Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1050

Clinical Information 267 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

“Central Herniation”

 

Prevailing before the fight = Peace & Prosperity!” Mark Studin 201

 

I received this today from Rick Betancur from New Jersey

 

 

 

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

Do NOT Share This…it can cost you $50,000.00

 

Quickie Consult 1049

Infrastructure 228 I

 

Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

 

From the Desk of: Dr. Mark Studin

Academy of Chiropractic

 

 www.DoctorsPIProgram.com

 www.AcademyofChiropractic.com

       www.USChiropracticDirectory.com

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

“Do I Order the MRI?”

Prevailing before the fight = Peace & Prosperity!” Mark Studin 201

 

I received this today from Dax Sirucek in Idaho, a Trauma Team Member. He wrote:

 

Hey Doc, I got into a discussion today with another chiropractor I know and I wanted to get your opinion on this topic as he is now the 3rd or 4th chiro I have heard take this position. Here's the scenario... he calls me up today and asks me for my opinion on a PI case he has. It involves 3 young girls with chronic severe neck pain and headaches. He states that the x-rays are negative for laxity and they do not have radicular pain. He wants to go to trial on connective tissue injuries and is advising the attorney to do so. I asked him to date why no MRIs have been performed. He stated that he didn't want to ruin his connective tissue case by having a negative MRI. My opinion is a proper diagnosis, prognosis, and treatment plan (you can pat me on the back later)..... That he doesn't know what he is treating and that I didn't feel a negative MRI would destroy a connective tissue case. So the question here really is.... do you feel a negative MRI traps the physician into a line of questioning that would destroy a connective tissue case?

 

My Answer:

 

Herein lies the problem… Chiropractors nationally, strive to make a case for the lawyer, and we do give a crap about that… henceforth your comment diagnosis, prognosis and treatment plan. IF… there is a diagnostic dilemma, you order the MRI, if not… then why?

 

Interestingly enough, pandering to the lawyer over time is the core of why most lawyers will NOT work with those doctors… because in the end, it destroys their case and your reputation as a doctor who objectively treats their patients in an evidenced-based environment… Good Answer and YES… I am very proud of you  	</div>

	
	
	</div>

				</div>
							<div class=

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1048

Clinical Information 266 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

“Cyst with Cauda Compression”

 

If long days aren’t working… try longer days!” Mark Studin 201

 

Thank you Dr. Stephen Chester from TN. This patient exhibits compressive signs and symptoms. No matter the space occupying lesion type, this clinical finding gets seen by the neurosurgeon.

 

 

 

 

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

Do NOT Share This…it can cost you $50,000.00

Quickie Consult 1047
Testifying 14 T

Academy of Chiropractic
 Personal Injury & Primary Spine Care Program
From the Desk of: Dr. Mark Studin
Academy of Chiropractic


Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 
“Reasonable Degree of Medical Certainty

If long days aren’t working… try longer days!” Mark Studin 201

 

Reference: https://www.justice.gov/archives/ncfs/page/file/641331/download

 

Forensics experts are often required to testify that the opinions or facts stated are offered “to a reasonable scientific certainty” or to a “reasonable degree of [discipline] certainty.” Outside of the courts, this phrasing is not routinely used in scientific disciplines. Moreover, the terminology, in its varying forms, is not defined in standard medical or scientific reference materials. With respect to its use in the courts, this phrase is almost always interjected as a matter of custom, but in some jurisdictions results from an appellate court ruling or trial judges’ or lawyers’ belief that it is a necessary precondition for admissibility. In the courtroom setting, the phrase risks misleading or confusing the factfinder.

 

The requirement of an expert testifying that a conclusion is held to a “degree of certainty” emerged in the context of medical testimony, when witnesses in civil cases were asked about the potential future consequences of an injury or illness. In predicting future events, courts wanted to avoid speculation. As a result, they required that the testifying doctor make a prediction with some degree of certitude.

