FDA Requiring Patient-Reported Outcomes — Part 2

Please click this link to read Part 1.

https://www.medicalmassage-edu.com/blog/fda-requiring-patient-reported-outcomes-part-1.htm

From the author:

Generally speaking, I am not a person who rushes to suspect conspiracies. However, in Part 1 I may have sounded as though I believed in conspiracies—suggesting that big pharma created “evidence-based medicine,” reshaped the norms of real research, and shifted the proper standards of FDA functions.

I am a simple man, but I know there is no smoke without fire. I don’t want to repeat everything I wrote in Part 1, only to summarize:

Before the FDA began requiring patient-reported outcomes, were there fewer medication prescriptions? Fewer hospitalizations? Was the general public healthier than it is under the system of evidence-based medicine? The answer is yes. By all indications—including the rise in prescriptions, painkiller addiction, and overmedication—the situation only got worse.

FDA-approved prescribing of narcotic painkillers was the end result of this “evidence-based medicine” system. The formula was simple: write peer-reviewed articles describing how unbearable pain is, conclude that opiates must be prescribed, and this was considered “evidence.” Millions of lives were destroyed. Good, responsible, intelligent people—patients who trusted their doctors—were prescribed narcotics. And those doctors were following the so-called evidence-based guidelines.

What about massage therapy and evidence-based practice?

The slogan was simple: “If we want to be recognized as a healthcare profession, we must follow the evidence-based system.” But if we follow the money, we see what happened. Expensive RMT programs were sold. In physical therapy, costly DPT programs were pushed.

Did this improve the health of the general public? Did it reduce the use of painkillers or decrease the number of orthopedic surgeries? The answer again is no. But the slogan continues, not to help people, but to gain recognition as a healthcare profession.

My dear colleagues, we all know that in order to be truly recognized as a healthcare profession, we must collectively demonstrate outcomes: freeing people from the need for overmedication, helping them avoid unnecessary surgeries, and restoring function. Then, and only then, will we earn recognition and blessings as a true healthcare profession.

I understand my words are open to agreement or disagreement. Honest opinions, however, always help us advance and grow in our ability to help others.

Learning from patient-reported outcomes

If you listen carefully to reports by Eileen O’Farrell and Jon, you’ll hear a typical story:

• Eileen was told almost 10 years ago she had a “bone-on-bone” hip condition and needed a replacement.
• Jon was told the same about his knee two years ago, and also about his spine due to stenosis. Both were advised surgery was the only option.

And yet—thank God—both are walking today, using their own joints.

Orthopedic surgeons show MRI images and convince patients that “nothing can be done.” But during my initial evaluations, I was able to move both Eileen’s hip and Jon’s joints through different planes. Yes, their motion was limited and painful, but movement was present. That alone proved their bones were not fused.

I explained to them: even with arthritic changes, it is often the dysfunctional soft tissue—responsible for joint stabilization and movement—that compresses the joint, creating pain and dysfunction. My treatment focuses on decompression. Regardless of cartilage erosion, decompression reduces pain. And if surgery is eventually needed, soft tissue release (fascia and muscles) greatly improves postsurgical recovery and helps prevent complications.

Final thoughts

Colleagues, I cannot anticipate every question, but as always, I invite you to ask. For many years I have taught with the belief that there are no stupid questions. On the contrary—if you want to learn, you must ask. Not asking is the only mistake.

Before I share links to my educational programs, I’d like to clarify something: A lady recently told me via private message that my writing promotes my programs. My answer was simple: Yes. This is an educational page, and when I write, I naturally refer to my hands-on work. Theory is important, but theory without application has little meaning.

When we decompress joints, we achieve relief by releasing tension within the soft tissues responsible for stabilization and movement. with hip decompression approach it is a bit different ,protocol involves applying compression on the projection of the joint located in the upper third of the front thigh. I demonstrate this entire protocol, along with much more, in Program #9.

Continuing education including certificate

https://www.medicalmassage-edu.com/products/ceu-volume-9.htm

just instructional program $59 only

https://www.medicalmassage-edu.com/products/ceu-volume-9.htm#video_only

In Part 3, we will listen to patient reports from Mark, John, and Phil.

Best wishes,
Boris