The Virginia Voice Fall 2018 President’s Message In I Don’t Have Time! This he first duty of new Tleadership is the cultivation Issue of their replacements. When I • President’s Message 1 began my presidency 3+ years ago, that was one of my top • Pro-DC Changes in LBP Guidelines 1 goals. Rising to the level of • UVCA Experts & Contact Information 2 commitment of the Executive • Health Insurance for UVCA Members 4 Board can seem daunting to • New “Travel & Treat” Law Protects DCs 4 some; others feel a calling. • PI Corner: Getting Paid in Personal Injury 5 But there are many levels of commitment based upon one’s • Premier Membership Upgrade 6 own committee interest or basic • Welcome, New UVCA Members 8 desire to “be involved”. You’ve • Virginia C-PAC Contributors 10 heard my common theme that • UVCA Recognizes Leadership Excellence 13 we DCs are a “rare breed”. Part • Symptom Perception, Placebo Effects, & the of that rarity is that a “culture of volunteerism” has been nurtured Bayesian Brain 15 by our predecessors, and we • Health Care Rationing by Harassment 15 must maintain it. • District Meetings 16 However, sometimes when we identify members with talent, • New District Directors Elected 17 knowledge, experience, and value to contribute, we might hear, • Classified Listings 18 “I don’t have time.” • UHC Reverses Policy on Headaches 20 Elizabeth Andrew said, “Volunteers do not necessarily have the • Acupuncture & Dry Needling Safety 22 time; they just have the heart.” I don’t think the 20/80 rule -- you • Dealing with Negative Press 24 know, that 20% do 80% of the work -- applies to the UVCA. • Education & Events 27 That’s because we really do have a “culture of volunteerism.” • More Throughout! But we really do need to maintain it by encouraging more Docs to serve. Pro-DC Changes in Low Back Pain We are blessed with an array of individuals who truly give with their heart and soul for the benefit of all members. We Guidelines frequently find the busiest people are those that can be most By Dr. Steven Weiniger relied upon. Those that get all fired up and want to fix a wrong can bring abundant achievement when their victory benefits SMT, Massage and Motor Control Exercise are IN --- the masses. Others get involved just because they see it as a Opioids, NSAIDS and Tylenol are OUT bridge to gaining friends and colleagues. The true rewards are the accomplishments and the camaraderie that flourishes from New Treatment Guidelines Released by volunteerism. American College of Physicians Are in the News We have many members amongst us, DCs, CAs, and even some ow back pain treatment guidelines don’t usually make headlines, staff who perpetually give because of the warmth they gain by Lbut the 2017 release of new recommendations by the American lending a hand to others and our profession in general. They are College of Physicians (ACP) was big in mainstream media, and owed our thanks, kudos, awards, recognitions, and gratitude. I is reverberating through healthcare. It’s historic news when the do my best to let them know that the membership is indebted to ACP, whose 148,000 members make it the world’s largest medical- their commitment to service and that I am personally grateful. But what I hear most often is few volunteers are seeking thanks. specialty society, advises against drugs for “non-radicular low They do it because they have passion and desire to propel back pain” because research shows back pain is better handled chiropractic forward. They do it because they are committed to naturally. the profession. Funny, although they don’t necessarily have the For chiropractors, this opens the door wider for collaborations with time, “…they do have the heart!” evidence aligned medical physicans who are required to follow this All volunteers welcome. seismic change in back care. One example: At a local hospital I visited last week there were multiple table signs of a Medscape article about the new guidelines in the physicans’ lounge. The article said, “For chronic low back pain, consider nondrug therapy, such as David B. Dolberg, DC exercise, multidisciplinary rehabilitation, acupuncture, mindfulness- President, UVCA based stress reduction (moderate-quality Continued on page 3 1 2 Continued from page 1 evidence), tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeed- back, low-level laser therapy, operant therapy, cognitive-behavioral therapy, or spinal manipulation (low-quality evidence).”1 (See right.) In other words, the local MDs (and DOs) are being told about the new guidelines in how they should care for patients. Plus, in addition to better known but drastically underutilized therapies such as chiropractic and massage, Motor Control Exercise (aka MCE) is being specifically recommended. This is a huge opportunity for DCs…especially for chiropractors who incorporate individualized MCE rehab protocols into their care plans. All Motor Control Exercise is Not the Same MCE are not just any exercise (or rehab) performed with good form, and they’re way more than just muscle isolation. MCEs are about precise isolation of motor control and stabilization, with accuracy, across the whole body. This puts posture in a whole new light, because when we move our patterns of dynamic postural stabilization all begin with our static posture. Learns to Move in the Patterns you Teach It….and pain teaches it to move differently. Focusing on the subtleties of postural motor control is a relatively new arena, and new evidence continues to support the idea that Chiropractors restore joint motion and neurologic function. Motor retraining subtle motor control makes a significant difference control exercise like StrongPosture® retrains that motion. compared to stretching(2) as well as when compared to other exercise(3). For chiropractors, our experience observing and 1 Qaseem, Amir, Timothy J Wilt, Robert M McLean, Mary Ann addressing subtleties of spine and joint function with palpation and Forciea, and Clinical Guidelines Committee of the American College adjustments is the reason why DCs are perfectly suited to target of Physicians. “Noninvasive Treatments for Acute, Subacute, and individualized rehab of those subtle motions. Chronic Low Back Pain: A Clinical Practice GuidelineFrom the American College of Physicians.” Annals of internal medicine Short duration MCE sessions (such as the StrongPosture® rehab (2017)doi:10.7326/M16-2367 protocols we teach) are designed for standardization of rehab 2 http://www.medscape.com/viewarticle/875737_ training delivered by different individuals in the busy clinical 3 Effects of Motor Control Exercise Vs Muscle Stretching Exercise practice, with appropriate clinical rationale for care plan and coding on Reducing Compensatory Lumbopelvic Motions and Low Back compliance. And MUST vs. TRY cueing systematically targets Pain: A Randomized Trial.” Park, Kyue-Nam, Oh-Yun Kwon, specific weak links in the body’s kinetic chain, progressively Chung-Hwi Yi, Heon-Seock Cynn, Jong-Hyuck Weon, Tae-Ho individualizing each encounter. Kim, and Houng-Sik Choi. Journal Also, combining a systematically individualized MCE with basic of manipulative and physiological bio-mechanic education engages patients and guides them therapeutics 39, no. 8 (2016): towards adopting intelligent postural life habits. Plus, compliance is doi:10.1016/j.jmpt.2016.07.006 4 strengthened with the social proof of things like the “May is Posture Biswas, Aviroop, Paul I Oh, Guy Month” public health campaign (PostureMonth.org) and wellness E Faulkner, Ravi R Bajaj, Michael habits such as having an annual posture picture to support the A Silver, Marc S Mitchell, and message that “Posture is Important”. David A Alter. “Sedentary Time and Its Association with Risk for The unrecognized issue is that once new injuries or old habits Disease Incidence, Mortality, and create symptoms there’s functional postural compensation to Hospitalization in Adults: A Systematic maintain global balance: standing, sitting and moving. Structural Review and Meta-analysis.” Annals of adaptation of muscle atrophy and nerve inhibition along with internal medicine 162, no. 2 (2015): facilitation of some motor pathways and muscles affects the doi:10.7326/M14-1651. relative contributions of small stabilizing muscles, especially in the inner core muscles. Dr. Weiniger focuses on posture rehab, biomechanics and It can be subtle, but real changes occur in muscles as well as in the importance of integrating exercise into every lifestyle. He neurologic control patterns. And regardless of whether symptoms is a managing partner of BodyZone.com, an online resource persist frequently, occasionally or rarely, over time the result offering a referral directory and comprehensive wellness is subtle asymmetries of how someone balances in everything information and developed PostureZone, a free posture they do. Unless you teach someone to focus precisely on a assessment app. Dr. Weiniger is the lead instructor for the compensating or adaptive arc of motion, motion patterns will tend posture specialist certification, CPEP (Certified Posture to recur. It’s a truth the 4th Posture Principle puts well: Your Body Exercise Professional) setting the clinical standard for posture improvement protocols with clinicians worldwide. 3 New Law Protects Chiropractors Who Travel with Sports Teams The Results Are In!

ongress has approved legislation that Cwill protect chiropractors who travel with sports teams by ensuring that their license and liability insurance remains in effect even when they cross state lines. The Sports Medicine Licensure Clarity Act of 2018, as the bill is known, was included in a larger, unrelated piece of legislation (H.R. 302) that passed the Senate overwhelmingly on October 3rd. The president is expected to sign the bill in the next several days. “This legislation not only protects chiropractors and other health professionals who travel with sports teams, it also ensures consistency of care for the athletes who rely on them,” said ACA President N. Ray Tuck, Jr., DC. For years, chiropractors and other sports health practitioners traveling outside their states to provide care for athletes were left uncovered by their medical malpractice insurance, largely because of jurisdictional “We are saving $954 a month – and the healthy lifestyle issues. Treating injured athletes on the credits they offer are great!” road posed great legal and financial risks; if a practitioner was sued for malpractice, not Ms. Kim Lemon, Family Chiropractic, Saluda, VA only could their home state license be in jeopardy but, in many cases, it may also be “I got a quote for an employee, her son and myself. No unclear if their malpractice insurance would significant change for them -- but I’m saving $500 per cover them. month for myself. Yea!” The new law stipulates that health care Dr. David Dolberg, Family Chiropractic of Springfield, services provided by a covered “sports medicine professional” to an athlete, Springfield, VA athletic team, or team staff member in a secondary state outside that professional’s The Unified VCA recently launched a new health insurance benefit state of licensure will be covered by the program specifically designed for small business owners and appropriate medical malpractice insurance chiropractic practices! provider.

Excerpted from the October 2018 issue For an overview, quote forms and contact information of “ACA Connects.” for an agent to talk to about your needs, go to Opting Out of Insurance www.virginiachiropractic.org and click on the green box.