As best as can be ascertained, the “reasonable degree of certainty” formulation was first applied to scientific evidence in 1935, when a witness was “asked whether he could determine with reasonable scientific certainty the cause of the capsizing of the boat.” Herbst v. Levy, 279 Ill. App. 353, 358 (Ill. App. Ct. 1935). This was not the mandate of the court, but a stylistic approach adopted by a lawyer. Not until 1969 was the terminology linked to the admissibility determination:

If the witness, based upon his background skill, possesses extraordinary training to aid laymen in determining facts and if he bases his answer upon what he believes to be reasonable scientific or engineering certainty, generally the evidence should be admitted, subject, of course, to the cross-examination of the adversary.

Twin City Plaza, Inc. v. Central Surety & Ins. Corp., 409 F.2d 1195, 1203 (8th Cir. 1969). This statement was made without legal or scientific analysis as to what the term meant or why its use was being mandated.

 

There is an unwritten accepted standard for lawyers nationally to have concluded in a proceeding with a “reasonable degree of medical certainty” that there is a permanent problem with your patient in a courtroom proceeding. It is the 2-year rule with periodic evaluations. The problem needs to persist for 2-years, post-MMI with periodic re-evaluations and documented for most courts to accept this patient as having a permanent problem.

 

This piggybacks with Quickie Consult: Narratives 83 N, titled “Doctors, When was the Last Time You Saw Your Patient?” These are the little things that lawyers look for in your records to determine if you are really the solution for their cases… It is not Colossus… This is the core of the relationship, and you need to discuss this with the lawyer even if they don’t ask.

 

Be the reason they win their cases because you speak their language!

 

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

Do NOT Share This…it can cost you $50,000.00

 

 Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

 

 Quickie Consult 1046

Narratives 82N

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic
 

www.DoctorsPIProgram.com

www.AcademyofChiropractic.com

www.USChiropracticDirectory.com

 

Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Doctor, When Was The Last Time You Say Your Patient?

I know you!!

 

I ask” Mark Studin 201

 

Upon MMI’ing your patient, it is highly recommended that you order post-MMI care if there is connective tissue pathology. Simply put for those who haven’t taken the coursework, if there are sprain/strains anywhere related to the spine there will be inherent instabilities for the lifetime of your patient. We are not discussing making the lawyer happy (which we really don’t care about), we are focusing on minimizing guaranteed bone remodeling based upon Wolff’s Law.

 

Therefore, we know that upon MMI there is stabilization (although this is called static MMI), but normal daily activities with pathologic connective tissue cause the joint to decay in function. As a result, the spine will need ongoing care for a lifetime to return the patient back to the MMI point (acknowledging the patient will never go beyond that MMI point).

 

This is the reason you order ongoing care for the lifetime of the patient after MMI. This brings up 2 issues in a legal proceeding:

 

  1. If the patient does not follow the instructions, it brings your opinion of permanency in question. Why would a patient stop care if they had a permanent problem?
  2. On the witness stand, one strong argument the plaintiff lawyer has with the IME or DME is that you, the treating doctor knows your patient better because you have seen them more often. You understand what they have been going through at home, work, socially, etc. and how their injuries have altered their lives.

 

Here is the question that arises in court from the DEFENSE LAWYER UPON CROSS-EXAMINATION: ”Doctor, you claim to know this patient well, yet you MMI’d the patient, ordered care at 1 time per month for future care, yet you haven’t seen the patient in the last 2 years. How can you claim to know your patient when you haven’t seen them in 2 years?

 

The last question can only be replied to with a “DUHHH!!! I Don’t” and look like a schmuck on the stand. An astute plaintiff’s lawyer will know that upon looking at your records even if they do NOT bring you to trial, and it will destroy your reputation and relationship with that lawyer possibly forever. Therefore, you have to ensure that post-MMI you see the patient and communicate with the lawyer if the patient is non-compliant.

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

.

Do NOT Share This…it can cost you $50,000.00

 

 Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

 

 Quickie Consult 1045

Narratives 81N

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic
 

www.DoctorsPIProgram.com

www.AcademyofChiropractic.com

www.USChiropracticDirectory.com

Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Using RULE-OUT Diagnosis

Do they exist??

