SUMMER 2022 EDITION Stature of Chiropractic Depends on ChiropracticPediatricSubluxationsResearchinPatientsImaginginResearchConcussionandChiropractic SUBLUXATION RESEARCH Chiropractic Care and the ImmuneUpper-CervicalFunction Specific Research
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ISSUETHIS PUBLISHER RONALD OBERSTEIN, DC MANAGING EDITOR ANATOLE BOGATSKI, PhD COPY EDITOR ANATOLE BOGATSKI, PhD PHOTOGRAPHERS CHRIS BROWN COVER DESIGN KANOE IRVINE EDITORIAL DESIGN KANOE IRVINE ADVERTISING ADS@LIFEWEST.EDU BOARD OF REGENTS JIMMY NANDA, DC, CHAIRMAN KRISTEN GILES, DC CAMERON HASTINGS, AASME, AASEM ANGEL OCHOA-REA, DC STEVEN SILK, DC SCOTT TURNER, CPA NIRAJ PATEL, DC CONTACT US Life Chiropractic College West 25001 Industrial Blvd. Hayward, CA 94545, USA +1 (510) communications@lifewest.edu780-4500 FEATURES IN THIS ISSUE DEPARTMENTS 03 FROM THE PRESIDENT 06 CAPITAL CAMPAIGN 09 INSTITUTIONAL ADVANCEMENT 13 ALUMNI RELATIONS 16 DONOR ROLL 20 CONTINUING EDUCATION 22 GRADUATE ROLL 24 ALUMNI SPOTLIGHT 25 STUDENT SPOTLIGHT 26 ADMISSIONS WANTS YOU! 28 PRESIDENT'S CIRCLE 04 THOUGHTS ON CHIROPRACTIC RESEARCH 05 CHIROPRACTIC CARE MAKES SENSE FOR THE DEVELOPING BRAIN 08 IMAGING IN CHIROPRACTIC 10 CONCUSSION AND CHIROPRACTIC 11 ELECTROPHYSIOLOGICAL SIGNATURES OF SPORTS CONCUSSION RECOVERY 12 ADAPT-ABILITY AND HEART RATE VARIABILITY 14 NUCCA IS FOUNDED ON RESEARCH 15 CHIROPRACTIC CARE AND IMMUNE FUNCTION SUMMER 2022 EDITION LIFE WEST PRESS 04 08 10 LIFEWEST.EDU/MAGAZINE2 |
THEFROM PRESIDENT
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Welcome to the Summer 2022 edition of Life West Magazine. Each magazine we produce dedicates the majority of its content to either the Science, Philosophy or Art of Chiropractic. Today's edition focuses on Science by looking at current and important research within and outside the profession that supports the chiropractic paradigm.
PRESIDENTFROMTHE
I find it unbelievably sad that a profession like chiropractic, which gives so much to the health and wellness of humanity, has such little government-funded research. I know you and I can come up with a plethora of reasons why this is so, and whether we are correct or not, it still begs the question: “Why is chiropractic being overlooked when it comes to research dollars from government agencies?” If these funds were available, this research would surely show that chiropractic is one of the most, if not the most, viable health care profession for overall human health and performance. On the bright side, though being forced to find its own dollars for research, chiropractic has dedicated scholars both within and outside the profession who put the time in to produce scientific results through intensive research. Whether it is through our colleges, technique groups/foundations, or individuals who love the research component of science, the studies I have a chance to read continue to show me that the work we do is not only remarkable but vital to the health of our planet. I would like to personally thank everyone who contributed research articles for this edition of Life West Magazine, but I won’t stop there. I also give my thanks and gratitude to all of those researchers who may not be in this edition of the magazine, but who continually give to the profession through research and investigative exploration. We know chiropractic works. We see results every day in our offices that show the power of removing vertebral subluxations, and the intelligence within the human body. Though we have unlimited anecdotal results, they nonetheless are still results. As we grow as a planet, we will see more and more research that moves the anecdotal results into verifiable research. One may ask what this will prove? Quite simply it will show what we have always known - that the body’s ability to heal is far greater without interference in our neurology. Join me in supporting chiropractic research. Whether through the college, or other areas where research is taking place, all of our financial support is so important to those doing the work. True research has the ability to change the minds of the masses. It has the ability to change the minds in health care. And most importantly, it can change the consciousness around health and healing. B.J. Palmer wrote: “Medicine is the study of disease and what causes a man to die. Chiropractic is the study of health and what causes a man to live.” Those words could not be more true today. And without a doubt, our research will show that chiropractic adds years to life and life to years! In Life and Service,
• The influence of chiropractic adjusting on telomere length;
Dr. Dan Murphy To access notes on the author and the research referenced in this article, scan the QR code
• The influence of chiropractic adjusting on workplace performance, injury and work absenteeism;
THOUGHTS ON
• The influence of chiropractic adjusting on sports performance;
The future and stature of chiropractic is dependent upon research. Yet, I am not a researcher. I am a reader of research, a teacher, and a clinician, and I know that to understand where our profession has been and where it is going requires looking at research. Research may fall into a number of categories, such as literature review, theoretical, case study, experimental, metaanalysis, epidemiology, clinical trials, etc. Ideally, research is challenged and attempts by other researchers to replicate the results are also published. Reading the 2022 book Sickening by John Abramson, MD, reinforced for me that all research data needs to be fully disclosed and available, and potential conflicts must also be disclosed. Abramson maintains that many drug clinical trials do not do this and the data used for approval is incorrect or even purposefully deceptive. At this moment, chiropractic has a handful of top-tier researchers that are second to none. They are getting awesome chiropractic research published in top impact journals, and changing the world’s view of our profession. These researchers deserve the support of our profession. I reference their work nonstop in my classes and in my clinical practice. My academic research interest includes the influence of the chiropractic adjustment on neuro-visceral syndromes, neuroimmunology, neuro-vascular influences, and the influence of various brain centers. My clinical research interest includes the influence of the chiropractic adjustment on the healing of injured soft tissues and on the neurophysiology of pain. Recently I have been very intrigued by the influence of the upper cervical subluxation (and adjustment) on the flow of cerebrospinal fluid, normal-pressure hydrocephalus, Chiari malformations, heartrate variability, and the nuclei of the vagus nerve (parasympathetic/acetylcholine).
• The influence of chiropractic adjusting on the pregnant patient, specifically looking at time spent in labor;
• The influence of chiropractic adjusting on pediatric neuro-development;
RESEARCHCHIROPRACTIC
• The influence of chiropractic maintenance care on the recurrence of musculoskeletal syndromes and pain;
• The influence of chiropractic adjusting on the expression of various genes, including epigenetic influences. The excitement of our future is linked to the quality of our research.
LIFEWEST.EDU/MAGAZINE4 | FEATURE
The Jon Adams study, published in the journal Spine in 2017, indicates that 93% of patients who initially seek chiropractic care do so for the care of spinal pain syndromes. The study documents that chiropractic is quite good at managing spinal pain, and that in doing so, patients experience meaningful improvements in other aspects of their health and well-being. With the awarding of the 2021 Nobel Prize in Physiology or Medicine to David Julius (University of California, San Francisco) and Ardem Patapoutian (Scripps Research, La Jolla, CA) for their work on mechanoreceptors, research on the ability of the chiropractic adjustment to inhibit pain should be refreshed. This physiological relationship was first proposed and shown in the journal Canadian Family Physician by William H. Kirkaldy-Willis in 1985. A review of these concepts will be my chosen presentation at the WAVE in August 2022. On the topic of chiropractic and pain management, randomized clinical trials comparing chiropractic adjusting to nonsteroidal anti-inflammatory drugs should continue, following those done by Lynton Giles (Spine, 2003) and Reinhold Muller (Journal of Manipulative and Physiological Therapeutics, 2005). With the devastating effects of the opioid epidemic (flawlessly and compassionately detailed in the 2021 book The Least of Us by Sam Quinones), the influence of chiropractic care in reducing the use of these drugs should continue to be detailed and published, as has recently been done by James Whedon (The Journal of Alternative and Complementary Medicine, 2018; Pain Medicine, 2020), and Kelsey Corcoran (Pain Medicine, 2019). Epidemiological assessments quantifying the incredible safety record of chiropractic adjusting pertaining to issues such as disc injury, cauda equina syndrome, vascular injury, etc., should continue to be done andAndpublished.Ihavea wish list of research that I find quite exciting. Some of these projects are already in progress or have published preliminary data. They include:
CHIROPRACTIC CARE MAKES SENSE FOR THE DEVELOPING BRAIN
In yet another study involving 24 subacute chronic stroke patients, researchers found a significant increase in functional connectivity within the default mode network (DMN) following chiropractic spinal manipulation (SM). Specifically, an increase in functional connectivity between the posterior cingulate cortex and parahippocampal regions was found following SM. The DMN is active during the resting state and is associated with higher consciousness, self-referencing, and creative thinking. It is often an area of struggle with children on the autism spectrum. Click the QR code for links to all this Chiropracticresearch.adjustments help the brain better interpret the status of the body to be able to adapt in a healthier manner. If the brain can better perceive the status of the body and the external and internal environment, it can coordinate a physiological response to the allostatic load and better maintain homeostasis. This is the key to healthy neurodevelopment.
