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Chiropractor or Physio

  • 03-06-2012 12:16pm
    #1
    Registered Users, Registered Users 2 Posts: 26


    Ok so I suffered a whiplash like injury over a year ago and my neck still crackles but is not sore anymore.I suspect my neck has some lingering damage.Do I go to a chiropractor or physio?


«1

Comments

  • Registered Users, Registered Users 2 Posts: 1,727 ✭✭✭Nozebleed


    physio. i wasted an awful lot of time & money attending a chiropractor in the past. when 2 visits to the physio would have solved the problem.


  • Registered Users, Registered Users 2 Posts: 26 sypeons


    Nozebleed wrote: »
    physio. i wasted an awful lot of time & money attending a chiropractor in the past. when 2 visits to the physio would have solved the problem.

    Thanks for your opinion Nozebleed, I'm leaning towards a physio alright, alot of ppl don't seem to have a very high opinion of chiropractors.Anyone else have anything to add bitches?


  • Registered Users, Registered Users 2 Posts: 1,878 ✭✭✭Burkatron


    sypeons wrote: »
    Thanks for your opinion Nozebleed, I'm leaning towards a physio alright, alot of ppl don't seem to have a very high opinion of chiropractors.Anyone else have anything to add bitches?

    Make sure you're going to a decent physio get recommendations(or any practitioner you chose) There's plenty of ****e physio's (& other practitioners) out there!


  • Moderators, Science, Health & Environment Moderators Posts: 3,645 Mod ✭✭✭✭Beeker


    Yeah keep away from the chiropractor. Chiropractic is a pseudo medical pratice which has never been scientifically proven.


  • Registered Users, Registered Users 2 Posts: 2,192 ✭✭✭Danye


    I have been injured the last few months and spent a fortune on going to 4 different physio to try and get sorted and no joy.

    I finally went to a chiro because I felt I had nothing to loose and it was the best thing I have done. Feeling the best I have felt in quite a while.


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  • Registered Users, Registered Users 2 Posts: 26 sypeons


    Danye wrote: »
    I have been injured the last few months and spent a fortune on going to 4 different physio to try and get sorted and no joy.

    I finally went to a chiro because I felt I had nothing to loose and it was the best thing I have done. Feeling the best I have felt in quite a while.

    Thanks for the replies guys but I think I'll start off with a physio.


  • Registered Users, Registered Users 2 Posts: 14 rarr


    "Yeah keep away from the chiropractor. Chiropractic is a pseudo medical pratice which has never been scientifically proven."

    I was a competitive gymnast for many years. I found that I was beginning to suffer a terrible pain in my lower back [sometime spreading to my ass and leg], went to a physio for six weeks and there was no relieving the pain. I tried another physio, and again, no relief.

    After giving up and just getting on with the training, I was recommended to a chiropractor a town over. She was Australian and worked with a lot of highly trained competitive athletes. She took an xray of my neck, back and lower back, took accounts of my training and we talked a lot about food intake and my lifestyle. All of this was done in the first session. By the second session – one week later – she had found two avulsion fractures in my ass as well as some degradation in my lower back and some bends in my spine [the last bit being quite common]. About six weeks later, while taking nothing more potent than some magnesium and potassium tablets, drinking lots of water and fruit for breakfast, as well as taking an extra day off training to rest, I was feeling much better.

    In short:
    first physio – 0
    second physio – 0
    chyro – 1


  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    I don't think chiropractors are able to prescribe x-rays, what country did your story take place in.


  • Registered Users, Registered Users 2 Posts: 14 rarr


    took place in Ireland


  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    well it's obviously not a true story then


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  • Registered Users, Registered Users 2 Posts: 14 rarr


    Yes it is.
    I am curious as to why you say it isn't?


  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    You said your chiropractor took an x-ray of your neck, back and lower back. Unless she was also a registered dentist or a registered medical doctor she could not prescribe an x-ray nor actually take one unless she was a radiographer or a radiologist or a dentist.