From VCADoctalk quired. If you sent it in this week, confirmed so any payments go the patients. The flow receipt etc. you could choose 12/31/2018 of money is different than they are used to : Are there any forms or letter samples as your last day. You will also need to in- but the bottom line does not change for ei- Qon ending a contract with insurance? form the patients that will be affected and a ther party. Where might we find them? clean date could make it easier for the of- That is the piece that was the biggest thing fice to transition. Also, assume they will all : Template letters can be found on the to my patients and probably yours. They stay on as patients until proven otherwise. UVCA’s web site under the Tools & don’t care about a couple of dollars one A You are just letting them know of a change Resources tab (Insurance Manual under way or another compared to being a self- that you felt was necessary and what their Insurance). billing company. They also don’t want the cost will be as of 1/1/19. If your cash fee is hassle of finding another chiropractor when I am not advising anyone to join or not join reasonable (not cheap), then they probably they already like you so if it is a fair deal for a network but a strategy that you might will stay. Above all else tell them you will both sides it should go smoothly. want to explore if you are resigning from a continue to submit their claims for them so network is picking the date of resignation. they will have no additional work to do. I Best of luck! Most provider plans require a 60 or 90 day have all the patients pay at the time of ser- notice. So say it was 60 days that is re- vice and then I DO NOT accept assignment Dr. Chris Perron, Perron Chiropractic 4 Getting Paid in Personal Injury

Dedicated to our UVCA members so they can better perform in the Personal Injury arena. PI Corner By Bill Thesier, DC

Dealing with the Patient’s Atorney properly assigned to someone else. So if a patient assigns their expected s we review VCAdoctalk, we find many of you have problems settlement proceeds to the doctor in Adealing with attorneys when you try to get paid after treating a exchange for treatment without having personal injury patient. You’ve done everything right; you provided to pay for that care as they as they go, outstanding care in treating the patient’s injuries and you followed those proceeds, up to the amount of all the rules pertaining to the Assignment of Benefits and Statutory the bill due from the patient, belongs to Lien. Yet, the attorney says they are not going to pay you or they the doctor. This has been adjudicated ignore the Assignment of Benefits and just pay you the Statutory in all Courts in Virginia as well as in Lien amount of $750, leaving you with a large outstanding bill. A Federal Bankruptcy Court. The Virginia major reason for this is attorneys are not getting the settlements State Bar has looked at this situation they received in the past so they try to get more money for their and has issued several Legal Ethics client at your expense. The attorneys do not get more money for Opinions (LEO) validating this transfer themselves but are putting more money in their client’s pocket to of ownership and detailed the ethical make them look better in their client’s eyes. The attorney takes his obligations of the attorney to protect the assignee (you) and to pay agreed upon percentage off the top of the settlement, no matter the assignee those monies in a timely manner. how big or small. Most attorneys know they can’t get away with this The latest and most important VA State Bar opinion is LEO 1747. action but will try, hoping you don’t know your rights. Here are the It clearly explains the attorney’s obligations and what options they tools that will help you get paid. have if their client requests they not honor your Assignment of As many of you know, the contractual Assignment of Benefits is the Benefits. The Virginia State Bar’s Rules of Professional Conduct transfer of ownership of the monies and/or property which has been section 1.15 further obligates the attorney Continued on page 6

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5 Premier Membership Update Continued from page 5 to honor your Assignment of Benefits. Failing to follow these Rules of Professional Conduct and noted LEO can result in the attorney being sanctioned As of 10/25/18 Andrew Reno DC by the Bar, putting their license to practice law in jeopardy. If an Marco Accordo DC Brad Robinson DC FICA attorney fails to honor your Assignment of Benefits, advise them E Briggs Allen Jr DC CCSP William Roodman DC in writing you will give the attorney seven days to honor the Michael Amato DC Nisha Saggar-Patel DC Assignment mentioning the above references. If you are not paid, Lee Bazzarone DC CCSP W Jean-Luc Sansfaute DC you can file a formal complaint on the Virginia State Bar website. Anna Bender DC Theodore Savvas Jr DC Walter Bogdan DC Janine Scherm DC These are very important references for your success when dealing Jeffrey Bowers DC Joanne Schmit DC with attorneys. Please make copies for every member of your PI Shannon Breeding DC Matthew Schrier DC team to keep handy when dealing with a difficult attorney. Averia Brown DC J Randall Short DC Rules of Conduct: Robert Eugene Brown III DC Elizabeth Skorupa DC http://www.vsb.org/pro-guidelines/index.php/rules/client- Daniel Cohen DC Lonnie Slone DC lawyer-relationship/rule1-15/ Christopher Connolly DC William Sonak DC Philip Connolly DC Samuel Spillman DC Legal Ethics Opinions (LEO) 1747: Camille D’Amato DC Christine Stewart DC http://www.vsb.org/docs/LEO/1747.pdf Gary Dennis DC Lawrence Svihla DC Diane DeReu-Foley DC Susan Sweeten DC Dr. Bill Thesier is a past VCA President, Insurance Committee Chair, Legislative Chair, and Chiropractor of the Year award David Dolberg DC Carly Swift DC recipient. He helps UVCA members with PI and other issues Theresa Dunton DC Eric Terrell DC from his home in Florida and can be reached at dr.thesier@ Sandra Elbaum DC Robert Thoma DC gmail.com. Christine Fallwell DC Nguyen Tran DC William Todd Fisher DC Aaron Trochim DC For a library of valuable information regarding personal injury Joseph Foley DC Paul Tschetschot DC cases and assignment of benefits, including Q&As, sample Christopher Frey DC Ray Tuck Jr DC letters, rulings, and much more: Michael Geheren DC Kevin Walsh DC 1. Visit www.virginiachiropractic.org Lincoln German DC William Ward DC 2. Click on the “Tools & Resources” tab Dennis Gesualdi DC Erika Warner DC 3. Click on “Insurance” Theresa Graf DC Thomas Wetzen DC 4. Click on Personal Injury/Assignment of Benefits Jay Greenstein DC Joshua White DC Lawrence Griffith Jr DC M Scott White DC Mark Gutekunst DC Daniel Whitenack DC Thomas Hennessey DC Adam Wilding DC Hannibal Hervey DC Casey Wille DC Share your success. Lisa Holland DC Howard Wilson MS DC Duane Hudspath DC Stephen Wolford DC Mark Hundley DC Jeffery Wynn DC Eight out of 10 alumni agree that Carmen Johanning DC having a Palmer degree gives them an Vincent Joseph DC Koo Min Kang DC Why Upgrade to edge on their competitors. Shawn Keegan DC Premier? Joseph Kennedy DC Refer a student to Palmer College. Elizabeth Koch DC Premier DC Membership AJ LaBarbera DC provides all regular DC Linda Larsen DC benefits PLUS Spring and Edward Lauterbach DC Fall Convention registra- Robert Leib DC tion for both the DC Bryan Lowry DC and a CA or other office Marc Lunenfeld DC staff person, additional Lee Matthis DC discounts on selected Katrina Mayes DC seminars, invitation to the James McLelland DC President’s Reception at Randolph Michaux Jr DC the conventions, office www.palmer.edu/recruit-a-student David Milot DC plaque and permanent Bibhu Misra DC Msc badge to denote your Theresa Neiss DC increased investment in Cally Parks DC the Association, option to Mathias Pastore DC handle dues installments Minesh Patel DC monthly for even easier Christopher Perron DC cash flow, and more. If your Janice Piedmont DC office attends conventions Anne Pinto DC even fairly regularly, you’ll The Trusted Leader in Chiropractic Education® Robert Pinto DC save! Call 540-932-3100 for Richard Reinhold DC more details. 6 Call 888.477.2272 to learn about your UVCA Discount

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7 Welcome, New Members! The Following Members Joined the Unified VCA Between 7/26/18 & 10/25/18

Bills, DC, Heath - Thompson, Drop Techniques - Advanced Wellness Other, Extremity Adjusting, Full Centre Spine, Gonstead, Instrument Richmond, Richmond Adjusting - Activator, Integrative, Phone: 804-673-9355 Logan Basic, Myofascial Release, [email protected] Palmer Package, Sacro Occipital Member Type: Fourth Year or Technique (SOT), Soft Tissue, More DC Upper Cervical - Toggle, Upper Cervical - Other, Webster Bowman, DC, Benjamin Eiban, DC, Wayne Bowman Chiropractic Bay Area Chiropractic LLC dba Walter Clinic Chiropractic Virginia Beach, Virginia Roanoke, Virginia Phone: 757-495-2228 Phone: 540-362-0811 [email protected] [email protected] Member Type: Fourth Year or Member Type: Fourth Year or More DC More DC Acupuncture Diversified, Thompson Drop Technique, Extremity Adjusting, Gross, DC, John Flexion-Distraction - Cox, Full Jarvisburg, North Carolina Spine, Gonstead, Graston, Phone: 252-491-2454 Instrument Adjusting - Activator, [email protected] Instrument Adjusting - Impulse, Member Type: Out of State DC Myofascial Release, Palmer Package Hoxter, DC, Josh Referred by Dr. Gregory Agape Chiropractic Winter Symposium Walter Center January 24-27, 2019 Virginia Beach, Virginia Phoenix, AZ Collins, DC, Phone: 757-313-2304 [email protected] Burgandi Member Type: Third Year DC New Solutions to Arlington Pain and Rehab Arlington, Virginia Active Release Technique ACCUTE AND CHRONIC PAIN Phone: 703-671-6038 (ART), CBP, Cranial Sacral, Structure- Neuroendocrinology- drcollins@arlingtonpainandrehab. Decompression, Diversified, Drop Diet/Nutrition- Epigenetics com Techniques - Thompson, Drop Member Type: Fourth Year or Techniques - Other, Extremity Adjusting, Flexion-Distraction How to solve some of your most More DC Diversified, Drop Techniques - - Cox, Full Spine, Gonstead, difficult and challenging cases! Thompson, Instrument Adjusting Instrument Adjusting - Other, - Activator Integrative, Logan Basic, Low / 23 CE hours DC & APC; PDA, L.Ac. Non Force Techniques, Motion “Most States” Curcio, DC, Paul Palpation, Myofascial Release, Soft Tissue, Upper Cervical - Chiropractic Family Toggle, Webster For Registration contact: Health Center