Dr. Monika Buerger
Neuroplasticity refers to the brain’s ability to modify, change and adapt both structure and function throughout life and in response to experience. Neuroadaptation to experience relies on the brain knowing the status of the body, both the physical as well as physiological state of the body. The brain is “fed” the status of the body via afferent sensory input from the external (exteroceptive) and internal (interoceptive) environment. If afferent sensory input is inadequate or not interpreted properly by the brain, the result will be maladaptive in nature. Consequently, the physical, mental, and emotional status of an individual will be compromised. This premise is the foundation for optimal neurodevelopment, particularly in the first 1,000 days of life, which encompasses fetal development and the first two years postnatally. Therefore, ensuring that the brain properly receives and interprets sensory information from the environment is critical for the developing brain. Perception, processing and integration of sensory input in the central nervous system (CNS) is the basis of all learning including academic learning, social learning, emotional learning and the development and control of motor skills. Poor processing of sensory information is associated with a variety of learning, attention and behavioral disorders as well as various psychiatric disorders. In the adult population, there has been an abundance of research that has shown that chiropractic adjustments alter the way the brain processes somatosensory information, particularly in the prefrontal cortex (PFC). The somatosensory system responds to changes within the body’s environment. The PFC is responsible for human consciousness, behavior, goal directed tasks, impulse control, reasoning, rational decision making, memory and attention, autonomic function, motor control, eye movements and spatial awareness. Motor impairments have been shown to be present in chronic neck pain patients. Altered sensitivity of proprioceptors within the neck muscles has been suggested to be related to the postural (motor control) disturbances seen in these patients. It is possible that the changes in cortical somatosensory processing, sensorimotor integration and motor control that have been documented following high-velocity, low-amplitude spinal manipulation reflect changes in the central processing of proprioceptive afferent input. Poor proprioception and poor motor control will lead to the brain not accurately being able to know where the body is in space and how to accurately move through space. This can result in a state of anxiousness and dis-ease. In addition to the PFC, it has been shown that the chiropractic adjustment can affect sensory processing in the cerebellum. The neurological circuit between the cerebellum and PFC is of great significance. This circuit will have control over executive functioning skills in addition to motor planning, motor skills, posture and motor control, all of which will be key for proper neurodevelopment.
Although these studies were done on adults, understanding that the brain is a dynamic system of circuits and that chiropractic adjustments have been shown to affect processing of sensory information within key neural circuits, it is reasonable (based on decades of clinical outcomes) that these findings would hold true in the pediatric population as well.
To access notes on the author and the research referenced in this article, scan the QR code
#LIFEWEST 5| FEATURE
One of the largest and most exciting projects in the past decade at Life Chiropractic College West has taken off. We are well on the way to transforming our traditional library space into a contemporary and technology-enhanced Learning Commons. This project will have a dramatic impact on the learning experience of generations of chiropractors as well as the countless number of chiropractic patients for whom they will provide care. Traditionally, libraries have been defined by a strict set of rules – silent environments that promote solitary study. Evolving technology and its emphasis on group and interactive learning require traditional libraries to adapt to innovative and dynamic forms of learning. The new Learning Commons is designed to embrace these emerging educational trends and practices. Renovations have included the removal of almost all of the book stacks, installing new carpet, acquiring new furniture that better promotes group learning dynamics, increased wifi capability, integrating state-of-the-art technology to enhance individual, group and remotelearning opportunities, new ceiling and insulation paneling. A digital dissection table by Anatomage is among the most sophisticated technology included in the transformed space. The Learning Commons is at the heart of the educational mission of Life Chiropractic College West. We’re providing students and faculty with an enhanced learning environment and the technology to be successful in today’s technology rich academic culture.
Transforming into the Learning Commons
A WHOLE NEW SPACE LIFEWEST.EDU/MAGAZINE6 |
CHALLENGE GRANT TO MATCH $1 FOR $1 IN MILLION-DOLLAR PROJECT
■ Satisfy an IRA Required Minimum Distribution ■ Engage grateful patients interested in supporting Underwritingchiropracticforany naming opportunities at the college can be redeemed with a one-time gift, a three-year pledge (preferred), a four-year pledge (extended) or any payment schedule you prefer.
CHIROPRACTIC MUSEUM
HARRIS FOUNDATION AWARDS $500,000 TO CAMPAIGN CAMPAIGNCAPITAL
TOHOWGIVE:FormoreabouttheLearningCommonsprojectandtodonate,
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The history of chiropractic is filled with visionaries, pioneers and healers. This mural depicting historic figures in the chiropractic profession is one of thousands of artifacts, images, devices, and scholarly publications in the Life West Chiropractic Museum. Its new location in the Learning Commons reminds all that the profession’s history is an integral part of the academic and clinical preparation for chiropractors. scan the QR code:
The William M. Harris Family Foundation, a long-time and steadfast supporter of chiropractic and of Life Chiropractic College West, has awarded $500,000 to the Learning Commons capital campaign over the next five years. This award challenges the Life West community to raise the remaining $500,000 for the project. It also ensures that every dollar donated to the campaign is automatically doubled. Every member of the Life West Community is asked to be part of this historic transformation of the college's learning environment. There are many ways contributors can make a financial commitment. In addition to cash or credit card donations, consider other estate planning strategies: ■ Donate appreciated stock held for at least one year ■ Contribute from an existing Donor Advised Fund ■ Make a Qualified Charitable (forDistributionpeople 70½ and older)
The use of DMX can help direct a patient to the correct type of care, improving patient safety and clinical outcomes. The first CT scanner was invented in 1967 by Sir Godfrey Hounsfield using x-ray technology. Essentially it is the use of two x-ray tubes such that three dimensional images can be obtained making it possible to see a slice through a tissue. CT is a great modality when suspension of fractures, or bleeds subsequent to trauma, might exist. Cone Beam CT (CBCT) allows for chiropractors to view and analyze not only the external structures of the spine, but the internal as well. While it is possible to see some soft tissue on CT, MRI has evolved into a more effective way to observe soft tissue in vivo. The first MRI scan was performed in 1977 by Raymond Damadian, Larry Minkoff and Michael Goldsmith. Damadian went on to found the Fonar Corporation which provides scanning in weight bearing. The upright MRI is more sensitive than recumbent when assessing cerebellar tonsillar ectopia (CTE). Cerebrospinal fluid (CSF) flow maps obtained on the Fonar MRI permit observation of the effects of CTE (cerebellar tonsillar ectopia) and craniocervical injury on brain health. A series of images incrementally moving from cervical flexion through to extension can be put together into a cine loop permitting observation of the effects of abnormal motion upon the soft tissues unlike the DMX which does not demonstrate soft tissue. There has been an emergence in the chiropractic profession of imaging the spine in weight bearing as performed with Upright MRI technology. The benefits are numerous, and the diagnostic yield is of great value. MRI poses no radiation exposure and carries with it the ability to scan a patient in postures that can provoke pain such as flexion, extension, rotation, lateral bending, etc. Upright MRI has further been found to be a superior way to image the “cranio-cervical junction” for identifying potential cranio-cervical instability and rotary misalignments that might be elusive on plain film x-ray. Plain film x-ray has been the cornerstone of chiropractic assessment of spinal misalignments since the early 1900’s. Now the use of DMX, CBCT and Upright MRI have been gaining greater acceptance by the chiropractic profession. MRI’s ability to provide 3-dimensional thin slice imaging through spinal joints provides diagnostic capabilities that can and should be embraced by the profession. “To See is To Know, To Not Know is To Guess!”
