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Hi, I am Dr. Mark Studin, and today with ChiroSecure, I’m going to bring you. Perhaps, which is one of the most important messages I’ve ever done in my career. And I don’t like to talk in, in, in hyperbole or be inflammatory, but this is really important stuff because I’ve driven on too many interstates and I’ve seen too many anti chiropractic billboards.
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I’ve seen too many patients with misdiagnosis. And we have an opportunity as a profession to take a quantum leap forward. And I’m going to give you three examples of how we’re going to do that. And you’ve got a tremendous responsibility. So I’d like to read something to you that is going to be published in one of our national journals.
Actually, the dynamic chiropractor’s gonna be running a series of these articles. And let’s go up to the screen and we’ll show you what we’re gonna set and here’s what it is. And I’m just gonna look off to the side because I’m breaking a lot of cardinal rules now. I talk about other companies.
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I’m just gonna read, I’m not showing you fancy graphics. I’m not putting my name up here ’cause it’s not about me. I’m not putting any of my company stuff. It’s not about us. It’s not even about ChiroSecure. It’s about you. It’s about your patients in the profession. If a chiropractor misses a critical diagnosis, that causes a life-threatening situation and a medical doctor catches it.
The story becomes an indictment of the entire profession, splashed on billboards featured in the New York Times, and spread across social media like wildfire. But when the reverse happens, when a medical doctor misses a critical diagnosis and a chiropractor identifies the pathology, there’s barely a whisper.
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Over my 44 years in practice, I’ve repeatedly encountered this double standard, including in recent remarks to me by a medical specialist directed at our profession. Yet, the reality is through contemporary chiropractic, doctoral and advanced postgraduate training, many doctors of chiropractic have developed diagnostic expertise that meets and in many cases, exceeds that of their medical counterparts.
Increasingly, this is now playing out on a global scale as more dcs commit to clinical excellence. The result has been a meaningful rise in collaborative care with one undeniable beneficiary. The patient. Today, academic joint partnerships, and this is the only one of a kind that exists, such as those between Cleveland University, Kansas City Chiropractic and Health Sciences, and the State University of New York and Buffalo School of Medicine and Biomedical Sciences Office of Continuing Medical Education are expanding access to advanced credentialed graduate education for chiropractors.
They’ve opened their doors. These are opportunities once largely limited to only MDs. Chiropractors are globally taking full advantage. And while this training often increases utilization within the clinic practice, it does by the way practices get better. The true impact is measured in the improved outcomes and better informed patient care.
To highlight why advanced training is no longer optional for chiropractors, consider three cases in which MD specialists failed to consider the complete clinical picture and compartmentalize their finding to the patient’s detriment. Let me share with you the first. The first is a patient came and is, this was actually my patient.
Patient came, they went to five MDs. They went to their family doctor abort, aborted family medicine pro provider practitioner, four times headaches. He was post COVID. His smell was pretty much gone, but he was getting terrible headaches and cognitively he was just not functioning. But the key here was.
He was also his personality changed tremendously. He was a high level corporate lawyer from one of the largest firms in New York City, and he just couldn’t function. So the doctor was treating him for headaches, the smell. He said, oh, it’s COD cognitively sent him to a psychologist and he worked with a psychologist for four or five months.
Then he went to a functional medicine specialist. The functional medicine specialist was a medical doctor, boarded in internal medicine, hematology, oncology, and er, he had four boards. Smart guy did every blood test in the world. Same set of clinical facts, same set of history. And he told him his problems.
He was overweight, he had to lose weight, he couldn’t find anything. Then he went to a psychiatrist, two psychiatrists, actually I believe, who put him on mood drugs to, because he was all of these issues and had him start on all of this stuff to, to calm him down. ’cause he was having outbursts.
It was just terrible. He then spoke to another world class and that’s true because the guy travels and lectures all over the world. He hematologist from a teaching university out in California. And he worked with him and he said, you need to be in a long haul COVID program in New York City. ’cause he’s from New York.
And tried to get him in that program. That was another four month wait. So he came to me pretty much for headaches and I said, who did imaging on you? Nobody. I said, are you insane? No one did imaging. I ordered an MRI. Okay. I ordered the MRI and I, by the way, I wasn’t in his plan. I have a relationship collaboratively with a neurosurgeon, and I said, you’re ordering an MRI for a brain MR.
I don’t care what you do. He said, okay, I trust your clinical judgment. That was case number one. Case number two, and I’ll conclude case number one in a minute. Case number two, a doctor in North Carolina who is a fellow in primary spine care. I’ve trained him. MI qualified, I’ve trained him. He knows what he’s doing.
Looked at the lumbar MRI and it said normal. There was a little smudge of stuff there. He said it was a called a pulse artifact. An artifact, and that was it. That was case number two. Case number three was a doctor in Georgia. Patient came and it was a family member, and he wanted him just to adjust him because he’s been treating for four years.
A physical therapist in California, there’s direct access for limited care for pt. He’s had back pain persistently for four years. That didn’t go away, and the chiropractor refused to treat him was he said, just can you adjust me? I know chiropractic works. My back’s killing me. I can’t get to my, can you do something?
And the chiropractor said, no, I’m not adjusting you without an examination. Without an examination. He says the amount of back pain you have, he touched his back. It was very uncomfortable. He said, I’m not touching you. I do need to do a complete exam and I do x-rays. I ain’t touching you.
So those are your three clinical setups. Let’s show you case number one. Here it is. You see this? This is a massive brain tumor on my patient. It covered. And that’s only one view. If you have the opposing view it, it covered 25% of the cranial vault. It destroyed his olfactory nerve. He was within days away of going blind.
According to the neurosurgeon, he had immediate surgery. Three days later, we sent him to a specialty program in New York University Langone, which is one of the best in the world with a frontal lobe surgical specialist. He had surgery, he had a CSF leak the next day, which is not uncommon, he had a second surgery the second day.
Four years later, he’s alive, he’s happy, he’s functioning. He’s on the soccer field, the football field, the baseball field the lacrosse field with his kids. He’s happily married. He’s back to work, only because a chiropractor decided to look at him as a whole and not compartmentalize ’em like medicine did.
But if I missed this and the medical doctor saw it, would, he would’ve died. The MD said. He had maybe three, four more months to live. It was compressing the cerebral hemisphere so hard that it, he’d be a goner. It was, but if I missed, it would’ve been all over the New York Times. That’s not fair.
The second one, this was the artifact that the radiologist reported, and the chiropractor said, no. This is called a appendamoma. That is a primary malignant lesion on a 36-year-old woman. And we got him right to Duke University, neurosurgical. Instantly, he saved her life. And we spoke to the radiologist, the general radiologist, which you never want.
You want a neuroradiologist, brain and spine. Who said, oh. And he was arrogant. You want me to look at it again? You’re a chiropractor. Are you crazy? And he says, oh, I thought, saw that as an artifact. Be at the bottom line is not only did the chiropractor save the patient’s life. Save this doctor’s license, most probably, and he was arrogant and nasty.
Oh, you know what? I’ll do you a favor. I’ll order a follow up with contrast so the patient can do that without insurance issues just to make you happy. He missed, and he knew he missed the tumor, but he was arrogant and nasty and we didn’t care. This saved the patient’s life. If the chiropractor missed this and got sued, guess what?
He would’ve potentially, been involved in a malpractice case. At the end of the day, the radiologist would’ve went down, but the chiropractor could have had some culpability, but at the end of the day, the patient would be dead. That’s the bottom line. Last the patient came in to the chiropractor’s house, wanted him to adjust him four years of physical therapy.
This is advanced multiple myeloma. This isn’t the exact patient. These, this is the patient. I don’t have permission, so I just gave you samples of what it looks like, but this is multiple myeloma. He said when he touched the patient, I’m not touching you without an x-ray. Why? My PT just takes care of me.
Yeah. I’m not a pt, I’m a doctor. I’m taking an x-ray. He took the x-rays. He saw this. You don’t know what it is from this. He sent them back home. He was in Georgia. He was a family member from California with a prescription with the appropriate sequence protocols. He had the MRI, they sh they saw the same thing, but a little more advanced.
Ordered a PET scan to conclude multiple myeloma. He’s gonna live. He’s gonna live. Can you imagine if the chiropractor adjusted him, the physical therapist, if they got psed, a licensure board went after him to get off the hook. He’s only a pt, but you’re a doctor. These are three lives saved because a chiropractor decided to get advanced training in their craft in learning how to look at a normal versus abnormal.
MRI. The chiropractor from North Carolina is not a DAC bar. He’s not a radiologist. He knew when he saw this, ’cause he just took a course that we had on tumors. He said, this isn’t right. He called me up and I jumped onto his computer. I looked at, I said, holy crap, it looks like an appendamoma. I’m gonna call a neuroradiologist and let him jump on with us and confirmed the diagnosis.
That’s how it works. But now we have multiple teams of collaborative doctors. Neuros neurosurgeons, pain management doctors saying, my God, these chiropractors can diagnose as well as we can. I’m gonna refer to that chiropractor and the other two chiropractors I work with. Their practices are exploding.
Because their number one referrals are the guy who did this, his number one referral is an orthopedic extremity guy. Every time he gets a shoulder problem, he says, you go to the chiropractor, the guy’s the best diagnostic I know. I have to make sure you don’t have a ridiculous component before I operate on your shoulder.
He refers a dozen cases a month to him. Easy. That’s how this works. You win through clinical excellence. You wanna become clinical, excellent. You call me, you’ll find my number somewhere. You know my name, okay? You find me. If you’re interested, you want to talk to me. But this is the level we as a profession have to pay.
Play with medicine sees 99% of the population, our profession. It was published somewhere that says we see 14%. That’s a lie. It’s much less than that. It’s probably closer to seven. We should all have close practices. Our schools should be exploding, bulging from the gills, exploding, making more and more schools.
We need to play at a different level, and it’s fun to learn this stuff. You’re no longer guessing. Listen, this is perhaps the most important message I could share with you ever. I’m not in the business of just clearing out biomechanical lesions, subluxations helping pain. I do that. Yes that’s our bread and butter, that’s our core, but this is also our responsibility to get to these people in triage accordingly, as early as possible.
This is called saving lives, and you have that power in your hands. You. We’re ordering MRIs and X-rays all day long. You need to be the best of the best at what you do or go do something else. Listen again, I’d like to thank SCU for the time to share all this information. I can’t think of a better message to give.
If you want to chat with me, you’ll find me. I’m all over the internet. I’m all over every place. Call me anytime you want and I’m happy to talk to you. Thank you. We’ll see you next time.
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Learn More about Dr. Studin Here: https://rebrand.ly/ji3skte, https://rebrand.ly/m6orxhi