  • Moderators, Recreation & Hobbies Moderators Posts: 22,058 Mod ✭✭✭✭Brian?


    rarr wrote: »
    Yes it is.
    I am curious as to why you say it isn't?

    A chiro can't order an x-ray

    they/them/theirs


    And so on, and so on …. - Slavoj Žižek




  • Registered Users, Registered Users 2 Posts: 22,429 ✭✭✭✭endacl


    sypeons wrote: »
    Nozebleed wrote: »
    physio. i wasted an awful lot of time & money attending a chiropractor in the past. when 2 visits to the physio would have solved the problem.

    Thanks for your opinion Nozebleed, I'm leaning towards a physio alright, alot of ppl don't seem to have a very high opinion of chiropractors.Anyone else have anything to add bitches?
    Don't lean. Leap. Towards the qualified professional, who's actually qualified in a profession.


  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    did she take the x-ray with an iphone btw? That's not a real x-ray.


  • Registered Users, Registered Users 2 Posts: 14 rarr


    That's a bit mad. I have the x-rays to prove that it did happen.
    Maybe she had more training then a chiropractor usually has? What with attending Uni in Australia?

    Hermmm. All of this is true, you see. So I feel a bit uneasy now.
    I just saw the thread and wanted to give fair dues to the process that worked out in the end. There were two people working in the clinic, her and the assistant nurse.

    The clinic shut down last year as she returned home to Australia. I can send you the old info of the clinic via a private message if you're curious?


  • Registered Users, Registered Users 2 Posts: 14 rarr


    And no, no iphone was used.


  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    Did you actually get the x-ray taken in this 'clinic'? Like who operated the machine, who told you to stand here and there?


  • Registered Users, Registered Users 2 Posts: 14 rarr


    If a chyro can't order an x-ray, then what happened?


  • Registered Users, Registered Users 2 Posts: 14 rarr


    The assistant nurse operated the machine. I stood in place, wearing a medical tunic and a plate of some sort was suspended by a tripod in front and behind me was the camera [apologies for the terminology – I don't know the correct names].

    That's the best description I can give of the process.


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  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    she could have asked the doctor she knew to order one, sure go on send me the link to the old clinic. I'm not saying you're making the whole thing up, or the chiropractor was somehow operating an x-ray machine illegally but i'm sure there is a logical connection to it.

    anyway, wrt your story, for someone who was a gymnat, and presumably had a history of falling on his ass on a balance beam or what ever, surely it would have been fairly obvious that an x-ray of your pelvis was needed.


  • Registered Users, Registered Users 2 Posts: 14 rarr


    Should I be worried about this?


  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    I don't think so. X-rays are potentially very dangerous and you can't have any nutter doing them but I'm sure it was done in a safe manner.

    You sure it wasn't a dexa scan you had?


  • Registered Users, Registered Users 2 Posts: 14 rarr


    I am sorry to say that I have no idea.

    I guess it is possible to assume that it was a dexa scan, and if so I am sorry for the oversight in the original post. It would have saved some worry and posting on your behalf if, I guess?
    If not, then I hope she's not a nutter/has some kind of qualification in radiography.

    I am assuming that you have some knowledge about x-rays? I know my description was brief, but by the sounds of it, would you say it was a dexa scan? I am a little alarmed about this right now, it would be great to figure out if I have been endorsing a nutter or not, or if I have been wrong. To know that would be cool too.


  • Closed Accounts Posts: 372 ✭✭UL_heart_throb


    I didn't mean to imply the australian chiropractor was a 'nutter'. I am aware that the status of chiropractor in australia is different to here. They do degrees in it. In ireland, there are different associations and stuff but I could start a business as a chiropractor tomorrow and no body could really stop me.

    If you google DEXA scan images you might be able to compare them to yours and see if they look more like an x-ray.

    So no need to be worried, i'm sure you have not received any ill effects.