 

“My Greatness is Found… in the Mirror” Mark Studin 201

 

Let me be CLEAR…RULE-OUT Diagnosis do not EXIST, therefore can never be utilized in your diagnosis section of ANY report. Once you diagnose something, it already exists.

 

You diagnose what is there at the time of your encounter and nothing more. HOWEVER… you may in a discussion or “Plan” section of your E&M [evaluation and re-evaluation for those of you who have had your head up your butt and not listened in the past!!!] reports you can report the following as an example:

 

A cervical MRI has been ordered to differentially diagnose a space occupying lesion such as a herniated disc and rule out tumor, fracture or infection.

 

That is acceptable as you are not diagnosing anything but giving your clinical rationale for future care or testing.

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

.

 

Do NOT Share This…it can cost you $50,000.00

 

 Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

 

 Quickie Consult 1044

Narratives 80N

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic
 

www.DoctorsPIProgram.com

www.AcademyofChiropractic.com

www.USChiropracticDirectory.com

Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Including IME and DME Findings in your E&M and 4-Corners Report

Do you want to know how I really feel???

 

 

 

“I am Truth & Transparent” Mark Studin 201

 

We have been discussing rebutting improper IME and DME’s for years

 

IME: Insurance ordered examinations to limit or cut care

DME: Defense lawyer ordered an expert to testify in the trial against your patient.

 

Both carry potential issues that must be responded to and may not go unanswered. If so, it both erodes your reputation and can work against settlement or verdicts of your pateint…. AND… the lawyers know it!

 

You must have the rebuttal included in your records. The best place to place the IME rebuttal is in the body of evaluation and for the DME, is in the 4-corners report, or lawyers narrative. It can put as an addendum or include in the body of the report. I urge you read Section #9: IME, Peer Review and Carrier Rebuttals and utilize Dr. Ron Manoni who has perfect rebutting improper IME’s and DME’s. He can be found at Section #18: IME, Peer Review and Carrier Rebuttals. He can be hired to do them for you.

 

If you do not have your rebuttal in your report, preferably the narrative prior to trial, there is a good chance that doctors, no matter how many lies or ommissions are in the report, will rule the final opinion. First, he will have seen the patient last and secondly, by not rebutting it, you give the courts the impression that you agreed with him and the opposing counsel will do their worst to prove that!!!!.

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

...

Do NOT Share This…it can cost you $50,000.00

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1043
Compliance 57 CA

From the Desk of: Dr. Mark Studin
Academy of Chiropractic


Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 
“Signature-Signature Stamps

 

“Thank you… my 2 favorite words… I’m sorry comes next” Mark Studin 201

 

  

In my “much too long” personal experience, reviewing of records, reading criminal complaints, having been investigated by SIU (at a cost of $15,000 to me for lawyers over NOTHING) the much to common practice of having your staff sign your name on disability, work notes, SOAP note, record certification or any other document has a strong undercurrent of FRAUD, gross misconduct (loss of license) and lots of other REALLY BAD STUFF.

 

If you have a signature stamp… RIGHT NOW… BURN IT… Your are NEVER to have one in your practice.

 

You personally sign everything because your money, license and in extreme cases, your freedom depends upon it.

 

This is being brought up based on a story with a very unhappy ending with a doctor… You always have choices!

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1042

Clinical Information 265 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

“Pelvic Metastasis”

 

“I can because I think I can” Mark Studin 201

Hey Mark,

 

Here are the images. The patient has stage 4 esophageal cancer that has metastasized to the pelvis area.  He came in with right hip pain and sciatica with NO thoracic pain.  I take x-rays of all areas to do biomechanical workup before adjusting.

 

Clay W. Wickiser, D.C.

Wickiser Physical Medicine, LLC

122 E West Pkwy

Anderson, SC 29621

864-226-8868

www.wickiserphysicalmedicine.com

 

 

 

  

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1041

Clinical Information 264 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

“Non-Diagnostic MRI”

 

 

“Why me… Can go both ways…Choose to Rejoice!” Mark Studin 201

This is from Matt Erickson, A Fellow from St. Petersberg FL., who knows well the meaning of CRAP when he sees it! He also understands how to build an EMPIRE by educating lawyers on the difference between clinical excellence and garbage and how it relates to the lawyer’s cases and thier bottom line!! Great job Matt !!!!!

