Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 162

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.

“The Pitfalls of ALL in a Narrative”


In reading narrative after narrative over the last few years, there is a common pitfall that many fall into that is not good. That pitfall is the word “ALL.” As an example, "Mrs. Jones’ ranges of motion are all within normal limits or the muscles tested are all in spasm."
 
 
What ranges of motions? The entire ones you performed or every single one there is known to medicine and man? You need to be more specific. "The following ranges of motion were performed and found to be within the normal range: cervical flexion, extension, left and right lateral bending."
 
 
You have to be very specific and name the range, the muscle, the reflex, the nerve root, and the test. It all needs to be clearly defined where there is no question about what you did and what you found as a result of your clinical examination.
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.