Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 137

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.

“Feedback from our Doctors”


This is the second part of my observations after being on the road for a week communicating with many doctors who are members of this program. I say this knowing that I might insult some of you and I should apologize, but I do not.

The doctors and I had in-depth discussions about when to order MRI’s and one doctor shared with me that he was proud of the fact that in years and years of practice he only ordered an immediate MRI twice in his career. After swallowing hard, biting my tongue, exercising restraint and being politically correct, I asked a simple question, “Didn’t you read the consultation I wrote about the necessity of an immediate MRI if there are signs of radiculopathy or myelopathy prior to adjusting your patient?” I then went on to ask, “How can you adjust someone if you don’t know what is wrong with them?” The answer I got was the standard insurance position, “I feel I should treat conservatively before ordering an expensive test.”

That threw me over the edge…I simply smacked him on the back of the head and said the following, “How can you deliver a high velocity thrust into someone’s spine without knowing what is going on? What about your patient? You are pandering to the financial whims of the insurance company instead of meeting the clinical needs of your patient!” In addition, the doctor has been in my program for almost two years and has still not read all of the consultations!This doctor, after sitting in a room with over 60 lawyers and seeing their reaction to the presentation said, “I now get it. I am going to read everything and take the MRI Course as soon as humanly possible.”

The problem with this doctor is that he is one of the “smart people” in my program. I mean that sincerely.  He is one of the most brilliant minds in our profession, exploring the minutiae of issues. It is these types of doctors who struggle the most because they want to dissect everything rather than doing what is laid out and already working.

In contrast, I had another doctor with me in the seminar who is not one of the “smart people.” He is more like me…Show me the way and I will work tirelessly to follow the plan and do it in a big way. At the end of the day, the doctor who follows the plan and doesn’t try to figure out why, when or how, but just does it, always ends up more successful in practice.

I challenge that doctor and all of you smart people to get out of your own way of success. Read the consultations and follow the plan; it works everywhere. All of us really stupid people are laughing “all the way to the bank,” as the saying goes, while you really, really smart people are struggling to pay your rent. Read, follow the plan and call me if you need help.

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