The Official Publication of the Pinellas County ... · Topic: Your Data is Talking,Are You Listening? Gain M.A.S.S. Intelligence for Your Business! 14 12:30pm Board of Directors Meeting

March is here and it is one of my

favorite times of year…March

Madness…The NCAA Basketball

Tournament. It is one of the least

productive times in US workplaces and

it is estimated that billions of dollars

of productivity is lost.

Workers become distracted with their brackets and

scores and as a result, there is a decreased output of

work. This can happen to us at any time of the year.

Whether it is Facebook or ski trips or other events,

there is a risk of losing focus early in the year. Don’t

let this happen to you. Focus on what is important and

be productive.

March Madness is bound to occur in our State

Legislature as well. The session starts on Tuesday

March 7, 2017 and will last for 60 consecutive days

unless 3/5th of both the House and Senate agree on an

extension.

There are several issues that concern Health Care. PIP

may be on the chopping block without a plan to

replace it. There is also a bill on Direct Provider

Contracting. Another deals with a one year limit on

refunds requested by insurance companies from

approved health insurance claims. There is a

telemedicine bill and a few others. If you are not

aware of these, I suggest you check with the FCA for

updates as to the progress of this and other important

legislation.

It can be madness when our legislators start discussing

these measures and the outcomes of the new laws

passed as well as those measures that do not make the

cut.

Don’t let March be a time of madness for you. Keep

focused on your goals and priorities. Keep updated on

what is happening in our legislative process.

And don’t forget…Happy St. Patrick’s Day!!! Everyone

is Irish for a day!!!

Albert Comey, D.C., D.A.C.N.B.

President – PCCS 2016-2017

Audible Release

The Official Publication of the Pinellas County Chiropractic Society

The

By Dr. Al Comey, D.C., D.A.C.N.B.

March 2017

MARCH MADNESS!!!

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Audible Release, March 2017

Board of Directors

Jan topic: Start the year strong

chiropractic takes the lead!!

www.pccschiro.org 3

Executive Director

Jennifer Comey

P.O. Box 7515, Seminole, FL, 33775-7515

email: [email protected]

727-398-5303

The Audible Releaseis published 10 times per year

and unlimited downloads available online.

The Audible Release provides news and information that is both

educational and informative to the chiropractors and their associates

in the Pinellas County area.

Society news, staff changes, personal announcements, photos and

success stories are welcome. Articles about chiropractic procedures

and issues concerning the practice of chiropractic should be submit-

ted to the editor. Advertising inquires should be made to the publisher

or visit us online at www.pccschiro.org

The deadline for ads and

articles is the 7th of

every month.

EditorDr. April SundblomPO Box 2032 St. Petersburg, FL [email protected]

P.O. Box 7515 Seminole, FL 33775-7515 Phone (727) 398-5303www.pccschiro.org

“LIKE” the Pinellas County Chiropractic Society” on Facebook

President:Dr. Al ComeyO-581-3800F- [email protected]

10225 Ulmerton RoadSuite 3ALargo, FL 33771

President Elect:Dr. Al ComeyO-581-3800F- [email protected]

Immed. Past President/Ethics ChairDr. Steve [email protected] Tyrone BlvdSt Petersburg, FL 33710

Secretary:Dr. Woody [email protected] 1st Ave SWLargo, FL 33770

Treasurer:Dr. Tom [email protected]

510 Pasadena Ave S.St. Petersburg, FL 33707

FCA Director:Dr. Cris [email protected] Box 1287Tarpon Springs, FL 34688

FCA Alternate:Dr. Al ComeyO-581-3800F- [email protected]

10225 Ulmerton RoadSuite 3ALargo, FL 33771

Directors:Dr. Mark [email protected] Tampa Rd.Suite PPalm Harbor, FL 34684

Dr. Anthony [email protected] East Bay DrLargo,FL 33771

Dr. April SundblomPO Box 2032 St. Petersburg, FL [email protected]

Dr. Jen [email protected]

Dr. Daniel [email protected] 66th Street NorthPinellas Park, FL 33781

May

April

March

February

Calendar of Events

14 12:30pm Board of Directors Meeting

Location: The Crafted Plate

28 6:30pm: General Meeting


(located inside the St Petersburg Marriott)

Speaker: Sarah McFaul with Cyberlicious

Topic: Your Data is Talking,Are You Listening?

Gain M.A.S.S. Intelligence for Your Business!