 

 

 

 

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

Do NOT Share This…it can cost you $50,000.00

 

 Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

 

 Quickie Consult 1039

Narratives 79N

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic
 

www.DoctorsPIProgram.com

www.AcademyofChiropractic.com

www.USChiropracticDirectory.com

Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Ensuring Orthopedic Testing are Objective

 

“Just because I thought it was right… doesn’t mean it was” Mark Studin 201

 

Over the past few weeks, I have been recording a course on testifying with a legal expert on personal injury. While we were recording the “direct examination” module, he grilled me on what was objective vs. subjective, and it was revealing, eye-opening and truthfully I made him look like a fool based on my knowledge, insight, experience and overall presence on the stand with my academic standing. OK…I lied… he KICKED MY ASS, and I whined like a little girl and needed the bathroom after he was done with me!!!!

 

At the end of the recording, we established how to ensure that your clinical examination can be considered objective and it came down to 2 words; duplicable & verifiable.

 

When we discussed the ranges of motion, I explained that I use the standard of the AMA guides, 5th edition, which I was taught in my doctoral and post-doctoral training. My answer was that I utilize a 2-piece digital inclinometer and have the patient do 3 repeats of the range, and they have to be within 10% of each other with only 6 tries to get 3 within that 10%. Duplicable: 3 repeats Verifiable: Digital Inclinometer. That takes the patient's response out of the equation.

 

What about a Lasegue’s test? My answer was I place my hand under the patients back and feel the muscles for spasticity, and I concurrently observe the patient’s response looking for distress. His answer was that is good, but not bulletproof for objectivity. He suggested I do the test, but 3 times to ensure duplicability.

 

Now, when I do orthopedic testing, I have my opposite hand on the joint being tested feeling for a reaction that would show a positive response. For each test, there needs to be a separate comment, in macro format, that explains how that orthopedic test was objective.

 

The is a large part in making your competition irrelevant. NO ONE is doing this simple task and tells the lawyer that you understand there needs while ensuring accuracy in your findings.

 

Also, we have planned to create an orthopedic testing guide that will include every Macro for every orthopedic test. That will take a few weeks and be available to you shortly, but for now… do it yourself!

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1038

Clinical Information 263 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Myelomalacia

 

“Ask” Mark Studin 201

I received some of these images from Dr. Clay Wickiser in South Carolina.

Myelomalacia: Damage of the spinal cord ranging from mild changes of gray and white matter to significant structural disruption and softening of the spinal cord, referred to as myelomalacia. The pathophysiology of traumatic myelomalacia involves primary mechanical damage to the cord which is followed by secondary damage caused by decreased vascular perfusion, electrolyte shifts, and release of free radicals, cellular enzymes, and vasoactive substances. As in experimental SCI, where the initial lesion expands transversally as well as longitudinally. Focal myelomalacia may ascend or descend, involving multiple additional spinal cord segments or even the whole spinal cord.

 

Hemorrhagic infarction (bleeding) of the spinal cord can occur as a sequela to acute injury, such as that caused by cord compression. Herniated disc, spondylosis or any other pathology that causes compression can be the etiology of myelomalacia.  Typically, decompression will resolve symptoms, but often leaving residual functional losses, however imaging results mostly persist.

 

 

 

 

 

 

 

This image starts at C4 and goes to C7

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1037

Clinical Information 262 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Left L5 Nerve Root Compression

“To get big, you have to get quiet” Mark Studin 201

I received this from Dr. Clay Wickiser in South Carolina. This patient has radicular pain, but no significant motor or sensory loss. Dr. Wickiser will treat for a week or so and if the symptoms persist, then consider a neurosurgical consult.

 

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

...

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1036

Clinical Information 261 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Small Central Herniation

“Big or Small… It matters” Mark Studin 201

I received this from Dr. Steven Skaggs in Missouri where the radiologist missed it. Remember, if the inside is sticking out FOCALLY… It is a herniation.

