volume 19, no. 4 april 2009

Colorado Chiropractic Association The voice of Colorado chiropractic since 1917.

eUPDATEVolume 19, No. 4 April 2009

www.coloradochiropractic.org

Mission StatementThe mission of the

Colorado Chiropractic Association is to protect, promote, and expand the ethical and professional

practice of chiropractic in the state of Colorado.

Also in this month’s issue. . .Upcoming Education Events for 2009 Page 2-3

Colorado 2007-09 CE Requirements Page 3

Standing Meetings Page 3

club CCA: Vendors Supporting Chiropractic Page 4

From the CCA President’s Desk Page 5

2008-09 CCA Board of Directors Page 5

View from MY Desk Page 20

Member Appreciation + ENHANCED Members Page 21

CCA eUpdate Purpose and Policies Page 21

VENDORS - Join club CCA Page 26-27

State Board of Chiropractic Examiners Contact Info Page 28

Medicare/Trailblazer Assistance Page 28

In Memoriam: David Driscoll, DC, FIACA Page 29

CC-PAC Donations Page 30

Donate to C.H.I.R.O Page 35

Whiplash expert Arthur C. Croft, DC discusses recent neck pain research.

Update on DOT PhysicalsPage 24

CONNECTING YOU to the Colorado chiropractic profession

continued on page 11

Add DOT Physicals to your clinic’s services - get the training you need. Page 24

Report from the CCA Insurance Committee. Page 10

The Bone and Joint Decade 2000-2010:

What Will It Really Mean?by Arthur C. Croft, Ph.D.(c), D.C., M.Sc., M.P.H., F.A.C.O.

In a previous paper I described how the pressure due to alleged stroke risk following chiropractic manipulative therapy (CMT) has been released with the publication of a new paper that was part of the Bone and Joint Decade 2000-2008 1. This was a breakdown of the earlier paper by Cassidy et al. which must be counted as one of the more important papers of the year and one every DC should own. The ACA has sent a copy of it to just about all medical neurologists in this country in hopes of setting the record straight. Meanwhile, there are many other papers in that special supplement of Spine that deserve some attention. The fact that this project was largely funded by insurers should pique any clinician’s interest since it seems that the new trend is to move from evidence-based policy-making to policy-based evidence-making. We’ve seen this with increasing frequency in the last decades. Case in point is the Quebec Task Force on Whiplash-Associated Disorders (QTF-WAD) in 1995. Shortly after this was published, it was used in a campaign to attempt to control the management of whiplash injuries.

The valedictory paper in this special

April 2009

2

eUPDATEEASY ON-LINE Registration at www.coloradochiropractic.org/registration/events.cfm

CCA’s web-based seminars (INCLUDING a 3-hour documentation seminar) also available at cca.ImpactLearning.org

Upcoming Events

continued on page 3

Saturday and Sunday, April 18-19, May 16-17, June 20-21, July 18-19, August 29-30, September 26-27, November 14-15, December 12-13 In 2010: February 6-7, March 6-7

I.C.P.A. Pediatric Certification Series with various speakers. The International Chiropractic Pediatric Association presents a 180 hour certification program in DENVER at the CCA Conference Center. Take all seminars or individual 12-hour seminars. For more information and to register, visit www.icpa4kids.com/seminars/Denver_Location.php - See page 33

Thursdays and Saturdays, April 23 (Denver), May 2 (Denver), Tuesday, May 12 (BOULDER from 1-3 p.m.), May 14 (Denver), June 6 (Denver), June 6 (Fort Collins), June 11 (Cortez), TUESDAY, June 16 (Durango), June 25 (Denver), June 27 (Grand Junction), July 16 (Denver), July 18 (Fort Collins, Glenwood Springs, Colorado Springs, Montrose)

CPR recertifications - 9 to 11 a.m. OR 1 to 3 p.m. in various statewide locations, except Cortez 2 to 4 p.m. Please verify ALL DATES with the CCA prior to attending. FOR DETAILED INFORMATION visit the CCA ON-Line calendar http://www.coloradochiropractic.org/registration/events.cfm

Saturdays and Sundays, BEGINS April 25-26, May 2-3, POSSIBLE June 13-14, July 11-12, August 8-9, August 22-23, September 19-20, October 3-4, October 12-18, November DATES TBD

Acupuncture INITIAL CERTIFICATION - ENHANCE your practice and add VALUE for your patients. Exceeds the 100-hour current requirement for acupuncture certification. Attend the entire series or individual seminars as a introduction OR refresher. EARN YOUR CERTIFICATION NOW. MORE information available on the CCA’s web site calendar: http://www.coloradochiropractic.org/registration/events.cfm

Saturdays and Sundays, BEGINS April 25-26, June 27-28, JULY location and dates TBD, August 1-2, August 15-16, October 10-11, October 24-25, November 7-8, December 5-6, December 19-20

ADVANCED Acupuncture - An EXCELLENT refresher for doctors already certified OR attend individual seminars to find out what acupuncture is all about. CCA Conference Center in SE Denver, except July seminar. MORE information available http://www.coloradochiropractic.org/registration/events.cfm

Sunday, April 26 CCA Social Event - Spring FORWARD with the CCA from 2 to 5 p.m. at Dave & Busters located at 2000 S. Colorado Blvd (near I-25 &

Colorado Blvd. Food, games, conversation, cash bar - in a FUN location.

Thursdays and Saturdays, May 2 (Colorado Springs) June 6 (Fort Collins), June 25 (Denver), June 27 (Grand Junction) Preparticipation Sports Physicals for Middle and High School Athletes. Includes CPR recertification. 8 a.m. to 3 p.m. Initial

certs/10 a.m. to 3 p.m. recerts - CPR from 1 to 3 p.m. 6 to 2 CE hours. Please verify ALL DATES with the CCA prior to attending. FOR DETAILED INFORMATION visit the CCA ON-Line calendar http://www.coloradochiropractic.org/registration/events.cfm

Saturday, May 2 21st Century LASER THERAPY Workshop with Curtis Turchin, MA, DC 9 a.m. to 6 p.m. at a Denver location to be determined. REGISTER

withe Jon Fox at 888-624-2221 x101 or email [email protected]. 8 Colorado CEs available. see page 34

Thursdays and Saturdays, May 9 (Denver), May 21 (Colorado Springs), June 6 (Grand Junction), June 11 (Denver), June 13 (Denver), July 9 (Denver), July 11 (Denver), July 18 (Glenwood Springs), July 25 (Denver), July 30 (Denver), Friday, September 18 (first day of 2009 CCA Convention) (Denver)

DOCUMENTATION - three hours of documentation training exceeding the 2-hour annual state board requirement. Denver, Colorado Springs, Fort Collins, Grand Junction. Please verify ALL DATES with the CCA prior to attending. FOR DETAILED INFORMATION visit the CCA ON-Line calendar http://www.coloradochiropractic.org/registration/events.cfm

FRIDAY, Saturday, & Sunday, continues May 29-30-31, July 24-25-26, September 11-12-13, November 20-21-22 Dynamic Body Balancing series with Carol Phillips, DC. 20 Hours for each workshop. CCA Conference Center in SE Denver for all seminars.

REGISTER at www.dynamicbodybalancing.com OR call 763-218-1713 or 410-626-7436. See page 32

April 2009

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eUPDATE

Standing Meetings

CE Hour requirements for 2007-2009 Colorado relicensing period:15 CE hours between August 1, 2007 & July 31, 2008 AND 15 CE hours between August 1, 2008 and July 31, 2009

Must have valid health care provider level CPR card on 7-31-09 with at least 2 hours training AND TWO hours of clinical chiropractic documentation EACH YEAR.

Upcoming Eventscontinued from page 2

Saturday, June 6 Nutritional Research & Applications for the Chiropractic Office with Lynn Toohey, Phd.

1 to 5 p.m. at the CCA Conference Center. 4 Colorado CE Hours.

Thurday, June 18 C.H.I.R.O./CCA Golf Benefit at beautiful Arrowhead Golf Club (www.arrowheadcolorado.com) JOIN your colleagues for a great day of golf

AND help fund chiropractic research and public awareness programs. 1:30 p.m. shotgun start for 4-person scramble - check in by 1 p.m. BEAUTIFUL Arrowhead Golf Club - www.arrowheadcolorado.com Door Prizes, raffles, long drive, closest to the pin and other contests. Fee of $155 includes green fee, cart, range balls, donation and dinner. EVERYONE is welcome regardless of skill level.