Nutri-West 4-Life Centreville, Virginia Call: 800.255.3292 or 505.237.9680 Phone: 703-222-3737 Hummel, DC, Email: [email protected] [email protected] David Member Type: Fourth Year or Comber Physical Therapy More DC & Fusion Chiropractic Nutri-West Mid Atlantic Williamsburg, Virginia Wilmington Delaware Active Release Technique (ART), Phone: 757-229-9740 866.502.1200 Diversified, Drop Techniques 8 [email protected] Phone: 703-237-5999 Tiso, DC, Michael Member Type: Second Year DC [email protected] Gloucester Chiropractic & Decompression, Diversified, Drop Member Type: Fourth Year or Massage Therapy Center Techniques - Thompson, Drop More DC Hayes, Virginia Techniques - Other, Flexion- Acupuncture Phone: 804-642-6106 Distraction - Cox, Full Spine, [email protected] Gonstead, Graston, Instrument Olney, DC, Scott Member Type: Fourth Year or Adjusting - Activator, Instrument Levine, Sasha Hampton Roads More DC Adjusting - Impulse, Myofascial NATIONAL SPINE Chiropractic Gonstead Release, Palmer Package, Sacro & PAIN CENTERS Newport News, Virginia Occipital Technique (SOT), Soft Phone: 757-596-9696 Titus, DC, Casey Tissue Healthcare [email protected] Clearview Chiropractic Fairfax, Virginia Member Type: Fourth Year or Phone: 855-836-7246 Southern Shores, North Carolina Huynh, DC, Hoi More DC Phone: 252-261-3100 [email protected] Diversified, Flexion-Distraction (Peter) Member Type: Allied Supplier [email protected] Spinal Health Group - Cox, Instrument Adjusting - Referred by Dr. Phil Member Type: Out of State DC Springfield, Virginia Activator Connolly Diversified, Graston Phone: 703-333-2848 [email protected] Oringer, DC, Traxler, Dan Member Type: Fourth Year or Virginia Marietta, Georgia More DC Harmony Chiropractic Phone: 703-463-0083 Active Release Technique Martin, Barney Virginia Beach, Virginia Member Type: Student (ART), Acupuncture, Cold Laser, PROLEVE Phone: 757-777-8990 Referred by Dr. Will Sonak Decompression, Diversified, Drop Retail [email protected] Techniques - Other, Extremity Tampa, Florida Member Type: Fourth Year or Westheimer, Adjusting, Full Spine, Gonstead, Phone: 844-776-5383 More DC Instrument Adjusting - Activator, Matthew [email protected] Motion Palpation, Myofascial Plantation, Florida Member Type: Allied Supplier Peacock, Sheri Release Phone: 954-472-7975 Referred by Mr. Ryan Blacksburg, Virginia [email protected] Weaver, Eclipse Phone: 336-202-8965 Jensen, DC, Brian Member Type: Out of State DC [email protected] Drop Techniques -Thompson, Cave Spring Chiropractic Mayer, DC, Member Type: Student Gonstead Roanoke, Virginia Leonard Phone: 540-339-9001 Robus, Renee Member Type: Fourth Year or Capitol Rehab of Wild, DC, Michael Richmond, PC Virginia Beach, Virginia Guarino Chiropractic More DC Member Type: Student Cold Laser, Cranial Sacral, Richmond, Virginia Center Decompression, Diversified, Phone: 804-285-4400 Glen Allen, Virginia Extremity Adjusting, Instrument [email protected] Scothorn, Hunter Phone: 804-747-7474 Adjusting - Activator, Instrument Member Type: Fourth Year or Roanoke, Virginia [email protected] Adjusting - Other, Kinesiotaping, More DC Phone: 540-521-7560 Member Type: Fourth Year or Soft Tissue Member Type: Student More DC McGhee, Will Diversified, Upper Cervical - Kalonturos, DC, Richmond, Virginia Toggle Phone: 804-754-5350 James Member Type: Student Attn. New Members Accident Therapy Centers Baltimore, Maryland Don’t miss the list of Molaei, DC, Roya Phone: 410-520-2083 Straub, John consultants and special- Roya Molaei, DC ists on an array of [email protected] STAR IMAGING Member Type: Out of State DC McLean, Virginia frequently requested Phone: 703-288-0100 INC. topics on page 2! [email protected] Diagnostics/Imaging If you don’t see what you Kennedy, DC, Ryan Member Type: Retired DC Marietta, Georgia Virginia Beach, Virginia need, or if you just prefer, Phone: 233-9907 Phone: 757-460-4433 always feel free to call the [email protected] Muzinski, DC, [email protected] UVCA office at 540-932- Member Type: Out of State DC Scott Member Type: Allied Supplier 3100. If we can’t answer Referred by Dr. Will Sonak Integrative Chiropractic & your question, we’ll help Natural Medicine Inc to get it triaged properly Arlington, Virginia and quickly! 9 Virginia Chiropractic Political Action Committee 2018 CONTRIBUTORS AT 10-17-18

Robert Silver Dr. Elizabeth Koch Know a Virginia Bowie ($400-599) Dr. Michelle Rose Legislator? Dr. Marty Skopp Society Dr. Joe Cantu Help C-PAC build its key Dr. Jon Solomon contacts list! ($1000+) Dr. Alicia Haupt Dr. Aaron Trochim Dr. Michelle Heppner If you have any Dr. Michael Amato Dr. Michael Vanella Dr. Jennifer Rathmann legislative contacts or Dr. David Dolberg Dr. Janice Piedmont questions about Virginia Dr. Christopher Frey Bronze Dr. Susan Sweeten C-PAC, please email Dr. Bibhu R. Misha Dr. Robert Thoma (Up to $199) vacpacoffice@gmail. Dr. Mathias M. Pastore com. Dr. Michelle Booth Dr. Minesh Patel Dr. Cynthia Chapman Dr. Chris Perron Emerald Dr. Chris Connolly Dr. Nisha Saggar-Patel ($200-399) Dr. Christine Fallwell Dr. Matthew Schrier Dr. Anna Bender Dr. Thomas Nicolai Dr. Sam Spillman Dr. Paul Cronk Dr. Daniel Shaye Dr. Steven Trauben Dr. Robert Egan Dr. Carly Swift Dr. William Ward Dr. Louis Fernandez Dr. Steve VeGodsky Dr. Adam L. Wilding Dr. Meredith Harwell Dr. Will Sonak Quintessential Chiro- practic (Dr. Katrina Mayes & Dr. Tess Graf) CPaC of Virginia THE FUTURE OF CHIROPRACTIC STARTS WITH YOU We Cycle (X-ray Chiropractic Political Action Committee of Virginia Recycling Project by Legislative issues will have a major impact on the way Doctors of Chiropractic practice and conduct business. Contribution to the CPAC of Dr. Chris Bruno) Virginia is not tax deductible as a charitable contribution. Please complete the following information required by law below.

Name ______Street Address ______Gold City ______State ______Zip Code ______Occupation ______($600-999) Employer ______Primary City and State of Employer ______Dr. Jeff Bowers E-mail______Are you a U.S. Citizen or Have a Valid Green Card: Y or N

Dr. Phil Connolly I pledge to donate $______to the CPAC of Virginia on a yearly basis. In the form of a ☐ Check or ☐ Credit Card Dr. Gary Dennis payment of $______☐ Quarterly ☐ Semi- Annual ☐ Single Payment ☐ 12 Months ☐ Monthly until notified in writing to stop.

Dr. Joe Foley & Dr. Name on Credit Card:______Credit Card Number:______

Diane DeReu-Foley Expiration Date ______CCV Code______Signature______Date: ______Dr. Mark Gutekunst Contribution Levels: Dr. AJ Labarbera Based on contributions received January 1-December 31 Dr. Linda Larsen Robert Bowie Society ($1,000 +) Gold ($600-$900) Silver ($400-$599) Emerald ($200-$399) Bronze (Up to $199) Dr. Frank Lombardozzi CPAC of Virginia is a separate segregated fund. Voluntary contributions by individuals to CPAC of Virginia can be written from personal or business accounts. Donations written by a business account will be reported to the State Board of Elections from Dr. Marilyn E. Porras the business and not the individual. Donations to the CPAC of Virginia are not tax deductible. Your decision to contribute Dr. Brad Robinson will not result in an advantage or disadvantage in your relationship with VCA or CPAC of Virginia . State laws request that PACS use the best efforts to obtain and report the name, mailing address, occupation and employer of each individual who Dr. Lonnie Slone contributes more than $100 in a calendar year.

Dr. Nathaniel Tuck, Jr. 4461 Cox Road, Ste 110, Glen Allen, Virginia 23060, Fax: 804-643-0311, Email: [email protected] Dr. Wade Quinn 10 Win Up to $1000! Thanks to Chirocenters Management Corporation, the person who sponsors the highest number of new members in 2018 will receive $100 for each new member sponsored, up to $1000!!!

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Vouchers can be used for your convention or seminar Ms Jenna Busch, registration fees, a dues payment -- even transferred to the CARE Medical Billing new member to make it easier for him or her to join. Dr. Jaime Chica

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For application forms, benefits info., testimonials, etc., Dr. Erika Lackey visit www.virginiachiropractic.org, go to the Membership Dr. Jeff Martin Recruitment tab, and click on “Member Sponsorship.” Dr. Carly Swift Dr. Steve Trauben Dr. Gregory Walter “None of us is as Mr. Ryan Weaver, Eclipse Practice smart as all of us.” Management Software 1 11 H R C 3 A E 9 10 E S D R E 5 G E 11 R A N E R F 7 O V U E C I D M N C I S I E T C E

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The NCMIC Malpractice Insurance Plan is underwritten by NCMIC Insurance Company. In the states of Florida and New York, the NCMIC Malpractice Insurance Plan is issued by NCMIC Risk Retention Group, Inc. Policy terms may vary by state law. We Take Care of Our Own is a registered service mark of NCMIC Group, Inc. and NCMIC Risk Retention Group, Inc. The audit coverage is for legal defense costs only and includes coverage for State Disciplinary Proceedings, Civil Sexual Misconduct Allegations, Wrongful Billing and Related Proceedings, HIPAA and Privacy Related Proceedings and Quality Improvement Organization (QIO) Review. ©2018 NCMIC NFL 3050

12 The Unified VCA Recognizes Leadership Excellence

uring the UVCA Fall Convention and Annual Meeting, committee and efforts to improve the WC environment in Virginia DSeptember 28-30 at The Main by Hilton in Norfolk, Virginia, a for chiropractors. Dr. Jeff Bowers of Bowers Family Chiropractic number of prestigious leadership awards were presented. PC, Fredericksburg, Virginia was recognized for eight years of service to the association Daniel J. Cohen, DC; Charles S. Masarsky, DC; and Marion as a district director, practice received the Literary Award for their Todres-Masarsky, DC management committee paper “The Kaleidoscope Model of Integrative Healthcare as a co-chair, and nominating Collaborative Paradigm for Cardiology and Chiropractic: A Call committee chair. to Action.” It appeared in the June online issue of Integrative Medicine Research, which is published for the Korea Institute of Dr. Michelle Rose (right) was Oriental Medicine. Dr. Cohen practices at Harbour Healthcare named 2018 Chiropractor of Inc. in Portsmouth, Virginia. Drs. Masarsky and Todres-Masarsky the Year. Born and raised practice at Vienna Chiropractic Associates, PC in Vienna, Virginia. in New York, Dr Rose attended the University of , Director of Unified VCA’s District V-East, was Dr. Carly Swift Pittsburgh and graduated in named District Director of the Year. Dr. Swift graduated from Life 1998 from Palmer College University, received her Virginia chiropractic license in 2013, and of Chiropractic. She has opened Wave of Life Chiropractic in Virginia Beach, Virginia shortly been practicing at Green thereafter. She is certified in Pediatric Chiropractic through the Run Chiropractic in Virginia International Chiropractic Pediatric Association. Dr. Swift attended Beach, Virginia since her first UVCA strategic planning meeting just one month into April 1998. She is a past her new practice. As the UVCA’s PR Committee Chair, she has president of the Hampton managed silent auctions, school supplies drives, the association’s Roads Chiropractic Association and currently serves on the UVCA social media presence, helped train chiropractic offices in PR and Board of Directors as Secretary and Strategic Plan Champion. Dr. social media, and much more. Rose was named one of the Most Influential Chiropractors age 40 UVCA President Dr. David and under by Today’s Chiropractic Lifestyle magazine. Dolberg presented two Dr. David Dolberg, Unified VCA President, notes, “non-profit Presidential Merit Awards. Dr. associations such as the UVCA depend heavily on volunteerism of Pinto Chiropractic Bob Pinto to realize their mission. This year’s award recipients are perfect & Rehabilitation in Williamsburg, examples of the significant impact individuals can have on the Virginia, was recognized for health and strength of chiropractic in Virginia – and beyond.” his work on the insurance

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VV_Fall_Issue18_AD.indd 1 10/5/18 2:23 PM UVCA Member Perspectives