 

 

 

  

 

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 From the Desk of Dr. Mark Studin

Academy of Chiropractic 

 

"I WILL REVIEW YOUR MRI's WITH YOU"

 

Many of you are just starting to understand that getting an accurate interpretation isn’t always attainable with your local radiologist. In fact, the literature states that there is a 43.6% error rate in general radiologists reporting accurate findings. I find an 80% error rate and Dr. Peyster (our consulting Neuroradiologist) finds an 95% error rate.

Therefore, as you embark on this program, or are well into it, I will review your MRI’s with you by looking on your computer with you. Please download “Radiant Dicom” imaging reader from Google. It is free and one of the best in the industry effectively bypassing the software on the MRI discs that are usually challenging.

Either place the CD in the disc drive or we can look on the imaging center’s site and call me after you have gone to www.joingotomeeting.com. I will give you a code and look with you and help you understand the pathology. Please try to have 2 views on the screen, the axial and sagittal in a T2 weighted sequence (if this is foreign to you, ask the imaging company to help you, that is their job)  We do not need the radiologist’s report.  

You need to be on a computer that is no older than 2 years ideally and have a 25mps downloads speed to make this go easy.

I am here to help you at every level.

 

Do NOT Share This…it can cost you $50,000.00

 

 Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

 

 Quickie Consult 1035

Narratives 78N

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic
 

www.DoctorsPIProgram.com

www.AcademyofChiropractic.com

www.USChiropracticDirectory.com

Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

The Use of Research in your Narrative

 

“Success = Long Days and Sleepless Nights ANONYMOUSLY” Mark Studin 201

 

Another item discussed and confirmed while recording with Dan Rosner, Esq., a national expert on testifying and personal injury is the use of research in your narratives.

 

First, let’s define the various reports:

 

  1. E&M: These are your evaluation and re-evaluation reports. They are created specifically for the insurance companies and co-treating doctors.

 

  1. Narrative or 4-Corners reports: This is the report created specifically for the lawyer in a bodily injury case.

 

Note: You will learn the intricacies of a “4-Corners” report when you take the testifying courses.

 

These are the 2 basic types, and they serve different functions. As for research, they also have different requirements.

 

In your E&M reports, you should use research as needed for both compliance and reimbursement issues. However, in a Narrative or 4-Corners report, use them VERY sparingly. Most courts in the nation will consider them Hearsay and not allow them in testimony, but if your state allows it as a foundation, it opens you up to significant cross-examination.

 

First realize that while you are on deposition or trial, all the lawyer and the courts want is YOUR opinion, not that of others. Secondly, BE ADVISED that you are liable to be expert and cross-examined on every word in every research report. I can tell you with a GREAT DEGREE OF CERTAINTY that although I read research extensively, I do not understand every concept, method, discussion, and word in every report I write about. It is too much to digest, and I often have to ask, pick what is most important and then research a myriad of topics before publishing.

 

I have read Narratives where the doctor uses a dozen or more references, and that doctor had best know EVERY WORD ON EVERY PAGE. Again, do not forget the lawyer only wants YOUR opinion anyway in court. Those types of reports are a very BAD practice.

 

Do I recommend utilizing research?… YES… but VERY sparingly and be PREPARED by owning every word on every page because that is YOUR NEGATIVE exposure as an expert witness. I strongly suggest discussing using research at all with the plaintiff’s lawyer before writing the narrative report.

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

Quickie Consult 1034
Curriculum Vitae 40 CV
 
From the Desk of: Dr. Mark Studin
Academy of Chiropractic


Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006
“Attaching Certificates to your CV
 

“I love me… but put you first” Mark Studin 201

 

I have been recording with Dan Rosner, Esq. Who is a national expert on testifying and securing relationships with lawyers. This affects relationships with both plaintiff and defense lawyers and you never know where your career will bring you. Could you imagine a world where every one of you works for both sides and all either wants is the truth? I guess the real Santa Claus will show up first!!!