LIFEWEST.EDU/MAGAZINE8 | FEATURE
Understanding the nature and extent of a patient’s condition is critical to achieving a positive clinical outcome. Current imaging systems are not only powerful for ruling out contraindications but enable us to make very specific distinctions in directing patient care. Whether it be for assessing spinal alignment or ruling out soft tissue injury, and disruption or pathology, imaging choices are an important tool when it comes to directing the best treatment, clinical outcomes at the right time and place. In 1895, while D.D. Palmer was discovering chiropractic, Wilhelm Roentgen through his research with cathode-ray tubes put a name to what Sir William Morgan in 1785 described as the glow emanating from high tension current running through a vacuum. Roentgen named it x-rays and he received the Nobel prize in 1901. The utility of x-ray was immediately apparent and it would eventually morph into three imaging modalities being x-ray, fluoroscopy and tomography. In 1910 B.J. Palmer introduced x-ray to the chiropractic profession and brought the first x-ray machine to the Palmer School of Chiropractic. With the coming of the digital age, x-ray would become clearer, more exacting and pose a much lower radiation burden on the patient. Fluoroscopy emerged after Roentgen’s discovery when Thomas Edison introduced the Edison Vitascope in 1896. The distinction between x-ray and fluoroscopy is analogous to the difference between a photograph and a movie. The former is better to see structures in detail while the latter permits us to observe motion.
The modern-day version of fluoroscopy in chiropractic settings is best known by the trade name DMX. By observing the cervical spine in motion, it is possible to detect hypermobile, unstable motion segments and suspicions of “Cranio-cervical Instability.” In some instances, fractures can be detected that are not observable on x-ray or Computed Tomography (CT).
IMAGING IN CHIROPRACTIC
Dr. Scott Rosa and Dr. John W. Baird To access notes on the authors and the research referenced in this article, scan the QR code
#LIFEWEST 9| EXCITING TIMES IN INSTITUTIONAL ADVANCEMENT Life West's Department of Institutional Advancement is vibrant, high energy, and locked in with the college mission. We have many initiatives and activities in the works for 2022, including facility renovations, scholarships, service trips, technology implementation, STEAM programming, and more. This is an exciting time at Life West! Here are a few of the ongoing and upcoming initiatives from Life West's Department of Institutional Advancement. FOR INCOMING STUDENTS • Scholars AwardsAcademic excellence in prior coursework • Excellence AwardsAcknowledging students’ challenges and successes on their path to a chiropractic career • Enrollment ScholarshipCommitment to service and vitalism in the field of chiropractic and to Life West • Life West Sacred Trust Award (multiterm award) - Strong leadership skills, community involvement and a commitment to service • Life West Provost Merit Award (multiterm award) - Strong leadership skills, community involvement and a commitment to service FOR CURRENT STUDENTS • LCCW Commitment to Excellence Scholarships - quarterly: Commitment to excellence in life and/or chiropractic • Dr. Dieter Philosophy Scholarshipsquarterly: Chiropractic philosophy and communication of these principles • Life Assistance Scholarships - Based on financial need • Dr. Michael Dobbins Excellence in Nutritional Education Scholarship • VOXX Leadership Scholarships • Jason Ronald Tabick Memorial Scholarship. Both incoming and current students benefit from the extensive list of scholarships cultivated by the Department of Institutional Advancement:COMMUNITYSCHOLARSHIPSBUILDING Visit lifewest.edu/scholarships for a full list of scholarships. For more information about Service Trips visit lifewest.edu/serve TUITION DISCOUNTS We have created tuition discounts to benefit Life West students such as a $500 credit for married students and sibling students, a 20% discount for international students, and many more. Visit lifewest.edu/admissions/ financial-planning-budgeting for a full list of tuition discounts.
We are currently raising funds towards our goal of $400,000 for upgrades to our Anatomy Lab, including the installation of Anatomage Tables and maintenance of other equipment in the Lab. Anatomage Tables enable faculty to augment instruction by offering anatomically correct 3D imaging with a vast number of interactive permutations. FUTURE FACILITY INITIATIVES Our plans for the near future include a substantial gym renovation and installation of new interactive technology to enhance the experience of visitors to the Life West Museum of Chiropractic.
THE LIFE WEST DISCOVERY/ EXPLORATION STEAM PROGRAM
SERVICE TRIPS Service trips give Life West students an opportunity to provide chiropractic care to those most in need as they experience other cultures and patient conditions that they may not encounter in the college Health Center or on preceptorship. In 2022, 23 students had the privilege to serve in Mexico City and an additional 10 students served in Ahmedabad, India. More trips and being planned and external DC’s are always invited to accompany us.
The STEAM Program invites local high school students to visit the Life West campus one Saturday a month over a program of 5-6 months. Upon completion of the program, students receive a certificate and letter of recommendation from Life West, acknowledging their competence in the science behind chiropractic technique, the technology of anatomage tables, and more.
INSTITUTIONALADVANCEMENT
FACILITY UPGRADES LEARNING COMMONS
We are currently raising funds towards our goal of $1M for the transformation of our Learning Commons. This has been facilitated by a grant of $500,000 from the William M Harris Foundation that requires us to match their pledge through the support of other donors to the campaign. These funds are turning our traditional library into a contemporary, high-tech, interactive learning environment, enabling Life West students to achieve academic excellence in a vibrant space. The new facility will include a cafe, tech-supported learning booths, and other state-of-the-art technology.
ANATOMY LAB
LIFEWEST.EDU/MAGAZINE10 | FEATURE
CONCUSSION AND CHIROPRACTIC
Brain and brainstem health are relatively new considerations in collision-based sports. Of course, the movie Concussion made people aware of brain health, but the movie simply scratches the surface of the issue. Concussions are at this moment still very misunderstood, misidentified, mistreated and not as well prevented as they need to be. There have been helmet upgrades, rule changes and medical management improvements, but the longterm consequences of playing collision based sports are very much an ongoing concern. The bigger issue is head/neck acceleration from subconcussive impacts and the neurological complications in laterWhenlife. we think of concussion, we think of the brain bouncing off the inside of the skull after a player receives impact forces around 95gs. What we don’t think of is the neck torquing and twisting as the head accelerates upon impact, and the shearing forces produced at the level of occiput, C1, C2, brainstem and associated blood vessels. This area is known as the cranio-cervical junction (CCJ) and it takes approximately 4.5g of force to cause potential neurological dysfunction. The CCJ has been the domain of chiropractic since 1895 and chiropractors are the only health providers that analyze, locate and correct spinal-neuro dysfunction at this extremely susceptible section of anatomy. The CCJ protects the brain stem (medulla oblongata), which is the neurological center of the body, and it carries signals from the brain to the rest of the body for essential life functions like breathing, circulation, swallowing and digestion. The CCJ is a potential choke point for craniospinal hydrodynamics and hemodynamics and may play a causative or contributory role in the pathogenesis and progression of neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, MS and ALS, as well as many other neurological conditions including hydrocephalus, idiopathic intracranial hypertension, migraines, seizures, silent-strokes, affective disorders, schizophrenia and psychosis. This is the most vulnerable area of the human body when playing collisionbased sports, yet there is no current equipment protecting this area and there is no organized and professional approach to managing this area with uniform procedures and dialogue between different healthcare providers. Both Dr. Ron Oberstein and I recognize this deficit and are working on research and development of practical procedures and equipment for the management of the CCJ in collisionbasedResearchsports.has shown that exposure to repetitive head impacts (RHIs) from collision-based sports, including RHIs resulting in symptomatic concussions, and the more common subconcussive trauma, is associated with worse later-life cognitive and neuropsychiatric function. In a sample of 266 deceased former amateur and professional football players, the study found that the risk of developing CTE increased by 30 percent per year played, meaning that for each 2.6 additional years of football played, the odds of developing CTEAsdoubled.chiropractors we know and understand the delicate anatomy and physiology of the CCJ and the potential spinal-neurological implications of repetitive trauma to the CCJ from playing football and other collision-based sports.
