Academy of Chiropractic

Quickie Podcast 1223
Clinical Information 278 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. -Mark Studin 2006

"CI AOMSI for Impairment vs. Whole Body Analysis"

 

Dr. Studin: I am here with Dr Corey, born from the great state of Washington. Good morning, Corey.

Guest: Morning.

Dr. Studin: Alright. I just want to say for the record while we're recording this, you are no longer tubing champ and you're no longer King of eating ribs. Rumba. Okay. Some guys from the farm of Chicago took your title away. I want you to know I had him in the air like 10 feet before he fell off. All right. It was, I don't think you want it to really be this record to tell you the truth. He's probably the video evidence.

So, what's going on?

Guest: All right. So, I am really excited to be in the world of understanding AOMSI and now being able to, you know, I hope patients, I have this fantastic case where that would not have been able to understand why this patient, you know, I put her in MMI after four months and she came back later on because she started working again and started having bad headaches and everything and we were able to, send off for her, flushing extension films and get an impairment rating. So, I sent her off to an attorney.

Dr. Studin: So, let me stop you for one second. When people think of ligament laxity and the AOMSI, you know, you think in terms of impairments, you think in terms of translation and angular deviation, but people don't realize that that is only a small, tiny piece of the puzzle that you should really be looking at the whole spine to see what other segments are and which position.

So you're not just treating cervical and lumbar translation or angular deviation, but you look at the exact level of lesion. And then fix the primary lesion. And that's what the Vectra does. We want to really break the chain of just cervical, lumbar, you know, for lacks or the of ligament and apparent ratings. So, with that being said, go ahead.

Guest: Yeah, and I understand, and I know that you guys are working in training here in a week or two.

Dr. Studin: Training in a week or two is going to be recorded. So, in perpetuity, yeah. Anyone who's listening to this could have an opportunity to watch that training. So, you know, just ask and we'll share with you where the link is but go ahead.

Guest: Great. So, I actually sent this patient to an attorney that I've been working with for years, but he has obviously never seen this report. I actually had this sent off to Dr. Wiegand and he wrote up the entire report and the attorney tells the patient, alright, now I want you to have a medical doctor back this up. So what do I do now?

Dr. Studin: All right, so you, the lawyer one MV to back it up, correct?

Guest: Absolutely. Yeah.

Dr. Studin: That's okay. So, I guess the lawyer understands the Colossus algorithm. The lawyer understands that, you know, medical validation is critical and the Colossus algorithm. Okay. So, you know, why I'm okay with some, you know, with the radiologist or in my case, Dr Peiser and neuroradiologist validating these things, I'm perfectly fine with that because all I'm doing is getting a second opinion on what I know to be true and it's an important designation for that second opinion because what if they have a different opinion than yours? I mean, that's the purpose of the second opinion. That's really all it is. Do I validate every single test? No, I don't. Uh, well actually I try to, but if it's normal, what am I validating? Uh, validating normal, you know, because it's really a computer algorithm. But the other issue is there's a few things of laxity of ligament diagnoses. Yes or no.

Guest: Sorry, I missed the question.

Dr. Studin: Does the lawyer understand the value of the diagnosis of lax, of these ligaments?

Guest: No.

Dr. Studin: Okay. And it's funny because at noon today, I have a conference call with a doctor from Seattle not far from you and one of his lawyers on that very issue. I've done it three or four times, but I also, there's a podcast that I just put out a day or two ago, I'm explaining to a lawyer in Connecticut, lax of the, of ligament. So, you can share that recording with the lawyer. It's a 20-minute recording or you could get that lawyer on the phone with me and it's my pleasure in a three-way conversation. And when I say get them on the phone with me, you get the lawyer on the phone and then you call me.

And what you tell them is one of my professors who also teaches a medical school, I could say chiropractic school, but you know, unfortunately there's a prejudice. He teaches a medical school. You also lecture to insurance. As a favor to me. We'll explain to you the value of this diagnoses and what it means. If you'd like to do that, it's a 10-minute conversation and I'll also teach you how to argue it in court because he does work with, you know, he lectures to try Lord's associations. So, you know, there's, there's a lot of things going on and I'm happy to do that, you know, and sit on the phone, and get that accomplished so you let me know if you want that to occur. The second bit, does this lawyer refer to you?

Guest: No.

Dr. Studin: What the hell are you referring to him for?

Guest: Up to five years.

Dr. Studin: You have to tell you up to tell the lawyer channel your inner Mark. Meaning you don't have to be polite, make, you know, try to be a little bit pompous, a little bit arrogant, okay? Make believe your mate and you say, listen, here's the deal. Okay? Five years I've been referring to you. Okay? You've never referred a case to me. So, guess what? I'm not referring to another case to you. I'm done. I'm done. Okay? Until I start getting cases back from you. Plain and simple. And then in actuality, because I'm back in school, I'm being trained right now. Is it trauma trained specialist to work in this? I'm getting trauma qualified. My trauma-based practice is about to explode. However, on top of that, when you work with me, you're going to make more money than anyone else. Because in reality, the lawyers that work with people with my credentials no longer care if they get a referral, they just want the doctors. They just want those doctors to work with them. Cause you're going to make more money. But I'm telling you right now, you're never going to see another referral from me. I like you. You're nice. I'll go out to breakfast, lunch, and dinner with you. I'll play golf with you. I'll go to ball games with you, but you're not seeing another referral from me ever. You've got, well, until you start referring back and you've got some catching up to do. Josh likes fat. Now, how obnoxious is that?

You've got some catching up to do.

Guest: Okay.

Dr. Studin: Corey, you're young and stupid. Seriously. Oh, I'm old and stupid. The only differences are we're stupid about different things. And, when you're younger, you are afraid to burn bridges by being more forward. When you're older, you're still put about a lot of other things, but you're no longer afraid to burn bridges because you realize that there is no bridge to burn. The only bridge that's here was you. To him, there is no bridge from him to you to burn because there isn't one. It doesn't exist. You can't ruin something that doesn't exist.

Guest: Yeah. Okay. So, so really quick, Mark, who is the best? So am I supposed to send this off to a neuroradiologist? Well, you have to create a relationship with a radiologist first. You're always best to join her rep and you might have to, you might have to pay him. This is outside the purview of his work. You have to educate them and say, listen, I'll pay you 50 bucks a read.

Guest: Okay, well I actually do have a relationship with a good radiologist. She's not an ego. He's not a Doug Camaro.

Dr. Studin: Right. It doesn't have to be an arrest. Okay, so you got it. Okie dokie.

Guest: Thank you.

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