Speaker: Dr. Susanti Chowdhury

Topic: TBA






Speaker:Kim Driggers Atty, Suzy Schaeffer

Topic: Office Regulations/Requirements, Disabilities

Act and much more that you be sure to know.



11 Annual Golf Tournament, Details to follow soon




Speaker: TBA

Topic: CPR Certification

4 www.pccschiro.org Audible Release, March 2017

Join us for our

General Meeting

and be eligible for the PCCS Raffle !!!

Each month the PCCS

raffles

$100 per meeting!

New Website

Feature:

Google Map with search;

and Clinic Website link.

Find a PCCS

Chiropractor

www.PccsChiro.org

Plans for social media

advertising later this year.

Make sure your

information is updated.For corrections, contact:

Mark Lipkin DC

Audible Release, March 2017 www.pccschiro.org 5

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CONFIDENCE AND

CONSEQUENCE

The instructor projected an x-ray

image onto the screen and asked the

class if it was normal. But before

anyone in the class could answer, the

instructor pointed to a lytic lesion in

the pelvis and asked if anyone had

seen it. I thought to myself, “Oh yeah, I saw that”.

Yet, I did not raise my hand because the level of

confidence I had in my answer was so low even though

my response had no significant consequence (other than

embarrassment). In regards to radiology film

interpretation and in clinical practice, confidence (a

state of being certain) can be developed and improved.

The confidence that one has in response to a question is

directly related to the consequences of that response. I

had no responsibility for the consequence of my

response when the instructor asked if anyone saw any-

thing on that projected image. If the instructor had said

that you need to write down your answer, but do not

have to hand it in, the value of that response would

increase because I had to commit, even if no one would

see what was written. But, if I were asked to hand in

my response and it would be read out loud, my level of

confidence would be shaken because there would have

been a greater value to what was written. If the

question was on a final examination, the consequence

of my response would have even more value and I

would have to have a reasonable degree of confidence

in my response.

THE RADIOLOGIST’S VIEW

Cont On Pg 8


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Florida Insurance AdvocatesA Private Law Firm

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PCCS Classified AdsDYNATRONICS INTERFERENTIAL uNIT FOR SALE for $500. Winco tables for $25

each. They have imperfections on their tops. 1 shoulder wheel $25. X-Ray cabinet $25.

Please contact Dr. Russell Janssen at 727-726-8822 or email at [email protected]

EquIPMENT FOR SALE: Elite Stationary drop table $450.Therapy Treatment Table$75. Hydroculator $125.Mytherm Diathermy $350. Negotiable for quick sale. Pleasecall Dr. Schroeder at (727) 804-3834 or email at [email protected]

OFFICE BuILDING FOR LEASE - Fully equipped Chiropractic office for lease orshare on busy road in Oldsmar, Fl Completely furnished with X-Ray facilities. Goodopportunity for associate. For more info please e-mail [email protected]

FOR SALE: Office furniture, equipment. Call (727) 343-3959

FuLL OR PART TIME: 20+ YEARS ExPERIENCE. Diversified and Activator proficient,

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OFFICE COVERAGE: John Conklin, D.C. is available for coverage when you needtime out of the office.Most techniques, reliable, licensed and insured; references uponrequest.E mail : [email protected] Cell: 727-565-6168

AFP MINI-MED 90 x-RAY PROCESSOR 1995. New rollers and regular service done.Works Great! Contact [email protected] $750 [email protected].

FuLLY EquIPPED SHARED OFFICE SPACE available for rent in a great St.Petersburg location. Please contact 727.638.8662 for more information.

PALM HARBOR/EAST LAKE OFFICE SPACE TO SHARE. Excellent opportunity innorth county. Professional office complex in highly desirable location. Modern ameni-ties, X-ray + exam room, common areas, and 2 rooms available. Minimal overhead.For details, call (727)785-2545 or [email protected].

EquIPMENT WANTED: Chiropractic Drop Table. Must have lumbar drop piece andhave a weight limit capacity of at least 450 lbs. Please contact Dr. Fields [email protected]. Please include table manufacturer, color, types of drops,condition, table height, price and any pictures in email.