  • Closed Accounts Posts: 38 PharmNS


    Chiropractors can and do carry out x-rays all over Ireland, it is very common. The clinic I attend has a room downstairs housing an x-ray machine. Not as big as one in a hospital of course, and the images would not have the same level of definition or detail but perfectly adequate for seeing the shape of the spine, disks and joints.
    Where I attend the male chiropractor carries out all X-rays - presumably to reduce exposure for the female who is of child beating age. There is a certificate on the wall from whichever authority oversees radiography, and a log of all activity and exposure is kept.
    I have 100% faith that all is above board.


  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    sypeons wrote: »
    Ok so I suffered a whiplash like injury over a year ago and my neck still crackles but is not sore anymore.I suspect my neck has some lingering damage.Do I go to a chiropractor or physio?


    Op chirpractic neck manipulations have been linked to damage to the arteries in the neck which can cause stroke.
    See here:
    http://www.ncbi.nlm.nih.gov/pubmed/21923248


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭lonestargirl


    UL_heart_throb is correct, according to SI 478 any medical ionising radiation must be prescribed by someone on the medical or dental council. And that prescriber is responsible for the dose received. The regulations as to who actually presses the button are slightly more hazy but statutory regulation for AHPs (including radiographers and radiation therapist) is in development at the moment. All holders of x-ray equipment must also be licensed by the RPII.

    I have had a number of previous discussions on this board with some who claim that chiropractors are not practising medicine and therefore the above regulations don't apply to them :rolleyes:


  • Registered Users, Registered Users 2 Posts: 7,412 ✭✭✭COH


    I had a chiro prescribe and take on the spot xrays in Dublin


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  • Registered Users, Registered Users 2 Posts: 69 ✭✭barbs84


    A chiro can't order an x-ray


    they do them in discover chiropratic in galway


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭lonestargirl


    If you google DEXA scan images you might be able to compare them to yours and see if they look more like an x-ray.
    DEXA is still x-rays. 2 different energies are used so that the soft tissue can be subtracted.
    COH wrote: »
    I had a chiro prescribe and take on the spot xrays in Dublin
    barbs84 wrote: »
    they do them in discover chiropratic in galway
    Just because it does happens doesn't mean is should happen. I suspect this may become a big issue later in the year when the radiographer registration comes into force.


  • Registered Users, Registered Users 2 Posts: 458 ✭✭N8


    Feeling something of the usual anti chiropractic bias of boards.ie in this thread .... :rolleyes:

    You said your chiropractor took an x-ray of your neck, back and lower back. Unless she was also a registered dentist or a registered medical doctor she could not prescribe an x-ray nor actually take one unless she was a radiographer or a radiologist or a dentist.

    A chiro can't order an x-ray

    Yes they can and they can take them. They are trained to do so and to read them, and their machines are licensed by the RPII.


    rarr wrote: »
    Should I be worried about this?

    Nope


    PharmNS wrote: »
    Chiropractors can and do carry out x-rays ..... the images would not have the same level of definition or detail

    Yes they do.


    Op chirpractic neck manipulations have been linked to damage to the arteries in the neck which can cause stroke.
    See here:
    http://www.ncbi.nlm.nih.gov/pubmed/21923248

    Wrong - the most recent and most comprehensive studies show the stroke rate is exactly the same as for those patients attending a medical doctor with the same symptoms - the deduction being they were having the stroke and attending with the symptoms of such.


    UL_heart_throb is correct, according to SI 478 any medical ionising radiation must be prescribed by someone on the medical or dental council.

    Wrong - chiropractors can legally take xrays.


    I have had a number of previous discussions on this board with some who claim that chiropractors are not practising medicine and therefore the above regulations don't apply to them :rolleyes:

    I doubt it was a chiropractor said they were above regulations but it would be true a chiropractor does not practise medicine - that would require registration as a medical doctor.


    I suspect this may become a big issue later in the year when the radiographer registration comes into force.

    I doubt it unless its a professional territorial issue rather than about patient benefit.




    .
    ..
    .