Saturdays and Sundays, June 27-28, August 1-2, September 19-20 Chinese Herbology with Russ Fasolino, DC, L.Ac. during acupuncture seminars above; however, you may take ONLY this three-seminar series

OR take a single seminar and not be enrolled in the acupuncture series. Look for details http://www.coloradochiropractic.org/registration/events.cfm

Saturday and Sunday, June 27-28 Validating Chiropractic 2009 with Malik Slosberg, DC. Renaissance Flatirons Hotel in Broomfield, Colorado. 13 CE Hours.

Saturday and Sunday, July 25-26 15 CE Seminar includes DOCUMENTATION just in time for the July 31 deadline! Disk Pathology: Diagnosis, Imaging, Treatment, and Rehab

with Peg Seron, DC and John Hyland, DC PLUS 3 hours documentation provided.

SAVE the DATE for Convention 09 - Friday and Saturday, September 18 and 19 CCA 2009 Convention at Four Points Sheraton Denver Southeast (I-25 & Hampden). Documentation training included.

15 HOURS of CE, CA Training, AND exhibits of chiropractic products and services. Stay tuned for more details.

THURSDAYS: APRIL 16, JUNE 11, JULY 30 CCA Board Meeting. Meetings are generally the 3rd or 4th Thursday of every other month from 10 a.m. to 2 p.m. at the CCA office. Any CCA

member is welcome to attend the board meetings; however, please contact the CCA and let us know you will be attending. Agenda items must be submitted to the CCA office 2 weeks prior to the board meeting date. $10 fee covers lunch and is payable in cash on board meeting day.

WEDNESDAYS: MAY 6, JUNE 3, JULY 1, AUGUST 5, SEPTEMBER 2, OCTOBER 7, NOVEMBER 4, DECEMBER 2 Mesa County Chiropractic Association Meeting. First Wednesday each month 12:30 to 1:30 p.m. at UTEC Culinary Restaurant at 2508

Blichman Ave in Grand Junction. You may order ahead by calling 970-255-2641. Please contact Dr. Wes Sheader for more information at [email protected] or 970-254-2954.

TUESDAYS: MAY 12, JULY 14, SEPTEMBER 15, NOVEMBER 10 Colorado Women’s Chiropractic Association Bi-Monthly Meeting. 7-9 p.m. CCA Conference Center. Meetings are the second Tuesday of odd-

numbered months. Each meeting features a guest speaker and an open forum for ideas and discussion. Contact Dr. Rebecca Noren for more info (303) 984-1111 or [email protected].

THURSDAYS: MAY 28, JULY 30, SEPTEMBER 24, NOVEMBER 19 Colorado State Board of Chiropractic Examiners (CSBCE) Bi-Monthly Meeting. Meetings generally start at 9 a.m. Location is 1560 Broadway,

Denver. Check the board’s web site for room and agenda: www.dora.state.co.us/chiropractic/boardmeetings.htm

April 2009

4

eUPDATE

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and the excellent products and services they provide to Colorado DCs. PLEASE consider a club CCA member for your chiropractic product and service needs.

Alpha Medibill SolutionsFlora Sweed 303-644-5860

billing services - see ad on page 20

Anesis Med TechDavid Kincheloe 317-431-4186

anesismedtech.comscientific solution to supplements - see ad on page 14

NCMICMike Whitmer 800-321-7015 x 4530

www.ncmic.commalpractice insurance - see ad on page 9

Nutri WestLynn Toohey, Phd - 866-271-8888

www.nutriwest.netnutritional supplements and education - see ad on page 12-13

Vendors: Find out how YOU can become a club CCA member athttp://www.coloradochiropractic.org/headlines/files/ClubCCA2.pdf

OR see pages 26-27

April 2009

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eUPDATE

Colorado Chiropractic AssociationThe voice of Colorado chiropractic since 1917.

8751 East Hampden Avenue #B-7Denver, CO 80231-4929

(303) 755-9011 or (800) 829-0339 Fax (303) 755-1010

e-mail [email protected]

Reprinting of materials is granted, except for materials indicated as copyrighted or reserved, but only upon giving credit to the CCA Update in the reproduction. Reproduction of any other material without credit is prohibited, and if you want to quote or reproduce from any item, call or write for information and permission. Copyright(C) 1989 to present Colorado Chiropractic Association

Chairman of the BoardJames Farrell, DC

PresidentSteven L. Schuster, DC, LCP

1st Vice President (President-Elect)Timothy Murphy, DC

2nd Vice PresidentMichael Springfield, DC

Secretary-TreasurerMichael Simone, DC

District 1 Director/AlternateRhonda Jackson, DC/Ronald Bray, DC

District 2 Director/AlternateRandy Snyder, DC/Michael Barry, DC

District 3 Director/AlternateEvan Katz, DC/Christine Sprowl, DC

District 4 Director/AlternateGreg Crawford, DC/Aaron Koepp, DC,

DABCO,CCSP,CCSTDistrict 5 Director/Alternate

Robert Palmer, DC/Jack Harvey, DCDistrict 6 Director/Alternate

Steven Mooring, DC/OPENDistrict 7 Director/Alternate

Randy Roman, DC/OPENDistrict 8 Director/AlternateKelvin Washington, DC/Peter Braun, DCDistrict 9 Director/Alternate

Joe Dziezgowski, DC, CCSP/Shandy Grady, DC

Directors at LargeRobert Bridge, DC

Keith Lundberg, DCJohn Murzyn, DCK. Patrick Ray, DC

Chad Kesner, DC, DACBSP, CCCN, CEDP/Alternate

Executive DirectorJoyce M. Martello

Communications DirectorVineta Campau

Membership AdministratorSherry Picotte

by 2008-09 CCA President Steven L. Schuster, DC, LCP

From the President’s Desk

continued on page 6

By the time this reaches you the legislative session will have been in session for almost 14 weeks with only about 5 weeks left. During this time we have seen a flurry of bills get shot down because of the budget deficit some have been held off until next year and many, like the two we have been working on, are still in the process. SB 61 and SB 167 will be somewhere close to the end if not all the way through very soon. However, things change all the time and if they are still in the process we will need many DC’s to come to the Capitol, call their legislator or email them asking for their help in one way or the other. I would ask that you take time out of your busy day to help make a difference for Colorado chiropractors.

The Insurance Committee, the Education Committee, the Membership Committee and the Legislative Committee have all been very active for us creating what we hope to be the future of this organization and the future of chiropractic in Colorado. I want to thank all those who have been active in anything they do for the CCA.

The staff has worked overtime, as they usually do, to make sure that the board has everything it needs to make decisions that affect all of us.

The CCA Board has made many commitments, with their time and their money, to help us move the future of chiropractic in Colorado forward for the benefit of all chiropractors and their patients.

Why am I saying all of this? As in anything, we all want to be the best IN anything we do. This means the best chiropractor, the best parent, the best coach – you name it – we want to be the best IN anything we do. But in the each one of these scenarios I think it would be better if we were the best FOR what we do.

Be the best FOR chiropracticBe the best FOR your patientsBe the best FOR your childrenBe the best FOR your athletes…

April 2009

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eUPDATEPresident’s Desk, continued from page 5

When was the last time you went to your office to be the best FOR your staff, FOR your patients or FOR chiropractic. We all have heard that we are the best IN what we do, but I would like you to take a step back and be the best FOR what you do.

With this in mind, please consider helping out your fellow chiropractor down the road by calling a legislator or visiting them at the Capitol to help move this profession, we all love so much, forward into the future.

As I said in my speech several months ago… Imagine with me, if you will, what the profession of Chiropractic in Colorado would look like if every chiropractor were to do one small thing to help another chiropractor.

A truly selfless act of kindness requiring no motivation other than to lend a hand in making chiropractic in Colorado a stronger and more powerful answer to a cause in health care.

I think you already know what that small thing is. Now go out and do it.

Yours in chiropractic,

CCA President Steven L Schuster, DC

Dr. Schuster maintains a private chiropractic practice Aurora, Colorado. He may be contacted at

[email protected] OR 303-693-5100.

April 2009

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eUPDATE

?Insurance Questions?

Contact Dr. Spresser at

[email protected] or

FAX to 303-425-9058

Dr. Ken Spresser was awarded CCA Chiropractor of the Year six times. He is past Chair of

the CCA Insurance Committee, served on Colorado Insurance Commissioner’s Task Force,

lectured to the Insurance Commissioner’s staff on

chiropractic complaints, negotiated details of the PIP IME system with

the Insurance Commissioner’s office, was the first Medicare Carrier Advisory Committee

representative, and has served on Worker’s Comp Advisory Board.