Symptom Perception, Placebo Effects, & reported 1 to 2 hours of after-hours work each night, devoted mostly to EHR tasks. the Bayesian Brain Sinsky et al. Allocation of Physician Time in Ambulatory Prac- tice: A Time and Motion Study in 4 Specialties. Ann Intern VCA Member Dr. Michael Ray, Harrisonburg, recently Med. 2017; 166(9):683-684. Ushared an article on VCAdoctalk by Giulio Ongaroa (Department of Anthropology, London School of Economics) • The second was actually the conclusions of the U.S Surgeon and Ted J. Kaptchuk (Harvard Medical School, Harvard General and the Director of the National institutes of Health at University; Program in Placebo Studies & Therapeutic the 2018 Pain Consortium Symposium discussing the opioid Encounter, Beth Israel Deaconess Medical Center). According crisis: to Dr. Ray, “This is likely the pinnacle of our current • “We aren’t using 90% of (pain management) modalities understanding of the experience of pain.” that are available.” • “Reimbursement schedules through CMS can be a bar- The introduction to this paper follows. rier to getting treatments to patients.” The standard and ideal biomedical model of symptoms • “We absolutely need to unpack and deal with in a very perception treats the brain largely as a passive stimulus- intentional way the inequities that exist and the way we driven organ. It embraces the notion that the brain absorbs address chronic pain and the opioid crisis.” sensory signals from the body and converts them, directly, • In essence, the third party mandates bias the use of what into conscious experience. Accordingly, biomedicine has proved to be largely inappropriate treatment. operates under the assumption that symptoms are the direct We have to live with the current system for now and are fortu- consequences of physiological dysfunction and improvement nate we have experts to guide everyone through it. We, however, the direct consequence of the restoration of bodily function. need to not shy away from calling the system counter productive Despite its success, the biomedical model has failed to in many ways in in dire need of change to foster more appropriate provide an adequate account of two well-demonstrated care versus care related administrative hypermanagement. phenomena in medicine: 1) the experience of symptoms without pathophysiological disruption and 2) the experience of Have you come across an article or study you wish to relief following the administration of placebo treatments. This topical review advances the idea that ‘predictive processing’, share with UVCA members, as Dr. Ray and Dr. Banks a Bayesian approach to perception that is rapidly taking hold have? Post it to VCAdoctalk for the benefit of your and in neuroscience, significantly helps accommodating these two your colleague’s practice and patients. phenomena. It expands on recent high-quality empirical work on predictive processing and outlines, more broadly, how Bayesian models offer an altogether different picture of how the brain perceives symptoms and relief of sensory signals, emerging Bayesian models suggest, FETCH PAYMENTS IN For the full article and complete references, go to https://journals. lww.com/pain/Citation/publishahead/Symptom_perception,_ placebo_effects_and_the.98882.aspx. THE CLOUD “Health Care Rationing by Harassment” CLAIMS • ANALYTICS • UTILIZATION VCA Member Dr. Scott Banks, Virginia Beach, recently Uposted the following on VCAdoctalk about what Greg Stanley called “health care rationing by harassment”. I read medical records multiple times each week and they are (GOOD DOG) somewhat meaningless being driven by jumping through man- dated hoops more than focusing on the presenting problem. We were taught the thought process expanding history and exam to not miss anything and then focusing in on the actual problem. All of that thinking has been replaced by the process of doing and checking mandated boxes, at least as far as you can tell from visit notes. Two studies I had reviewed recently relate to all of this. • The first was a survey of physicians time use in practice. The conclusion was: Results: During the office day, physicians spent 27.0% of their total time on direct clinical face time with patients and 49.2% of their time on EHR and desk work. While in the ex- Infinedi.net amination room with patients, physicians spent 52.9% of the time on direct clinical face time and 37.0% on EHR and desk 800.688.8087 work. The 21 physicians who completed after-hours diaries 15 You can’t hit a homerun without a bat. Why would you practice without ChiroHealthUSA? It’s easier than you think.

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District Meetings Provide Knolwedge & Comaradeie Across the State

District 2: Left: Dr. Rodney Dade of NSPC Northern Virginia Presents to District On October 10, UVCA Supporting 2 Chiropractors. Below: Dr. Phil Supplier National Spine and Connolly, Former Pain Centers (NSPC) hosted District 2-E Director, an educational seminar and addresses group. networking event at its Fairfax office. It was coordinated with both the current and former UVCA district 2-East directors, Dr. Phil Connolly and Dr. Chris Virusky. The event provided an opportunity for both organizations to discuss best practices for collaborating on treating patients and helping them avoid opioids and surgery. It raised awareness of spinal manipulation in the near future. As the value of chiropractic care and pain Dr. Virusky observed, “With this kind of management physicians working together collaboration, both our groups can serve to provide exceptional patient care. our patients better.” Dr. Rodney Dade of NSPC lectured on District 3: “Regenerative Medicine in the Prevention Southwest Virginia and Treatment of Spine and Joint Injuries”. Topics included patient selection, continuing On October 23, UVCA District Director of care, referring to pain management, and Dr. AJ LaBarbera hosted a lunch meeting establishing options for patients. with David Suetterlein and DCs at Abuelo’s Roanoke, and Wythe Counties). Restaurant in Roanoke. Suetterlein is the Suetterlein sits on the Senate Education At the NSPC’s request, Drs. Virusky Republican State Senator in Legislative and Health Committee and chairs the and Connolly are reciprocating with a District 19 (Floyd County; Salem; and parts Health Professions subcommittee (which presentation to the Center’s doctors on of Bedford, Carroll, Franklin, Montgomery, addresses all issues dealing with the health 16 professions). He has stated that he is pro-competition and supports New UVCA District Directors Elected allowing non-MD health care providers to provide more services. He voted in favor of last year’s legislation allowing DCs to perform istrict Director elections were held during the General DOT physicals. The luncheon provided an opportunity for area DMembership Meeting in Norfolk on Saturday, September chiropractors to thank him for his support. The group discussed 29. Following is an updated listing of all district directors and the the positives that have come out of meetings with legislators, regions they represent. regardless of party affiliation. #1E (Northwestern VA, East) District V: James P. Yurgel, DC Southeastern Virginia Hands of Hope Chiropractic & Wellness Center, Fredericksburg, VA On October 26, District Director Dr. Carly Swift hosted a free Phone 540-369-3864, Email [email protected] lunch, legislative updates and networking time at Gordon Biersch Brewery Restaurant in Virginia Beach. By all accounts it was a #1W (Northwestern VA – West) great meeting, and Dr. Swift has announced the following schedule Samuel S. Spillman, DC for 2019 get-togethers. Balanced Chiropractic & Physical Therapy, Charlottesville, VA • February 22: Gordon Biersch Brewery Restaurant Phone 434-293-3800, Email [email protected] • April 26: Gordon Biersch Brewery Restaurant • August 2: O’Conner Brewery Restaurant #2E (Northern VA – East) • October 25: Gordon Biersch Brewery Restaurant Christopher C. Virusky, DC Fairfax Station Chiropractic, Fairfax Station, VA Below: Dr. Cary Swift, District V-East Director, and Phone 703-493-8445, Email [email protected] her October 26 crew in Virginia Beach including Drs. David Milot and Speros Tryphonas. #2N&S (Northern VA - North & South) Shawn D. Keegan, DC Keegan Chiropractic Sports & Wellness Clinic, Ashburn, VA Phone 703-858-3500, Email [email protected]

#3E (Southwest VA – East) AJ LaBarbera, DC Tuck Chiropractic Clinic, Bedford, VA Phone 540-586-1105, Email [email protected]

#3W (Southwest VA – West) Jennifer Rathmann, DC Tuck Chiropractic Clinic, Blacksburg, VA Phone 540-951-4357, Email [email protected]

#4E (Central VA – East) Eric Carlsen, DC Family Chiropractic Center, Richmond, VA Phone 804-784-0161, Email [email protected]

#4W (Central VA – West) Matthew Schrier, DC Keysville Chiropractic, Keysville, VA Phone 434-736-9895, Email [email protected]

#5E (Eastern VA – East) Carly Swift, DC Wave of Life Chiropractic Center, Virginia Beach, VA Phone 757-321-7776, Email [email protected]

#5W (Eastern VA – West) Kevin Walsh, DC, CCP, CWP Walsh Family Chiropractic, Williamsburg, VA Phone 757-220-4917, Email [email protected] What’s coming up in your area? Visit the Unified VCA’s Events Calendar at www.virginiachiropractic.org or Officer elections for President, Vice President, Secretary and contact your district director. Treasurer will take place on Saturday, September 21, 2019 at the General Membership Meeting in Williamsburg, VA. For a current listing of district directors and their contact information, see right. Not sure what district you’re in? Go to www. virginiachiropractic.org, click on the “VCA” tab, click on “Leadership & Staff”, then “Districts” or “District Map.” 17 Classifieds

sics: Cox F/D, Webster, NMT, BUSY Fairfax Station chiroprac- Seeking Independent Contrac- DC members may place a classi- MFR, 678-938-5712, 1drnew- tic office seeking part-time chi- tor: Tidewater Region. 25-yr old fied ad in The Virginia Voice and [email protected], NCMIC insured, ropractic therapy assistant/front award winning chiropractic office on UVCA’s website free of charge. REFS. desk receptionist w/outstanding searching for licensed chiroprac- Fee is $50 for member vendors customer service skills. Exp pre- tor to join our team! Generous and $88 for all non-members. Is peace of mind, keeping your ferred, but will train right person. financial incentives!! Immediate Listing will remain on website for office open & continuity of care Must be able to work Mon, Tues, opening. Please call 757-483- 3 months, plus appear in at least important? Yes. I am Dr Pat Bou- Thurs, Fri from 3:00-7:15 pm & 6000 or email us at .magicrat@ 1 issue of newsletter, broadcast logne. +I have over 30 yrs of ex- Sat from 9:00 am to 12:00 noon. cox.net. [listing#011618a] email/fax to member and non- perience & versed in the majority Contact Eileen, Fairfax Station member DCs throughout VA, and of techniques. NCMIC insured. Chiropractic, 703-493-8445. NoVa associate needed. Cur- promotion of link to Classifieds References available upon re- Send resume within body of email rently one chiropractor & four on VCAdoctalk. Individuals may quest. Let’s talk to see if we are a (NOT as attachment) to ffxchiro@ massage therapists. Competi- not post classified listings to fit…. call or email: drpatb@gmail. yahoo.com. [listing#071018a]. tive salary. Top notch bedside the list-serve, per membership com & phone 202-642-2335. manner & adjusting skills re- vote. Limit of 35 words may be DC Positions quired. E-mail CV/Resume to: imposed. For deadlines, display Vacation Relief Svcs: Keep yr ofc [email protected]. ad info. or to submit your listing, open. Yr practice run your way. Stable and busy NoVa practice [listing#121418a] 28 yrs exp ofc coverage. Profi- e-mail jconnolly@virginiachiro- seeking full time associate dr. If cient in many techniques. NC- Expanding office located in Falls practic.org. you are professional, passionate, MIC insd. Statewide coverage. caring, & work well independently Church seeking Associate Doc- (Updated 10/24/18) Refs. Reasonable rates. Call J or with a group, this is the fit for tor. Ideal candidate must be will- Terry Fowler, DC at 770-597- you! Competitive salary, bonus, ing & capable to build & grow their Events 2872 (cell), or email jtfowlerdc@ & benefits offered. Please email patient base. The right candidate yahoo.com. resume or CV to chiro101@out- will be coachable, personable, energetic w/excellent treatment & For DC & staff training from the look.com. patient management skills. Must UVCA & its partners, visit the Non-DC Positions be clinically adept in diversified Calendar section of the web site. Full-time Associate/Clinic Direc- Busy chiropractic office in Midlo- tor position in well established adjusting, nutrition & exercise re- hab. Spanish is a plus. Benefits Coverage thian (Richmond) looking for Alexandria practice available im- an energetic chiro asst / of- mediately. Competitive salary & package include malpractice, fice manager with tremendous benefits. Please email CV to Dr health insurance, & CEU. Send 20+ Yrs Exp in Bodywork: State- people skills/ chiro philosophy. Rick Rosa at rrosadc@gmail. resume to [email protected]. wide & maternity coverage avail- Send resume to SUCCESS- com. [listing#012218a] [listing#121318b] able. Margaret Newton, DC, [email protected]. LMT. Techniques in addn to ba- [listing#010919a]

18 Seeking an enthusiastic & pro- energetic, hard working & teach- LONG TERM relationship ideal. massage therapy & nutritional fessional qualified chiropractor able. Good base pay w/excellent Willing to train new grad. Email supplements to our patients. to join the team in Woodbridge. bonus & benefits. Call Dr Chris- resume [email protected]. Certification in acupuncture is a We highlight compassionate & tine Stewart at (540)845-3133 to [listing#111618d] +, but not necessary. Diversified quality care resulting in remark- learn more. [listing#112118a] is our primary technique used. able outcomes. Team members Independent Chiropractor to Generous compensation. Please enjoy highly competitive benefits Wellness First is seeking an As- share office space. Two -dedi send resume to drlarrylesser@ including performance based sociate for our Midlothian office. cated rooms that are currently gmail.com.[listing#111318a] incentives, PTO, & benefits in- Responsibilities include consul- empty are available in a large cluding competitive salary w/ tations, evaluations, performing office setting. Call Dr. Cook at GREAT OPPORTUNITY for DC bonus, medical, dental & 401K X-ray studies, report of findings, 757-969-8556 or email michael- in Arlington. Looking for a highly profit sharing. Required Skills: treatment recommendations, [email protected] for more skilled DC w/great interpersonal Doctor of Chiropractic degree. patient education, adjustments, details. [listing#111618c] & comm skills. Position is for full Current Virginia state License reevaluations & documentation. or part-time. Competitive salary to practice. Please send your 48k-84k. please send resume to SEEKING Chiropractic Indepen- w/bonus structure. Ownership resume to [email protected]. Drdonnelly.wellnessfirst@gmail. dent Contractor: Clinic located in plan in an integrative health cen- [listing#121318a] com. [listing#112018a] NoVa in one of the fastest grow- ter. For more info, pls contact Dr ing/most lucrative counties. Staff Ziegler at Drlou@advhealthctr. The Joint Chiropractic in Alexan- Washington DC busy practice optional for scheduling, answer com or 703-521-0644 or visit us dria is looking for full time Dr. All is looking for an enthusiastic phones, greet patients, maintain at http://www.advhealthctr.com. cash practice no hassles or insur- & highly motivated Associate. accounts/records, file INS, as- [listing#111018a] ance, great adjusted skills diver- We will train & mentor you on sist w/ins apps, billing. On-site sified. Competitve Salary & great how to manage a successful & new digital x-ray, complete office Busy Alexandria office seeks As- environment w/benefits & bonus- fulfilling practice. Good salary, renovation in process, paper- sociate Chiropractor! Full-time es. Please email your CV to Dr fair bonus program & benefits. less software, location w/great Position, established clientele Ahmed Migdadi amigdadi1988@ Please send a cover letter & re- visibility, established location for - family practice oriented doctor gmail.com or fax to (888) 503- sume to [email protected]. over 19 yrs. Contact by us by w/strong communication & ad- 7522. [listing#112918a] [listing#111718a] email: [email protected]. justing skills. Competitive salary, [listing#111618a] weekly bonuses, paid time-off & Fully train alongside an expe- Alexandria/Springfield - DC want- holidays. Please email resume rienced chiropractor & mentor ed for busy office w/the intention Fredericksburg: Interested in to [email protected]. while learning how to grow, run, of transitioning to ownership. working only 2.5 days/wk? We [listing#110318b] & manage your own high volume Must have leadership qualities, have an opportunity for the right practice in Fredericksburg. Per- clinically oriented in a practice DC to do just that, as a perma- Great opportunity for experienced fect opportunity to ‘earn & learn’ & that serves many veterans. Re- nent, part-time associate. We are (2+ yrs) Chiropractor needed for be a key player in our busy, thriv- cord keeping skills crucial. $50- a busy, well established office & dynamic multi-specialty practice ing practice. Candidate must be 65K depending on experience. offer chiropractic, acupuncture, in Williams- Continued on page 20

19 Continued from page 19 Silver Spring, Maryland. Sal- UnitedHealthcare Reverses Policy on burg. Must be highly motivated ary w/bonuses & benefits. Please & focused on integrated patient email CV to [email protected]. Covering SMT for Headaches care. Competitive salary. Benefits [listing#091818a] available with FT status include he American Chiropractic Association, Clinical Compass, the health, dental, life, disability, cont. Amazing Career Opportunity TCongress of Chiropractic State Associations, the American ed. & generous 401(k). Please for an independent contractor in Black Chiropractic Association, and 38 state chiropractic associa- send resume to hr@comberpt. beautiful Purcellville / NoVa. We tions came together in July to rally opposition to UHC’s policy and com. [listing#102418a] are seeking a highly motivated work to ensure patient access to chiropractors around the country. Chiropractor to help build the per- The Unified VCA Board of Directors voted unanimously to sign the Advanced Chiropractic Rehab - fect practice. Included w/this po- July 23rd letter to UHC’s President and CEO, Mr. Dan Schumacher. Family / Sports Chiropractor po- sition is our training program; de- sition: Looking immediately for a signed to teach you how to build The new policy denied headache sufferers the option to treat their motivated & energetic chiroprac- & run a successful practice in a pain without drugs using spinal manipulative therapy (SMT). The tor. Training in sports techniques very short period of time. Please letter to UHC President and CEO Dan Schumacher stated that the ideal, but not required. These send resume / availability to policy -- which denies coverage of SMT for headache treatment techniques can include active re- [email protected] or call because it states it is “unproven and/or not medically necessary” lease technique (ART), Graston, 703-434-9669. [listing#091518a] – is flawed because UHC failed to include key studies in an analy- FAKTR, dry needling, & kinesiol- sis conducted in advance of its determination. It urged UHC to ogy tape. Well respected practice Looking for an associate doctor withdraw its policy based on the most recent research, systematic in Northern VA Warrenton office. seeking mentorship & long-term reviews, and practice guidelines (including AHRQ), which support career in Williamsburg. Evidence Competitive salary, bonus, CME the use of spinal manipulation for the treatment of headache. stipend, paid time-off & holidays. based MSK practice. Our patient Working 3.5 days a week. Email base is predominantly spinal ste- For the joint letter to United Healthcare from the organizations resume tosportschiro@outlook. nosis & chronic spinal pain. Im- listed above, visit “Latest News” on the UVCA home page. For com. [listing#101118a] pulse type SMT, exercise other ACA’s acknowledgement to United Healthcare regarding its policy diversified approaches. NOT a reversal, visit www.acatoday.org. Awesome Chiropractic Associ- subluxation practice. Great op- ate position available in the heart portunity to grow into a terrific of Virginia Beach. System run lifelong career. Send CV & cover office driven by our purpose/ letter to Markcroucher1@live. mission: changing the health of com. [listing#091418a] our community w/regular Chiro- practic wellness care! Starting Full time position in Norfolk. Very salary upon completion of train- competitive compensation pack- ing & credentialing, $50,000. age. 35+ yr old very busy prac- For more information, contact tice w/good mix of health insur- Dr. Allison Schwartz w/Premier ance, PI, & cash. Lots of external Health Chiropractic at doctor@ referral sources & great support vabeachchiro.com & find us on- staff to help you succeed. Long line www.vabeachchiro.com. term potential for right candidate. [listing#100618a] Please e-mail resume to sniblo@ norfolkchiropractic.com. Beyond Wellness - Chiropractic & Acupuncture: Work where you Thriving, Established Chiroprac- workout! We are looking for doc- tic, Back Rehab & Wellness Prac- tors that are athletes themselves. tice in the heart of Newport News Be a Clinic Director, Associate, Seeks Experienced, Top-Notch or an IC. Currently looking for Associate. If you have a minimum doctors in Alexandria, Ashburn, of 2-5 yrs’ experience, & are look- Fairfax, & Reston, VA. Send in- ing for a progressive, profitable quires to [email protected]. integrative practice with (unlimit- [listing#092718b] ed) long-term potential email your CV along with a recent photo to Exciting opportunity for new or [email protected]. established doctor in Tysons Corner. We are looking to add Independent chiropractor to a chiropractor to our growing share office space in wellness team. We are a family & sports center in Fredericksburg. Days chiropractic office utilizing A.R.T, available are Tues, Thurs, Sat & Graston & Dry needling. Rehab Sun. Our wellness center has a & knowledge of integrating ex- chiropractor, massage therapist, ercises is an essential part of nutritionist, reflexologist, psychol- our practice. Please email CV ogist & life coach. Rent is $700/ to [email protected]. mo & includes all utilities. We [listing#092718a] have a parking lot for easy access & are handicap accessible. Email Clinic Director/Associate posi- [email protected] or call: tion available in established 323-556-1139. [listing#090818a] practice located in Wheaton/ Continued on page 21 20 VCAdoctalk to the Rescue!

Workers Comp Dilemma

: We have a patient that was injured on the job. He is not Qapproved to come for chiropractic care, but wants to come and use his Anthem insurance. Do we still check the box on the claim form indicating a work injury, even though we will not be billing through a worker’s comp claim? I’m sure Anthem is going to deny the claim, figuring someone else is responsible for the bill. The patient does not want us to report that it is a work injury, but we know it’s a work injury, and we still did the work up for a work injury. Advice?

SUPPLIER : You must fill out all forms accurately and to the best of your MEMBER Aknowledge. You can get into hot water by submitting false documentation. If it is a work injury then it must be so character- ized. Continued from page 20 are welcome to take a look to If the patient states this is a WC comp injury then his employer see if it fits your needs. We have has a limited amount of time to provide the employee names of Paradigm Chiropractic is seek- an opening now. Please email the panel of 3 physicians he/she can see. My understanding ing an Associate to join our Dr Anna Bender at dr.anna@ is that the employer has 3 days from the report of the injury to growing Team. We are seeking atleechiropractic.com. You can provide the employee the panel list (I am not certain about the a dynamic adjuster, caring per- check out the office at atleechiro- exact amount of time the employer is allowed to get the panel list sonality with a sincere desire to practic.com. [listing#082318a] to the employee - but it is quite limited). Once outside this limited serve & grow in South East DC. Palmercare Chiropractic: A Great window of time, the employee can seek his/her own physician of Competitive Salary, established or new graduate welcomed, must position where we all work w/ choice (i.e., now can choose outside the list of paneled doctors - have DC License, EHR experi- each other to grow professionally including his or her current doc). ence & knowledge of extremi- & personally. Great base salary & Seeing the patient outside the established parameters that WC ties. Benefits include Parking, percentages. Clinic Director & As- has set forth only complicates his/her WC claim and, if treated 401K , 2-weeks paid vacation, sociate positions available. Send by you for this injury, you can be sure the patient will look to you most major holidays observed. inquires & resumes to COO@Pal- to make things right. Email CV/Resume to drjenkins@ mercare.com. [listing#080318b] paradigmchiropracticdc.com. Personally, if my patient is considering a WC claim, I would not [listing#090418a] Family / Sports Chiropractor po- treat the patient for the injury without a referral from a panel doc- sition available: Looking immedi- tor and a WC claim number in hand. Andolina Chiropractic & Rehab ately for a motivated & energetic seeking DC to join growing prac- chiropractor. Additional training in In health, tice in Burke, VA. New & future sports techniques ideal, but not Dr. Misra, DC, MSc, ACRB-1, FIAMA graduates are urged to apply. required. These techniques can Misra Chiropractic Clinic Offering competitive salary, ben- include active release technique efits, & opportunity for expan- (ART), Graston, FAKTR, dry nee- sion. All chiropractic, physical dling, kinesiology tape & strength- ICD-10 Coding Change medicine techniques & modalities ening. Well respected practice in utilized. Must be a positive, high- NoVA. Competitive salary, bonus, ecureCare, ChiroCode Institute, and other organizations have energy, people person to be the CME stipend, paid time-off & holi- Srecently been made aware of an ICD-10 coding change that right fit for this position. Please days. Working 3.5 days a week. went into effect on October 1, 2018. send resume to Dr. Jess at jes- Email resume to sportschiro@ [email protected]. (P): outlook.com. [listing#080218a] The change affects code M79.1 (Myalgia). The information from 703-372-5151 or (F): 703-490- ChiroCode indicates that this code has now been expanded to in- 8688. [listing#083118a] The Joint Chiropractic is accept- clude the following: ing Job resumes in northern VA/ M79.10 Myalgia, unspecified site Busy, Family, Cash practice in Richmond clinics for part & full time, we are looking for chiroprac- M79.11 Myalgia of mastication muscle Old Town Alexandria seeking Chiropractic Associate. Several tor w/diversified adjusting tech- M79.12 Myalgia of auxiliary muscles, head and neck years of experience is required. niques & also mobile to move in M79.18 Myalgia, other site Also, any experience in NRT between clinics if necessary. Sal- No information from ChiroCode indicated that M79.1 would be would be ideal situation. Full ary/hourly plus benefits & bonus- eliminated or inactivated. However, ChiroTouch has inactivated or part time. Please send re- es. Please email your CV to Dr Myalgia (M79.1) on their system. Effective immediately, we advise sume to [email protected]. Ahmed Migdadi amigdadi1988@ to begin using one of the more specific alternative codes noted [listing#082318b] gmail.com or fax to (888) 503- 7522. [listing#080118a] above. Have your own independent If you use myalgia as a diagnosis, it is highly practice within our multi doctor Vienna Sports Chiropractic Of- recommended that you use additional ICD- office. Amazing staff & a beauti- fice - Part-Time - Seeking a 10 codes as well. ful office dedicated to creating a personable, Confident, Profes- terrific experience for you & your sional, energetic, knowledgeable patients. Relocating or new DC’s Continued on page 22 21 Continued from page 21 style. Our offices offer Chiroprac- tic care, rehab exercise & mas- How Safe are Acupuncture & Dry Virginia Licensed DC to join our sage therapy services. Excellent Needling Therapies? Private established Practice in opportunity for an associate Dr w/ Tyson’s Corner Medical Build- the potential to grow into a part- ing. Great Opportunity w/com- nership position. Great salary, By Dr. Jim Ventresca petitive salary base, bonus, pay bonuses & benefits. Relocation towards CE. Must have strong assistance $1,000 max. Send CV With the Unified VCA’s chiropractic acupuncture certification adjusting skills experience. Utiliz- & cover-letter to Dr. Frank Lom- program by Acupractice Seminars starting in early 2019, we ing ART, Diversified, Thompson bardozzi: frank@kempsvillechiro. asked Dr. Jim Ventresca of Acupractice to address the most Technique, KT & use of Physical com Website; www.kempsville- common question we hear regarding acupuncture: Is it Medicine Modalities. Email CV chiro.com. [listing#070618a] safe? Dr. Ventresca’s response follows. to [email protected] or [email protected]. Ariya Family Chiropractic Cen- [listing#072618b] ters, Greater Richmond area, looking to make an associate’s Are you a great doctor, but want dream come true & offer reward- to learn more about running a ing compensation package, ask business? We are an established our current doctors. We offer practice, needing another doc- 401k & cover 1st year malprac- tor to help w/patients! You will tice, UVCA membership & con- learn how to be successful on the ventions. The position consists things that will enable you to start of salary + performance bonus. your own practice when the time Experience is a plus. For more is right. If this sounds like the op- information or questions call 804- portunity you’ve been looking for, 526-7125. Please fax resume to email LMartinez@LemmataChi- 804-520-7624 or email ariyachi- ro.com or call (325)277-3863. [email protected]. [listing#072518a] octors considering adding acupuncture or dry needling to Wanted: Dr w/great adjusting their practices might ask, “Are these services safe?” The Quickly expanding Integrative skills, basic knowledge of nutri- D question is understandable because searching the literature Clinic seeking another Chiroprac- tion, basic applied kinesiology a tor to work w/our patients. Must +. We are an integrative practice reveals adverse effects ranging from a very safe frequency of be willing to work as a team w/ of DCs/applied kinesiologist, acu- less than 0.006%, to a not-very-safe-at-all 10%. The key to the other therapeutic modalities with- puncturist, nutritionist, MTs. Send answer is that it depends on who is interpreting or commenting in the clinic. We gladly welcome your resume to drtomroselle@ on any given study. new graduates or experienced gmail.com. Salary, Bonus, Ben- The probability of causing any lasting or significant harm Drs. Salaried position & also a efits (health insurance, malprac- with needle therapies is extremely small when performed by compensation based on gross tice insurance, 401K, paid vaca- healthcare providers schooled in gross anatomy, who follow collections. Please email your re- tion & holidays, possible stock sume to VirginiaIntegrativeCare. options.) www.rosellecare.com. a clean needle technique protocol. Call it acupuncture or dry com & feel free to view our web- needling, the basic techniques for inserting filiform needles into site at VirginiaIntegrativeCare. Sport & Spine Rehab, a rapidly trigger points and acupuncture points involves the same skill set com. {listing#072518b] growing Chiro, PT & Rehab co is and risks. Either way, it’s quite safe. looking for highly skilled, ethical Authors who decry acupuncture as being dangerous are usually Office Coverage w/possible Asso- DCs w/exc clinical, interpersonal the same authors who claim most other CAM therapies to be ciate Position available. Dr need- & comm skills. Competitive sal- dangerous, hoaxes, or placebos. These naysayers’ conclusions ed for busy practice in Virginia ary, bonus structure, benefits Beach. July/August 3-4 days a plan inclusive of health, dental, often seem to be based more on their biases than the actual week. Practice is diversified/cox/ life, long term disability insurance results of cited studies. They point out that up to 10% of proadjuster. ART or Graston is a as well as cont ed benefit, 401K acupuncture treatments cause harm. However, when you look plus. Contact Dr Jarrett at 757- match, ownership plan, more. at what they are calling “harm” they’re including negligible side 463-0193 or [email protected] For more info, pls contact Dr Jay effects like temporary soreness, a drop of blood, or a small mail.com. [listing#071718a] Greenstein at drjay@ssrehab. bruise at a point upon needle removal. While they are quick to com. cite these as “harms,” I doubt they would consider any of these Sterling Chiropractic office seek- “adverse side effects” of an injected medication. ing an associate Dr to join our Practices steadily growing clinic. looking for On the other hand, supporters tend to cite studies that show a motivated, wellness-minded Dr Chester (Suburb of Richmond) almost no, or very few mild side effects. However, they often go w/great adjusting skills. The posi- 38 y/o chiropractic/acupuncture on to qualify their endorsement of with reference to treatment tion offers a competitive salary & practice for sale. Prosperous, by “qualified professionals.” These authors’ opinions of who is compensation/Bonus package. well known & well respected. a “qualified professional” seems to vary with the authors’ own if interested please fax resume Single doctor practice. Very low credentials and biases. For instance, authors who are medical to 703-444-9034 or email to overhead, no advertising needed. doctors usually claim that acupuncture is perfectly safe, but only if Great staff stays. Dr will finance w/ [email protected]. performed by medical doctors. Licensed acupuncturists generally reasonable down payment & will [listing#071618a] claim that acupuncture is perfectly safe, but only if performed stay if needed as IC for smooth by licensed acupuncturists. The fact that acupuncturists have Seeking motivated Dr to join our transfer. Email midchiropractic@ gmail.com. [Listing#011719a] about 3,000 hours of acupuncture training and medical doctors wellness based team focused on generally have about 200 hours are reasons enough to make exceptional Chiropractic patient both these claims suspect. education & living a healthy life- Continued on page 23 Continued on page 23 22 (corner of Battlefield PKWY & fit for a chiropractor, physician, Continued from page 22 There have been a few serious side Fort Evans Rd 1/2 mile east of massage therapist, esthetician or effects, but they are extremely rare, the Leesburg outlet malls. We any medical personnel but we are and verified reports are hard to come by. Those that are verified have been in business for over not limited to that field. Contact are very likely the result of negligence or incompetence on the 10 yrs. Our patients love the us by email: chiro208@vacox- part of the practitioner. All acupuncture and dry needle training fact that we use a whole body mail.com. [listing#111618b] programs stress the importance of avoiding puncturing internal (holistic approach) that enables organs, with special emphasis on the lungs. These are not “side them to be the healthiest ver- Independent chiropractor to effects” -- they are the results of individual healthcare providers sion of themselves. Digital x-ray, share office space in wellness failing to comply with basic standards of care. vibration plate & more. Contact center in Fredericksburg. Days [email protected]. available are Tuesday, Thursday, If you compare the possible adverse effects of needling to the [listing#082218a] Saturday & Sunday. Our wellness documented adverse effects of just about any other medical, center has a chiropractor, a mas- physical, or surgical intervention, you’ll find acupuncture is very Tyson’s Corner, Vienna: Well- sage therapist, nutritionist, reflex- safe indeed. established, new equipments ologist, psychologist & life coach. Acupuncture and dry needling carry less risk than just about &technologies used, Eclipse Rent is $700/mo & includes all software management, Hill Flx/ utilities. We also have a parking any commonly available medical interventions, including many Dis, Impulse, Div & Sports thera- lot for easy access & are handi- that lay people use daily, without medical advice, throughout the pies practice. Referral base. 10/ cap accessible. Email: drjpyur- world, billions of times every year. For example, an abbreviated wk, 80-100pv/wk, open only 3-4 [email protected] or call: 323-556- list of aspirin’s side effects includes rupture in the wall of the days/wk. Beautiful/renovated/ 1139. [listing#090818a] stomach or intestines, anemia, bronchospasm, decreased ability modern. 1700 sq ft clinic. Con- of platelet cells to clot, decreased white blood cells, drowsiness, tact [email protected]. Office space sharing in Arlington. giant hives, hemorrhage within the skull, hepatitis, interstitial [listing#080318a] Doctor semi retired (working only nephritis, itching, large purple or brown skin blotches, life 4 hour/day). Rental agreement threatening allergic reactions, ringing in the ears, and seizures, 28 yr. old practice for sale in Al- for hours doctor is not working. while adhesive bandages cause significant allergic reactions in exandria. Fully equipped w/x-ray contact: drcheryl4141@gmail. 6.5% of users. suite & darkroom (phones, tables, com. [listing#090418c] PT equipment, etc.) Located on The evidence for acupuncture and dry needling as some of the main city street w/sign. Price is Office space options for Inde- safest forms of treatment available is overwhelming. I invite you discounted equipment purchase pendent Contractor - either your to put my remarks to the test. With the web at your fingertips, w/rental lease. Will stay for transi- own treatment room or use of I suspect it won’t take you long to check my facts and come to tion. Fed BC Insurance prevails. fully equipped room. ChiroTouch your own conclusions. Plenty of free parking for patients software & use of our website (a miracle in Northern Virginia). are options. Doctor w/strong Jim Ventresca is a Doctor of Oriental Medicine, a Licensed Contact [email protected]. business ethics & manual/drop Acupuncturist and the Principal of AcuPracticeSeminars. [listing#072718a] adjusting skills. Pettibon knowl- com. The 200-Hour Chiropractic-Acupuncture Certification edge a bonus. Potential to cover Program starts in Roanoke on March 29-31. It features 100 Products & Services other doctor’s practice. Provide hours of online learning and 100 hours of live-classroom your own CA. Billing specialist learning featuring 50 hours of clinical training. Details of Alpha Omega Billing Service: We provided if using our software. Contact drgreen@MySpinesAl- the program will be distributed and posted to the UVCA web Finish What We Start. We have igned.com and www.MySpin- site later this month. over 30 yrs of billing experience & are currently working w/both esAligned.com for more insight. Chirotouch & Medisoft. If you are [listing#082918a] Continued from page 22 1991 Palmer grad cutting back, & looking for a company who will will assist w/successful transition, Practice for Sale - Dr looking to make sure you get paid for your Doctor renting Newly Fully provide contact w/SBA financing, retire. Looking for an associ- hard work then look no further, Equipped office space in Fair- & guidance to being a true prima- ate to buy in or buy out practice Alpha Omega Billing is the com- fax City &/or Manassas. (Digi- ry healthcare provider for dedi- of 36 yrs in VA Beach. Will stay pany for you! Call Sherry Qaderi tal X-Ray Room, 2 Adjusting cated patient base of 16+ yrs. on for smooth transition. Tech- at 540-664-5518 or email alphao- Rooms, 1 Therapy Room). Rent Must have a few yrs experience. niques mainly Diversified, Cox, [email protected]. the space in its entirety part time Contact: Dr. Ellen at Drellenfitz@ Gonstead. Also Thompson drop [listing#091918a] Monday-Wednesday-Friday or gmail.com. [listing#110318d] . table, some Activator. For more Tuesday-Thursday-Saturday. info, pls email patrickpatzer@ Send your inquiries to Email: Live, work, & play at the beach. Space Available gmail.com or call/text 757-651- [email protected]. Iconic 30 yr Virginia Beach prac- 1575. [listing#010819a] [listing#082418a] tice is up for sale as the Dr is Looking for Independent Con- looking to retire. The practice tractor to rent space in Sterling Practice for sale in Chesapeake. Equipment has excellent visibility on one VA. Please contact Will Sonak at: Activator practice w/PT modali- of the busiest roads in Virginia [email protected] or ties & massage therapy; great X-ray Equipment: X-ray ma- Beach. 400K average gross over 703-406-0200 to discuss details. place to live & work; steady flow chine (fully inspected), Sum- the past three years enjoying a [listing#112118b] of new patients w/o marketing; mit X-ray film processor, X-ray 40% overhead. Dr willing to stay in upscale, fast growing area; Flasher, darkroom light, film on for smooth transition. Cre- Space for Rent. We have a 1000 call 757-642-3455 for details. cabinet. 4 14x17, 7 8x10 & 6 ative financing options available. sq ft office w/your own private [listing#121918a] room for rent in a well-established 10x12 cassettes. Shield for pa- Contact [email protected]. tient/wall shield. BEST Offer. [listing#102618a] clinic in Herndon. We have avail- Norfolk: Unique opportunity for a ability to staff for general office Call Dr Knapp, 703-823-2201. gradual transition to owning your [listing#122518b] Spinal correction based, fam- work & availability to internet & own practice in a vibrant, pe- general office equipment. Great destrian-friendly historic district. ily practice for sale in Leesburg Continued on page 24 23 Dealing with Negative Press