  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    N8 wrote: »
    Wrong - the most recent and most comprehensive studies show the stroke rate is exactly the same as for those patients attending a medical doctor with the same symptoms - the deduction being they were having the stroke and attending with the symptoms of such.
    .

    Really ?
    Well it seems you forgot to post the links.
    Post up the papers pubmed links and I'll gladly track em down and read em.


  • Registered Users, Registered Users 2 Posts: 4,306 ✭✭✭Zamboni


    N8 wrote: »
    Feeling something of the usual anti chiropractic bias of boards.ie in this thread .... :rolleyes:

    Common sense - It's common.


  • Registered Users, Registered Users 2 Posts: 458 ✭✭N8


    Zamboni wrote: »
    Common sense - It's common.

    2255796447_6f60612f32.jpg

    random w@nkers … just that.
    Really ?
    Well it seems you forgot to post the links.
    Post up the papers pubmed links and I'll gladly track em down and read em.

    Yep really – here you go.

    http://www.ncbi.nlm.nih.gov/pubmed/18204390

    “We didn't see any increased association between chiropractic care and usual family physician care, and the stroke,” said Frank Silver, one of the researchers and also a professor of medicine at the University of Toronto and director of the University Health Network stroke program.

    “The association occurs because patients tend to seek care when they're having neck pain or headache, and sometimes they go to a chiropractor, sometimes they go to a physician. But we didn't see an increased likelihood of them having this type of stroke after seeing a chiropractor.”

    Co-author David Cassidy, a senior scientist at the University Health Network and a professor of epidemiology at the University of Toronto, said: “If someone says ‘Has it ever happened that a chiropractor has caused a stroke?' I can't say it's never happened. But if it's happening, it's not happening at a greater risk than when it is in a GP office.”



    A research paper published in 2001 in the Canadian Medical Association Journal found there is only a one-in-5.85-million risk which cannot be proved or disproved that chiropractic might be associated with stroke (not linked to or causing but associated – confused? Read on),

    The study showed that stroke occurred a short time after 1 in 5.85 million chiropractic neck interventions. One in almost six million?? Huh? How many strokes occur after a cup of tea? Or even any other daily activity – what about looking up? Straining to go to the toilet? What constitutes an association?

    To create a study capable of proving or disproving an association or not, you would have to adjust 6 million people with a higher than average risk of stroke to see if one of them had an event related to that adjustment. To prove or disprove a link, a study would have to involve 600 million people to get a study group of perhaps 100 adjustment related strokes. This is an impossibility and the reason why such a red herring has continued to exist.

    On examination, many of the strokes quoted in the literature have been falsely attributed to chiropractors when in fact the person carrying out the manipulation was not a trained chiropractor (examples include a kung fu practitioner, a blind masseur, someone’s wife, an Indian barber, GPs, osteopaths, and physiotherapists).

    In a German study published in Neurology in 2006, an attempt was again made to link chiropractic and stroke when in fact none of those adjustments/ manipulations were carried out by chiropractors. Half of the manipulations (not skilled chiropractic adjustments) that resulted in stroke were carried out by orthopaedic surgeons the other half by untrained unqualified heilopraktkers masquerading as ‘chiro-practitioners.’

    In over thirty years involving billions of chiropractic adjustments in the US, there were ten cases of death within any sort of period of time that followed neck manipulation. Nine of these were carried out by medical doctors, even though chiropractors perform 94% of the cervical manipulations/ adjustments in America. In other words, medical manipulators caused 90% of the lethal complications in less than 6% of all those being manipulated, which sends out a strong message for the quality of care and safety of chiropractic.

    Sorry now hold on; it follows then that if the figure of association was one in six million for neck manipulation that figure now looks more like one in 60 million for chiropractic adjustments. The study group then needed to prove or disprove it? Yes that’s right, it would require six billion people all at a higher than average risk of stroke being adjusted and monitored pre and post adjustment for twenty four to forty eights hours after and then all that information collated, collaborated and reviewed – now you can see why it can neither be proved nor disproved. It is a red herring.

