Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 871
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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.

“X-Ray Digitizing”

Will a negative report hurt the case?

“ I promise to tell the whole truth and nothing but the truth… because I choose to lived the truth”  Mark Studin 2017

I was asked the following 4 questions today:

  1. If the Flexion/Extension x-ray comes back negative will that hurt the case?  
  2. Do you do them on all PI patients involved in whiplash? 
  3. Do them at the beginning and end of the case right if laxity?
  4. Does the MD have to write the impairment for the flexion extension x-rays?


ANSWERS:

  1. If the Flexion/Extension x-ray comes back negative will that hurt the case?  

IDNGARA…The second you worry about winning and losing a legal case, you cease becoming an expert. Your job is to report the truth and not work to “try to make the case for the lawyer.” That is the shortest way to licensure issues, credibitily issues and destroying a relationship with the lawyer. In the end, usually the opposing expert will bring out the truth and you will forever be a “one and done” with that lawyer.

More importantly, the second I find out that you are working to “make the case” and not report the truth, is the end of our relationship.

  1. Do you do them on all PI patients involved in whiplash? 

I do flexion and extension images on all trauma case, no matter the etiology. I also do full spine images and digitize them as I go beyond AOMSI so I can find the primary lesion utilizing Dr. Wiegand’s software. It takes out all of the guesswork of where to adjust.

  1. Do them at the beginning and end of the case right if laxity?

Yes. To render an impairment rating (if you choose to do so), you can only impair someone if they are permanent and stationary.

  1. Does the MD have to write the impairment for the flexion extension x-rays?

According to the experts on Colossus algorithms, only an MD’s impairment rating will be accepted. I have had numerous lawyers tell me that chiropractor’s impairment ratings have been accepted. With that being said, I always send my digitizing to Spine Metrics because they use Dr. Peyster and I get his opinion, followed by my opinion. Therefore, I get both an MD’s opinion and mine. 

  

Respectfully,



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

Adjunct Associate 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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