Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 562
Clinical Information 97 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues I bring are 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 focus on the larger issues… a larger, more profitable practice along with more family time. 

“Another MRI Miss”

A Powerful Solution

I can’t make this stuff up.

This is the only slice through the L5-S1 disc…The corrective action is detailed below

You call the imaging company and you say: 

After you get that cleared up… You can alternatively use the following language:

“I am looking at the saggital view at L5-S1 and cannot find the slices angled through the disc, I only see stacking lines. Please tell me where the angled slices can be found.”

They can’t because they do not exist… 

“As a result, I need to diagnose this pateint properly, which is why I sent them to you in the first place, therefore I need you to re-do this patient today or tomorrow at NO COST to the patient or the carrier. I need at least 2 clean slices through the disc, which equates to 3mm slices with no gap.”

They will either apologize and you are done… or… they will give you some kind of bullcrap at which point in time you say… I understand your issues, but unless you follow the presciption and follow accepted guidelines I will be referring elsewhere effective RIGHT now. 

100% of every imaging company has accomodated every request. They do not want to lose your business.
Your patient wins, you win, the lawyer wins (the least important in the equation) and in the end… Being smart prevails… It’s always about clinical excellence! 



Adjunct Assistant Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
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
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