Currently, Life West researcher Monica Smith, DC, PhD, is analyzing data from our 2021 field trials conducted in York, Pennsylvania, with the Northeastern Bobcats Football Club. The results of the field test were an attenuation of g force/ angular acceleration by 11%. This coming football season, Life West will sponsor and guide the testing of 100 little league football players. We will assess their brain function using the WAVi brain scans pre and post season, as well as compare 50 of the players using the XOSKELETON and 50 not. In the postseason, kids that had proof of functional brain changes will undergo specific upper cervical care and then receive a follow up brain scan and results will be published. The mission at Life West is to create a national system for chiropractors to manage the CCJ for collision-based athletes from the sidelines of every community.
Over the last few years, I’ve developed equipment called the XOSKELETON, to protect the CCJ by attenuating head acceleration (angular acceleration) using a rubber tubing system that duplicates the sternocleidomastoid muscle (major stability muscle for the CCJ). The XOSKELETON has undergone extensive testing in the laboratory and on the playing field. A Proof-of-Concept paper was researched and written by me and Dr. Kristen Willeumier, a neuroscientist from UCLA and former head of Amen Clinics in Los Angeles. To view this research in its entirety please scan the QR Code below.
To access notes on the author and the research referenced in this article, scan the QR code
Dr. Kevin Jackson
M. Mortazavi, SPARCC Sports Medicine, Rehabilitation, and Concussion Center, Tucson, AZ, and Department of Pediatrics Tucson Medical Center, Tucson, AZ; David S. Oakley, WAVi Research, Boulder, CO
#LIFEWEST 11|
FEATURE
To access notes on the authors and the research referenced in this article, scan the QR code
Fig. 1 P300 magnitude of an athlete at baseline, 48h after a concussive event and at return-to-play 1 month later. Here the P300 voltage is plotted as a function of scalp location. Notice that the P300 decreases after the concussion and increases when the subject cleared for RTP.
Fig. 2 P300 magnitude of an athlete at baseline, 48h after a concussive event and at return-to-play 1 month later. Notice that the P300 decreases after the concussion and decreases further when the subject cleared for RTP.
ELECTROPHYSIOLOGICAL SIGNATURES OF SPORTS CONCUSSION RECOVERY Concussion is a major source of sports injury. While there are no objective markers specific for the diagnosis of concussion, declines in EEG evoked responses (ERP) have been shown to be highly sensitive to the injury. Moreover, these electrophysical deficits often linger in patients who otherwise have been determined to have recovered on neuropsychological (NP) and symptomatic assessments. Questions remain, therefore, about recovery prognosis and the extent to which symptom and NP resolution coincides with injuryEEGresolution.istherecording of the electrical signal generated by the brain through electrodes placed on the scalp and ERPs are measurements of the EEG signal time-locked to the onset of visual or auditory stimuli. These consist of different components labeled by their polarity (P for positive or N for negative) and their time of occurrence after the stimulus in milliseconds (e.g. P300). The fact that the amplitude of ERP’s declines after concussion and these declines may persist even as symptoms and NP assessments resolve, suggests that concussed participants may recruit additional brain resources to mask their inability to produce the necessary level of amplitude. This implies that functional resolution happens faster than physiological resolution and that current clinical concussion assessment tools may not be sensitive enough to detect subtle concussive deficits. We present a case series of two athletes drawing from a study of 364 athletes, aged 17-23, participating in contact and collision sports. These subjects were measured with an audio oddball ERP protocol during the course of four seasons at baseline before contact, after concussion, graded return to play, and postseason. Return to play determinations were made via an assessment and management system from the International Symposia on Concussion in Sport using a standard performance and symptom assessment (SCAT) alongside an NP exam. The oddball protocol, one of the most widely studied, utilizes measurements of amplitude and latency to assess the brain’s cognitive ability to recognize an odd tone as different from a common tone where the P300 amplitude is thought to be proportional to the attentional resources devoted to a given task. Using a simple four minute procedure, the 46 subsequent concussion events corresponded to significant changes in P300 amplitude, typically a reduction from baseline, with amplitudes normalizing back to baseline at a rate slower than that observed for NP and symptomatic assessments for 38% of the cases in this blinded study. To illustrate how these trends manifest clinically, we present two acute concussion case studies. These involve two of these NCAA athletes who suffered a concussion during their season, were measured 48 hours post event, and returned to play that season within 1 month. At the time of being cleared according to the assessment and management system, one athlete had returned to their baseline P300 while the other had not. (Anecdotally, it is interesting to note that the player who did not normalize suffered concussions in each of the following 3 seasons).
These cases show that while significant decreases in P300 amplitude are often seen after simple concussion, these deficits may persist even after clearance using standard management protocols. Symptom and NP resolution may not coincide with injury resolution, and other tools such as ERP can be important objective adjuncts.
A complex and constantly changing heart rate (HR) is an indicator of a healthy regulatory nervous system that can effectively adapt to sudden environmental and physiological challenges. Heart rate variability (HRV), the variation in time between successive heart beats, is known to represent a non-invasive index of Autonomic Nervous System (ANS) balance. In fact, because the ANS regulates the heart rate, we now know that HRV summarises complex non-linear cardiovascular accommodative responses to dynamic physiological variations. Moreover, the ANS is pivotal in the regulation of far more than just the cardiovascular system. Recent research has started to show that reduced HRV is connected to poor health outcomes in a range of Additionally,diseases.lowHRV correlates with increased mortality from all causes and, based on prior and recent research, it seems that the slope of decline in parasympathetic HRV metrics is inversely related to longevity. Recently the first meta-analysis was conducted of studies in patients with Coronary Vascular Disease with follow-up of at least one year. Although there are some limitations to that meta-analysis, the results suggest that compared to patients with a higher HRV, those with a lower HRV had a 112% higher risk of death from all causes. As a result, HRV analysis is now widely used to characterize the functions of the ANS as it relates to the regulation and adaptive capacity of a multitude of physiological responses. Take for example Systemic Lupus Erythematosus (SLE), which is characterized by chronic, systemic inflammation, organ damage and dysfunction. ANS dysfunction is highly prevalent in SLE patients (up to 54%) and compared to controls, the prevalence may be up to 12 times greater. These numbers parallel findings in other chronic conditions such as Diabetes and Rheumatoid Arthritis (RA). As mentioned, an imbalance of the ANS has been described in RA, inflammatory bowel disease (IBD), and others. Generally, this imbalance is interpreted as a consequence of the disease more than a cause. However, research has shown that decreased vagal function precedes the development of a number of risk factors for cardiovascular disease and that modification of risk profiles in the direction of lower risk is associated with increased vagal function. In fact, a recent prospective cohort study by Koopman et al., 2016, showed that autonomic dysfunction precedes the development of RA. The results of the study by Koopman et al. are very important since one can imagine that restoring a normal autonomic balance as reflected by increased HRV, might either prevent the development of inflammatory disorders such as RA, IBD, SLE and others, and/or prevent a flare of the disease in such patients with an imbalance of the ANS. Lifestyle modification (physical exercise, exposure to hot and cold, improved quantity/quality sleep, feeding quantity, quality and timing) and nondrug interventions such as yoga, tai chi, acupuncture, hypnosis, non-invasive vagus nerve stimulation and cognitive behavioral therapies, are all receiving increased research attention.
A recent systematic review by Wirth et al., in 2019, which only included controlled studies of at least moderate quality, concluded that we now have clear evidence that the main intervention provided by chiropractors (chiropractic adjustment) affects the ANS, that the nature of those effects depend on the spinal level adjusted, and that response might differ between healthy volunteers and those patients presenting with pain. Wrist-worn tracking devices using photoplethysmography now provide the unique potential of continuously measuring surrogates of sympathetic and parasympathetic nervous system activity through the analysis of interbeat intervals.
The neurophysiological mechanism underlying HRV exemplifies the tight, yet highly complex coupling that exists between the brain and the rest of the body and provides us with a non-invasive dynamic metric of the ANS.
Some older and less powerful studies have shown that spinal manipulation and chiropractic adjustments are able to modulate ANS activity. Yates, et al. in 1988 examined the effect of chiropractic adjustments to T1–T5 spine segments in patients with arterial hypertension. Immediately after the intervention, they observed a reduction in systolic and diastolic blood pressure and anxiety level.
