Blue Cross Blue Shield of Tennessee. It has been nothing but hassles since January 2018. He was at a facility that was appropriate for the level of care he needed as he has a stage 4 pressure sore and is unable to participate fully in any type of therapy. Most rehab facilities will not accept patients with an open wound or if they are not able to participate in 3 hours of therapy. At the most recent facility he was improving, although still unable to participate fully in therapy. On January 16, Blue Cross Blue Shield of Tennessee’s Medical director decided that he no longer qualified for the LTAC level of care and denied his extension at that facility. I’m doing that, it forced that facility to hastily find a new facility for him, and he has since been placed in a nursing home. They are unable to provide him the proper level of care he requires and has started to decline.  Blue Cross Blue Shield has now denied his current facility because of his physical therapy notes, he is unable to participate and so they denied his extension here. My husband is now in limbo, not appropriate for either location. So where does he belong then? Too good for the last place, but not good enough for his current place and so he regressed. He needs to be appropriately evaluated and allowed to go to the facility that will take care of him best. He needs iv antibiotics for his pressure sore, bed rails on his bed so he doesn’t fall out of bed and people that know how to deal with a brain injury patient. He’s only 38 years old and we are now a year and three months into this whole ordeal.  Please! Someone at Bcbs Tennessee must have some compassion! They should not be basing their decision off of PT notes, they need the whole medical chart!

186 supporters
Update posted 2 months ago

Petition to Politicians, Governments, Medical Associations


My wife Briggs would still be alive if not for all the harm that was done to her in the course of her treatment.  We had begun turning around her cancer when I lost her to medical errors in what was meant to be a short emergency hospital stay. I wrote a book about her cancer journey, "Briggs: Love, Cancer, and the Medical Profession".  A sister petition to this one, the Petition for Briggs for Cancer Immunotherapy for All, has been signed by 30 stars, legends, eminent professors, and a founder of Stand Up to Cancer.  A recent study in the British Medical Journal confirmed one of my chapter titles, that medical errors are still the third leading cause of death in the U.S. I took the shot above very early in the morning.  All Briggs cared about was that a nurse had just given her a warmed blanket.  Her loop colostomy had failed.  She was about to have a revision surgery, a more radical end colostomy which put her through hell for months to come with a 24-hour-a-day discharge.  Loop colostomies regularly fail.  There are three methods to avoid it.  In going over Briggs's medical records for the book, I found her doctor had used none.  He's a premier surgeon at one of the most prestigious cancer centres in Manhattan, if not the world. A retired nurse wrote in a review of the book, "We need this type of information long before something happens because in the throes of it one becomes so drained they cannot decide which way to go!!"  A doctor calls it "a major eye opener."  He messaged me separately to say it's overturned his approach to medicine, and told me of saving a boy's life by intervening with a colleague. I quote a Harvard professor's estimate that between 90 and 99 percent of side effects go unreported.  The FDA relies on those reports to determine the ongoing safety of a drug once it's on the market.  The side effects of an anti-anemia drug Briggs was given just one time put her in the hospital for 30 days.  I later found there'd been a Congressional hearing on the safety of it.  Briggs had almost died even after the paramedics came. A University of Minnesota study found that morphine increases sensitivity to pain (hence the constant increases) and can cause tumors to grow.  The State of Ohio has filed lawsuits against five major drug manufacturers, accusing them of misrepresenting the risks of other prescription opioids such as OxyContin.  (One of those companies is Johnson & Johnson.  It's now lost four cases, with 2400 more pending, over claims their talcum powder has long caused ovarian cancer.) I cite a study co-funded by the National Institutes of Health and led by a team at the University of California, San Francisco.  Depending on the facility, it found that CT scans can deliver up to 13 times their already-high base radiation. There are dozens more examples in the book.  Another reader wrote, "My own experience, and the unflinching witness of Paul Sanderson's enraging, moving, generous tribute to his wife, communicate that damage comes far more easily than healing when principles and intentions become distorted…So, read this book as a warning, as an opportunity, as a privilege."Susan Sarandon writes, "He's giving us the tools to avoid the 'died of complications from' in too many patients' obituaries at the same time as setting out to usher in a new era in cancer twenty years ahead of time. Let's join him in the fight."Please join me in calling for a new era in medical care and treatment, including by extension the pharmaceutical industry.  We need standardized procedures; a new approach to the approval and dispensing of drugs; far more analysis of their effectiveness and safety compared with well-documented natural alternatives; patients and caregivers being given crucial, comprehensive information; the list goes on and on, including addressing such issues as in a recent study in the Annals of Internal Medicine.  With the U.S.'s multiple insurer system, it found that for every hour physicians were seeing patients, they needed to spend almost two additional hours on paperwork. I've written a new article about the 250,000 Americans a year dying from medical errors, with more on Briggs's journey: I Didn’t Think One Person Had This Many Tears.  At the end, I ask patients and caregivers to use #ThisManyTears and the link to the article to add their stories on social media.  This petition is meant to begin the conversation in earnest. Paul

Paul Sanderson
547 supporters
Update posted 3 months ago

Petition to United States Supreme Court, Donald Trump, Department of Justice

Mandate allowance of Medicated Assisted Treatment in all Community Corrections Programs

