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Re: What to do?
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Re: What to do? - February 6, 2007 1:13:00 PM
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Marc Bronson
Posts: 113
Joined: January 13, 2007
From: Toronto
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J,
Chirotalk and s0ma simple. The first site is mostly garbage (though it does raise good points about subluxation/straight chiropractic) and the second site is a progressive manual therapy forum that is big on the neurosciences and offers a different take on treatment rationales. Great site, but in IMHO, you can quickly get ostracized if you do not "tow the theoretical line" that the mods and frequent posters espouse.
_____________________________
BSc (Hon), DC, Dipl. Med. Ac. CSCS
Integrative Manual Medicine
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Re: What to do? - February 6, 2007 1:14:00 PM
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proud
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I agree completely with Sebastian. Regardless of circumstance, the responsibility is in the hands of the current professional. I must say that I find myself also confused by that three month timeframe.
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Re: What to do? - February 6, 2007 1:27:00 PM
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Jeep
Posts: 353
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From: USA
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[QUOTE] The circumstances are was basically I was left to run a clinic by myself that previous had 2 other PT's, 2 ATC's and a front desk person. It went from that staff to just me. Unfortunately some things have fallen by the wayside [/QUOTE]If this is truly the case Dan, why are you spending so much time and effort and on a case, that in your own words ..."is not limiting her function and if her complaints of pain have subsided than why go through the additional cost?" ?
OR:
WHAT IF: Perhaps you end up calling the DC........ and he being like minded, says: "I did not refer her to an ortho because at her age they would not have done anything as far as surgical intervention." And "If it is not limiting her function and if her complaints of pain have subsided than why go through the additional cost?" ??
I would also like to point out that you have changed the account of what this DC alledgedly did:
First:
[QUOTE] She said that he proceeded to lift her arm up as far as it would go and pushed it as hard as he could.[/QUOTE]Then:
[QUOTE] what reason would they have to do a sitting manipulation bringing the UE into flexion and thrusting, almost into an impingmentment position, without first evaluating to see if her mobility was limited?[/QUOTE]Where did he push? wrist? upper arm? shoulder? Could have been an ortho test for all we know, and not a treatment at all.
A lot here Dan, just isn't making a whole lot of sense to me, and I think that the real nature of your concern here is your personal handling of this case. You have a very weak case, and I suspect you are trying, retrospectively, to CYA.
Maybe I am wrong, but that is what it looks like to me. Sorry.
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Re: What to do? - February 6, 2007 2:42:00 PM
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jbird007
Posts: 297
Joined: May 2, 2006
From: USA
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dpt is moderator of Botnick's site? LOL!
I should have known. This is probally one of her chirotrash fables, another "DC hurt patient" farce.
The whole story is full of holes, keeps changing and has a strong odor of rotten fish. Jeep has done some good detective work. This story just doesn't add up.
end of "story"
JBird
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Re: What to do? - February 6, 2007 3:01:00 PM
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dfjpt
Posts: 238
Joined: April 9, 2006
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Nice conspiracy theory jbird/jeep, but not so. I've never met Dan before. It must be special chiro paranoia. Marc, others, please don't let any actual information seep into minds blocked by all your um, edjuhmacayshun. I'm all done here.. bye.
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Re: What to do? - February 6, 2007 3:09:00 PM
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Marc Bronson
Posts: 113
Joined: January 13, 2007
From: Toronto
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Nice ad hom, D. Classy as always.
_____________________________
BSc (Hon), DC, Dipl. Med. Ac. CSCS
Integrative Manual Medicine
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Re: What to do? - February 6, 2007 3:54:00 PM
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jbird007
Posts: 297
Joined: May 2, 2006
From: USA
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I find this site quite enjoyable and educational except for the presence of one or two stinkers. It has a good mix of people and I enjoy the work ethics and contributions of the posters. It is a shame every forum I have visited seems to have 1 or 2 rotten apples.
Jbird
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Re: What to do? - February 6, 2007 6:43:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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Sebastian...that is the kind of advice I was looking...not someone coming on here saying I am making things up.
Buddy...I am not sure why the chiro did that but according to the patient she said that he had never looked at her shoulder as this was the first time she had mentioned it to him. According to her, he put one hand posteriorly on the scapula/trap area and then with his other hand just proximal to the elbow with his hands on the tricep area brought her into flexion and then pushed with a quick motion pushing into more flexion.
I am seeing my patient on Thursday and will discuss with her then.
Thanks, Dan C., PT MTC
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Re: What to do? - February 6, 2007 6:49:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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Jeep...this really has nothing to do with covering my as*.
I have been treating her for her left shoulder (the shoulder that the chiropractor manipulated was on the right) and her left hip.
I also have not changed my "story" at all. I am just stating what happened and unfortunately reading posts from many different users what I am trying to say may get broken up.
In my previous post I describe how according to my patient the manipulation was carried out on her shoulder.
Dan
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Re: What to do? - February 6, 2007 7:03:00 PM
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jbird007
Posts: 297
Joined: May 2, 2006
From: USA
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The criminal always returns to the crime scene.
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Re: What to do? - February 7, 2007 12:50:00 AM
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David Adamczyk
Posts: 305
Joined: March 14, 1999
From: Cleveland
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jbird007 and dfjpt have been banned.
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Re: What to do? - February 7, 2007 5:07:00 AM
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Shill
Posts: 1097
Joined: February 13, 2003
From: Madison WI USA
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Dan,
Do you know if her surgery for the RC included a biceps tenolysis? Also, you dont mention if the arm appeared purple or ecchymosed after the alleged incident. One thing to note is that it is not your job to determine cause of this injury, or to finger point, just to make the objective finding, and refer her back to the referring physician with your concerns. Contacting the chiro is a good idea, as Buddy noted, and asking whether or not this was noticed prior to the alleged incident. Its good to be concerned, as you are, but you dont want to get in too deep, as again, you are neither the judge nor the jury, nor the detective. I hope you dont take offense with this, as my tone is not an accusatory one. (hard to determine with just text, isnt it!) Please let us know how you proceed.
Steve
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Steve Hill PT
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Re: What to do? - February 13, 2007 2:48:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
Status: offline
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David...thanks for banning them!
Shill...I saw her about 4-5 weeks after it happened saw by that time any acute processes would have been healed by then.
The surgery was on the opposite side of this injury.
I will get ahold of the chiro. The MD has been made aware of the finding but I found out recently she has changed MD's (she just told me even though she switched a little while back).
I understand your comment about judge/jury but why should the physician be considered so - he has know more knowledge of the events that led to the incident. After talking with the chiro should he be reported to the state as someone mentioned in a previous post?
Definitely no offense taken Shill.
Dan
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Re: What to do? - February 14, 2007 8:20:00 AM
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drbuddy
Posts: 429
Joined: July 30, 2005
From: Pennsylvania
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Since you are only getting the facts secondhand, if I were you I wouldnt report the chiropractor. If anything, I would advise the patient of their rights concerning the issue. A lot will depend upon how the chiro reacts to your call. If they are abusive with and AND does not make the appropriate referral, then I would make the referral and advise the patient of their rights. For you to initiate the complaint would just set yourself up for trouble in the future. Not only will be you be watched like a hawk, but you never know what a person will do when their way to make a living is put in jeopardy. Then again, if you feel the offense is serious enough, none of that should matter.
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Re: What to do? - February 14, 2007 8:30:00 AM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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Buddy...thank you, that is very good advice.
Dan
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