WHAT CHIROPRACTICABOUT ADJUSTMENTS?
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Dr. Adrian Wenban
ADAPT-ABILITY AND HEART RATE VARIABILITY
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A separate case study showed the effects of 10 sessions of chiropractic adjustments (2 sessions per week) applied throughout the spine (C3 to L5) for 6 weeks. After the first session, there was a reduction in sympathetic activity.
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A RECENT STUDY FROM DELOITTE FOUND THE FOLLOWING: Passion may not prevent workplace stress: 87 percent of professionals surveyed say they have passion for their current job but 64 percent say they are frequently stressed, dispelling the myth that passionate employees are immune to stress or burnout.
THE ARTICLE GOES ON TO SAY: Burnout affects millennial retention: 84 percent of millennials say they have experienced burnout at their current job, compared to 77 percent of all respondents. Nearly half of millennials say they have left a job specifically because they felt burned out, compared to 42 percent of all respondents. QR CODE TO READ FULL ARTICLE GET BACK TO YOUR GET RECHARGED. PREVENT Email me jibe@lifewest.edu QR CODE TO JOIN
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FROM THE OFFICE OF ALUMNI AFFAIRS DR. JOE IBE Burnout is real, if you let it get to you. I was speaking to an alumnus recently and he asked “What's going on at Life West?” “Plenty,” I replied. “When was the last time you were back on campus?” I asked. He had not stepped foot on campus since his graduation almost 6 years ago. He continued to tell me that he had no contact with any of his classmates. I understood where he were coming from. His head was down, grinding away to build a reputable and thriving business while trying to raise a family and enjoy a personal hobby or two. I’ve been there. I'm still there! Throughout the conversation I was catching onto the fact that he was facing burnout and needed a social outlet. The last place he considered looking was his alma mater for anything fun. Sound familiar? Since joining the college as Director of Alumni Relations I’ve tried to change this stigma and help prevent burnout for my alumni+friends. If you’re reading this article after some time away, just know you always have a social outlet at your alma mater and you are always welcome back on campus and to all of our events. The Office of Alumni Relations now hosts quarterly alumni+friends meetups. These events are friend-raising opportunities. It's important to me that our alumni engage with each other in casual, fun environments where the objective is simple: recharge and reconnect! We have gone bowling, attended sporting events, enjoyed sit down dinners, and skydiving. I'm joking about skydiving but if I received enough interest, I would consider it. The events are advertised on our website and in The Alumni Digest - a monthly compilation of all collegiate activities.
BURNOUT. Questions? Comments?
This study investigated the interexaminer agreement between two board-certified NUCCA practitioners in marking and analyzing conventional orthogonal radiographic film sets. A total of 254 film sets were marked and analyzed by two examiners. The level of agreement and potential biases in their measurements were assessed using intraclass correlation coefficients (ICC) for absolute agreement and Bland Altman plot analysis.
The results reported an average 15-point drop in diastolic blood pressure in those receiving NUCCA corrective care versus those receiving the sham intervention. Following the publication of the paper, the National Institutes of Health (NIH) recommended that the NUCCA organization study the reliability of the assessment measures used in the NUCCA intervention protocol. The NIH was specifically referring to the supine leg check, upright postural evaluation, and analysis of the radiographs used in the correction protocol. The supine leg check study was completed and published in 2011. The recent paper “Study to Evaluate the Inter-Examiner Agreement of the NUCCA Analysis of the Atlas Subluxation Complex In a three View Upper Cervical Radiographic Series” has fulfilled the request of the NIH to evaluate the radiographic analysis used in the NUCCA image guided care. Scan the QR code below to see these references.
Struggles currently exist with some chiropractic governing bodies limiting the capacity of licensed chiropractors to take x-rays for the purpose of guiding patient care. UCRF is committed to supporting all chiropractors’ ability to use image guided care with patients and believe the results of the study help support that. As a new era of opportunities exists within healthcare, our organization stands poised and committed to care of the upper cervical spine playing an ever-increasing role within the healthcare community.
NUCCA IS FOUNDED ON RESEARCH
The result was that the examiners had a 96.1% agreement in the measurements of the side of atlas laterality and a 94.5% agreement for atlas rotation. The ICC was .95 (95% CI= .93-.96) for atlas laterality and .92 (95% CI= .89-.94) for atlas rotation.
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Dr. Craig Lapenski
The Mean difference in the measurement between the 2 examiners was -0.11, p=.12 for atlas laterality and .05, p=.55 for atlas rotation. Neither atlas laterality nor atlas rotation measurements were significantly different from zero. BlandAltman plots were not suggestive of any proportional biases in the two measurements. Results of the study were indicative of excellent agreement with no apparent proportional bias in the analysis of the radiographic film sets by board certified practitioners utilizing the NUCCA protocol. In 2007, a study was published in the Journal of Human Hypertension that evaluated the effect of a specific chiropractic protocol (NUCCA) on patients with stage one hypertension.
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Research related to the Vertebral Subluxation Complex (VSC) has been ongoing in the chiropractic community for much of its 127 year history. Chiropractors have been studying methods on how to best reduce the VSC while examining the positive impact on improved health and physiology. In this tradition Dr. Ralph R. Gregory founded NUCCA in 1966 based on research proven principles and procedures. The NUCCA board of directors then developed the organization and designed the technique to be tested, advanced and refined over theInyears.keeping with the long history of those dedicated to research within the chiropractic community, in October 1971 the National Upper Cervical Chiropractic Research Association (NUCCRA) was formed. NUCCRA in 2007 became the Upper Cervical Research Foundation (UCRF). This organization has continued to test and validate the NUCCA procedure as well as produce research involving the physiological effects of the Atlas Subluxation Complex (ASC) and its optimal correction. As a research body, UCRF has focused primarily on NUCCA research but has also collaborated with other upper cervical techniques to help publish their research efforts. UCRF is actively engaged in a number of long-term projects and is awaiting final approval of a paper titled “Study to Evaluate the Inter-Examiner Agreement of the NUCCA Analysis of the Atlas Subluxation Complex in a Three View Upper Cervical Radiographic Series.”
Early discussions of how best to fight SARS-CoV-2 included how best to bolster the response of mucosal IgA through vaccines. Sterlin et. al. Looked at IgA responses in 159 patients, and found that early SARS-CoV-2 humoral responses were dominated by IgA antibodies, finding that IgA contributed to virus neutralization to a greater extent compared to IgG. Further, the neutralizing IgA remained detectable in saliva for 49 to 73 days post symptoms. The role of IgA in fighting SARS-CoV-2 is still being explored. Our study included the most utilized UCATs: Atlas Orthogonal, Blair, Knee Chest, NUCCA, and Orthospinology. Our researchers were located in Illinois, Florida, and Toronto, Canada. All adjusting doctors were either a Diplomate (one a DCCJP student at the time samples were collected) or Fellow of the Chiropractic Craniocervical Junction Procedures program. UCAT protocols were followed for each technique as taught by their respective groups, and adjustments were restricted to C1 and C2 for study participants during this period of time. We accepted patients for the study January 1 – June 1, 2019. Saliva samples were collected just prior to a new patient’s first adjustment, 30 minutes after the adjustment, and after two weeks. We found a statistically significant increase in SIgA from our baseline to our postadjustment samples. After two weeks, levels returned to baseline. Our study also used the SF-12 survey to measure corresponding changes in overall physical and mental health over time. We found that both physical and mental health scores significantly improved during the two-week period. This study showcases the strength of Upper Cervical adjusting, as it focuses on the ability of these often very different procedures to share similar outcomes overall. Eriksen et. al. Showcased similar positive outcomes among Upper Cervical practitioners, demonstrating excellent improvement in a patient’s overall health. This study is a pilot study, and further research is needed to understand the mechanisms behind our observations regarding SIgA secretion. We encourage other chiropractors to perform similar studies to replicate our findings. We recommend repeating our study with more frequent samples and collecting data over a longer time period to explore in greater depth how SIgA changes over time. We are thankful to the Upper Cervical Research Foundation and the Orthospinology Society for their generous funding of this study. Donations to either organization are appreciated so we can continue sharing clinical evidence of what we know to be our amazing innate abilities.