We discussed while recording the “Chiropractor in the Courtroom” course the importance of the certificates you get after you complete each CE course that we provide. From a legal admissibility issue, the certificate is no more or less important than your CV citation and not required in the courts. HOWEVER… from a perception perspective, they are HUGE, especially if you haven’t yet been confirmed in the courts as an expert through a Voir Dire hearing.

Therefore, after you complete each course, ensure that you download from the University the certificate of completion in your account.

NOTE: Over the last 3-4 months I uncovered that the certificates were not made available in the automated system. So please go back to your account and print these out, they should be there for you now.

Once you have the certificate, it should be placed at the back of your CV in date order. Ensure the lawyer sees them and even if the courtroom is not in question, it will go a long way towards the “perception” that you will be a “SLAM DUNK” in the courtroom. This is a significant piece of creating and maintaining relationships with lawyers.

This should not be counted as extra pages towards the Academy of Chiropractic Clinical Excellence Awards (CLICK HERE).

Here is a sample certificate:

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Director

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

Do NOT Share This…it can cost you $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1033

Clinical Information 260 CI

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic

 Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Spine Surgery Video

“You control your smile wrinkles and without them, the frowns control you”   Mark Studin 201

 

Thank you to Dr. Eric Lee, a Trauma Team member from UT for sending this over…this is a video of one of the cases that Dr. John Edwards (neurosurgeon) and done last week.  The attached video is small; HOWEVER it is a great LOOK INSIDE of what we don’t often get to see. Take a look!! 

P.S. This is the stuff you see when you do the Fellowship!

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

DO NOT SHARE THIS....IT CAN COST YOU $50,000.00

 

Academy of Chiropractic
 Personal Injury

& Primary Spine Care Program

 

Quickie Consult 1031

Marketing 123 G

 

From the Desk of: Dr. Mark Studin

Academy of Chiropractic

 

 www.DoctorsPIProgram.com

 www.AcademyofChiropractic.com

      www.USChiropracticDirectory.com

Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

Outdated/Non-Updated CV's

"Nah, Nah, Nah, Hah, Hey, Hey, Hey…, Say Goodbye"

 

 

“A little act of kindness = Love”   Mark Studin 201

 

I have been recording the testifying course, “Chiropractors in the Courtroom” with Mr. Dan Rosner [a leading national expert on personal injury] and he made a profound statement. It is so profound you might not even hear it because I have been saying it so much that it might be “white noise” to you. He stated:

 

“A CV that has not been updated over just a few years can be seen as extremely problematic by the plaintiff’s lawyer because they know what the defense lawyers will do to that expert on the witness stand. Also, it gives the impression to the jury that the doctor is no longer current or relevant with new breakthroughs in Medicine.”

 

Therefore, when I tell you regularly by OBNOXIOUSLY showing you my CV updates, it is to constantly remind you to do the same. This should be simple as there are so many MEANINGFUL courses and/or CV quality entries you can do. Remember, you can always write a case report, or an article to publish in the US Chiropractic Directory that is permissible to add to your CV.

 

The lack of current updates will hurt any future relationships with the legal community because EVERY LAWYER judges you by their END-GAME… COURT.

 

 

Respectfully,

 

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

Academy of Chiropractic

US Chiropractic Directory

631-786-4253


www.TeachChiros.com

www.TeachDoctors.com

www.USChiroDirectory.com

Click to view Dr. Studin's CV


academy logo

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments. 

 

...

Do NOT Share This…it can cost you $50,000.00

 

 Academy of Chiropractic
 Personal Injury & Primary Spine Care Program

 

 Quickie Consult 1032

Narratives 77N

 

From the Desk of: Dr. Mark Studin
Academy of Chiropractic
 

www.DoctorsPIProgram.com

www.AcademyofChiropractic.com

www.USChiropracticDirectory.com

 

Preamble: Many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time. Mark Studin 2006

 

Reporting Auto Damage in your E&M Report

 

 

 

“If you do something nice and no one knows… the world is still a better place.”  Mark Studin 201

 

To be able to comment on vehicle damage in court and your reports and it not be considered hearsay, it has to be done in compliance with the rules of the court. It starts with your initial evaluation (E&M), where you can ask the patient about the vehicle damage (still hearsay and inadmissible). To get past the hearsay rules in all 50 states, you have to see the damage.