Posted by Dr. Matthew Schrier, Keysville Chiropractic PLC, Posted by Dr. Chris Perron, Perron Chiropractic, Keysville, VA, UVCA Membership & Website Committee Chair: Reston, VA, UVCA Treasurer: Recently there was some negative press regarding chiropractic Great advice! and vision loss. We want our colleagues to be aware of chiropractic Our patients will never notice in the news; however, in an October 2nd discussion on the ACA’s 99+% of this stuff so why tell Open Forum, Dr. Stephen Perle of University of Bridgeport College them? of Chiropractic brings up some important points regarding bad news stories: It is good that we are aware. 1. Sharing the link is a bad idea. The more it gets shared the However, for the random higher it appears in Google’s search results. If you want to occurrence when someone does ask us, share a link to a story that you don’t want to help improve its remember they are laying on our table at this rank use this link to create a sharable link: https://donotlink.it. moment so they obviously trust us and are simply curious. We 2. Please keep in mind that perceptual vigilance makes us as can give a brief and calm response about how baseless the story chiropractors see stories like this more readily than the public is and how everything on the internet is obviously true, right? :-) does. It makes us think there are more negative stories than And it is over. there really might be.” Our patients trust us, otherwise they would not have shown up to I would suggest that all of us save the link in #1 above and utilize ask the question. this whenever we “share” negative news, so we don’t inadvertently bring more undue negative attention our way. And if the news Posted by Dr. Shandon Thompson, ChiroHealth of VA, is positive, don’t use the link and let it swell through the internet Ashburn, VA: ethers with a loud voice and get as many hits on Google as anyone Not a convincing article of any association between chiro and can imagine! vision loss. And she recovered from what ever it was in two weeks. This would be one grassroots way to counter unfair bad media A better link would be: Link between spinal fusion and blindness. without additional anger, malice or harm. Out of 480,000 spinal fusion a yr in the US, there is a 1:1000- 1:10,000 chance of blindness.

