Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1049
Infrastructure 228 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. Mark Studin 2006

“Do I Order the MRI?”


“Prevailing before the fight = Peace & Prosperity!” Mark Studin 2019 
 
I received this today from Dax Sirucek in Idaho, a Trauma Team Member. He wrote:
 
Hey Doc, I got into a discussion today with another chiropractor I know and I wanted to get your opinion on this topic as he is now the 3rd or 4th chiro I have heard take this position. Here's the scenario... he calls me up today and asks me for my opinion on a PI case he has. It involves 3 young girls with chronic severe neck pain and headaches. He states that the x-rays are negative for laxity and they do not have radicular pain. He wants to go to trial on connective tissue injuries and is advising the attorney to do so. I asked him to date why no MRIs have been performed. He stated that he didn't want to ruin his connective tissue case by having a negative MRI. My opinion is a proper diagnosis, prognosis, and treatment plan (you can pat me on the back later)..... That he doesn't know what he is treating and that I didn't feel a negative MRI would destroy a connective tissue case. So the question here really is.... do you feel a negative MRI traps the physician into a line of questioning that would destroy a connective tissue case?
 

My Answer:
 
Herein lies the problem… Chiropractors nationally, strive to make a case for the lawyer, and we do give a crap about that… henceforth your comment diagnosis, prognosis and treatment plan. IF… there is a diagnostic dilemma, you order the MRI, if not… then why?
 

Interestingly enough, pandering to the lawyer over time is the core of why most lawyers will NOT work with those doctors… because in the end, it destroys their case and your reputation as a doctor who objectively treats their patients in an evidenced-based environment… Good Answer and YES… I am very proud of you
PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments.