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Hi, I am Dr. Mark Studin and thank you to ChiroSecure for enabling me to share with you some incredible information and putting together this platform. I am deeply indebted to them and I just love sharing. Today’s gonna be an interesting topic, and we’re gonna go to our only slide right now, and we’re gonna talk about the why versus the what.
Listen, I’ve been in the game 44 years. The why is important versus the what. We’ve been so entrenched in what to do. We need to adjust someone, where do we adjust and how do we adjust and what do we do? What do we do? What do we do? What do we do? What I always heard growing up in chiropractic is the biggest difference between chiropractic medicine is they’ll spend 99 cents on diagnostics in 1 cent.
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Treatment where we spend 99 cents on treatment and 1 cent on diagnostics. Guess what? We’re both wrong because we don’t wanna wait till something gets to be disease to treat it, or in pain to treat it. We wanna prevent it from breaking. But more important, what are we treating? That’s unfortunate in our profession.
Let me rephrase that. The why are we treating it and what’s wrong with the what’s? What’s going on with the tissue? And specifically what tissue are we treating and why? And when I ask that question, what are you treating and why? 99.9% of the chiropractors in the nation are clueless and knowing the difference is the arbiter, and this is the subtitle.
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Being an expert or a mid-level provider, and I go through this when I deal with orthopedists, neurologists, neurosurgeons, pain management doctors, I go through this all the time. You guys get people well, but you know what? You miss so much and you don’t really know why you do what you do. You just know that it works.
So you focus on what you do, which is why too many doctors talk about their technique and no one really cares about that. They don’t care. Oh, I adjust the patient. They don’t care you. You get ’em better. Why? Growing up in chiropractic, it’s been what’s wrong with the person? There’s bone on the nerve.
Why? I don’t know. It just is repetitive micro movements. Chiropractor, accidents, sport. Why? What’s what tissue? Give me the real gimme, the why behind it. Physiologically oh, there’s bone on nerve at the nerve root. We all know that’s wrong. It’s been proven. So many times as evidence in the literature, and interestingly enough, back in the late seventies and early eighties and even nineties, we never knew anything other than bone on nerve at the roots.
It doesn’t happen that way. It’s actually bone on nerve at the facet level. But here’s why that’s important, because when there’s bone on nerve at the facet level, and this is what you need to know about the Y, okay. The joint capsule, and I’ve spoken in this form about this previously. The joint capsule separates and there’s a menis, which you can see on MRI that separates the facets that Menis dislodges and the bones approximate.
The facets do this and on the facets and nociceptors. And when that OID comes out, the joint capsule, which is ligament, starts to elongate a crip. So therefore, you have your nociceptors. Your proprioceptors, your gogi tendon apparatus, and all of those things. We’re gonna go back to the slide for a second.
We’re gonna keep usay in the slide. We’re gonna, we have the nociceptors all feeding into the lateral horn. When they feed into the lateral hornet spills over to the pizo ion channels and it goes into the, from the mechanoreceptors into the proprio receptors, which are your deep paraspinal muscles. It then goes back through the pizo ion channels, into the spinal thalamic tract.
Up to the periaqueductal gray area through the thalamus, hits the brain at disparate areas. The motor cortex, the prefrontal cortex, the singular cortex, the anterior singular cortex, and a, but it just ping pongs around in the brain. Then it goes efer back to the thalamus, and then it goes to different areas of the body.
Disparately. So you can have pain cervical, thoracic if you have a lumbar problem because the body’s gonna want to create biomechanical homeostasis. Can you explain that? You have to. That’s the why. And when I’m with a neuros, actually I was with a medical primary care provider and he explained to me that he gets a minimum of 25 cases a week that have back problems.
He sends ’em to pt and I explained to him that based upon the evidence in the literature. That 90% of physical therapy patients, if the, if with back pain, with spinal problems, if PTs, the first provider, opiates go up by 80%, disability goes up by 313%. He goes, why? I explained it’s very easy. You’ve got a menis and it et and I explained that to him.
I said, are you bored yet? He said, I don’t understand the damn thing you just said, but I know that you know what you are doing. You are, because remember, where do the, where does the majority of the world think we are. They think we’re somewhere below a physical therapist and somewhere above a massage therapist.
You don’t have to like it. That’s the truth. There’s a reason why there’s such a tremendous shortage of physical therapists, ’cause all the MDs are referring to them. So he said to me, oh my God, I can’t believe that. You know it to that level. And I said, would you like to me to show it to you on an x-ray digitizing biomechanical model, or do you wanna see it on an MRI?
And I could show you the men, and I could give you the evidence and the research. I could quote chapter and verse of the research. He goes, no, I don’t need to know any of that. He says, where do I send my patients to you? I said, I don’t have an office. So I got someone, I trained him. He gets now on average, 25, sometimes 20, sometimes 30.
New cases a week sent to him. Can’t keep up with it. Can’t keep up with it. He’s selective. But this goes on all around the country when we’re dealing with surgeons. I have Dr. Don Cap down in in in Georgia. I can never remember the name of the place he’s at, not in Pete Tree Corners, Georgia. His number one referral is an orthopedic extremity surgeon for shoulders.
He tells his patient you’ve got a shoulder problem, but there’s also most definitely a cervical problem. I want you to go to Dr. Don Capari. He is the best spine Diagnos diagnostician I’ve ever worked with in my career, and he says, and he’s a chiropractor. You want me to send me from an orthopedic surgery card?
Yep. He’s the best. I have Dr. Dallas, humble in West Monroe, Louisiana. He’s got a neurosurgeon he works with every day. The neurosurgeon for spine won’t see the patient. Unless Dr. Humble screens him first, is there a lesion which is surgical or injectable or not? And if it is, he sends ’em over with a biomechanical workup and a piece of technology called inverted.
If it’s not surgical or injectable, you keep ’em. Less than 1% go to the surgeon. I don’t know how I, he’s, I all, I know he is doubled his practice in a short amount of time. I could go all around the country. It works just like that. When you know the why behind what you are doing, you are no longer considered a mid-level.
You’re a peer, and mid-levels are actually eroding the fabric of our healthcare in this country because they’re becoming the expert, because there’s not enough people who are experts. I can’t begin to tell you how many calls I get from surgeons, from medical primaries, from pain management, doctors, even from lawyers, please.
Take my case. Please work with me. Please open an office. I had someone call me yesterday from, they were in New Jersey. They were six hours from where I am. I can’t take that patient. I’m not going to court. The guy wouldn’t let me hang up. I’ll pay you anything to help me and spend two hours on the phone with me.
I gave him 30 minutes and gave him what I needed. So I have another attorney, that’s states away that’s hiring me. I go through this all the time and so do our other doctors because it’s about the why and you need the credentials behind you. So all the credentials we give you are also through medical academia.
You’re co credentialed because you get validation of what we’re doing that you know the why Now, if you wanna know a little bit more about the why, just take a picture of that QR code. That’s our next primary spike here, symposium. Which is coming up in a few weeks. Join us. We teach you the why. You’ve gotta stop taking, let me rephrase that.
Take all the courses you need to take to help you get better at your craft and become a better clinician. But you have to start getting credentialed in answers and learning the diagnostics and learning the why in understanding the difference between a varix and an extruded disc. Understanding what an append appendamoma is.
A schwan. So when you look at the images, you understand that so you can educate the other providers. And more importantly, there is a 43.6% error rate, close to 50% of general radiologists interpreting spine. You’re exposed to that. You’re delivering a high velocity thrust into your spine on almost a 50% error rate.
No. It almost cost me my license because I abdicated my diagnosis to a radiologist, a neurologist, and a neurosurgeon. I don’t want you to have to go through the 11 year battle I went through. Thankfully, I never lost my license. I came close. We never abdicate. We learn. You’ve gotta understand the why of the what you’re doing.
That is one of the, it’s the only way up, and in the words again of Dr. Capari, who I work with regularly. He said, the more I learned, the busier I get Dr. Tim Weir in Raleigh, North Carolina, he’s one of our fellows in primary spine care. He said, the more credentials I got the, not only the busier I got, all they want is me, just me to diagnose the patient and move on.
Tim right now averages between 50 and 70 new patients a month. Just all, he does all only personal injury and he turns away 20 cases. He doesn’t like the lawyer. I could go all around the country, whether it’s New York, whether it’s Massachusetts, Colorado California, Seattle. The more the people learn the why of the why you rise.
It’s like putting more water in the bucket. Everything rises with it. So the message for today is to learn the why of what you do. If you have a question, you feel free to call me anytime you want. Just Google me, my cell phone number is out there. Thank you so much for spending a few minutes with me today.
Again, ChiroSecure, I cannot begin to thank you all enough. I am so happy to be able to do this and work with you folks. Have a great day.
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