Continued from page 23 Tables & PT Equipment I would puter w/OPAL software for image for design. Works great. Nice be happy to donate to new practi- analysis, line drawing & annota- organic table because base is Free Bennett x-ray unit available. tioners (first couple of yrs in prac- tions. Works w/your existing x-ray made from curved wood, not Been in practice for 20 yrs & I tice). All you have to do is pick unit. Great image quality & easy metal. Just re-upholstered/re- don’t take x-rays anymore. Ben- it up. Please call 804-564-8722. to use. Contact Dr. Randy Mi- cushioned in 2017. Thoracic & nett unit still works great & has [listing#120618a] chaux at michauxchiro@yahoo. pelvic drops, foot activated. C- been inspected every year. Free com. [listing#110318a] Spine drop & elevation. Thoracic to anyone who needs one. In- One Chiro-Manis distraction ta- tilt. Pelvic tilt perfect for pregnant cludes light proof x-ray film stor- ble w/manual written by Dr Cox Gently Used Leander Flexion/ females, large abdomens. Ankle age container. You can email me & one intermittent cervical trac- Distraction Table w/Lumbar Drop, elevation. Contact lassiterdc@ at drpeter@spinalhealthgroup. tion table 8 ft long. Both for $500. Leander Flexion/Distraction Ta- gmail.com for pictures, more in- com. [listing#122518a] Bring your own truck to haul. Call ble, 3 Intersegmental Traction formation. $700. [listing100918c] Dr. Nimmo at 757-220-0398. Tables. Must sell all equipment. CHIROPRACTIC EQUIPMENT [listing#113018a] Make offer. Free Delivery Avail- Chiropractic equipment for sale: DEALER; 26+ years experience. able within 50 miles. Contact 3 new Chattanooga e-stim ma- We sell Adjusting tables, Laser, Complete Biokenemetrics/Chi- 757-544-6112 or kaidie58@ya- chines (brand new). Decompres- Electrotherapy, Ultrasounds, X- rosight Digital X-ray system and hoo.com. [listing#101818b] sion table (excellent condition). ray (inc digital), & Traction tables software. Still under warranty. Roller bed (used). Flexion-Dis- (decompression & IST). We sup- Need sold ASAP due to relocat- Hands free Ultrasound Therapy traction table (used condition). 2 port education seminars & have ing to Texas. Will sacrifice for w/Interferential Muscle Stim, standard adjusting tables. One access to new, used & recondi- $19,000 OBO. Located in Virgin- Premod, rolling cart, basket, gel massage bed (new condition). tioned equipment. Visit our web- ia Beach. Contact Christina Co- pads, only $249 (retails $2,000). Office equipment, such as desks, site at www.HFHill.net or call 800- chran, D.C. at 817-600-4593 or Drop tables $400. Bench therapy/ office chairs, & framed posters 434-4551, ask for Hugh or Doug. email drchristincochran@gmail. exam tables $250. Electric tilt ad- available. Great opportunity for [listing#041719a] com.” [listing#112918b] justing table $200. View boxes, those starting a practice. Please lead aprons only $85 ea. Time call for details. Willing to negoti- Flat adjusting tables: WINCO Two (2) Thomas Heritage tables. clock $125 (retails $500). Dymo ate. email at aektaerry@gmail. Model 600 (27”W x 24”H x 72”L) One is a straight flat bench, one label writer $50. Paper rolls $20. com. [listing#092018a] & 860 (24”W x 24”H x 72”L), has an adjustable cervical sec- Synergy exercise station only jadestone/hunter green. Like tion. $200 flat, $225 w/cervical $300 (retails $2,000). PU lo- FIRE CR Digital X-RAY - Com- new, so why pay $400 - $600 or $375 for both. Please contact cal only. Roanoke. Pics upon pact & lightweight CR reader each for brand new ones? $150 me at [email protected]. request. [email protected]. reading up to 70 plates/hr. De- each, $225 for the pair. FREE [listing#110318c] [listing#101218a] livers images in record time for rolling stool included with pur- viewing, enhancement, duplica- chase. [email protected]. Medlink imaging, CR - X digital 2004 Thuli stationary drop table tion, archiving or distribution. Set [listing#121818a] x-ray reader for sale. Include two (NOT a Thuli portable). See their on a desktop or mounted on the 14X17 cassettes, a Lenova com- website under “500 Stationary” wall (included). Images ready to 24 be further enhanced, enlarged, fied & State Inspected 03/2018. duplicated, & sent in DICOM Best offer. Call: 757-723-3893 Members Utilize Free Resources to format in seconds w/no loss of Ask for April. [listing#081418a] Increase Their Community Presence resolution. $9,500.00 Call 757- 871-3231 or email drkwalsh@ ScripHessco Company: New he Unified VCA is offering more and more tools for your aol.com. [listing#091218c] & Reconditioned Equipment, marketing, communications, patient education and social Adjusting tables, table repair, T media -- however, very few members are using them. Activator table: good condition, Decompression-Flexion tables, mauve color, newly upholstered, Laser & Electrotherapy. Contact Following are a couple recent examples of doctors who are TRI W-G model 645 ser 9538. [email protected] or call taking advantage of the tools to increase their impact. Never had motor or table is- 800-586-2448. [listing#072718b] sues. Runs quiet. Side handles, Newsletter Articles foot controls on each side, paper Universal AP 500-30 High Fre- towel holder & metal tray. Foot quency X-Ray System. Pur- Dr. Teresa Green of Aligned Chiropractic in Richmond liked the release manual easily w/thigh. chased new in 2001, one owner. article in the summer issue of The Virginia Voice by Dr. Scott $1200. Dr Tanya, 913-626-2322. Anatomically Programmed. Full Banks entitled “The Carbohydrate Driven Disease Epidemic.” [listing#091218b] Spine 14”x36” Bucky. Still pow- She used it as the basis of a Facebook post to help her patients. ered and ready for demo. $10K. Wide variety of chiropractic office Contact drsampson@leesburg- Patient Hand-outs equipment & items. Prices nego- chiro.com. [listing#071618d] Dr. Meghan Custer of Ivy Commons Chiropractic in Crozet has tiable! Office chairs, web slide ex- turned several of the “Celebrate Wellness!” pieces into articles ercise rail system, outdoor signs, for her local paper, The Crozet Gazette. She purchases display therapy/exam tables, traction For updated ad space and it appears under her byline and features her photo. unit, spine w/stand, custom made classified listings at Yin/Yang mirror, framed posters, For You laminated posters, wall chart writ- any time, visit www. ers, hand dynamometer, Posture virginiachiropractic. If you are looking for marketing ideas, presentations for Pump, x-ray view boxes & other community events, patient hand-outs, social media content, radiology related items, MUCH org and click on articles for your local paper, etc., don’t forget to check out the MORE. For complete list & prices, “Classifieds” in the following resources -- all free as part of your UVCA membership! go to https://docs.google.com/ document/d/1XFHTUMr7_PRO_ black bar, far right. On the UVCA website, www.virginiachiropractic.org: brZpUc-O5AdqGL8ifQGY7gk6aI- • Under the “Patients/Public” tab -- The Opioids Crisis: 6JDY/ or call Dr. Joe Santarsieri, Extensive collection of material on the topic. 804-690-4692. [listing#090418d] UVCA DC Members • Under the “Patients/Public” tab -- Social Media & Celebrate May Run a Classified Wellness: Library of patient hand-outs/articles, social Fisher 300/125 X-Ray Machine media content, PowerPoint presentations, and more. with 14”x 36” Micro-Grid/Bucky. Listing for Free! • Under the “Tools & Resources” tab -- Marketing Ideas Assorted Rare Earth Cassettes. Plus extensive materials through the UVCA ‘s Group Member- AGFA CP 1000 Processor. Certi- ship in the Foundation for Chiropractic Progress!

The Results Are In! “We are saving $954 a month – and the healthy lifestyle credits are great!” Ms. Kim Lemon, Family Chiropractic, Saluda, VA

“I got a quote for an employee, her son and myself. No significant change for them -- but I’m saving $500 per month for myself. Yea!” Dr. David Dolberg, Family Chiropractic of Springfield, Springfield, VA

The Unified VCA recently launched a new health insurance benefit program specifically designed for small business owners and chiropractic practices!

For an overview, quote forms and contact information for an agent to talk to about your needs, go to www.virginiachiropractic.org and click on the green icon shown on the left here. 25 Goals That Matter to You

All of the Unified VCA’s goals revolve Advocacy & around one thing: providing you with the Influence tools, resources, opportunities, benefits and profession initiatives you need to better your Association & patients, yourself, your team, and your practice. Practice Membership & Career Strength Success A few examples appear below. • AdvocacyWhich address your needs and interests? • What’s& missing? Influence • What can we give you more info. on? Public Association Awareness & & Market Email [email protected] Membership or call Growth 540-932-3100& andCareer let us know!Strength SuccessAdvocacy Advocacy & & Influence Influence Association Advocacy Association Public Practice & & & Awareness Membership Practice Membership & Market & Career Strength Influence& Career Strength Success Success Growth Association PracticeUnwavering commitment& to Online Find-a-Doc listing Affordable health insurance for Projects to improve third party unification.Membership and referral. reimbursement and chiropractic’s& Career Strength doctor,Public family and employees. place in workers’ comp.SuccessEffective benefits communications. Free social media campaigns. ConfidenceAwareness that you’re practicing Public &legally Market and safely via free In-depth InsuranceAwareness Tips. Strategic building on previous PowerPoints, patient ed. tools. Growth successes. access to experts in compliance, Scope of practice& Market defense. School supplies campaign. Medicare, coding, laws/regs, Growth Expanded leadership training. Assignment of Benefits tools. Materials for Chiropractic Health insurance or cash practices, Public New member benefit affinity Week, other observances. practice management, advertising, Initiatives to establishAwareness Chiropractic’s programs, sources of non-dues marketing, more. vital role in resolving& Market income. Resolution to estabish Pain the opioids crisis.Growth Awareness Month. Safe, legal discount program Budget that builds reserves, for your patients. Regained right to conduct ensures financial sustainability. Group Membership in the DOT tests/CDL Exams. Foundation for Chiropractic Tools to increase your financial Increased coalition-building, Progress: increased PR benefits for success, quality, team strength, and East Coast Associations’ IPN. sharing with other organizations. individual practices and the state. practice growth. Strong legislative contact network. Strong vendor/sponsor support. Projects to build brand strength. Discounted CEUs and staff training, face-to-face and online. Audit support. Increased technology investment. Enhanced Internet presence. Powerful lobbying team. Sharing/camaraderie via doctors’ email discussion group, district Complete Strategic Plan on the web site under the VCA tab, under Purpose. meetings, signature social events. For more on how the UVCA is contributing to your practice and career New DC discounts and support. success, visit www.virginiachiropractic.org and like us on Facebook! Free classifieds. 26 Education & Events The Virginia Voice Fall 2018

The Virginia Voice is the quarterly newsletter of the Virginia Produced By or In Conjunction with the Association Chiropractic Association, dba the Unified VCA, PO Box 15, Afton, VA Saturday & Sunday, November 3-4, 2018 22920, virginiachiropractic.org. Mastering the Disc: Mechanical Assessment of the Spine & Extremities Editor: Julie K. Connolly, Execu- tive Director. By Jonathan Lesch, DC For more details, Richmond, VA - MEMBER DISCOUNT go to Editorial Committee: Scott Banks, DC, MS; David B. Dolberg, Saturday & Sunday, November 3-4, 2018 DC; Michelle Rose, DC. www.virginiachiropractic. Rad Tech Ltd. Continuing Education org & Click on “Calendar” Advertising: Call 540-932- By Dr. Rich Reinhold 3100. Virginia Beach, VA - MEMBER DISCOUNT Subscriptions: A subscription Tuesday, November 6, 2018 to The Virginia Voice is a benefit of membership. Back issues Treating Military & Veteran Populations are archived on the association’s By Dr. Bill Morgan website. FREE WEBINAR FOR DCS Editorial Policy: Articles Wednesday, November 14, 2018 published in The Virginia Voice are screened by the Editorial Did You Know VA Patients Have Chiropractic Coverage? Committee. However, neither the By Ms. Jill Foote, HITS, C+CE Unified VCA nor its officers or staff FREE WEBINAR FOR CAS investigate, endorse, or approve any statements of fact or opinion, Starting March 29, 2019 which are solely the responsibility of 200-HOUR ACUPUNCTURE TRAINING the authors/sources of information. They are published on the authority 100 Hours Via 4 Weekends + 100 Hours Online of the writer(s) over whose name By Dr. Jim Ventresca, AcuPractice they appear and are not to be Roanoke, VA - MEMBER DISCOUNT regarded as expressing the views of the VCA. Articles accepted for March 29, 2019 publication are subject to editing. PERSONAL INJURY Advertising Policy: Accep- By Dr. Jeffrey States & Guests tance and publication of an ad in Northern VA - MEMBER DISCOUNT The Virginia Voice does not imply endorsement or approval of Friday-Sunday, May 3-5 the company, product, or service. UNIFIED VCA SPRING CONVENTION It is recommended that readers use due diligence and/or consult with Hilton Hotel & Spa at Short Pump, Richmond, VA - MEMBER DISCOUNT their state chiropractic licensing Up to 18 Hours of CE & Training for DCs & Staff board for further information on • Coding & Documentation by Dr. Evan Gwilliam the use of advertised products or • The Value of Vitalism by Dr. Rob Scott, President, Life University services. • Kinesiotaping by Dr. Brandon Trujillo • Retaining Patients & Cash Flow While Transitioning to Cash by Dr. Miles Dues & Taxes Bodzin, CashPractice • Managing Low Back Pain by Dr. Tim Bertelsman, University of Bridgeport We estimate that 78% of VCA • How to Talk to Millennials by Dr. Kevin Pallis, The New Renaissance dues are not deductible as • The Opioids Crisis: Positioning Chiropractic in It’s Rightful Role by Dr. Scott a charitable contribution, but may be deductible as ordinary Munsterman, Best Practices Academy and necessary business • Vaccines & Autism: A Different Perspective by Dr. David Seaman, Sponsored expense. The re-maining 22% by NCMIC is allocated to VCA lobbying • Dedicated CA Classes Including 5 Things You Must Know Regarding Fees & expenses and is not deductible. The Successful Financial Report of Findings by Ms. Holly Jensen Further information should be • More TBA! obtained from your tax advisor. 27