Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 1159
Infrastructure 244 I
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. -Mark Studin 2006
"What flipped my success switch"
Dr Studin: Dr. Scott Ferguson from Ohio, is one of our newest fellows. You just couldn't figure out, why is it not working for me? I'm doing everything. I'm listening, I'm engaging and then all of a sudden, a switch flipped. There's just so many opportunities out there. So what flipped that switch for you?
Guest Doctor: I think just going over the data and getting more confident, I was wanting to be sure and confident what I'm saying before someone calls me out on something. So you listen to the training and going to seminars and doing all the reading. Just the more time you're on basically on the job training, more confident that you get in what you know, you start to realize that you have a certain knowledge base that the doctors and the patients that you're talking with, they don't know what you know. I've always had an easy time talking with patients, unless you've engaged with the other doctors or surgeons, you don't know how they're judging, they don't know what we do, but they're happy to run across someone that is competent and competent in what they do and can make their patients happy.
Dr Studin: I can tell you that I knew early on that you were going to be a big deal in this industry, and you are, and you're about to be a much bigger deal as time goes on. But I always laugh when I do sweat about our program and Don Kappa ferry and Georgia is always first. He always signs up for everything first. He always does everything first. He always does and he's wildly successful as well. But the first live seminar you showed up to and everyone since then we started 8:00 AM I am down at 6:00 AM because just have to set the room up. I like to get my head together. I like to get quiet and who's sitting in the room? you are reading a book and your favorite seat facing the audience on the right side, about eight or nine rows back. You are there before Don Kappa ferry. And even before me. And those are the traits of a successful person, of someone who's committed, someone who's serious, someone who doesn't show up on time but showed up early. My political mentor, what I say when I was a president of my state organization, a called the executive board of director then, but that's what it was, my political Guru consultant, we were in the governor's office in the New York state up in Albany, New York, we had a meeting with the governor and people from higher education, insurance, etc. We got there an hour and a half early and I said to him, why are we here so early? He said, so we pick our seats, we always get to choose when you pick your seat. I said, why is that important? Because if you don't get there first, then you know your adversary is going to be sitting in a certain seat or a certain area and it's pretty much predetermined and you can’t control it If you're the first one, you don't want them sitting next to you, You want to look right into their eyes. So we're sitting directly across from the governor seat looking into his eyes. We got to control a good portion of the game and no one's body language and what he's thinking. I knew when I saw you in that seat that you were going to be a very big deal in this industry. Now when you talk about knowing what you do and you went through the coursework and then you went through the fellowship work, so what are some of the opportunities that have exposed themselves to you based upon your knowledge over the past just the last few months at least?
Guest Doctor: Last Thursday night I had dinner with a neurosurgeon, and he is someone that's I've been friends with for a while as we are doing this program and we're setting at the table and then described his situation. He goes, the mid-levels are great, they're good at what they're doing, but this neurosurgeon looks at me and chiropractors and he says, you and I are spine guys. We really know what's going on for fine and I enjoy working with you because it's so fast and we can help these patients. I was pretty like, oh my goodness. Here you have a neurosurgeon, which is top shelf doctor looking at the chiro going, we're spine guys. And then the next day I met a new orthopedic surgeon. I'm glad he wasn't a spine guy and he had written a report on a patient that I had done. He was for the same attorney. And I got to explain a OMSI so I talk to them about it and I gave him some paperwork. He goes, yeah, I'd like to read it. He goes, that makes sense. He goes, who says this was going to continue? So I explained where this was from. I was like, this is not a surgical joint, but it is an impacted joint that's not going to heal properly. So there's going to degenerate and he goes, well, that makes sense. So we just talk like colleagues.
Dr Studin: And what about lawyers?
Guest Doctor: One of the first wars I went and sat down and explained the narrative to I brought my little no chiropractic cervical spine model and I explain a OMSI and he just starts laughing. This guy's an older attorney and he said, brother, he goes to view, he gives one to attorneys in this area, understand that you know this at that level and can explain it is his lights out. He goes, you'll be as busy as you want to be. So He'd sent me a case that was two years old. We were able to write this report because this poor lady was in a motorcycle accident. He said that she had lost faith in the medical community, so we treated her, she got better actually, I was in cervical spine and her main complaint, everybody kept looking at the low back. So when we're done treating her, she felt better and she was bright and she was happy and he's just like, I can't believe this. And so on top of what he got us paid 100%, he sent me an extra check just for doing extra work and going the extra mile.
Dr Studin: Could you briefly talk about your knowledge and understanding and how to manage vascular issues and potential stroke cases now that you've been trained and what your experience has been?
Guest Doctor: Yeah, so I'm feeling kind of weird about the cases before I do this. So when the patients come in and do you have a certain protocols, how you're working them up and then you get to the point of, this patient over 55 aren't they diabetic, which is a lot of our patients. That starts kind of ratcheting up your focus on doing these tests. So when you perform these, you have a duty to take care of the urgent matter. If it shows up as opposed to the spiral matter, I can handle the spinal matter, which was going to be chronic later. But I mean this person may stroke out, they may have some sort of other bachelors’ issue. He needed to get them to the ER as fast as possible. I don't think I told you about this one. This happened this week, a patient I've had them a long time, comes in and he says, Scott my head feels like it's a 12 out of 10 on the pain. I have to hold my hands over my head because it feels like my head is going to shoot off. He's over 55. He's diabetic. His family had some cardiovascular issues and the health history. And so I went back there, I called his wife, I said, we can't let Mike Go. She goes, I'm glad you did that. I was worried about him. I was like, he's out front. So, I got the report and got all the information done. I had my staff call the ER doctor, talk to him about it. He goes, that doesn't sound normal. So I was able to get the report to the ER doctor so they can extradite his care as much as the ER can. But the doctor said, I want your report.
Dr Studin: You got them right to the ER?
Guest Doctor: Yup. I went to the ER. I didn't let him leave office.
Dr Studin: understanding the stroke protocols are critical and it's about being a good doctor. And people often forget the Doctor of Chiropractic. Those two words are not mutually exclusive. They're mutually inclusive and you've got to be both in and it's about managing your case for the moment, which is great.
Guest Doctor: One of the thing is like, they could have multiple injuries and like that's fine if we don't treat them for x, Y or z because we know what we have to treat them on, but I found stuff where we have to ship people to the OBGYN or the plastic surgeon. He's got like, oh we hell we got this referral from a Chiro. I just don't treat that part of the body. I'm going to treat this other part. Those are a good way to meet those other doctors.
Dr Studin: it's just incredible how knowledge expand your practice. And it's amazing that, and it's just easy because what comes back to you also, there's a lot more to trauma cases, a lot more PI cases and who cares what comes back? it just comes back, but this is how to create a sustainable platform for a successful practice, for the balance of your career. It's just easy.