| Why G Forces Are Difficult to Use In Accident Reconstruction |
| Author: Unknow |
| |
| The forces in a rear-end collision are not static, but change direction and speed constantly. Both the head and the body have inertia—that is they continue to stay moving in the same direction until a force moves them in another direction. What lies between these two large masses, of course, is the relatively fragile cervical spine. This explains why the neck is susceptible to injury in a “minor” rear-end collision. |
|
|
|
| Treament Gaps, How To Properly Document |
| Author: Jeffrey A. Cronk, DC |
| |
| Your patient Bob Smith calls into your front desk and schedules a New Patient Consultation with your office. The front desk determines that the reason for the visit is to get help with injuries this patient sustained six months ago in an automobile accident. |
|
|
|
|
| The most powerful tool in Clinical Practice Today |
| Author: Jeffrey A. Cronk, DC |
| |
| There is a lot of talk these days about “Evidenced Based Procedures” and becoming more “Evidenced Based” in our approaches in everything from diagnostics, treatment, and our final prognosis as to the future of our patients. “Evidenced Based” means just that, using information that is agreed upon to be the most accepted criteria that we can rely on in making our clinical decisions. It means coming up and practicing in real time, using up to the date, real time information, and it is where we want to be. It means replacing “personal opinion” with the terms like “consensus driven”. For those who utilize and come from an “Evidence Based Approach”, it really levels the playing field and helps to make general clinical practice much easier in a great many ways. |
|
|
|
| Council on Chiropractic Practice 2003 Guidelines |
| Author: Council on Chiropractic Practice |
|
|
|
| ICA Critique of CCGPP |
| Author: |
| |
|
| Since these CCGPP “Best Practices” Low Back Pain Guidelines, disguised as a “Database”, is fraught with major fatal flaws, we recommend that the ICA, ICA Affiliated Chiropractic Colleges, and ICA associated State/Provincial Associations/Societies reject these CCGPP Low Back “Best Practices”. Additionally, this committee requests that the ICA send this critique to CCGPP both “Electronically” and in the mail as “Return Receipt Requested”. |
|
|
| Stop Treating Your Patients Finances or Insurance and Start Treating The Patient |
| Author: Jeffrey A. Cronk, DC |
| |
| These initial words unfortunately are so true in chiropractic today. Everyday in my diagnostic business I listen to doctors under treating spinal injuries and I am not sure what to say. I hear, “well if we go over 24 visits in our state the insurance companies will seriously flag us, or if the case is over $3000.00 our attorneys do not like it.” Some other things that I hear are, “my patient does not have a lot of money and their insurance is exhausted, and my patients insurance is exhausted and we are getting killed with low ball settlements, or I am already taking a cut of my bill when the patients attorney calls to reduce my bills.” What does any of this have to do with what our patients need? That and only that is what is really important here. No one minds paying for good results! |
|
|
|
| You Should Be Finding More Physical Traumas in Your Consultations |
| Author: Jeffrey A. Cronk, DC |
| |
| I own and run a diagnostic company that helps doctors to identify areas of spinal soft tissue damage in trauma patients. I hear from doctor’s everyday, I do not really deal that much with personal injury or trauma patients—hah! You all are in the personal injury business deeply; as that is what each and every one of your patients are suffering from—the effects of some personal, physical trauma. |
|
|
| AMI PPO Model Shows More Care Reduces Major Costs Not Less Care--See For Yourself |
|
|
| The Future is Now DC as Primary Care Providers Shows Significant Cost Reductions |
| Richard L. Sarnat, M.D. |
| |
| Imagine you could live in a world where the medical community would utilize the strength of all of its different licensed practitioners toward one common goal—the good of the patient. Imagine that all of the economic turf battles, professional jealousies and narrow-mindedness could be transcended. Is this idealistic new age babble or is this in fact an achievable goal? |
|
|
|
| Colossus Article For Attorneys |
|
|
| More Access To DC an CAM Care is Key To Overall Health Care Cost Savings |
| Author: Dr. Sarnat, M.D. |
|
|
| Pain Behavior Testing in IME/ICE Examinations: Criticisms by Originator Dr. Waddell |
| Author: Richard H. Adler |
| |
| In 1980, Gordon Waddell, M.D. drew attention to non-organic signs or behavioral signs in back pain patients and attempted to integrate them into modern concepts of pain and illness behavior. His paper, published in 1980, described five types of non-organic physical exam signs that may suggest psychological factors are playing a role in a patient's pain response. These signs have been dubbed "Waddell signs" and were designed specifically for patients with low back pain. Following the widespread use of Waddell's testing in insurance medical-legal examinations, most particularly with respect to automobile collision PIP benefits and personal injury claims, Dr. Waddell has recently come forward to clarify and criticize the use and interpretation of the "Waddell signs" in both clinical and medical-legal assessments. |
