But as Dr. Clamp said, and you just alluded to, in the medical world, what the heck do they need an X-ray for if it's to prescribe a pain killer? Big deal. But then again, the pain killers aren't working, otherwise people wouldn't be coming to the Chiropractors leU and right. But we went into what you brought up and I was going to wait unEl a liSle bit later Joe, about the denEsts. Because I brought that up and I said, "You know, no one complains that you have no choice, if you're going to go to the denEst, you're ge^ng X-rayed." And you're ge^ng X-rayed every year to two years and it's not an opEon, in fact, I literary had a denEst a number of years ago dismiss me because I didn't want X-rays every single year. And she said, "It's the guidelines." And so it's okay there, just because it's a denEst. I said, "Why is it different when a Chiropractor needs to see as a main diagnosEc tool, what they're actually working on and potenEally pu^ng in a thrust." And so what he did was, he sent Choosing Wisely About DenEstry. And so I actually read it. It's a joke! It's all pro-propaganda about denEstry. There's not one limitaEon, not one negaEve situaEon, it's all about how great taking fluoride is, and do this and do that and consumer reports, yay, yay, yah! So I responded, "What the hell does that have to do with Chiropractors taking X- rays? You don't limit the denEst, there's no concern over exposure, which is more than most Chiropractors that are taking X-rays have." I said, "Show me where the negaEve is in taking an X-ray, versus the potenEal benefit." And I sEll never got an answer.so, you know. I'm not surprised by that line of debate and argument, I mean first of all addressing the consensus problem, and I've argued this for ... I've been involved in this guidelines process for 10 years, is when the CCGPP guidelines came out and we knew they were coming and we were waiEng for them and at the same Eme the ICA was working on their guidelines, so that was all 10 years ago which is hard to believe because Eme flies. But shortly aUer they did their original guidelines, they started producing consensus documents one aUer the other on topics where there was already exisEng research. And to your point Stu, that's a problem. When there is research and data out there, using consensus is an issue because you get the bias of the consensus group and especially when it's a small narrow group that a similar thought process, it's not a diverse group of doctors. And they use the Delphi process to try to arrive at these conclusions and then apply them to everybody. And I think it's a problem with using these types of medical based guidelines for the pracEce of ChiropracEc. Now, I pracEce in a state where the scope of pracEce is quite broad and we have chiropractors, good friends of mine who predominantly use nutriEon in their pracEces. And they are just paEents but they predominantly use nutriEon. I could see for them, they probably wouldn't be taking X-rays as oUen as someone that pracEces Bio-Physics like I do. But we've actually come to appreciate the way each other pracEces. I appreciate the way he pracEces and he helps people, these doctors help people without using drugs and surgery in a different way that I do. Chiropractor Malpractice Insurance - ACA Guidelines Part 4 Page ! of ! 3 9
Dr. Betz:
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