On April 6, 2022, the article secretory Immunoglobulin A and Upper Cervical Chiropractic: A Preliminary, Prospective, Multicenter, Observational Study; was published in the Journal of Chiropractic Medicine, showing an increase in secretory IgA (SIgA) after an upper cervical adjustment at the craniocervical junction. A five-site study was performed utilizing the most popular Upper Cervical Adjusting Techniques (UCATs) to observe changes in SIgA after an adjustment. We found a statistically significant increase in SIgA from baseline to 30 minutes after an adjustment. SIgA levels dropped to baseline levels after two weeks. Our research suggests that after an upper cervical adjustment, a systemic immune response is activated for a short period. Our innate immune system is our first line of defense against outside invaders. While it communicates with our adaptive immune system for a longterm response, the innate system is nonspecific and responds rapidly. Among the components of the innate immune system is secretory IgA. SIgA is the most abundant immunoglobulin in the human body and the most important immunoglobulin to fight infectious pathogens in the respiratory and digestive systems at the point of pathogen entry. It is present in mucosal secretions, such as saliva, tears, and breast milk. SIgA attaches to antigens on viruses and bacteria and can delay or prevent them from penetrating the epithelium at mucosal surfaces.4
CHIROPRACTIC CARE AND IMMUNE FUNCTION
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If you’ve been in chiropractic for any length of time, one of the things you’re bound to have heard about is how beneficial chiropractic is for immune health. Many have heard of Dr. Ronald Pero’s research out of the University of Lund showing improvements to the immune system after chiropractic care, the numbers of people that were saved during the Spanish Flu pandemic under chiropractic and osteopathic care compared to medical care, or just the teacher who reports that she no longer gets sick around her students and peers when its cold and flu season. Unfortunately, these examples have been critiqued for having poor documentation or being anecdotal evidence. Thankfully, the chiropractic profession now has peer-reviewed clinical research showing a relationship between chiropractic care and the immune system!
Dr. Frederick T Schurger
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You retired from teaching Life West students in 2019. What made you want to come back to teach in the CE program? I love teaching at Life West! I had to retire because I was disabled. Otherwise I never would have left. Now I’m back on my feet again, getting stronger. When the opportunity to teach CE at Life West arose, I jumped at it. What I’m teaching is taken from all of my professional experience – I want to share it with chiropractors. We shouldn’t have to work so hard to convince our patients to do the right thing. This can help.
MARK THOMPSON, BS, MA, DC, ART, CCSP Nine Essential Characteristics of Successful Function: The Science of Human Posture Practically Applied in the Clinical Setting Live Webinar & Live On Saturday,Campus:September 24
DR. MARK THOMPSON SAYS THINK AGAIN POSTGRADUATE & CONTINUING EDUCATION CE.LIFEWEST.EDU
THINK YOU KNOW ABOUT POSTURE?
The course you’re teaching for Life West CE this year brings together all that you’ve learned through your many years of study and practice. Why does it all come down to posture? Well, gravity sucks! Sure, it keeps us from floating off into space, but it also compresses our spines. We use posture to spare the spine and set a better homeostasis in our body. We live in our bodies all the time – we’ve got no place else to go. As chiropractors, it’s up to us to educate our patients so they can own their own bodies. And that means living their healthiest posture. It’s not like I invented something - everyone understands this. Would you share one tip with practicing chiropractors to improve the health of their patients? I’ll share one of the nine essential habits of the successfully functioning biped (that’s us!): Place your tongue on the roof of your mouth, and lift the back of your head. This lowers blood pressure, among many other beneficial effects. We’re not talking about anecdotal evidence here. This is well documented medical research. Try it yourself.
NOVEMBER LYNN GERNER, DC Anatomy & Adjustive Technique for LiveBreastfeedingWebinar& Live On Campus: Saturday, November 12 GERALDINE MULHALL-WRIGHT, DC Preteen and Teen Adjusting for the Practicing Chiropractor Live On Campus: Saturday November 12 MORE GREAT CE AT LIFE WEST: AUGUST THE WAVE 2022 Live On Campus: Friday, August 5 – Saturday, August 6 SEPTEMBER MARK THOMPSON, DC Nine Essential Characteristics of Successful TheFunction:Science of Human Posture Practically Applied in the Clinical Setting Live Webinar & Live On Campus: Saturday, September 24 OCTOBER DAN MURPHY, DC, DABCO Nasal Specific Technique Live On Campus: Friday, October 28 DAN MURPHY, DC, DABCO Recent Advancements in the Science of Chiropractic and Associated Nutrition Live Webinar & Live On Campus: Saturday, October 29 - Sunday, October 30 J. DAVID CURRIE, DC Gonstead: Mastering Cervical Chair part 2 Live in Fremont: Saturday, October 8 PATRICK PISENTI, DC Active Release Techniques ™ Lower Extremity Level 1 Live On Campus: Friday, October 14 - Sunday, October 16 ONLINE, ALL YEAR ROUND DERRELL BLACKBURN, DC Patient Centered Chiropractic: Delivering Quality Care from Start to Finish JAMIE MOTLEY, DC, DACBR Common Radiologic Diagnosis in Chiropractic Practice BETH ZOGG, DC Thompson Technique Lumbo-Pelvic Region And so much more!
CONGRATULATIONS, GRADUATES!WEARESOPROUDOFYOU!ROLLGRADUATION Our graduates come to Life West from all over the world and are dedicated to our Lasting Purpose. We couldn't be more proud of these 87 new doctors of chiropractic. We are excited to see them spread their wings to create a brighter future for humanity. VALEDICTORIANS AND SALUTATORIANSVALEDICTORIAN ALESSA DALCOURT SALUTATORIAN LAUREN STEFANIUK SUMMER 2022 VALEDICTORIANS SARAH EMILY BUONOPANE & ALEXANDRA ALISE PAUL SALUTATORIAN AUSTIN BERGQUIST SPRING 2022 SPRING 2022 Katherine Andersen** Steven Kyle Barham** Austin Bergquist*** Dana BrandonNeenaNicoleMorganJeffRaisaDouglasToniSarahBergquist***EmilyBuonopane***Campbell**ChienCipriano**Clark***D'Ganigian***HanaDees**DenneFein*** Denicio Gonzalez-Drake*** Alexis Griffith++*** Nolan GarrettErikaSavannahDonaldLong***MadelineVinsonEleniEmilyBridgetEmersonHalverson***JaneJohns***Labus***LaFrance***LaRue**LieuAlexandriaMacMullinMooreNavarro*JamesNaveran** Diba IvanRamonAlexisShinde++*+TanmayDanielleAanandMeganEmilyMatthewAlexandraAlexandraFraserNaweedOliver***Olson**AlisePaul***Queiroga**Richter-Kirk***PerryScheiner*KumarSharma**Shefet***AnkushPaigeVanDykeVargas,Jr.*Vela Christopher Mark Wang* Zakaria Yehia* SUMMER 2022 Rochelle Anicete* George Attiyah**+ Desirae KataraHaydenJaskiranAzua*BathBeck***LaShawn BeltonBoron-Trotter*RebekahRafaelSharp**Blanco***Sabeth LIFEWEST.EDU/MAGAZINE22 |
ROLLGRADUATION FIRST EVER MSDI GRADUATE DR. MICHELE BAHADOOR At Summer 2022 Commencement the college honored our first Master of Science in Diagnostic Imaging graduate - Dr. Michele Bahadoor. In Fall of 2019 we began the MSDI DACBR residency program here at Life West. With the MSDI added to the DACBR, graduates can teach in universities and colleges throughout the world. Life West has one of only four programs nationwide offering a Masters of Science in Diagnostic Imaging. Special thanks to our president Dr. Oberstein, MSDI Program Director Dr. Jamie Motley, our Provost Dr. Donaldson, and our fellow DACBRs Drs. Gattermann and Shortz, for their unwavering commitment to getting this program off the ground. Congratulations Dr. Bahadoor! Daniel CarlosFernandoMadisonAlfredoAbbeJonMeganVanceAnhkhoaAlessaJamesKathleenJamesBuettner-Fourie***ChhunChung**Cooley*Dalcourt***MerickDang*Dokes*LynnDondelinger***EckfeldTaylorGage***ArmandoGarcia*Hart**HerreraLapresca*+ Brian Matthew Lenahan*** Yufeng Lin** Bobby Tran Luu** Yasmeen Malik* Nayeli Melisa Marquez** Miguel Mercado Ben StefanPhilipSnegaEathynJacquelineSalvadorChristineMetcalf**Mogannam**Oceguera,Jr.*Perron-Smith***GordonPeterson***Rajaji*JohnGamboaRivera*Sanchez* Zachary Soufl** Lauren Stefaniuk*** Olivia Rose Tanasse** Brandon Thompson* Vincent Nguyen Tran** Dakota Turgeon* Darcel MicheleWhiteBahadoor, D.C.* WINTER 2022 Christopher Curcio Amber Romano * Cum Laude ** Magna Cum Laude ***Summa Cum Laude ++Research Honors +Student Ambassador HONORS & AWARDS KEY #LIFEWEST 23|
Opening a new office as a fresh graduate during lockdowns wasn’t easy, but he knew he had a strong desire to serve people and use the power of the chiropractic adjustment. During school, he had built a strong network of connections and was grateful to be able to pull from them as he looked for mentorship and guidance. The practice slowly and steadily grew, as he himself did as a new doctor and business owner. Currently, after just passing the first year anniversary of opening his business, the practice is thriving and still growing. Opening a new office by himself was extremely trying and even discouraging at times, but he wouldn’t change anything. The growth he’s seen as a chiropractor, husband, business owner and a human being was all worth the tests along the way. One of his favorite things is being able to show up day after day in the practice and witness the life-changing results only chiropractic can provide.