CCA Insurance Committee Reportby CCA Insurance Committee Chair Ken Spresser, DC

Future CCa Insurance Committee Meetings will generally be held on the fourth Wednesday of the month at 7:30 p.m. at the CCA office - You may also participate in the meetings by calling in to a conference call. Please check the calendar page on the CCA web site

(www.coloradochiropractic.org) for complete information.next Meeting Wednesday, March 25 - Colorado springs Location TBd

ALSO April 29, 2009 - May 20, 2009 June 24, 2009 - July 22, 2009 - August 19, 2009

The Insurance Committee will be teaming up with Dr. Brian Polvi in Colorado Springs by holding the March meeting in the Springs. Dr. Polvi was Insurance Committee Chairman for a few previous administrations and brings experience and knowledge in areas which haven't been recently pursued. We are still looking into the topic of balance billing managed care patients in automobile accident cases. According to Dr. Polvi, Aetna allows this practice, however, United HealthCare does not. At some point, the CCA will most likely seek legal opinions on this matter and approach the Insurance Commissioner. This has also become a problem for MDs, DOs, and PTs. As stated in a prior eUpdate, balance billing UHC patients is currently against your contract and most likely Colorado law. Earlier this month, the Arizona Chiropractic Society had a seminar devoted to this topic since it is legal in Arizona.

Other topics we will be discussing in the near future involve chiropractors who have been dismissed from networks. We want to make sure due process takes place. According to Dr. Polvi, Kentucky recently installed provisions regulating how doctors are removed from managed care panels.

As Chair of the Insurance Committee, I will research the "network adequacy" laws of the few states that have such laws and create some changes for the legislative session that begins in January 2010. After speaking with my patient, State Senator Evie Hudak, we will know the potential budget shortfall for next year's legislative session. This year she told me that it was $680 million. CCA Lobbyist Terry Snyder said that was the reason for not carrying my suggested legislative initiative of equal copayments, deductibles, payouts, and limitations amongst professions doing identical work. With another budget shortfall slated for the 2010 legislative session, will we ever bring forth another bill with a fiscal note or are we doomed until there is a budget surplus?

April 2009

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eUPDATE

contined on page 15

Bone and Joint, continued from page 1

supplement of Spine is one by Haldeman et al. 2. This is an “executive summary” by some of the principals of this project which carries the imprimatur of the United Nations and the World Health Organization. Here they tell us that they managed to screen 31,878 citations. Of these they actually reviewed only 1203 (4%) and accepted only 552 (2%) as “scientifically admissible” for best evidence synthesis.

Although it sounds as though the majority of the literature was discarded, this is an improvement over the QTF-WAD “best evidence synthesis” in which some of the same authors discarded more than 99% of the world literature on whiplash.

The upshot of the Task Force is summarized in the current paper. Most people, they point out, will experience some neck pain in their lifetimes.

The 12-month prevalence of neck pain ranged from 12.1% to 71.5% in the general population and from 27.1% to 47.7% of workers. But neck pain with disability is found in only 1.7-11.5% of the population. And whiplash has been increasing over the years. Non-modifiable risk factors for neck pain include age, gender, and genetics. There is no evidence that degenerative changes are a risk factor for neck pain. Modifiable risk factors include smoking or exposure to tobacco smoke and physical activity participation.

Then they noted that eliminating insurance compensation for pain and suffering and improving disability benefits costs were both associated with a lower incidence of claims and faster recovery in whiplash. These conclusions are apparently based on the earlier flawed Saskatchewan study and can be translated more realistically this way. When the government changes the law and makes the province “no-fault,” and the government-owned insurance company, SGI, tells lawyers and plaintiffs they can no longer make a claim for a thing, not surprisingly, they don’t. This cannot rationally be

April 2009

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April 2009

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eUPDATE



(303) 755-9011 or (800) 829-0339 Fax (303) 755-1010

e-mail [email protected] continued on page 16




(303) 755-9011 or (800) 829-0339 Fax (303) 755-1010


translated to mean that crash victims are no longer being injured, are no longer in pain, and are no longer suffering. But that was precisely the translation the authors made. Secondly, when the government-owned insurer says “we’re closing your claim now,” you’re claim is administratively closed. Period. To consider claim closure under this rather Orwellian system to be a reliable proxy for “recovery” is patently specious. But it was done.

Note, parenthetically, that the citizens of Saskatchewan overturned the no-fault system later and returned to a tort system. Obviously it didn’t work for everyone.

Back to the present paper, under the heading of prognosis, the authors point out that most people with neck pain (and they are speaking of neck pain in general, not just whiplash) do not experience complete resolution, with 50-85% having neck pain again in the 1-5 years following the initial bout.

This is the same in worker populations and in motor vehicle crashes. Poorer health and advancing age have a negative effect. They note that “there is evidence that compensation and legal factors are also prognostic for poorer recovery from WAD,” although I strongly disagree with this conclusion. The wide body of research on this subject repudiates this conclusion, and the basis for their comment appears to be the single flawed study mentioned above. I did an analysis of this very subject years ago and did not find a single paper to support it 3.

They tell us that there is little evidence that diagnostic procedures for neck pain without “severe trauma or radicular symptoms” have validity or utility. Put that x-ray machine on EBay. This is a manuscript that was drafted by at least a few persons with deep and long-term ties to the insurance industry. This 220-page special supplement of Spine appears to be the makings of the new game plan for that industry. The funding for this study was diverse. It included a Canadian chiropractic association, a physical therapy association, two spine societies, a few foundations, a Canadian governmental agency, and, yes, some insurers, including State Farm, a Swedish insurer, the Insurance Bureau of Canada, and U.S. and Canadian malpractice carriers. My guess would be that most of the association moneys were negligible compared to the deep pocket funds from the insurers.

We have seen the same approach in the U.S. From insurance-sponsored research we got the 5 mph delta V threshold myth, beneath which injuries are said to be unlikely. It became the rallying cry for the defense of literally millions of personal injury suits. The insurance industry learned long ago that it pays to have the best researchers money can buy. Having said that, however, I must admit

April 2009

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eUPDATEBone and Joint, continued from page 15

that not all insurance industry sponsored research is errant. In fact, much of the important research in whiplash these days is funded by insurers. But let us return to the subject at hand . . .

The authors tell us that degenerative changes on imaging has not been shown to be associated with neck pain-welcome news for forensic experts looking for such a statement to counter the common tactics of denying responsibility of a person’s claims because he had some degree of spondylosis. Meanwhile, self-assessment questionnaires are recommended by the Task Force.

As for treatment, a number of non-surgical treatments are mentioned, including educational videos, mobilization, manual therapy, exercises, low-level laser, and “perhaps” acupuncture. [Curiously, chiropractic was not mentioned by name, which is interesting in light of the fact that it has been shown to have the highest level of evidence 4 and that is has been shown to outperform both medicine and acupuncture in short-term 5 and long-term 6 follow-up studies in the management of chronic pain. These papers did not make the 2% cut, apparently. And note that “manual therapy” falls within the scope of practice of PTs.] There is some short-term effectiveness for epidural steroid injections (ESI) or root injections, but no evidence for intra-articular injections or RF neurotomy. Do note, however, that ESI have been recently associated with a number of deaths and serious side effects 7. There is some evidence in support of disc arthroplasty. They also pointed out that the risk of stroke from seeing a chiropractor is equal to the risk of stroke from seeing a medical doctor.

Under the heading of “Decision Analysis Studies,” there was no clear winner when it comes to NSAIDs, exercise, manipulation, or mobilization in terms of short- or long-term neck pain. And finally, they develop a new classification system for neck pain.Classification of Neck Pain

GRADE 1No signs or symptoms suggestive of major pathology and no

or minor interference with activities of daily living (ADL); will likely respond to minimal intervention such as reassurance and pain control; does not require intensive investigation or ongoing treatment.

GRADE II No signs or symptoms suggestive of major pathology, but major interference with ADL; requires pain relief and early activation/intervention aimed at preventing long-term disability.

GRADE III No signs or symptoms suggestive of major pathology, but presence of neurological signs such as decreased DTR, weakness, and/or sensory deficits; might require investigation and,


April 2009

17





(303) 755-9011 or (800) 829-0339 Fax (303) 755-1010


occasionally more invasive treatments. GRADE IV Signs or symptoms of major structural pathology,

such as fracture, myelopathy, neoplasm, or systemic disease; requires prompt investigation and treatment.

Sound familiar? It looks a lot like the QTF-WAD whiplash grading system which was, incidentally, first published in nearly identical form by me two years earlier 8. They disguised the similarity back then by adding a grade 0, which meant “no whiplash,” and omitting the grade IV which was a surgical requirement. So their scale was redundant in the beginning and incomplete at the end, because it did not span the entire gamut of severity. The new general neck classification system omits the 0 designation. They also changed the original neurological symptoms to neurological findings which resulted in a lot of misclassification and confusion in the literature. I note that that has been remedied here.

