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EDITOR’S MEMO
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Written by TAC Staff   
Thursday, 23 September 2010 11:06

In This Issue….

In this challenging time of our economy, it is of the utmost importance for all of us in theMemo chiropractic field to ensure that we are as educated and compliant as we can be to better the profession as a whole. For this reason, we have dedicated our March issue to this idea.Jaclyn and I grew in our understanding from our recent visit to the Homecoming at Northwestern Health Sciences University to learn more about what the incoming Tri I students require vs. the more experienced chiropractors coming back to renew their foundation! See the pictures below and on pages 50 and 52 of wonderful happenings and some of the people who celebrated this event with us!Turn to page 24 to read our feature interview with Jeff Fedorko, DC, the president of COCSA and then on pages 28 and 30, you can read about the perceptions of each of the chiropractic colleges and how they are thriving in spite of the down economy!

For chiropractic,

 

Tracy Busch Pate, BA

Managing Edito

Jaclyn Busch Touzard, BA

Executive Editor

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Northwestern Health sciences university 2009 homecoming

Wearing red hats in honor of the late Bill Harris, DC, a long time benefactor of NW, who passed away in Nov. 2008, Mark Zeigler, DC , President of NW, delivered a speech thanking donors for reaching their goal of over $23 million, and cut the ribbon to dedicate the newly completed Wolfe-Harris Center for Excellence.

2009

Dr. Charles Sawyer, NWHSU Senior VP, Dr. David Stussy, Ms. Shelley Cygan, Integrity Mgmt, Dr. Lee Hudson, NWHSU Board of Trustees, Dr. Mark Zeigler, President of NWHSU, Dr. Dana Mackison, Performance Health/BioFreeze/Theraband, Mr. Kent Greenawalt, President, Foot Levelers, Inc., Mr. Charles DuBois, President, Standard Process, Inc., Dr. Vivi-Ann Fischer, NWHSU Board of Trustees, Dr. David Foti, NWHSU Board of Trustees, Mr. James McDonald, NWHSU VP Administrative Services & CFO,(not pictured, Mr. Marshall Dahneke, President, Performance Health/BioFreeze/Theraband)

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NWHSU President Mark Zeigler shows a warm welcome to  Tracy and Jaclyn at the start of the  Homecoming Banquet Friday night Brady Forseth, NWHSU Chief Development Officer, greets Tracy and Jaclyn at the Homecoming Banquet.
 
Your Letters, E-mails and Comments
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Written by TAC Staff   
Thursday, 23 September 2010 11:04

Dear TAC,

Concerning the best strategy for dealing with an investigator whether it is from the insurance industry or the local D.A., most doctors will not have intimate knowledge and experience of dealing with the fine points of the rules and law. DJ Osborne suggests that a doctor rely on creating goodwill. By the time the insurance or D.A. investigator shows up at a doctor’s office, the most likely scenario is that the target has already been painted squarely on that doctor’s back. Trying to negotiate this mine field without proper defensive skills can easily lead to greater peril.

I always played straight down the middle when it came to insurance billing and when dealing with patients and their financial issues. Therefore I was completely taken by surprise to find my office full of people with badges and guns one day a few years ago. Since I was sure that I had done nothing wrong I figured I could explain the mistake and it would all go away. I didn’t realize that everything I said was going to be twisted to suit the job advancement opportunities of the investigator and had little or nothing to do with truth or fact finding. I was properly advised to quit talking and make them prove through legal channels that I had done something inappropriate.

What did I learn?

I had been using an electronic chart-noting system so my records were coherent and legible. Ultimately this helped make it difficult to make a case against me because those records were so clear and treatment dates, type of service and billing all matched. Had I been relying on hand-written notes, I am sure the investigation would not have gone away so easily.

Find the best lawyer you can and let him or her do the talking. A friend recommended an attorney who was very experienced with insurance and state board issues and I paid about $45,000 over three years. I consider this money well spent to have the issue go away with no charges ultimately being filed.

The system will be very impersonal and, like I said, needs to be fed. To avoid being prey, you can’t look like prey. That doesn’t mean a person needs to be rude, but politely let them know that this will not be easy for them and that, if they want to make a case, they are going to have to work for it.

 

Sincerely,

 

Daniel Schlenger, DC

January 26, 2009

 
Seminar Circuit
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Written by TAC Staff   
Thursday, 23 September 2010 10:51

Northwestern Health Sciences University 2009 Homecoming.

There are currently 15 members of Northwestern’s Board of Trustees. Members of the Board of Trustees serve as ultimate fiduciaries for the University in their oversight of institutional affairs in accord with the Bylaws of the University and as implemented through periodic statements of mission and purpose and institutional plans. Each trustee is elected to a three-year term.

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The NWHS 2009, Board of Trustees, Kari Larson, BS, Richard Zarmbinski, DC, Lee S. Hudson, DC, DABCO, Tamara Timmons Taylor, L.Ac., Robert A. Servais, DC, FIACN, DABCC, Vivi-Ann R. Fischer, DC, Susan Marty-Eldridge, DC, Jay M. Greenberg, DC, David J. Foti, DC, David Valentini, Scott D. Munsterman, DC, Mark Zeigler, DC, Kenneth B. Heithoff, MD pose for a picture displaying The American Chiropractor Magazine! (not pictured David Taylor, PhD, Mr. Mahendra Nath and Kent J. Erickson, DC).