    Put into perspective, what are the risks for every day activities and medication promoted everyday? Reversing the car, jogging, taking HRT, blood pressure medication, cholesterol lowering medication, even taking a neurofen, a pain killer or an anti-inflammatory instead of being adjusted?

    Even if we were to agree this estimate of association of one in six million, this is over 700 times lower than the established risk of death from taking anti-inflammatories such as aspirin and ibuprofen, yet these are prescribed everyday for head, neck and back pain. The figure of association is also much less than that associated with many everyday activities including reversing a car, jogging, tai chi, various sleeping positions, coughing, stooping to get a bucket and even yawning.Yes you are more likely to die from yawning than a chiropractic adjustment. Now do you see it?


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  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    Thanks

    I actually don't have time to read it for about 2 weeks - if you bump the thread then it will remind me. I am interested in this topic however


  • Registered Users, Registered Users 2 Posts: 149 ✭✭treade1


    Physio is the way to go. So long as you go to a chartered physio and you do th exercises they give you. If you go and don't do the exercises you will not improve. There is no magic solution.


  • Registered Users, Registered Users 2 Posts: 4,991 ✭✭✭metamorphosis


    N8 infracted for pers. abuse

    Remember folks - attack the POST, not the POSTER


  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    On the beeb today N8:

    http://www.bbc.co.uk/news/health-18356045

    Not got chance to read your article yet but I will


  • Registered Users, Registered Users 2 Posts: 458 ✭✭N8


    On the beeb today N8:

    http://www.bbc.co.uk/news/health-18356045

    Not got chance to read your article yet but I will



    Not like the media to sensationalise things especially the BBC - here are the two articles from the BMJ one pro the other against ...

    http://www.bmj.com/content/344/bmj.e3679

    http://www.bmj.com/content/344/bmj.e3680


    Between them and reading my post tell me who you would rather have work on your spine....


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  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    N8 wrote: »
    Not like the media to sensationalise things especially the BBC - here are the two articles from the BMJ one pro the other against ...

    http://www.bmj.com/content/344/bmj.e3679

    http://www.bmj.com/content/344/bmj.e3680


    Between them and reading my post tell me who you would rather have work on your spine....

    I wouldn't let anyone do high velocity low amplitude maneuvers on my spine.


  • Registered Users, Registered Users 2 Posts: 458 ✭✭N8


    I wouldn't let anyone do high velocity low amplitude maneuvers on my spine.

    so you would rather have surgery than conservative care?


  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    N8 wrote: »
    so you would rather have surgery than conservative care?

    There are other options you know.
    Alot of osteopaths and cranio-sacral types use low velocity low amplitude spinal manipulation techniques.
    This I have no problem with.


  • Moderators, Recreation & Hobbies Moderators Posts: 22,058 Mod ✭✭✭✭Brian?


    N8 wrote: »
    I wouldn't let anyone do high velocity low amplitude maneuvers on my spine.

    so you would rather have surgery than conservative care?

    Nice straw man, but those aren't the only 2 options.

    No way would I let an unregulated, non medical therapist touch my spine.

    For the sake of clarity, are you a chiropractor?

    they/them/theirs


    And so on, and so on …. - Slavoj Žižek




  • Moderators, Recreation & Hobbies Moderators Posts: 22,058 Mod ✭✭✭✭Brian?


    On the beeb today N8:

    http://www.bbc.co.uk/news/health-18356045

    Not got chance to read your article yet but I will

    Not really a great example of journalism to be honest.

    they/them/theirs


    And so on, and so on …. - Slavoj Žižek




  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    Not really a great example of journalism to be honest.

    Science journalism is a dying art

    Hmm I have to change this as this presupposes it was good in the first place. It wasn't.


  • Registered Users, Registered Users 2 Posts: 2,045 ✭✭✭martinedwards


    I've had a bad back for 25 years.