An estimated 65% of individuals in United States prisons or jails have a substance use disorder, and an additional 20% of individuals in United States prisons are substance involved. For many years, the percentage of incarcerated individuals with substance use disorders and other substance involvement has been rising at a level disproportionate to the overall rise in the United States prison population.A substantial number of incarcerated individuals with substance use disorders are addicted to opioids, such as heroin and prescription pain medication. In 2000, forexample, a median of 5.6% of adult male arrestees and 6.6% of adult female arrestees tested positive for opiates at arrest, with the numbers much larger in some urban areas (a range of 10% to 27% in ten of thirty-five urban areas sampled). An estimated 9% of all individuals in state prisons and jails were using opiates in the month prior to incarceration, and an estimated 12% of individuals in jails and 15% of individuals in state prisons have used opiates regularly at some point. The percentages of people with substance use disorders at all other phases of the criminal justice system are at least as high, and often higher. For example, 69% of probationers reported past drug use, with 32% reporting illegal drug use in the month before their offense. The enormous amount of substance use among individuals with criminal justice involvement has far-reaching consequences. Substance use has been clearly linked to the commission of crimes. For the overwhelming majority of incarcerated individuals, substance involvement was a factor in their crimes. Recidivism rates are higher among incarcerated individuals with substance involvement than among other incarcerated individuals: in 2006, 53.4% of incarcerated individuals with substance involvement were re-incarcerated, as opposed to 38.9% of other incarcerated individuals. Substance use among incarcerated individuals also impacts families and children. In 2006, it is estimated that 1 million substance involved parents, with 2.2 million minor children, were incarcerated in U.S. prisons and jails, leading to significant negative effects on children and families. Substance use in United States jails and prisons also impacts broader public health issues. Both methadone and buprenorphine have been found to reduce health problems linked to heroin use, including the transmission of infectious diseases and overdose deaths. Scientific research has firmly established the success of drug treatment in reducing addiction and criminal activity more effectively and at far less cost than incarceration. This includes addiction treatment that utilizes medications that have been proven effective for treatment of opioiddependence (commonly called “Medication Assisted Treatment,” or “MAT”), such as methadone and buprenorphine. MAT uses “agonist” or “partial agonist” medications, such as methadone or buprenorphine, to normalize brain chemistry, block the euphoric effects of opioids, relieve physiological cravings, and normalize body functions without the negative effects of the short-acting drugs of abuse.Methadone maintenance treatment (“MMT”) has been available for over 40 years and has been confirmed clinically effective for opioid dependence in more than 300 published research studies. In 1997, the U.S. Department of Health and Human Services’ National Institutes of Health (“NIH”) Consensus Panel found that various treatments available, methadone maintenance treatment, combined with attention to medical, psychiatric and socio-economic issues, as well as drug counseling, has the highest probability of being effective.” The NIH report also recommended that “all opiate-dependent persons under legal supervision should have access to [MMT] and the U.S. Office of National Drug Control Policy [“ONDCP”] and the U.S. Department of Justice [“DOJ”] should take the necessary steps to implement this recommendation.” The Office of National Drug Control Policy has also described methadone as a “rigorously well-tested medication that is safe and efficacious for the treatment of narcotic withdrawal and dependence.”A 2009 study found buprenorphine at least as effective as methadone, when administered in a correctional setting. The National Institute on Drug Abuse (“NIDA”) found that both methadone and buprenorphine “have been shown to help normalize brain function” for individuals addicted to heroin. A number of studies have shown buprenorphine to be effective in managing opiate withdrawal and dependence. MAT in the criminal justice system would reduce costs in addition to improving health care. While MAT costs about $4,000 per person each year, incarceration in United States prisons has an average annual cost of $22,279.19 Numerous studies also have shown that MAT reduces drug use and criminal activity among opiate addicted persons, “with effects many times the size of hospitalbased detoxification, drug-free outpatient treatment, and residential treatment.” Yet, in many Community based Community Corrections Center Across the country, there are blanket policies banning this treatment, directly contributing to the recedivism rate and not helping anyone. As a addict myself, i was once on house arrest, a single father with custody of my son, a full time worker, brother, son, uncle, and grandson. i suffered a injury and am in need of medication, the only medicine that is allowed is opiates!?!?! why? as a man that has spent 7 years (all for opiates, and the person they make me become) i am finally stong enough to say that i do not want opiates, i do not want to be that man i was before. i refuse to get them and used the buprenorphine instead. Now, i have lost 195 days of my good time, have lost my son, and have had my house arrest revoked, and put on work release instead. i am now on the verdge of going back to prison all because of this uneducated policy that our goverment helps fund to "help people get better". America is the highest incarcerated country per capita in the world!!!!!! As the great leaders of this country, tell me this, are we here to help our country? or is incarceration a buisness? Please sign this petition and thank you all for your support. Mr Trump, you declared this a National Emergency, require these places to give us addicts the help we need or cut there funding!!!!! LETS MAKE AMERICA GREAT AGAIN!

Charles Simpson
291 supporters