 

 

 

 

 

Northwestern Health Sciences University 2009 Homecoming

The American Chiropractor recently attended The Northwestern Health Sciences University 2009 Homecoming, in Bloomington, MN, this past February 6th through February 8th, 2009. Take a look and hope to see you next time!

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Lloyd Steffensmeyier of the Lloyd Table Company, Tracy, Jaclyn and J. Michael Hunter enjoy meeting to discuss the 1st day’s happenings at the Homecoming.

Charlie Dubois, President of Standard Process, Inc., Randy Mages DC, of MN & winner of the George Goodheart AK Scholarship (SP funded) and Tracy Foley, Independent Sales Representative.

Tracy and Jaclyn met Rick Thuli, President of Thuli Tables at the Homecoming Banquet, Friday night when seated at the same table.

 

 

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Loren Martin of Practice Opportunities, Inc. takes a photo opp with the girls of The American Chiropractor in the vendor hall! Dr. Michael Wiles, NWHSU Interim Provost, poses with Tracy outside of the Board of Trustees meeting
 
Chondromalacia Patellae
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Written by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   
Thursday, 23 September 2010 10:48

Chondromalacia Patellae

by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.

 

History: This adult female patient presents with chronic knee pain.

 

Diagnosis: Chondromalacia patellae. Observe the loss of the retropatellar joint space, osteophytes, and sclerosis. Note the smooth, concave anterior femoral erosion (arrow), caused by mechanical extrinsic pressure of the superior patellar osteophyte.

 

General
Considerations:

Chondromalacia patellae is the term applied to the syndrome of pain and crepitus arising from the patellofemoral articulation. As a distinct entity, it was first described by Budinger in 1906. Plain film radiography is, for the most part, unrewarding and usually acts to exclude other underlying pathologic alterations.1

 

Clinical Features:

Considerable confusion exists as to the actual nature and significance of the lesion in the diagnosis and delineation of its true etiology. The term chondromalacia patellae is often haphazardly used to encompass a wide variety of patellofemoral syndromes, and this has contributed greatly to the confusion. Typically, chondromalacia patellae is a disease of the adolescent and young adult. Etiologic factors include trauma, patellar dislocation, malalignment syndrome, primary cartilage vulnerability, and occupation. Many consider it a normal part of patellofemoral joint aging. It is often confused clinically with symptoms arising from a meniscal injury.

The most often used clinical criteria for applying the diagnosis of chondromalacia patellae are anteromedial knee pain associated with crepitus, buckling, locking, stiffness, swelling, and tenderness. Pain is usually aggravated by sitting in a confined space with the knee flexed ("movie sign") and by walking up stairs. A distinctive physical sign is retropatellar pain elicited by direct patellofemoral compression with the knee slightly flexed.

Measurement of the Q angle has received attention as a method to detect patellar malalignment which may predispose to chondromalacia. It is the angle formed by the line of the quadraceps muscle and the patellar ligament. Measurement is performed clinically by assessing the angle formed by two lines: (a) from the ASIS to the center of the patella and (b) from the tibial tubercle to the center of the patella. The normal range of this angle is 15 to 20º, with greater than 20º being considered abnormal.1

 

Pathologic Features:

Chondromalacia literally means cartilage softening. The pathogenetic sequence is characteristic and parallels that seen in degenerative joint disease. Initial swelling and softening of the cartilage produces a blister-type of cartilage lesion. Subsequently, fissuring and fibrillation occur, predominatly involving the medial facet of the patella. Involvement of the lateral facet has also been documented but rarely occurs.1

 

Radiologic Features:

Specific radiographic findings are characteristically absent. MR is the most accurate method of detecting focal cartilage defects. Bone changes are limited to occasional underlying osteoporosis of the patellar articular surface, particularly the medial facet. Loss of joint space denotes more advanced changes of degenerative joint disease and is usually present in advanced chondromalacia.

Malalignment of the patella can be assessed as a possible contributing factor to chondromalacia. A patella that is situated too high on the femur does not allow proper redirection of the quadriceps muscle and is termed patella alta.

 

Dr. Terry R. Yochum is a second generation chiropractor and a Cum Laude Graduate of National College of Chiropractic, where he subsequently completed his radiology residency. He is currently Director of the Rocky Mountain Chiropractic Radiological Center in Denver, Colorado, and Adjunct Professor of Radiology at the Southern California University of Health Sciences, as well as an instructor of skeletal radiology at the University of Colorado School of Medicine, Denver, CO. Dr. Yochum can be reached at 1-303-940-9400 or by e-mail at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

is a 1990 Magna Cum Laude Graduate of National College of Chiropractic. Dr. Maola is a Chiropractic Orthopedist and is available for post-graduate seminars. He may be reached at 1-303-690-8503 or e-mail This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

Reference

1. Yochum TR, Rowe LJ: Essentials of Skeletal Radiology, 3rd ed., Williams & Wilkins, Baltimore, Maryland, 2005.lignant Differential Diagnosis: AJR 126:32, 1976.

 
Interview with the President of the Congress of Chiropractic State Associations (COCSA), Jeff Fedorko, D.C.
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Written by Jeff Fedorko, D.C.   
Thursday, 23 September 2010 10:45

Jeffrey Fedorko graduated from the National College of Chiropractic in 1981 and has been an active member of the Ohio State Chiropractic Association (OSCA) throughout his career. He was first elected to office at the district level in 1984 and moved up through the ranks, eventually being elected President of OSCA in 1998 and Chairman of the Board in 2000. He was named Chiropractor of the Year in 1999 and 2000.

 
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