The AAO FORUM FOR OSTEOPATHIC THOUGHT JOURNALOfficial Publication of the American Academy of Osteopathy TRADITION SHAPES THE FUTURE VOLUME 21 NUMBER 3 SEPTEMBER 2011 Osteopathic treatment of children with scarlet fever in the nineteenth and twentieth centuries... page 16 The American Academy of Osteopathy is your voice . ... in teaching, advocating, and researching the science, art and philosophy of osteopathic medicine, emphasizing the integration of osteopathic principles, practices and manipulative treatment in patient care. The AAO Membership Committee invites you to join the • Free subscription to the new AAO online member newsletter. American Academy of Osteopathy as a 2011-2012 member. • Access to the active members section of the AAO website The AAO is your professional organization. It fosters the which will be enhanced in the coming months to include core principles that led you to choose to become a Doctor of many new features including resource links, job bank, and Osteopathy. much more. • Discounts in advertising in AAO publications, on the For just $5.01 a week (less than a large specialty coffee at your website, and at the AAO’s Convocation. favorite coffee shop) or just 71 cents a day (less than a bottle of • Access to the American Osteopathic Board of water), you can become a member of the specialty professional Neuromusculoskeletal Medicine—the only existing organization dedicated to the core principles of your profession! certifying board in manual medicine in the medical world Your membership dues provide you with: today. • A national advocate for osteopathic manipulative medicine • Maintenance of an earned Fellowship program to recognize (including appropriate reimbursement for OMM services) excellence in the practice of osteopathic manipulative with osteopathic and allopathic professionals, public policy medicine. makers, the media and the public. • Promotion of research on the efficacy of osteopathic • Referrals of patients through the Search for Physician tool on medicine. the AAO website, as well as calls to the AAO office. • Supporting the future of the profession through the Student • Discounts on quality educational programs provided by AAO American Academy of Osteopathy on college campuses. at its Annual Convocation and workshops. • Your professional dues are deductible as a business expense. • New online courses now available. 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P: (317) 879-1881 F: (317) 879-0563 IN THIS ISSUE: www.academyofosteopathy.org AAO Calendar of Events ........................................................................ 8 American Academy of Osteopathy CME Certification of Home Study Forms ............................................ 27 Michael A. Seffinger, DO ....................................................President Letters to the Editor ................................................................................ 4 Jane E. Carreiro, DO .................................................. President-Elect Diana L. Finley, CMP ......................................... Executive Director REGULAR FEATURES: View From the Pyramids ........................................................................ 6 Editorial Advisory Board Murray R. Berkowitz, DO, MA, MS, MPH Murray R. Berkowitz, DO, MA, MS, MPH From the Archives ................................................................................. 39 Denise K. Burns, DO, FAAO Eileen L. DiGiovanna, DO, FAAO Component Society Calendar of Events ............................................... 52 Eric J. Dolgin, DO Claire M. Galin, DO ORIGINAL CONTRIBUTIONS: William J. Garrity, DO Book Review: The Feminine Touch ........................................................ 9 Stephen I. Goldman, DO, FAAO Rebecca Giusti, DO Stefan L. J. Hagopian, DO, FAAO John G. Hohner, DO, FAAO Harold A. Blood, DO, FAAO, Memorial Lecuture: 100 Years of Raymond J. Hruby, DO, MS, FAAO Osteopathic Leadership..........................................................................10 Brian E. Kaufman, DO Jerry L. Dickey, DO, FAAO Hollis H. King, DO, PhD, FAAO Osteopathic manual treatment of children with scarlet fever in the Paul R. Rennie, DO, FAAO nineteenth and twentieth centuries ....................................................... 16 Hallie J. Robbins, DO Torsten Liem, DO (Germany); Mark E. Rosen, DO Cristian Ciranna-Raab, DO (Germany/Italy) The AAO Journal Sutherland’s Signature .......................................................................... 25 Murray R. Berkowitz, DO, MA, MS, MPH...............Scientific Editor Jane Stark, DOMP (Canada) Diana Finley, CMP .................................................Supervising Editor Dynamics of indicators of quality of life in patients with chronic Tessa Boeing .............................................................Managing Editor pain syndrome in the lumbus and lower extremeties after osteopathic treatment ............................................................................................... 31 The AAO Journal is the official publication of the American Academy G.V. Yakovets, DO; S.V. Novoseltsev, DO of Osteopathy. Issues are published in March, June, September, and Spondylogenic-cranial biomechanical disorders in patients with chronic December each year. cerebrovascular insufficiency in the vertebrobasilar basin and their osteopathic correction ........................................................................... 43 The AAO Journal is not responsible for statements made by any S.V. Novoseltsev, DO contributor. Although all advertising is expected to conform to ethical medical standards, acceptance does not imply endorsement by Advertising rates for The AAO Journal; official publication of the this journal. American Academy of Osteopathy. The AAO and AOA affiliate organizations and members of the Academy are entitled to a 20-percent discount on advertising in this journal. Call the AAO at (317) 879-1881 Opinions expressed in The AAO Journal are those of authors or for more information. speakers and do not necessarily reflect viewpoints of the editors or official policy of the American Academy of Osteopathy or the Advertising Rates institutions with which the authors are affiliated, unless specified. Placed 1 time Placed 2 times Placed 4 times Full Page 7.5” x 10” $600 $575 $550 Send address/e-mail address changes to: [email protected] Half Page 7.5” x 5” $400 $375 $350 Third Page 7.5” x 3.3” $300 $275 $200 Fourth Page 3.75” x 5” $200 $175 $150 Professional Card 3.5” x 2” $60 Classified $1.00 per word Volume 21, Issue 3, September 2011 The AAO Journal Page 3 letters to the editor Dear Editor, I just read the article, “Osteopathic Approach to the Patient with Chronic Fatigue Syndrome” by Anne Chong, MS, and Murray R. Berkowitz, DO, MA, MS, MPH. They did a nice job discussing CFS, but their case study may not fit the criteria. With a positive RF, ANA and SED rate, the patient deserved a more complete rheumatological workup. She definitely required an x-ray exam of her hands to look for MCP erosions, and, with the ANA titers given, probably needed screening for Lupus, Sjogrens and myositis syndrome, as well as at least a look at her anti-thyroid and anti-thyroglobulin antibodies, TSH and T3 to evaluate for Hashimotos. All are among the medical differentials that should be eliminated before concluding she does not have an auto-immune disease rather than CFS. Actually, I was surprised, given the level of documentation and discussion about CFS, that they had apparently overlooked the rheumatological findings. More and more, I find these nonspecific rheumatological lab results, and all I have been able to come up with in the rheumatology literature is Polymyalgia Rheumatica, which presents a lot like CFS. In two of my recent cases (both patients over the age of 60), I have even seen muscle atrophy, particularly in the limbs, and severely disabling weakness that only responds to steroids. Anyway, again, their discussion was great. —Richard Van Buskirk, DO, PhD, FAAO Authors’ Response We thank Dr. Van Buskirk for his letter and the comments. Thanks for taking the time to write and pointing out the need for a more complete evaluation, especially given the fact that this patient’s ANA and SED rate were elevated. Actually, the patient’s imaging was negative. Anti-CCP, Smith Antigen, Double-Stranded DNA, T3, T3 Uptake, T4 and TSH were all well within normal ranges/negative as well. These were omitted for brevity in the table; however, Dr. Van Buskirk’s letter points out that the case report (as written) makes it look as if we may not have done enough evaluation to rule out the disorders he mentioned.