Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 149
Yesterday, I had a very, very good call from a doctor who had a very, very bad day…and then a very good day. His patient, who happened to be a friend, had visual acuities, felt slightly euphoric and all around off after an adjustment. After a complete post adjustment examination, there were no signs of a stroke or vestibular artery aneurism. There were, however, persistent clinical findings of loss of peripheral vision.
The doctor immediately called an ophthalmologist in the community and got the patient an urgent appointment with concerns of a detached retina. The findings were negative. However, the patient still felt “not right.” The doctor then urged the patient to go directly to the emergency room and have a head CT, which the patient did. This all happened within 24 hours.
The test results were a dissecting aneurism of the basilar artery. Upon further questioning, the patient explained that directly after the birth of her child a few years back, she felt the very same symptoms, but slightly less intense. The OB/GYN thought nothing of it, but not this doctor. He probably saved her life because the outcome could have been very bad if this went on for some time and then exacerbated.
In retrospect, I would have started with a CT scan and then sent her to the ophthalmologist, but given the set of circumstances, I can do nothing but commend the doctor and his commitment of being the best. This doctor has learned his lessons well, has taken every course I have offered, and has studied with me in conjunction with neurosurgeons and neuroradiologists. Through those relationships he can now make a personal phone call to a world-class neurosurgeon for additional guidance.
Being successful takes a little luck, but lots of clinical excellence and a serious commitment. Take the courses! Being the best-of-the-best saves lives!!!