|
|
| Understanding and Preventing IME/ICE Abuse |
| Author: Richard H. Adler |
| |
| Act in good faith, abstain from deception and practice honesty and equity? This is whatWashington State insurance law and administrative codes require. What about independent medical examinations(IMEs)? Insurance companies tell their insured (your patient) the insurance medical examination will be conducted by an "independent" examiner. They further claim the evaluation is being sought because they are concerned about their insured and want to make sure the treatment being given is effective to resolve their injuries. In reality, the IME is an "insurance medical examination" or "involuntary medical examination" whose purpose stands in sharp contradiction to the insurance companies' statutory duty of good faith. |
|
|
|
| Relationship Between Initial Clinical Findings and Mechanism of Injury |
| Author: Richard H. Adler |
| |
| A recent study published in Neurology examined the relationship between initial symptoms following a acceleration-deceleration motor vehicle accident (whiplash injury) and certain mechanical features of the accident. |
|
|
| Musculoskeletal Competency: Testing MD Grad Students and Non-graduates Chiropractic Students |
| Author: Alex Vasquez, DC, ND |
| |
| While chiropractic doctors address a wide range of health concerns and disorders in their clinical practices, the profession as a whole and our formal training obviously emphasize musculoskeletal diagnosis and treatment. This is appropriate, given that musculoskeletal disorders are a major burden to individual patients and the health care system as a whole.1 Since several of the drug interventions generally employed by allopaths appear to accelerate joint destruction2-4 and result in more than 100,000 hospitalizations and well over 16,000 deaths per year,5-7 and since some surgical procedures for musculoskeletal pain are not more effective than placebo or conservative treatment,8-10 the chiropractic profession’s contribution to public health by the provision of safe and effective nonpharmacologic and nonsurgical management of musculoskeletal pain is important. With these and other considerations in mind, the assessment of competence and comparative competence among front-line health care professionals is a worthy area of investigation. |
|
|
| 82% of MD Grad Students Failed Basic Musculoskeletal Competency Exam |
| Author: Ken Spresser, BS, DC, MAT, EMT |
| |
| Dr. Spresser is the current American Chiropractic Association (ACA) representative to the United States Bone and Joint Decade. He is also on the board of trustees for the Foundation for Chiropractic Education and Research (FCER). The opinions expressed in this article are the author's only and do not reflect those of the ACA or FCER. |
|
|
| Your Patient Still Has Problems and Wants to Know Why? |
| Author: Jeffrey A Cronk, DC |
| |
| As a Doctor of Chiropractic you have spent many years in college and countless hours in the clinical setting assisting patients back to health. Your whole purpose and being is to do everything within your power to assist that patient. You of course would rather see the patient improve through natural means as opposed to symptom modification through the ongoing use of drugs, as you know long term; the latter can lead to other far worse health problems for your patients. |
|
|
| Using CCP Guidelines In Personal Injury Claims |
| Author: Dr. Alan M. Immerman |
| |
| One of the best weapons available to blunt attack on chiropractic is the Council on Chiropractic Practice's (CCP) "Clinical Guideline Number One Vertebral Subluxation in Chiropractic Practice." |
|
|
| CCGPP Article The American Chiropractor magazine |
| Author: Jeffrey A Cronk, DC |
| |
| The Council on Chiropractic Guidelines and Practice Parameters (CCGPP) has released the long-awaited initial draft of their Best Practice document. The culmi-nation of more than two years of work, the draft is intended to provide clinicians, patients, payors, regulators and others with a tool to incorporate careful analysis of the current state of the scientific literature with clinical expertise and patient care options. We value input into the process from all stakeholders and hope you will assist us with getting word out that the document is available for comment. |
|
|
| X-Ray Digitization Explained |
| Author: Jeffrey A Cronk, DC |
| |
| The foundational principle which differentiates chiropractic from other primary healing arts is the detection and correction of the vertebral subluxation complex. The vertebral subluxation complex is not only misunderstood by the medical and scientific communities, but also by the chiropractic educational, regulatory and practice establishment. One component of the vertebral subluxation complex is the "Osseous Component," identified by palpation subjectively and x-ray analysis (spinography) objectively. It is incumbent upon the chiropractic clinician to accurately, objectively and quantifiably detect the osseous component of the vertebral subluxation complex |
| |
