Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 49 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"Changing Diagnoses"

I just received this:

[Dr. Mark, 

An associate of mine recently went to a seminar and was told that for personal injury cases, once the initial diagnosis was made, the diagnoses should not change throughout the duration of the case. I looked through your site to see if I could find information specifically on changing the diagnosis, but did not find it and don't remember that being specifically addressed. So, do you continue to keep the diagnosis the same, or should you update it throughout the course of care for PI cases? 


Let me make this abundantly clear. This is both highly irresponsible and inaccurate. Should any doctor follow this advice, he/she should be prepared to defend his/her license, as destroying personal injury relationships will be the least of anyone's problem.

Let me give you an example. Your patient enters with pain in the neck and in the arm and you diagnose cervical brachial syndrome and injury to nerves. One week later, the patient goes for an MRI and a herniated disc is found. You then change the diagnosis to a herniated disk. Two weeks later, you perform an EMG and conclude a radiculopathy. You then add cervical radiculopathy to your diagnoses.

Is this personal injury consultant suggesting that you ignore the herniated disc and radiculopathy? Is this personal injury consultant suggesting that you ignore clinical findings for some subversive reason? Is this personal injury consultant suggesting that you ignore current educational and academic standards taught in every professional institution in the world? I know you know the answer.

Caveat emptor. There are a lot of "so-called consultants" in the industry sharing with you how to extract money from insurance carriers. This is not about extracting money; this is about winning through clinical excellence and spiraling upward as a result.

There is no room in our industry, in our practices, or in our lives for schemes designed to extract money. There are courtrooms and jails full of these "so-called consultants" or "gurus" with get rich quick schemes. Enough said!

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