OFFICE FOR LEASE: Established Medical office complex at Park Professional Centerin Clearwater, near Countryside shopping center, Medical office with 6 rooms plus reception area. Exam and operating rooms recently renovated 2168 sq. ft. AbundantParking, Contact Richard 617-285-4824

Office Space / 1 or more Rooms to Sublet in Palm Harbor for Massage Therapist,professional, or other service provider in my Chiropractic office Available (one) 10' x 11'and (2) 9' x 9' with sinks. contact: Mark Lipkin (727) 787-4787

New Port Richey, FL – Six room office with an electrical connection for an X-Ray

unit. New floors, new air conditioner, all rooms painted, off street parking. Location:Corner of Indiana & Forest Avenue (across the street from the growing NorthBay/Morton Plant Hospital). Former Dr. Office (1998) Rent: $729 per month for 1,025sq ft. Call E. Roncketti, D.C. – owner cell at 570-262-0163 or 570-824-8786

Every time I interpret an image I need to have a high

level of confidence (certainty) in what I say since the

consequence of my impression has such a high value.

The clinician has the same responsibility since the

patient’s record is the testimony of that clinician and the

information contained in that record can have

considerable value and consequence. Confidence

in the content of that file is vital.

Can the level of confidence in a clinical setting be

improved? I think so. One of the best ways to improve

is through education. The reason I did not have the

confidence to verbalize a response or even raise my

hand in that radiology class was due to my relative

ignorance to the discipline of radiology. As my

educational level increased through additional courses

and residency, my level of confidence improved until

ultimately I was comfortable enough to sign my first

report. And the education never ends. After decades in

practice I need continuing education to stay proficient

in radiology. The clinician undergoes the same

evolution. If you want to reach higher levels of

confidence in your discipline never stop learning.

The other factor involved in improving your level of

confidence is through experience. Experience does not

necessarily equate with time. Many physicians in

practice for twenty years do not have twenty years of

experience, but rather one year twenty times. Having

interpreted hundreds of thousands of images, I continue

to feel more certain of my opinions. But I also realize

that I can never achieve 100% certainty. The clinician

gains experience by careful examination of each patient

and fine tuning treatment protocols. As proficiency

improves, so does the level of confidence. Missing an

abnormality on an x-ray or on the physical examination

of a patient can cause a loss in confidence. However, a

humbling experience like that can also serve as a

challenge to do better.

One needs to be careful of over confidence since it can

lead to carelessness and medical error. Try to improve

with each patient encounter, by learning from the

experience. Do not become an academic sluggard.

Keep yourself challenged and realize the value of what

you do and the consequence of it. Confidence will

develop from that.

Terry D. Sandman, DC, MPH, DACBR

[email protected]

© 2017 by Terry D. Sandman

THE RADIOLOGIST’S VIEW (Cont From Pg 6)



J. STANFORD MORSE, P.A. 3131 66TH Street North, Suite #2

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Daniel Alexander, D.C.

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Woody Brown, D.C.

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Al Comey, D.C., D.A.C.N.B.

Brian Farkas, D.C.

Frank Farcas, D.C.

Brandon Fields, D.C.

Fred Freed, D.C.

Albert Gadomski, D.C.

Rudy Heiser, D.C.,

D.A.C.B.R.

Brett Herrington, D.C.

Clayton Hopkins, D.C.

Thomas Hughes, D.C.

Julie Hunt, D.C.

Travis Mayer Hunt, D.C.

Russell Janssen, D.C.

Cris Langheier, D.C.

Kevin Lee, D.C.

Andrew Levin, D.C.

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David Sandefur, D.C.

Terry Sandman, D.C.

D.A.C.B.R.

Rhonda Schroeder, D.C.

Gregory Schweitzer, D.C.

Anthony Stanganelli, D.C.

Colby Staubs, D.C.

James Strubbe, D.C.

April Sundblom, D.C.

Lorraine Thorpe, D.C.

Scott Thorpe, D.C.,

D.A.C.B.R.

William West, D.C.

Steven Wyckoff, D.C.

PCCS PAID MEMBERS 2016 “Thank you to the chiropractors below that are supporting the PCCS and PAC in 2017”

See page 13 for the 2017 Membership Application if you have not already mailed it in.

Contact Jennifer Comey, Executive Director, with any questions regarding membership at

(727) 398-5303 or email at: [email protected]

We appreciate your support of our society which works hard to serve & represent you.Names listed in BOLD have donated to the PAC

In their membership dues(Political Action Committee)

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www.pccschiro.org 11Audible Release, March 2017

Ulnar neuropathy, commonly referred to as

“Tennis Elbow,” is a relatively common condition

seen in practice and can often be confused with a

cervical radiculopathy and is often misdiagnosed.