The entire project offers grand proof of one thing in particular: that the conclusions one draws from reviewing literature can be crafted by carefully accepting the literature from which to base one’s opinions, while excluding the literature that would oppose one’s intended conclusions as being “unacceptable.” In the QTF-WAD, the world history of printed literature on the subject was reduced to less than 1% in this way. Their conclusions and methods were flawed, but few took notice 9. The current document is based on a much more robust 2% of world literature concerning neck pain.

Unfortunately, some of the most important chiropractic literature failed to make the cut for reasons I am unclear about. One was published in Spine. And now we have a new generic neck pain classification or grading system. Like the QTF-WAD whiplash system, it will no doubt gain worldwide currency in no time.

It is disturbing to me that the transition between grade I and grade II takes us from “no ADL interference” to “major ADL interference,” with nothing in between. By definition, most of the patient demographic that comes to the chiropractor’s office will have grade I neck pain. That means, among other things, that radiographs and other diagnostics are not indicated. This, of course, will be a great convenience to the sponsoring insurance industry.

References1. Croft AC. Stroke Risk From CMT? Is the Pressure Finally

Off? California Chiropractic Association. 2008;33(4):10-1.2. Haldeman S, Carroll L, Cassidy JD, Schubert J, Nygren A.

The Boneand Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders. Spine 2008;33(4 (Supplement)):S5-S7.

3. Croft A. The case against litigation neurosis in mild brain

April 2009

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injuries and cervical acceleration/deceleration trauma. J Neuromusculoskeletal System. 1993;1(14):149-55.

4. Gross AR, Goldsmith C, Hoving JL, Haines T, Peloso P, Aker P, Santaguida P, Myers C. Cervical Overview Group. Conservative management of mechanical neck disorders: a systematic review. J Rheumatol. 2007;34(3):1083-102.

5. Giles LGF, Muller R. Chronic spine pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine 2003;28(14):1490-502.

6. Muller R, Giles LG. Long-term follow-up of a randomized clinical trial assessing the efficacy of medication, acupuncture, and spinal manipulation for chronic mechanical spinal pain syndromes. J Manipulative Physiol Ther. 2005;28(1):3-11.

7. Scanlon GC, Moeller-Bertram T, Romanowsky SM, Wallace MS. Cervical transforaminal epidural steroid injections: more dangerous than we think? Spine. 2007;32(11):1249-36.

8. Croft A. Treatment paradigm for cervical acceleration/deceleration injuries (whiplash). ACA J Chiro. 1993;30(1):41-5.

9. Freeman MD, Croft AC, Rossignol AM. “Whiplash associated disorders: redefining whiplash and its management” by the Quebec Task Force. A critical evaluation. Spine. 1998 May 1;23(9):1043-9.

Be sure also to subscribe to the free monthly newsletter called the CROFT Report at www.srisd.com. Subscribe to the new SRISD Update by emailing [email protected]. Also, please note that we have moved:

Dr. Arthur C. Croftwww.srisd.com - [email protected] Research Institute of San Diego826 Orange Avenue, Suite 633Coronado, CA 92118Phone (619) 423-9867Fax (619) 423-3084


April 2009

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eUPDATE

About SRISDThe Spine Research Institute of San Diego is a private research

organization founded in 1984 by Arthur C. Croft, DC, MS, MPH. Since that time the institute has been actively engaged in the synthesis and dissemination of information relating to a wide range of injuries and conditions arising out of motor vehicle trauma, with a special focus on the most common forms of clinical conditions which impose the greatest public health burden today-a burden shared by private citizens, their health care providers, private insurers, automobile manufacturers, and state and local government.

Since 1999, the institute has also conducted various types of car-to-car crash testing, using human subjects and crash test dummies, to gain insight into occupant-vehicle interactions with a variety of goals. These have included the testing and validation of special rear impact dummy (RID) anthropometric test devices, the validation of automobile crash reconstruction methodologies, and to gain a better understanding as to how changes in vehicle construction and enhanced public knowledge about motor vehicle safety might help to reduce the current pandemic of whiplash and mild traumatic brain.


Arthur C. Croft, DC, MS, MPH

April 2009

20

eUPDATE

View from MY Desk

by CCA Membership

Administrator Sherry Picotte

CCA Membership Administrator

Sherry Picotte may be reached at

(303) 755-9011, (800) 829-0399, or

[email protected].

YOU’vE GOT TO EaT UNTIl ThE CasE sETTlEs!

(303) 644-5860Fax (303) 644-5861Visit us on-line at www.alphamedibill.com

Delayed or lost reimbursements.Turnover in office personnel.Cost of reprocessing rejected claims.Supplies and postage.

Let us help you get back to major med billing!Still not sure you need a billing service? Call us. . .

EXCELLENCE IN HEALTHCARE BILLING

club MEMBER

Several issues ago I wrote an article saying “It’s rough out there.” Guess what – it’s worse. Talk about a roller coaster ride, everyday there’s new information that tells us it’s going to get worse before it gets better. It’s time to put collective arms around one another; there’s nothing like a good hug and support from friends when times are hard. Your membership is what keeps chiropractic afloat in Colorado. The CCA, is piloting the helm; following up on legislative issues, insurance issues, any and all rumors that come our way. We are making sure that we keep you informed. With due diligence and wealth of information, we make every effort to keep the practice of chiropractic healthy in our state. So, while it may be rough out there, we at the CCA are determined to make this year a good one for chiropractic.

The same as every legislative session our lobbyist Terry Snyder and our Board are meeting downtown at the Central Presbyterian Church, to strategize what’s best for Colorado chiropractors and then they carry our message to lawmakers at the Capitol. Wouldn’t you like to get involved? What an interesting way to find out how bills are conceived, written, and the process it goes through until the final vote. This is something you can share with your children – the democratic process in action. Make a promise to yourself and your association that this year you’ll take that tentative step into the wonderful world of politics. Please call the CCA (303-755-9011 or 800-829-0339) and ask where your talent can be utilized. It’s “not only what your association can do for you – but what you can do for your association.”

April 2009

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eUPDATE

to the

Welcome

Get to know the new CCA members in your area!Please contact the doctors in your area and

welcome them to Colorado and the CCA.

It’s easy - Contact information available at needchiro.com

MembershipEnhanced

Martin Achtermann, DC

Fred Blesch, DC

Robert Borman, DC

Robert Bridge, DC

Rebecca Brinkman, DC

Jennifer Crismon, DC

Mark C. Darling, DC

Elizabeth Decker, DC

Joe Dziezgowski, DC

Gina Gentilini, DC

Glynn Hopkins, II, DC

Julie Johnson, DC

Richard Keuhn, DC

Larry Low, DC

Tim Murphy, DC

Rebecca Noren, DC

Chad Powell, DC

Gary Rademacher, DC

Randy Roman, DC

Robert Schrepel, II, DC

Monty Wilburn, DC

The Colorado Chiropractic Association offers enhanced

membership opportunities to help support YOU, your patients, and the chiropractic profession in Colorado. Your enhanced

membership will be used to fund legislative activity at the state level AND the care and maintenance of the CCA office – the headquarters

for chiropractic in Colorado!

new Colorado Members Kristen Campbell, DC

Denver

David Suro, DCCastle Rock

Matthew Ullom, DCFort Collins

The CCa eUpdate is published monthly. Its purpose is to provide news about activities of the various committees and information concerning current developments of interest to the membership. Articles, reports, letters, opinions, advertisements, statements, and editorial comments do not necessarily represent the position of the CCA. No endorsement of any item should be inferred unless specifically identified as the official policy of the CCA. All material may be edited for clarity or space, and publishing decisions are based on quality of writing, timeliness, and potential interest to the readers. The CCa eUpdate reserves the right to edit or reject all materials. The CCa eUpdate accepts advertisements and inserts from a variety of sources, but makes no independent investigation or verification of any claim or statement contained in the advertisements. Inclusion of advertisements should not be interpreted as an endorsement by the CCA of any product or service offered through the advertisement program.

Colorado Chiropractic Association The voice of Colorado chiropractic since 1917.www.coloradochiropractic.org - 8751 E. Hampden Avenue #B-7 Denver, CO 80231-4929303-755-9011 OR 800-829-0339

Thank You

to ALL CCA Members

for your support of the CCA and

the Colorado chiropractic profession

ReaCTIVaTed Members Welcome Back!Dale C. Buckhaults, DC

Canon City

Michael A. Dody, DCLittleton

student Members Holly Beaver

Cleveland

Sarah HjersjoNorthwestern

Aaron JohnsonPalmer

Kevin MeyerPalmer West

Jacob SimpsonCleveland

April 2009

22


CLINICAL PERSPECTIVES FROM A FUNCTIONAL MEDICINE APPROACH

Broomfield, CO • Saturday, April 18th, 2009

FUNCTIONAL MEDICINE

FORUM VI

ROGER D. BILLICA, MD, FAAFPBIOTOXIN ILLNESS: THE GERM WARFARE IN YOUR BODY THAT CAUSES MANY CHRONIC DISEASES

ELEANOR BARRAGER, DCCN, FAAIMTHE ROLE OF GUT DYSBIOSIS, “THE GUT CONNECTION”, IN THE PATHOGENESIS OF DISEASE AND THE ABILITY OF THE IMMUNE SYSTEM TO MAINTAIN A STRONG PRESENCE IN PRESERVING HEALTH

DAVID MUSNICK, MDA FUNCTIONAL MEDICINE APPROACH TO OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS

• Obtain knowledge in biotoxin illness and its link to chronic diseases.• Enhance your understanding of the far reaching effects of gut dysbiosis on overall health and immune balance, and how gut pathogens relate to several chronic degenerative diseases.• Learn about new probiotic ‘gastric bypass’ systems that can dramatically enhance intestinal re-implantation and effective treatment protocols to reestablish balance.• Obtain new clinical intervention protocols to enhance your patients’ response to treatment of Osteoarthritis and Rheumatoid arthritis, as well as Osteopenia/Osteoporosis conditions.• Learn from clinicians with 16-25 years of experience.

WHY SHOULD YOU ATTEND?

Physicians (MD, DO, DC, ND, TCMDs, ARNPs), Nutritionists, Dietitians, Herbalists, Acupuncturists, Healthcare providers interested in patient-centered care.

WHO SHOULD ATTEND?

April 2009

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eUPDATE

SPEAKERS:

DAVID MUSNICK, MDDavid Musnick, MD is a national speaker, author and physician of integrative internal medicine and sports medicine in Bellevue, Washington. He is on the instructor faculty of the University of Washington Department of Orthopedics and Sports Medicine and is on the teaching faculty in sports medicine at Bastyr University in the

continuing education in nutritional and functional medicine as well as orthopedic medicine, counseling, and communications.

FMF2009

FUNTIONAL MEDICINE

FORUM

SEMINAR LOCATIONS AND DATES:(Location: Omni Interlocken Resort)

8:00 am - 5:0 (Lunch is included as well as a Panel Discusssion/Q&A at 4:15)

TO REGISTER:To register call BioGenesis Nutraceuticals, Inc.P: (425) 487-0788 Toll Free: (866) 272-0500

Registration Fees: Early Registration (by 4/10/09): $89.00 + additional $35.00 for CE CreditsStandard Registration: $129.00 + additional $35.00 for CE CreditsStudents: $29.00 + additional $35.00 for CE Credits

Payment Method: Check or credit card Make checks payable to: BioGenesis Nutraceuticals, Inc.Registration for CE credits is optional - Please add additional fee if desired.

Continuing education credits have been approved for this program. Contact BioGenesis Nutraceuticals for details: [email protected]

BROUGHT TO YOU BY:

ELEANOR BARRAGER, NUTRITIONIST/DIETITIANEleanor brings more than 25 years of clinical and teaching experience to her position as Director of the GENESIS Center For Integrative Medicine. She has worked as a research dietitian and medical scientist at Melbourne Univer-sity in Australia, a dietitian in private practice specializing in treating chronically unwell patients, a college lecturer in biological sciences, and a research clinician at HealthComm International, Inc. Eleanor has also worked as a successful sports nutritional consultant to many elite athletes including some on the Olympic level. She has contrib-uted to and published various articles in the lay press, several original research papers in peer reviewed medical journals, and a children's book Fun with Food.

ROGER D. BILLICA, MD, FAAFP Dr. Billica received his undergraduate chemistry degree and M.D from the University of North Carolina, followed by a residency in Family Medicine in Phoenix, Arizona. For the next three years he was the physician at the Grand Canyon

Chief of Aero-medical Services at Luke Air Force Base. Dr. Billica left the Air Force to join the NASA Space Program in 1989 and was appointed Chief of Medical Operations in 1991. While at NASA he managed the health care aspects of over 60 space shuttle missions, the NASA-Mir program, and the development and initial phases of the International Space Station.

and was involved with the Biomedical Research Institute studies of biochemical, physiological, and nutritional aspects of healthy aging. Dr. Billica left NASA in 2001 to open a integrative medical clinic in Fort Collins (Tri-Life Health, PC) which specializes in preventive, functional, nutritional, oxidative, and environmental medicine. His goal is to help individuals recover from illness and achieve healthy aging by correcting and repairing the underlying processes that cause disease rather than simply treating the symptoms. Dr. Billica is a Fellow of the American Academy of Family Practice and a member of the American College for Advancements in Medicine.

9:00 - 10:45 AM

11:15 -1:00 PM

2:30 - 4:15 PM

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April 2009

24

eUPDATEDOT Physicals

Enters Final Stages to Certified Examiners Implementation

by Clinton M. Smith, DC

If you are performing DOT physicals in your office, you are well aware of the National Registry of Certified Medical Examiners (NRCME) program that has been in development in Washington, D.C.. Four years in the making and the final details are falling into place as revealed by the Federal Motor Carrier Safety Administration on December 1, 2008. The release of the “Proposed Rules” which includes advanced nurse practitioners, chiropractic physicians, medical doctors, osteopathic physicians, and physician’s assistants is entering its final stages of implementation. The NRCME program was developed to increase the quality of DOT physicals and eliminate drivers falling through the cracks by being allowed to drive when they were physically unqualified. The Federal Motor Carrier Safety Administration (FMCSA) realized that a significant portion of examiners in the five categories were simply ill informed or did not understand the regulations, rules and most importantly the physical limitations drivers would present on examination. A new law was needed to get all examiners on one page and close those gaps. In 2006 that new piece of legislation was signed by President George W. Bush called the “Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users” otherwise known as “SAFETEA-LU.” This document required the FMCSA to establish a program whereby DOT examiners would be required to pass a Federal Examination entitling them to be designated as “Federal NRCME Examiners.” To get to this point, each examiner candidate would be required to participate in a training program which would qualify them as examination candidates. Numerous committees with cross profession representation were included in the design of these training requirements and examination questions. In July and August of this past year, approximately 60 pre-selected examiners were provided access to a twenty-one module, on-line, training program. After successful completion of that training, the candidate was then directed to a government contracted testing center, in this case H&R Block Computer Testing Centers throughout the United States. The examination was a 120 question test covering the training material provided by the FMCSA as their “core curriculum.” That data was then reviewed, questions deleted and a statistical grading system was put in place. On December 1, 2008, the Federal Motor Carrier Safety Administration released its “Proposed Rules” on their web site. The sixty day comment period has been initiated and will be open until approximately February 1, 2009 when the Final Rule is expected to be implemented and training will begin. There will be a two to three year phase in for the examiners to ease the burden on examiners, trucking and bus companies. Highlights of the Rule are: Medical Examiners


April 2009

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eUPDATE

would be required to undergo initial and periodic training and testing in order to be listed on the National Registry. Initial thoughts from the FMCSA provide an estimated one day training program for examiners. That training could be in a lecture type of setting or online or a combination of the two. Certification would last six years with periodic retraining at three year intervals. The Federal Examination would have to be repeated every six years to continue in the NRCME.

Once every twelve years, an examiner would be required to go through the complete training again. Upon successful completion of the examination, the examiner would be listed on the FMCSA web site as a NRCME examiner. The examinations would begin two years after the implementation of the Final Rule and would affect only those companies with 50 or more drivers. The second phase would begin three years after the effective date of the final rule and would apply to all CMV (Commercial Motor Vehicle) drivers. The NRCME examiner would transmit electronically to the FMCSA once per month the name and a numerical identifier of the driver. Examiners would transmit the entire document to the FMCSA when requested, within 48 hours. If an examiner would violate, misrepresent her/himself, they could be removed from the Registry and could reapply via hearing. An examiner might be removed if errors or omissions are observed and may require retraining or full removal from the program. The Final Rule is anticipated in February of 2009.

The entire document can be viewed at www.fmcsa.dot.gov.As of the publishing of this article, there are no requirements

to perform DOT examinations other than the examiner must be licensed in their state and their state must not prohibit the examiners profession from performing DOT examinations.

What does all of this mean to the physician in the field? If you are doing these examinations, you should keep your ear to the ground because new regulations will probably surface fairly quickly. You can visit www.nrcme.com and place yourself on a mailing list for updates on training. Once the Final Rule is implemented, the examiner should get training as soon as possible. The sooner, the better, and that will allow another marketing avenue for the practitioner to begin carving a niche in the community.

What if you are not doing these exams now? Get going if you so desire. There are no certified training programs out yet, but there are numerous resources to provide the examiner with enough training to become proficient, fairly quickly until the NRCME training is mandatory. The FMCSA is estimating they will need 40,000 examiners, some practitioners may find the training and examination just too much work…and that creates a large gap! A largely cash niche is being created by the FMCSA. Get trained, get proficient and incorporate these mandatory exams into your practice.

DOT physicals, continued from page 24

Clinton M. Smith, DC is a practicing chiropractic physician in the Metro East area of St. Louis. He is a certified trainer and trains

doctors and staff performing DOT examinations, drug collections and breath

alcohol testing under the TrioOne Clinic’s Program.

He was also part of the development team for the NRCME in Washington,

D.C. He is developing an online NRCME training

program for all examinee candidates, nationwide. For more information and to be placed on a mailing list for

future NRCME updates and rule changes,

visit www.nrcme.com

April 2009

26

eUPDATE


Discounted FULL-PAGE, FULL-COLOR advertising in our popular e-Update monthly newsletter with guaranteed placement (all pages except front page) - regular price for full page ad is $3,900 per year - PAYS for itself with just this ONE benefit!

NEW! You asked, we deliver! FACE TIME with Colorado DCs. LUNCH with CCA Board Members AND special club CCA gala social gathering twice per year. No distractions - just you and Colorado DCs!

NEW! Special DIRECT link to your company’s web site in monthly e-Update email announcement.

NEW! One-year subscription on our NEW searchable on-line vendor database.

NEW! On-line classified ads at MEMBER RATE on our web site.

DIRECT link to your company’s web site on our Vendor/Exhibitor page.

Convention booth at our annual state convention, including two complimentary tickets to our annual awards banquet, and other special exhibiting opportunities.

Exhibit table at the bi-annual (odd-numbered years only) CCA Ski Seminar.

Use of club CCA logo in your ads and marketing materials.

Inclusion in the “Thanks for your support” listing in the monthly e-Update.

Mailing list (in Excel format) of CCA Member addresses and phone numbers.

Increased exposure for your company through providing discount coupons, complimentary services, or literature in the CCA new member packets.

FULL-Page, FULL-Color ad and listing in the annual on-line CCA Member Guide and Sourcebook.

Surprise event participation, discounts, and marketing opportunities throughout the year.

CCA Member Recruitment commissions (doctors and vendors!).

YOUR idea HERE. Your suggestions are welcome - make us an offer!

ALL THIS for one easy monthly deduction from your credit card or bank account.Sign up NOW! Registration form on next page.

club offers you a chance to belong to a select group of chiropractic suppliers known and

appreciated for their support of the profession + SAVE $4,000!Your club membership offers you:

OUR new upgraded and enhanced

advertising and exhibiting discount package

(formerly known as CCA Keystone Club)

serving YOUR needs as a vendor

to Colorado chiropractors.

April 2009

27

eUPDATE

club Membership Application Please provide information on how your company should be listed on the searchable, on-line vendor database:

Company name: ______________________________________________________________________________

Contact name: ________________________________________________________________________________

Address: ____________________________________________________________________________________

City: _________________________________________________State: ____________Zip: __________________

Phone: ________________________________________ FAX: ________________________________________

E-mail: ______________________________________________________________________________________

Web site: ____________________________________________________________________________________

Product/Service (limit 4 words):___________________________________________________________________EMAIL the CCA ([email protected]) with your Product Description up to 200 WORDS for posting on our searchable on-line vendor database (or fax your description).

$300 MONTHLY DUES MUST BE PAID AUTOMATICALLY - Please select an option below

CC#: _______________________________________________________________________________ Exp. Date: (MC, Visa, AMEX, or Discover)

OR deduct from my checking or savings account BANK NAME:___________________________________________________

Account #_______________________________________________________Routing#:__________________________________________or submit voided check

I authorize the CCA to initiate, on or about the 20th of each month, debit entries to my credit card or bank account as specified above. This agreement will remain in affect unless I notify the CCA in writing to cancel it. If cancelled, advertising/exhibiting options used prior to cancellation will be assessed appropriately.

Signature: _________________________________________ (Please print name):_______________________________________

Title: ______________________________________________ Date: __________________________________________________

$3,800 annual fee option January to December (may be be prorated if mid-year) Start Date:______________________

Check enclosed (Please make check payable to the CCA) OR charge my credit card above

Thank you for your support of the CCA and the chiropractic profession!

Please return via FAX 303-755-1010 or mail to:Colorado Chiropractic Association

8751 East Hampden Avenue #B-7 - Denver, CO 80231-4929 or FAX (303) 755-1010

Questions? Contact Vineta Campau at (303) 755-9011 or (800) 829-0339 or [email protected] our vendor/exhibitor page at www.coloradochiropractic.org

April 2009

28

eUPDATE

It is YOUR responsibility as a

Colorado doctor of chiropractic to

know, understand and adhere to

the Practice Act under which you

are licensed.

To view the Statutes, Rules,

and Board Policies for Colorado

doctors of chiropractic, visit:

www.dora.state.

co.us/chiropractic/

statutesrulespolicies.htm

Colorado State Board of

Chiropractic Examiners

Cindy Klyn, Program Director

1560 Broadway, Suite 1350

Denver, CO 80202

(303) 894-7800

(303) 894-7764 - Fax

Licensing info

[email protected]

Scope of practice info

[email protected]

Complete Trailblazer Contact Info

www.coloradochiropractic.org/headlines/files/TrailblazerDirectory.pdf

www.trailblazerhealth.com/j4/partbcolorado

866-260-6520

CCA Medicare Documentation Guide available NOW at

www.coloradochiropractic.org/headlines/files/MEDICAREdocguide20083.pdf

Medicare AssistanceColorado Medicare Representative for ACA (aka CAC)

Hal Lease, DC- 719-324-5242 - [email protected]

Additional Medicare Assistance:

CCA Insurance Committee ChairKen Spresser, DC - [email protected]

or FAX questions to 303-425-9058

Kathy Mills Chang - [email protected] 303-470-3339

Susan McClelland - [email protected]

MEDICARE InfoColorado Board of Chiropractic

Examiners

April 2009

29

eUPDATE

David Driscoll, DC, FIACA, born on August 3,1954 in Storm Lake, Iowa to Glenn and Jeannine Driscoll, died this past weekend at his treasured mountain cabin. He was a long-time member of the CCA and a 1978 graduate of Logan College of Chiropractic.

Generous with his time

for family, and his work as a chiropractor, mentor and teacher, David was a rock of patience and unquestioned giving that family and patients depended on. We did not mind so much the thought of growing old so long as Dave was in our world, always ready to unselfishly drop what he was doing to be by our side if we needed help. With his sudden and unexpected passing, our world has been diminished by one giant of a loving man.

Dave’s primary devotion and deepest sense of pride was for

his wife Joan (Valle), daughter Jennifer, son Matthew and his wife Anna and their expected child, and a light of Dave’s life - his granddaughter Nicole. Dave’s father and his siblings, Sandra, Scott, Jeff, and Alicia, and all of Dave and Joan’s extended families will miss that impish smile, ever-teasing humor, healing touch and deep sense of calm.

Services were held at Corpus Christi Catholic Church in Colorado

Springs on Saturday March 28. The family requests that donations be made in the name of David Driscoll to: Catholic Charities 228 N. Cascade Ave Colorado Springs, CO 80903.

In MeMorIaMDavID DrIscoll, Dc, FIaca

August 4, 1954 - March 21, 2009

New Carbon Monoxide Detector Law Passes

Within Days of Dr. Driscoll’s Death

From Colorado Springs Gazette - 3-24-09

Just days after a Colorado Springs chiropractor Dr. David Driscoll died of

carbon monoxide poisoning, Gov. Bill Ritter signed into

law a bill requiring detectors be installed in new homes or whenever a home is sold or rented. The law takes effect

on July 1, 2009.

Labeled the “invisible killer” by lawmakers, carbon

monoxide cannot be seen and has no scent, which makes it impossible to

detect without a chemical sensor.

April 2009

30

eUPDATE

CC-PAC Colorado Chiropractic Political Action Committee c/o CCA 8751 E. Hampden Ave #B-7, Denver, CO 80231 CC-PAC Chair Jim Farrell, DC - 303-279-6448 - [email protected]

CC-PAC (Colorado Chiropractic Political Action Committee) 2008-10 Contribution Pledge FormContributor’s Name(please print):______________________________________________________Date form completed:______________________

Address/City/State/Zip:_____________________________________________________________________________________________________

Day Phone:____________________________________________________ Evening Phone:______________________________________________

FAX:____________________________________________________________ E-mail:__________________________________________________

CONTRIBUTION OPTIONS: $525 per 2-year election cycle (one-time $525 contribution is preferred) Current cycle 12-5-08 to 12-2-10

Lump sum contribution amount: $_____________ Check (make payable to the CC-PAC) OR

Credit Card#:______________________________________________ Exp Date:_____________Visa, Mastercard, Amex, Discover

Signature:____________________________________________________________________________________________________________

CC-PAC

The Campaign Finance Reform Act has changed the rules on contributions to PACs (Political Action Committees) in Colorado. The

maximum contribution an individual can make to a PAC is $525 per election cycle (every two years). The current election cycle is from

December 5, 2008 to December 2, 2010. Corporate/business checks are allowed as well as checks from individual accounts.