 

You can ask your patient if they have their car with them that was in the accident and if so, go outside and take a picture with your cell phone. If not, ask them if they have a picture on their cell phone and if so, have them send it to you. Should they not have either, have them send a picture once they return home of the damaged vehicle.

 

THEN… you should write into your E&M (initial evaluation) report that you saw the vehicle (or picture) and personally saw the damaged vehicle. It is permissible to add the picture of the car to your report. Although you are not an autobody expert and should not assess the cost of the damage or if the car is “totaled,” the visual helps you formulate an opinion on the causality of the bodily injuries.

 

By seeing the car or the picture removes the “hearsay” component of any objections bases upon taking the word of the patient and not seeing for yourself. As for admissibility, it then goes beyond the “rules of the hearsay” and falls under Voir Dire. The Voir Dire rules of the court go towards a witness being considered an expert and allowed to opine on causality. This is why I have you, as part of the Trauma Team taking coursework in Accident Reconstruction and Spinal Biomechanical Engineering to make you “bulletproof” to the courts as an expert!

 

You MUST learn more about this by taking the 2 testifying courses available (the second will be ready by March 2019) because if you choose to thrive in a personal injury environment, you must know the rules of the genre` of business you want to attract and succeed. This knowledge transcends the courtroom, although it is directly teaching you the rules of the court and the courtroom. It goes to fully understand the language and needs fo the lawyers in those courtrooms and NEVER lose sight of the fact… Lawyers judge you from Day #1, by their end game… court… although they know they will rarely bring you there.

 

IF… you are not court “savvy” expect a much more difficult time in creating and maintaining relationships with lawyers. 

 

 

Respectfully,

 

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

 

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Academy of Chiropractic
Lawyers PI Program

Narratives #76

Testifying #10

From the Desk of: 
Mark Studin DC, FASBE(C), DAAPM, DAAMLP

“Demonstrative Evidence”

A Matter of Business

In the past, we have discussed using labeled imaging to demonstratively show the bodily injuries in an accident case. This is a topic I have been discussing with legal educators on courtroom protocols and realized that we are missing many opportunities in other aspects of your BUSINESS. Does this change how you practice… NO… but it does change how your patients understand their report and assure a higher level of compliance as well as carriers paying your claims at a higher rate and often, for as long as is needed (provided you don’t OVER-TREAT).

 

In the past, I strongly recommended that you include graphics with explanations in your narrative reports and still do. There must be 2 levels of sharing demonstrative evidence; for your narratives as explained above, and the second for your E&M reports.

 

The image below is a perfect example of a “narrative ready” image:

 

   

This is an image with cryptic explanations, has arrows, colors and leads you to what you want to explain while on the witness stand. Whether you get there or not, it will give the lawyer a lot of ammunition to further settle the case. If you do go to trial, these are you “cheat sheets” on the stand where everything is visualized in front of you.

 

When doing an E&M report, the game is different. In these reports, whether an evaluation of re-evaluation you need your full opinion, not a cryptic explanation. As an example:

 

 

First, you must always document that you personally reviewed the images (see language above) and the include your opinion. DO NOT COPY THIS word for word from the radiologist as this is your opinion. Also, don’t be afraid to disagree with the radiologist and you do not need to include their opinion, just the rationale for yours.

 

This type of reporting, as a matter of business, will make your trial experience more fruitful, but short of that, it will help the claim’s examiners understand the severity of the case better and be more likely, then not to approve an appropriate amount of care. I also share this reporting with my patients as it is part of the report of finding experience and the explanations go a long way to ensure compliance. I find it extremely beneficial to give the patient a copy of their report. It helps to have an extra set of eyes reviewing my history to ensure accuracy and is highly educational. There is no down-side.

 

Next, the report goes to the patient's primary care medical provider and all other specialists. This report gets a “lot of mileage” in building my reputation.” That is also why I ensure that it is perfect in format, grammar and, content.