Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 227

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.

“Know the Rules OR Struggle Financially”

You go the food market, the A&P, ShopRite, Waldbaums, Piggly Wiggly, etc., for a quart of milk. You walk in to a store that has a great storefront and all you see is a 5 gallon bucket of milk with a ladle and cups next to it. The reason you went to this store is that you heard, from a friend that this store had the milk of the best cows, all fed organically, sung to sleep every night, kept in beautiful cow pastures, never allowed to have sex with cousins to avoid inbreeding and got a "cow massage" daily to produce the finest milk in the world. The farmer was double boarded in cowology and milkology and finished magna cum laude in cowmilk school. Here you are in the middle of a supermarket staring at simply a bucket. No carton, no labeling, no certifying that the milk is sanitized and certainly no refrigeration; just a bucket. There is no documentation about the nutritional content of the milk and no governmental oversight certifying that the milk is organic or even milk. There is no pricing, no standardized measurements of your purchase and certainly no way to render any complaints because you are buying a truly blind item.
Although this was the preferred manner of getting milk 150 years ago, today, my wife would not walk away, she would run really fast and never look back. Left in the store is the smartest farmer in the world all alone and there is no one to buy his milk. He'll eventually have to get a job in McDonalds or Walmart because that will be all that is left for someone with a degree in cowology!
Today, I spoke to a doctor who reminded me of the cowmilk specialist. He went to school to become a highly trained doctor, created a way to get patients to come into his office and offers perhaps one of the best services for the conditions he cares for. However, he doesn't know the rules of the game he is playing. He doesn't know how to document his services as prescribed by his state, he doesn't know how to properly collect his fees because there are state mandated guidelines and worse than not knowing them, before today he never knew they existed. His patients come in, he treats them and then he cannot expect to both document properly or get paid or support his patients needs in their medical-legal case(this is a workers compensation scenario) because he doesn't know the rules. 
It's only a matter of time before word gets out that he is NOT the doctor of choice and shortly thereafter he will collect $0.00. Like the cowmilk specialist, he will go out of business because he doesn't know the rules of the game and has no documentation to support his participation in the game. The moral of the story is that if you are going to play in a game, learn all of the rules. In fact, master them because it is your game to win or lose. In every state, including my screwed up one, worst in the nation state, New York, there are chiropractors making in excess of $1 million while others are struggling to survive. It is the same in every state; there are winners and losers. The winner is the one who practices from a posture of clinical excellence and owns the rules of the game. 
"To the victor go the spoils." Reference: goes_the_spoils%27
In the old days of war, the winning army pretty much got to loot the countryside and take what they wanted--wealth, harvest, women, whatever. Those would be the spoils of victory. In a relatively civilized setting, we use it more symbolically or metaphorically. The winner (victor, the victorious one, the one who gets the victory) gets whatever benefits go with the actual winning of the title, prize, award, office, or event.

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