After graduating from Life West in Spring 2017, I took a three month vacation in my hometown in Puerto Rico. I realized how important it is to take time to replenish and take care of ourselves in order to show up and better serve others. Not long after, I took a job in a small clinic in the beautiful mountains of the Pacific North West north of Seattle, specializing in upper cervical care. After two years in that practice, I pivoted my career and focus. I currently work in a group clinic practicing full spine chiropractic, with a special focus on pediatrics and pregnancy. This was a big lesson for me. While at school, philosophical battles about which technique is superior were a constant. It felt so important at the time to choose the right technique. And going from Upper Cervical to Diversified did feel like starting over from scratch. With every new beginning, either big or small, it always takes courage to take the first step. But embracing the new challenges has opened so many opportunities in my life. I have found I am my best when I push myself beyond what I think I am capable of doing. The same applies to my new found hobbies. In my late 20’s in the Pacific North West, I had my first experiences backpacking, rock climbing and skiing. I absolutely fell in love with it. I learned that mindset is everything in life. Whether you're at the top of a mountain or in front of a patient. Be present and focused in all that you do, and you will always excel. I am soon to be married to an amazing man. We have a house in a neighborhood of Seattle with our bernedoodle pooch named Rio. If I can ever be of any help, always feel free to reach out to your fellow Lifewester. SPOTLIGHT
DR. REBECCA ARROYO
Rebekka and Jon moved to Spokane, Washington to preceptor together at the office they had originally planned to associate with. The preceptorship there provided invaluable knowledge about how they wanted to practice. With that, they both decided to leave and seek out other opportunities. Jon searched for other offices to work with in the area but quickly decided to start a brand-new practice from the ground up. Rebekka was immediately drawn to a booming Blair practice in the Spokane area. Blair was never a technique Rebekka took the time to learn during her time at Life West but instantly fell in love after a few days of shadowing. "It is common to always hear about seeing miracles happen every day but it was truly something to actually see it and hear about the life-changing results this technique had with patients," Rebekka said. The practice was run by two incredibly intelligent business savvy women. Rebekka joined the practice right after graduating in April of 2021 and spent 3 months in training, learning about the Blair technique, business, entrepreneurship, and the systems that kept the practice running smoothly. It was hard to start something new with confidence in adjusting, clinical knowledge, and communication. One of her first patients made her truly understand that it is not the chiropractor who fixes anything, it is the patient that does the healing. This patient came in with a two-year-old concussion injury. She suffered from severe migraines daily that forced her into disability since she could not work anymore. A gentle Blair adjustment was made on her second visit and the next day there was an immediate and profound change. After being under care, her body healed from having daily migraines with just one adjustment. It was one of the clearest examples of “the power that made the body, heals the body.”
SPOTLIGHTALUMNI LIFEWEST.EDU/MAGAZINE24 |
ALUMNI
Jon made the decision to open his own practice about 2 weeks before graduation. With no intention of opening on his own until then, he hadn’t made any plans or preparations. The next few weeks were filled with long days followed by nights with little sleep while he pieced together plans and systems. After graduation, he was able to find a location, renovate, obtain equipment and open, all in the span of five weeks. Not having a solid background or knowledge of business outside of the resources Life West had provided him, he failed forward.
ALUMNI SPOTLIGHT DRS. REBEKKA & JON KUZICHEV
SPOTLIGHTSTUDENT
Tanmay Shinde traveled across the world with a dream: to become a pioneer of chiropractic in his home country, India, and Life West was, without any doubt in his mind, the place where he would step into his vision. A native of Mumbai, from a family of medical professionals, he completed his Medicine and Surgery degrees in 2018. After working for several years as a government medical officer, he joined the Life West family in Winter 2020. But his journey to Life West began years before submitting his application. Tanmay is an observant, thoughtful student. When he began volunteering in 2015 as a translator in the chiropractic pavilion at Life West’s service trips to Mumbai in partnership with the Sant Nirankari Charitable Fund, he first experienced the value of chiropractic. He was translating for the ten doctors and thousands of patients who came through the clinic over four days. He then spent four years as a translator and saw first-hand many chiropractic miracles, including previously paralyzed patients walking unassisted after being adjusted, and non-speaking children suddenly finding their voices. Seeing these tremendous changes, Tanmay understood that chiropractic, in contrast to the medical model he had been studying, addresses the root cause of the issue rather than just treating the symptoms. He knew he had to do the work to bring chiropractic to India. Since his first quarter at the college, Tanmay has been inspired by many of his professors in basic sciences and clinical sciences. In his first quarter, he met Diana Romo, the International Student Counselor at Life West, who helped him become familiar with life in the Bay Area. Within a short time, he gravitated toward the radiology courses taught by Dr. Jamie Motley and Dr. Savannah Shortz and their lessons in pathologies. In quarter 3, Tanmay began tutoring for bone and joint and radiology courses. Working as a tutor boosted his confidence in his subject matter expertise and in his interactions with the students. On top of that he worked as a circulation desk assistant at the Learning Commons for six quarters. Inspired by Dr. Janet Wesdorf’s chiropractic skill and utterly loving personality, he was drafted into her pod for his internship in the Health Center. Additionally, he was approached by Dr. Monica Smith, head of the Research Department, to conduct a Research Honors project at the college. Guided by Dr. Smith, he published a retrospective case study. As a result of his work, Tanmay was awarded with Research Honors at June's commencement ceremony. Through his studies at Life West he was always motivated by Dr. Ron and Dr. Mary Oberstein, whose guidance and motivational speeches made him feel he was in the right place, and pointed him toward business opportunities after graduation.WhenTanmay began his studies at Life West, just months before COVID-19 would change so much about how he expected his education to proceed, he was overwhelmed by the differences between Mumbai and Hayward, California. Notwithstanding this dramatic change, with the encouragement of Drs. Ron and Mary Oberstein, and with scholarship support from the Indian Association of Chiropractic Doctors, Tanmay quickly found a place for himself at Life West. He became a Student Ambassador, representing Life West to prospective students, and found fellowship with the other Student Ambassadors. He experienced the benefits of regular adjustments to his sleep and general function. He found great cultural diversity at Life West and made friends with students of many different backgrounds. He is most impressed with how the Life West community truly cares about its members and embodies the values of Lasting Purpose - Giving, Doing, Loving and Serving. He is looking forward to now participating in college service trips, and to come full circle from translating to adjusting patients himself and bringing those chiropractic miracles to his own patients. Still the vision of returning to India stays strong and Tanmay has no lack of strength to make it real and to bring chiropractic back to India.
Dani Lorta, M.A., Student Life Manager, Life
West #LIFEWEST 25|
STUDENT TANMAYSPOTLIGHTSHINDE
Growing Our Profession by Referring Students to Life West
You Never Know How Far Reaching Something You May Think, Say, or Do Today Will Affect the Lives of Countless Millions Tomorrow.
