had any falls, accidents, changes in conditions, or new medications? If they say yes to any of those four things, we want to make sure the doctor documents those properly in the file because, again, it's not so much the adjustment, like Dr. Clum said, but it's also the procedures leading up to that, and you have to make a reasonable effort to show that you're making concerned effort to find out what's going on. Thank you, Ken. Bill, I want to come back to you because all of the other presenters keep referring back to you about how to communicate to the patients, but I want to take it in a different direction. In chiropractic, we have another phenomenon. That is we love to see ourselves on the Internet, on YouTube, out at the public fair adjusting people. We put up pictures of us with someone's head in our hands or on YouTube an actual adjustment or we're going to show everybody in the community how we adjust somebody at a fair. Sometimes, without as much information as perhaps we would like to see happen. That, in and of itself, to me, seems scary, as you were talking about at the very beginning today about the patient apprehension. Are we adding to that by being so self-serving thinking that we're doing a good thing by putting these pictures out there and people will think we're great, but at the same time, you don't see gynecologists putting out YouTube videos of them and their patients or prospective patients or even a dentist or anyone else? It really seems to be a chiropractic thing. How do you see that helping, hurting, or any advice? This is something that actually shows up pretty frequently in my life through my sister company, Perfect Patients. We look after thousands of chiropractors' websites around the world. One of our guidelines for shooting photography in a chiropractic setting is that we never show a cervical adjustment unless that's the only thing that you do. If you are showing a cervical adjustment, the patient must be smiling because that communicates in terms of confidence, safety, and all the rest of it. If you use other techniques or adjust in other portions of the spine, we recommend a posterior, a thoracic, because that seems to look safest of all of the types of adjustments. I think you can do yourself quite a bit of harm by exposing your adjusting techniques to the layperson who may not be available or even understand what's going on. I have been in countless office consultations where I've watched patients get adjusted and, frankly, it was rather violent and I knew what was going on. You want to be real careful about what you're showing off on your website, as well as in public. Yeah. I appreciate what you're saying about going into someone's office and it looks like a violent thrust. Some of the high velocity techniques without the understanding, just watching, would appear that way and could be scary. Dr. Clum, you taught me spinal anatomy, and so you have a perspective on this, as well, in terms of the doctors being out there because I want to be specific. Do you think that this has any significance in the conversation that we're having because a lot of this does show up on the Internet, and that's where people are looking and finding negative experiences with chiropractic at the same time? Yeah, I think you hit on a very good point, Stu, because there is a point of diminishing return where a degree of casualness can be comforting, and then at a point where a degree of casualness can be disconcerting. The kind of experiences that you're talking about, I think have crossed that line into the disconcerting side of the discussion. Frankly,
Dr. Hoffman:
Wm. Esteb:
Dr. Hoffman:
Dr. Clum:
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