Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 672
Infrastructure 157 I

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.


This is as bad as it gets

I received this today:

Hi Dr. Studin, 

Perhaps this is my silly and stupid question to ask for additional tip. 

This case is a low velocity rear-ended collision with minor impact issue and almost no damage. Never been to the hospital or urgent care. I had worked diligently with the attorney's office that doesn’t like me to send out for MRI’s. I did get override with the attorney to agree with me for the CT scan of brain to R/O hemorrhage because of the persistent throbbing headache and visual disturbance. I also got override from sending this patient to see his family medicine practitioner for muscle relaxer and pain medication to help co-manage with chiropractic care. 

NOTE: He sought permission form the lawyer to do these things and didn’t order anything until he convinced the lawyer to allow him, wasting days of precious time if there was a dire finding. If there was a subdural hematoma that was still bleeding, his patient would be DEAD by the time the lawyer made the clinical decision to have the CT ordered! 

He then continued:

I am clueless in this final narrative (based on your final narrative template and the bullet points of discussion) in term of discussing the utilization and validity of chiropractic care because I don't have a lot of supporting details besides SOAP and observation. Do you think that you could help me to figure out a better way to document the report just in case it might end up in court? 

The last line states this doctor wants help to figure out a better way to document this for court? I want to figure out a way for this doctor to start being a doctor vs. a plaintiff’s lawyer WHORE at the EXPENSE OF HIS PATIENT’S HEALTH AND WELL-BEING!!!!!!!!!!!!!!!

This is as egregious as an IME whore. You NEVER direct care based upon what the lawyer wants. Each of us, including this doctor, has taken an oath to serve and protect the lives of our patients and at this point, I am close to throwing this doctor out of the program because he has been in the program for over a year and is still compromising his patient’s well-being to make the lawyer happy. It is this doctor who will call me in a few days, weeks, or months to help him out of a licensure violation issue for compromising something else because if this is how he is wired, it’s only a matter of time before someone dies or is permanently disabled for his lack of judgement. I don’t want to support this mentality, nor be the instrument to drive more patients to his office. 

Be a doctor first, second and always no matter the “piece of silver” being dangled in front of you by the lawyer or anyone else!

You took an oath and it matters!



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 

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