Each family member may contribute with their own personal account, but only one contribution can be made from a joint account.

(Contributions directly to CANDIDATE CAMPAIGNS: Each individual may contribute up to $400 each two-year election cycle ($200

for the primary election and $200 for the general election). A husband and wife may make a single $800 contribution if the contribution is

done from a joint checking account. Be sure to include to include your current address, profession, and employer with your contributions

to make it easier for the candidates to properly report. If you have any questions of whether ANY contribution is permissible or not, feel

free to call our lobbyist Terry Snyder 303-629-6360).

What does this mean to me?PAC funds are needed to ensure positive contacts with legislators. Each Colorado legislative session there are issues which impact

doctors of chiropractic and their patients. So, there is ALWAYS a need for a strong, well-funded PAC. The PAC law requires the CC-PAC

to find more contributors with smaller donations.

What if I still have questions about the law or the CC-PAC?Contact CC-PAC Chair: Dr. Jim Farrell 303-279-6448 [email protected]

CCA Lobbyist: Terry Snyder 303-629-6360 [email protected]

SUPPORT Chiropractic, SUPPORT the CC-PAC

NEW DONATE on-line OR Credit card OR bank account!

Visit our Legislative Calendar www.coloradochiropractic.org/legislativeCalendar/pacEvents.cfm

and sign up for a DAY AT THE CAPITOL with Colorado Legislators

April 2009

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2009 ChiroCode DeskBookwith Online SuppOrt

Payment Method: Check to ChiroCode Institute

DISCOVER MASTER VISA AMEX

Credit Card # ______________________________________ Exp. Date _________

Cardholder’s Name __________________________________ Security Code* _________

Cardholder’s Signature ________________________________________________________

Name ________________________________________________________

Practice/Business Name ________________________________________________________

Address ________________________________________________________

City/State/Zip ________________________________________________________

Phone _________________________Fax: ___________________________

Email ________________________________________________________

Colorado Chiropractic Association

2009 ChiroCode DeskBook $99

Shipping/Handling FREE

TOTAL $99

Phone: 800-944-9877

Fax: 888-997-9755

Mail: 7315 N. 16th Street, Suite 200Phoenix, AZ 85020

Order by phone, or send this completed form to ChiroCode Institute:

COCCA

*For DIsCOVER, MastER, VIsa: the 3-digit code on the back of the card in the signature box. For aMEx: the 4-digit code on the front of the card, to the right of the credit card number

200917TH ANNUAL

ONLINE SUPPORTwith

ENDORSED BY COCSA

INSURANCE SUPPLIES

DENIAL MGT. DOCUMENTATION

DIAGNOSES FEES

PROCEDURES COMPLIANCEH

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F

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A8BOOKS

INONE

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The Chiropractic Standard for Getting Paid

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8 Books in 1 – Saves you Hundreds of $$$!

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INSURANCEA InSuRAnCE Insurance/claims guidelines for billing all insurance types. Includes new 1500 claim form instructions and helps. Learn to file clean claims for maximum, lawful and proper reimbursement.

B DENIAL MGT.DEnIAL MAnAGEMEnT What you don’t know, can hurt you! Get helps for appeals, denials, refund demands, adverse determinations, improper withholds, etc.

C DIAGNOSESDIAGnOSES 2009 Diagnosis code excerpts for Chiropractic, listed in three simplified formats (Anatomic, Numeric, and Alphabetic) for quick and easy code finding.

D PROCEDURESPROCEDuRES 2009 CPT, HCPCS & ABC procedure code excerpts for Chiropractic: Evaluation and Management (E/M), Lab, X-ray, Musculoskeletal, and Physical Medicine, with instructions for billing.

E SUPPLIESSuPPLIES 2009 HCPCS & ABC supply code excerpts for Chiropractic. Using specific supply codes could increase your income and expedite payments.

F DOCUMENTATIONDOCuMEnTATIOn Billing insurance? Know and use the standards mandated for HMOs, which is the Problem Oriented Medical Record (POMR). Also get E/M documentation guidelines by AMA and CMS.

G FEESFEES Evaluate your fees annually. Learn how to use essential RVUs (Relative Value Units), with the exclusive ChiroCode Simplified Dollar Conversion Factors for all USA geographic areas.

H COMPLIANCECOMPLIAnCE Critical compliance guidelines for HIPAA entities and for non-HIPAA entities. Fraud and abuse alerts, NCCI code bundling edits, OIG compliance program, and more.

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April 2009

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eUPDATE

Brief Overview of Each Level LEVEL IA. Anatomy of fascia B. Entrainment C. Myofascial unwinding demonstration -

Video case presentation D. Energy balancing - experiential

exercise for the participants E. Four tactile exercises to develop

proprioceptive skills in following a myofascial release

F. Hands-on experience releasing sacral restriction patterns

G. Hands-on experience unwinding upper and lower extremities

H. Hands-on experience unwinding the spinal cord and paraspinal muscles

LEVEL IIA. Review of Level I material B. Lecture on the Autonomic Nervous

System C. Neurocranial protocol D. Chakra evaluation

LEVEL IIIA. Review of Level II material B. Pregnancy Dynamic Body Balancing

Techniques a. Side-lying positioning b. Standing sacral release c. Inversion d. Fetal palpation e. Diaphragm releases C. Journey of Birth - Video presentation a. Structural balancing b. Primitive reflexes c. CRI D. Pediatric protocol

LEVEL IVA. Review of Levels I, II, III B. Viserocranial protocol (intra-oral) C. Excessive Molding protocol for

infants

Annapolis, MDMarch 6-8 Level I June 12-14 Level I July 31-Aug 2 Level II Oct. 9-11 Level III Davenport, IAMarch 13-15 Level II June 19-21 Level III August 14-16 Level IV Denver, COMarch 27-29 Level I May 29-31 Level I July 24-26 Level II Sept. 11-13 Level III Nov. 20-21 Level IV Minneapolis, MNFeb. 13-15 Level I April 24-26 Level I June 26-28 Level II Aug. 7-9 Level III Sept. 25-27 Level IV Oct. 16-18 Level I Dec. 4-6 Level I

Registration:Visit us on-line:

www.dynamicbodybalancing.comor www.mybookingcalendar.com/dbb

Mail your deposit to Dr. Carol Phillips

977 Mount Holly Dr. Annapolis, MD 21409 763 218-1713 (Cell)

410 626-7436 [email protected]

Please include yourNAME ADDRESS, PHONE, AND EMAIL

Instructor:Dr. Carol Phillips

2009 80-Hour Workshop Schedule Dynamic Body

Balancing Techniques for

Craniosacral/MyofascialUnwinding

Tuition:$400 per person for each 20 hr. workshop

Add $50 for NCBTMB credits Student Price $350

$ d i i i d h ld

ICPA Diplomat Approved

EDUCATIONAL PHILOSOPHY, MISSION

STATEMENT AND DESCRIPTION

As humans who deal repeatedly with the physical, emotional, chemical, and energetic challenges of life on a planet affected by strong gravitational forces, we are constantly striving to achieve and maintain a state of dynamic equilibrium.

The mission of these teachings are twofold: 1) to teach body workers, chiropractors and therapists fundamental principles grounded in anatomy, physiology, and craniosacral therapy and 2) to provide experiential techniques in Dynamic Body Balancing that will support the bodies innate desire to achieve a state of homeostasis.

Participation in this 80 hour/ 4 level program will give the attendee the ability to address areas of imbalance in all parts of the body, from the cranium to the lower extremities. While this training is on adults, graduates of this program will also acquire the confidence to work with children, as the focus of Level II-IV will include the care of pregnant women and children.

BIOGRAPHYDr. Phillips began teaching postgraduate classes on craniosacral therapy in 1991 to chiropractors throughout the United States, Canada and the UK. In 1997, the demand for additional hands-on experience lead to the incorporation of workshops that gave not only chiropractors but massage therapists and body workers from all disciplines an opportunity to expand their skills in myofascial unwinding as well as craniosacral therapy. As this work continued to grow and change in its presentation from a passive type of bodywork to a more dynamic interactive therapy session, the name of the program was changed to reflect a more integrative approach. Now called Dynamic Body Balancing

Books that might help you prepare for the workshop series. HANDS OF LIGHT by Barbara Brennan

THE HEART OF LISTENING by Hugh Milne

CRANIOSACRAL THERAPY I by John Upledger

HANDS OF LOVE: Witnessing the Miracle of Birth by Carol J. Phillips

ANATOMY TRAINS: Myofascial Meridians by Thomas W Myers.