Several sites of entrapment are possible which

include the cubital tunnel and at Guyon’s canal in

the wrist. Pain and paresthesias typically radiate

distally from the elbow, into digits 4-5 of the hand.

Since the symptoms for all three entrapment loca-

tions are similar, electrodiagnostic testing can be

helpful in pinpointing the exact location of the lesion

and identifying its severity.

The ulnar nerve is a continuation of C8 and

T1 fibers from the medial cord of the brachial

plexus. This is why it can often be confused with a

C8/T1 radiculopathy. Ulnar nerve lesions at the

elbow are much more common than ulnar lesions at

the wrist. Some common etiologies include bone

deformities, chronic subluxation, cubital tunnel

syndrome, and repetitive movements. There are

several common hand postures that arise with an

ulnar neuropathy. Benediction posture, Wartenberg’s

sign, and Froment’s sign are three common

findings.

The physical exam and patient presentation

are very important for differentiating an ulnar lesion

at the elbow vs. Guyon’s canal. Observing and

testing the intrinsic hand muscles gives valuable

information as to the location and severity of the

lesion. Cozen’s and Mill’s are two orthopedic tests

which can be used to replicate the patient’s symp-

toms. In situations where the physical exam cannot

specifically pinpoint the exact location, or a cervical

radiculopathy is suspected, electrodiagnostic testing

is highly recommended.

Treatment should start with non-operative

options. These include activity modification and an

elbow night extension splint. The splint is mainly

worn at night to prevent waking. It limits the elbow

from bending and helps protect the nerve from

being squeezed at night. Kinesio-taping and bracing

can also be used in cases where the entrapment is

activity related. Active Release Technique has also

been proven to be extremely helpful in resolving

symptoms and reducing musculature entrapment.

Fortunately, this condition can be successfully man-

aged with conservative care, although in situations

where symptoms become progressive or weakness

and/or atrophy occur, a surgical consult with an

orthopedic surgeon is highly recommended.

April Sundblom, D.C.

Ulnar Neuropathy: A commonly misdiagnosed condition

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14 www.pccschiro.org Audible Release, March 2017

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PHYSICIANS

Bayfront Health Sports Medicine

Katherine Wojnowich, M.D.

(727) 893-6333

Fred L. Leslie, D.O.

(727) 851-9910

www.drfredleslie.com

RADIOLOGISTS

Diagnostic Imaging Consultants

Scott Thorpe, DC,DACBR

Rudy Heiser, DC, DACBR

Terry Sandman, DC, DACBR

Phone: (727) 579-2500

SPINE SuRGERY

Laser Spine Institute

Phone: 813-289-9613

Innovative Spine Care

Dr. Stephen Watson

(813) 920-3022

www.gotspinecare.com


Business Directory

www.pccschiro.org 15

The PCCS Board of Directors wants to express our appreciation and thanks for all the support that these

sponsors have extended to the Chiropractic Profession.

Audible ReleaseThe

The Pinellas County Chiropractic SocietyP.O. Box 7515Seminole, FL 33775-7515www.pccschiro.org

PRESORTED STD

US POSTAGE PAID

ST PETERSBURG FL

PERMIT #746

MAIN OFFICE—TAMPA 501 E. Kennedy Blvd. Suite 810 Tampa, FL 33602

PROUD SUPPORTERS OF PCCS!

Attorneys: Philip A. Friedman, MBA, Esq.Christopher K. Leifer, Esq. | M. Brian Crim, Esq. Marc J. Semago, Esq. | Matthew D. Brumley, Esq.Melissa Gonzalez, Esq. | James R. Collins, Esq.

Hablamos Español — Nous Parlons Français

888-FL-LEGALFREE CONSULTATION

Triple 8

PERSONAL INJURY PROTECTION (PIP) ATTORNEYS

AREAS OF PRACTICEHEALTH CARE CLINIC COMPLIANCE

PERSONAL INJURY (NO-FAULT)

PIP

IME

EUO

PERSONAL INJURY (BI)

CIVIL LITIGATION

INSURANCE LAW

PIP BILLING COMPLIANCE

FEE SCHEDULES

SINKHOLE LITIGATION

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Documents

The Official Publication of the Pinellas County ... · Topic: Your Data is Talking,Are You Listening? Gain M.A.S.S. Intelligence for Your Business! 14 12:30pm Board of Directors Meeting