    I have tried EVERYTHING except sacrificing a goat in a pentangle of black candles.....

    in the Early years (LATE 80S EARLY 90S) I was told by the dr to rest, there was nothing they could do. So I went to a Canadian trained Chiro in Bangor (NI) two sessions and I was fixed. this needed repeated every 9 months or so.....

    then He went off the scene for a while and I tried another (australian trained) chiro in Glengormley. Useless.

    eventually ended up with two lady Chiros in Carrickfergus. not AS superb as the bangor bloke, but MUCH better than the Glengormley one..... but then this was a few years of deterioration down the road......

    as to Xrays etc, the Carrick girls did a spinal muscle scan testing for heat and tension in the muscles. a computer printout showed which muscles were being worked too hard and over time these were seen on the scans to be improving, which coincided with releif.

    they also sent me to another chiropractor who had X ray facilities in his practice for a series of Xrays.

    here's one of them.

    taken by a chiropractor in his practice, in Glengormley (in the north)

    spine.jpg

    meanwhile my conventional dr had sent me to pain management a clinic which let to 2 MRI scans which diagnose that a couple of discs are screwed. (my term!) I was sent to physio where I was put in traction (agony..... much worse!!) and had one session of acupuncture (a slight help, but not enough to pay for more sessions)

    I'm now waiting for surgery.

    in MY CASE...... early on, Chiropractors helped....... sometimes........

    if you have no relief after 3 visits, try another one.


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭lonestargirl


    N8 wrote: »
    They are trained to do so and to read them, and their machines are licensed by the RPII.
    RPII do licence all x-ray equipment and they are the competent authority for enforcing SI 125 which is concerned with exposure to workers and the public, responsibility for SI 478 lies with the HSE.
    N8 wrote: »
    Wrong - chiropractors can legally take xrays.
    Can you explain to me how this is legal given the below quotes taken directly from SI 478?
    7.2. Medical radiological procedures may only be authorised by, and be performed under the clinical responsibility of, a practitioner.
    “Practitioner” means:-


    (a) a person whose name is entered on the register established under Section 26 of the Medical Practitioners Act 1978 and who meets such other requirements as may be specified by the Medical Council from time to time to allow them to take responsibility for an individual medical exposure; or


    (b) a person whose name is entered on the register established under Section 26 of the Dentists Act, 1985 and who meets such other requirements as may be specified by the Dental Council from time to time to allow them to take responsibility for an individual medical exposure; or


    (c) a person whose name is entered on such other register or registers as the Minister may, from time to time, establish in relation to persons who are entitled to take clinical responsibility for an individual medical exposure and who meets such other requirements as the Minister may prescribe.


  • Registered Users, Registered Users 2 Posts: 458 ✭✭N8


    Lonestar can folk with EU wide recognised qualifications in Ireland possess and operate x-ray facilities as per SI125 and as such licensed by the RPII and fall outside SI478?

    How could this be?

    Surely a practitioner entitled to x-ray in one EU state is entitled to do so in another EU state and if not, why not?

    Can on the island of Ireland one fully qualified chiropractor be entitled to full prescriptive and practice rights one side of the border and not on the other?

    Would this not be against EU law?

    If the public in N.Ireland can advantage the cost benefit ratio of chiropractic care why shouldn’t patients south of the border have the same access?

    Why should the public be denied primary care access on the basis of geography or professional bias?


  • Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭lonestargirl


    N8 wrote: »
    Lonestar can folk with EU wide recognised qualifications in Ireland possess and operate x-ray facilities as per SI125 and as such licensed by the RPII and fall outside SI478?
    As I said before SI125 doesn't cover medical exposure, just members of the public and occupational (I have a TLD issued by RPII which gets returned and read every month). Once you put a person in the beam it falls under SI 478 for the justification and prescription of that exposure. The QA elements of the unit still fall under SI125.

    N8 wrote: »
    Surely a practitioner entitled to x-ray in one EU state is entitled to do so in another EU state and if not, why not?
    A doctor qualified in any EU state is perfectly entitled to apply for Medical Council registration here. He/she can then prescribe ionising radation.


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