Reviewing the training video, Vol. 2 Craniosacral/Myofascial Workshop, (available on my website at www.newdawnpublish.com) will give you a good overview of the techniques taught throughout the workshop series. You will receive this 6 hour DVD free if you register in advance for the entire

Student Comments Dr. Phillips has built on earlier work in craniosacral therapy and myofascial release work and taken it to a whole new level. Her ability to connect with her students and efficiently teach these very subtle skills is truly amazing. Debra McLaughlin Craniosacral Therapist Doula

The Dynamic Body Balancing seminars offer significant opportunities to enhance intuitive skills while integrating technical understanding of the cranial and fascial systems. It's a real pleasure to learn with someone as passionate and knowledgeable as Carol. She understands the necessity of encouraging each student's creativity and inner wisdom to stand on equal ground with their logic; allowing the unwinding process to guide learning in a very organic way. Shannon Cristie, BA, NCBTMB, CST Integrated Bodywork 14 years experience

It’s one thing to understand one subject thoroughly, it’s quite another to teach it effectively. I appreciate the way Dr. Phillips made the material accessible to people with different learning styles and a wide variety of backgrounds. Maria Boda Craniosacral Therapist Violin Teacher

April 2009

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eUPDATE

Denver, CO 180 Hour Certification Program October 2008 – March 2010

Co‐Sponsored by Cleveland Chiropractic Colleges

Registration Information

ICPA Member: $300 per module $3, 500 for Entire Series or $250 per seminar ICPA Member: $250 “AutoPay”ICPA member signing up for entire series Student Member: $150 “AutoPay” ICPA student member signing up for entire series, autocharged the Monday before the seminar weekend. Student Member: $2100 “Pay In Full” ICPA student member signing up for entire seriesone seminar complimentary. “AutoPay” and “Pay in Full” register online: https://secure.icpa4kids.com/seminar_registration.htm

Seminar Times: Saturday: Registration ‐ 8:30 Class ‐ 9:00 AM ‐ 6:00PM Sunday: 8:00 AM ‐ 12:00 Noon

Name: ________________________________________________________ Date: ______________ Address: _____________________________________________________________________ City: ________________________________ St/Prov: _________________ Zip/Postal: ______________ Phone: ________________________ Fax: ___________________________ E‐Mail: ___________________________________ Payment: CHECK CC CC Type: ________ CC#: _________________________________ Exp Date: ____ Amount: _________________ CVV# ____________

October 2526, 2008 January 1718, 2009 Jan 31Feb 1, 2009

Jeanne Ohm, D.C. Armand Rossi, D.C. James Thompson, D.C.

Perinatal Care Webster Technique Certification

Chiropractic Family Wellness

Techniques: Thompson and Logan

March 78, 2009 April 1819, 2009 May 1617, 2009

Joel Alcantara, DC Stephen Marini, D.C. Martin Rosen, D.C.

Research: Review of the Literature and Case Study Writing

Neuro Immunology Sacro Occipital Technique: Spinal Mod. 1 SOT Ped. Certification

June 2021, 2009 July 1819, 2009 August 2930, 2009

Lawrence Palevsky, M.D. Claudia Anrig, D.C. Linda Mullin, D.C.

Holistic Pediatric Healthcare

Short Lever Adjusting The Challenged Child

September 2627, 2009 November 1516, 2009 December 1314, 2009

Ian Horseman, D.C. Anthony Carrino, D.C. Monika Buerger, D.C.

Neurology and Its Practical Appli‐cation

Transition To Wellness

Neuro Sensory Integration #Mod. 1 Neuro Sensory

February 67, 2010 March 67, 2010 Research PBRN Project

Martin Rosen, D.C. Peter Kevorkian, D.C. IN OFFICE

SOT: Cranial Technical Integration

April 2009

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eUPDATE

21st Century LASER THERAPY WORKSHOP In Denver Colorado

Saturday, May 2nd - 9:00am to 6:00 pm

¥ Build Your Practice ¥ Increase your Revenue ¥ Help your Patients to Heal Quicker ¥ Introduction to Smoking Cessation and Appetite

Suppression Treatments ¥ Learn how to choose the best laser for your clinic

Learn to Effectively Treat Pain, Stress & Addictions with Cold Laser Therapy

There is now excellent research documenting the

benefits of laser therapy for sports injuries, wounds,

post-surgical rehab, chronic and acute pain, TMJ, nerve

damage, skin rejuvenation, smoking cessation and

weight loss. The course includes neurology, physics, physiology, and contraindications. Specific evidence based protocols will be taught for a wide variety of injuries and ailments. A 50-page course notebook will be provided at no additional cost. You will be able to see and use different lasers and LED products, choose the right brand for your clinic, and learn how to bill and profit from light therapy treatments. The Instructor: Curtis Turchin, M.A., D.C. has been using

lasers for the treatment of acute and chronic pain for more than

22 years. He was Director of Clinical Sciences for Bales

Scientific, the developer of the first FDA cleared light device. He

has published 3 books, more than 20 journal articles, and has

been extensively interviewed on radio and television. Dr. Turchin

is the author of the new text, Light and Laser Therapy: Clinical

Procedures, described as the authoritative text on clinical laser

treatment as well as Treating Addictions with Laser Therapy, the

only book published on this unique subject. Dr. Turchin has

taught therapists and doctors in the U.S., Europe, Japan, Brazil,

Canada, and Guatemala. He has a bachelor’s degree in pre-

medical studies and psychology from the University of Southern

California, a master’s degree in education from San Francisco

State University, and a doctor of chiropractic from Palmer College

West. He is in private practice near San Francisco using

adjustments, soft tissue work, exercise and lasers.

WHERE: Denver, CO Cost of the Seminar: $125 before March 31st $160 after March 31st Bring a 2nd person from the same practice for $75.00 All Major Credit Cards accepted

Contact Jon Fox at

888-624-2221 x101 or

email

[email protected]

for registration and

additional details

April 2009

35

eUPDATE

C.H.I.R.O. Chiropractic Health Information & Research Organization

What is C.H.I.R.O.?A non-profit chiropractic foundation that exists to raise public awareness of the effectiveness of

chiropractic as a natural health care alternative through: * Public education * Media presentations & advertising * Promotion and support of chiropractic research

Why C.H.I.R.O.?C.H.I.R.O. serves as both as a collection and distribution body for charitable contributions made by

DCs, their patients, corporations, foundations, and other friends of chiropractic. Because the IRS has certified C.H.I.R.O. as charitable organization, all contributions are 100% tax deductible!

Who makes the decisions about C.H.I.R.O.'s contributions? While C.H.I.R.O. is not part of the CCA (Colorado Chiropractic Association), its board is made up of

CCA members who served either as board members or executive board members and lay people. This helps ensure close cooperation between the CCA and C.H.I.R.O. If you are interested in being on the C.H.I.R.O. Board of Directors or assisting in any way, please contact us at 303-429-3112.

Where does the money come from? The generous contributions of Colorado DCs who wish to give chiropractic PR and enjoy the

financial advantages of a fully tax-deductible contribution are the primary source of C.H.I.R.O. funds. You can actually help promote chiropractic and save money at tax time!

Where does the money go? A minimal amount of C.H.I.R.O.'s expenditures are for administration! We have an new aggremment

CCA to assist with the day to day administrative work but a large part will still be done on a volunteer basis. This means he bulk of C.H.I.R.O.’s expenditures are for chiropractic. Examples include assisting the CCA on a professional PR firm, funding handouts at the 1994 Colorado State Fair and other exposition booths throughout the years, providing a tax-deductible contribution mechanism for use by the CCA's Research Committee. We are talking with the Food Bank of the Rockies to do a healthy food drive.

Mail your donation check made payable to C.H.I.R.O. 8751 East Hampden Avenue #B-7 Denver, CO 80231-4929

303-755-9011 or 800-829-0339

Name _____________________________________________________________Phone _____________________

Address _____________________________________ City/State/Zip_____________________________________

E-Mail Address ________________________________________________________________________________

Donation Amount $_________ Please make check payable to CHIRO OR complete credit card info below

Credit card#:_____________________________________________________EXP date:____________ (Visa, MC, AMEX, Discover)

Name on card:___________________________________________________________________________

volume 19, no. 4 april 2009

Documents