LIFEWEST.EDU/MAGAZINE26 |
SCAN QR CODE TO REFER A STUDENT TODAY:
Do you know someone in your current practice or life that has the qualities of a good chiropractor and who is looking to help humanity? To “give for the sake of giving, love for the sake of loving, and serve for the sake of serving from your own sense of abundance without looking for anything in return” is our motto at Life West. And this is also what referring future students is all about.
ADMISSIONS
As you know, the growth of your chiropractic practice is determined by the number and quality of your referrals. The same holds true for Life West and the chiropractic profession at large. Our growth as a college and profession is determined for the most part by the number of new student referrals we receive from chiropractors around the globe. You have heard the saying; “If it is to be, then it is up to me.” Here at Life West we’ve adjusted that saying to; “If it is to be, it is up to WE.” There has never been a better time to refer students to Life West. An unprecedented amount of people in our society are looking for a natural process to feel their best and function optimally. This is where WE come in. There are only so many patients we can see in our offices at any given time. To grow the profession, we need more chiropractors. By referring a student to Life West, we exponentiate the number of people our profession can care for. By referring a student to chiropractic school, you are investing in the future of humanity. When you refer students to Life West in particular, they will benefit from our amazing clinically inspired learning curriculum, get their hands on spines early (first quarter) and often, and be immersed in the philosophical vitalistic principles of D.D.WePalmer.teach twenty-two chiropractic adjusting techniques in the curriculum, with nine in the core curriculum and thirteen offered as electives. There are over forty student-led clubs, a variety of international service trips to hone adjusting skills, and the opportunity to gain invaluable experience precepting at a chiropractor’s office for up to four quarters, to finish their outpatient health center requirements while also learning real-world skills so that they are better equipped to be practice-ready chiropractors after graduation. Many interns stay on after their preceptorship and become associate doctors based on the proven value they create in the office. What an amazing opportunity for bothThisparties.isacall to action to help us grow the profession and the chiropractic college we all love in order to make a much greater impact on society and have students live the life they love and love the life they live. As our developer B.J. Palmer once eloquently stated; “You never know how far-reaching something you may think, say, or do today will affect the lives of countless millions tomorrow.”
Dr. David Scheiner
In May, Life West was honored to be able to open the doors of our campus for Discovery Weekend, hosting over 50 prospective students and their guests who soaked up the Life West culture and what makes our way of teaching the chiropractic leaders of tomorrow so unique. Our student ambassadors shared their chiropractic WHY and their experiences as students, and were on hand to demonstrate the activator and drop-table techniques, show off the bones and models in the bone lab, and lead a tour of the Health Center capped off by a speeder board exercise. Keynote speakers were Drs. Palmer Peet and Catherine Peet. Drs. Peet spoke with passion and impact on all who heard them about their chiropractic journeys and their vision for serving their community. Discovery Weekend then dug deeper into a day in the life of a chiropractor, and included a DC panel, x-ray case study, and a neurology exercise and demonstration led by President Oberstein. As we closed the door on this amazing event, we remain filled with gratitude for those prospective students and guests who joined us, as well as everyone who worked so hard to make this event possible. We are excited to welcome more groups of prospective students on campus in August and October to see for themselves what puts Life West at the forefront of today’s chiropractic education.
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There are countless ways for you to help and we appreciate all of them. We are happy to be a resource for you and your prospective students through their exploration process into the chiropractic profession and the enrollment process here at Life West. In addition to referring students there are many ways you can participate in the DC Ambassador program including:
• And more… READY TO REFER A PROSPECTIVE STUDENT?
A WEEKEND OF INSPIRATION - DISCOVERING CHIROPRACTIC
ADMISSIONS
Being able to connect the dots of chiropractic philosophy with the biomechanics of the spine from my education at Life West has helped me comprehend the importance of innate intelligence as well as my role as a future chiropractor. One of the phenomenal things about our bodies is that we have innate intelligence within us which helps us adapt, change and heal on our own. We as chiropractors are simply applying a force to address a subluxation, ultimately it’s the body that heals itself after that force is applied. At Life West, I have been able to hone my adjusting skills, surround myself with likeminded people, and connect with faculty in learning more about the business aspect of running a practice after graduation. Becoming a chiropractor truly resonates with me as I’m a firm believer in a hands-on approach to treating disorders of the musculoskeletal and nervous system. Lastly, I would like to leave you with a quote that I live by; “Every day we are presented with two choices. To either evolve or to repeat. What did you choose today?” I choose to evolve. If you choose to do the same, then what are you waiting for? You need to attend Life West to be given a toolbox to help change lives.
• Discovery Weekend, Life West Campus, October 7th-8th
• Open your office for a presentation on chiropractic
• Discovery @ The WAVE, Life West Campus, August 4th
Hello, my name is Zainab, often referred to as Zee. I am a full time chiropractic student who wears multiple hats while managing my academics and being very engaged on campus. The driving factor for me in pursuing my chiropractic degree is that I am a huge advocate for spinal, mental, physical and financial health. I have always strived to help others overcome obstacles and gain new perspectives on how to better their lifestyle. I have firsthand experience in the importance of mental health, and how it can become an obstacle for us when trying to reach our optimal health goals if not addressed.
WAYS FOR DC'S TO GET INVOLVED
• Speak at an upcoming Admissions event or at a local college
Visit go.lifewest.edu to learn more about our program, schedule a campus tour, schedule a call with Admissions, and register for upcoming events. Here are two upcoming events for you to put into your calendar:
STUDENT AMBASSADOR TESTIMONIAL- ZAINAB (ZEE) BEDAR
• Be available to speak with a prospective student
PARTNERS Life
equipment, and
PRESIDENT'SCIRCLE
be invited to exclusive events year-round. DINNERS &
DIRECTLY IMPACT THE FUTURE OF CHIROPRACTIC PRESIDEN T’S FILCIRCLE E C HIROPRACT I C COLLEGE W TSE JOIN THE PRESIDENT’S CIRCLE TO CREATE A BRIGHTER FUTURE FOR HUMANITY IF YOU WISH TO JOIN the President’s Circle scan this QR code or go to lifewest.edu/give. If you have any questions about the program, please
receive special discounts each quarter on books, apparel, supplies, and other items in the bookstore. EVENTS
businesses.
and online, are
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of exclusive deals on the best equipment and supplies in the industry. LIFEWEST.EDU/MAGAZINE28 |
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Circle dinners and cocktail parties featuring interesting guest speakers and access to the latest in chiropractic.
CHIROPRACTIC INDUSTRY West is cultivating leading chiropractic health and wellness Members of the President’s Circle will be able to take advantage
FREE
PARTIES Mix and mingle with leaders in
AT
In addition to impacting the future of chiropractic through supporting the student experience at Life West, the President’s Circle will grant members special access to a variety of VIP events, free CE credits for license renewal from Chairperson level up, special discounts at the bookstore, and discounts on chiropractic and health and wellness products. CIRCLE: contact Kathy Tsui-Palma in the Institutional Advancement O ce at ktsuipalma@lifewest.edu. CE LICENSE RENEWAL Life West continuing education courses, both live free President's Circle members from Chairperson Level DISCOUNTS THE LIFE WEST BOOKSTORE President’s Circle members will Members of the President’s Circle will COCKTAIL chiropractic President’s
THE PRESIDENT’S
for
on up. SPECIAL
Every dollar donated to the President’s Circle is spent directly on enhancing the student experience. This includes spines for every first quarter student, help funding service trips, special events for students, and new technology to enhance learning to name a few. The President’s Circle is a special group of dedicated alumni and friends who support the ongoing success of Life Chiropractic College West with annual donations of at least $1,200. Life West is proud to be ranked among the top chiropractic colleges in the world through the generous on-going support of its donors, alumni, and friends, and the President’s Circle serves as the foundation of this support.
at
25001 Industrial Blvd. Hayward, CA 94545 GO.LIFEWEST.EDU WEEKENDDISCOVERY Explore the path to earning a doctoral degree and establishing a rewarding healthcare career from Life Chiropractic College West CHECK OUT YOUR NEXT OPPORTUNITY TO JOIN US!