Putting The Stroke Issue to Bed

SPECIAL ALERT: DR. OZ BREAKING NEWS Find out what is going to occur on The Dr. Oz segment, Can Your Chiropractor Kill You? Airs 11/16/16 The Opportunity The profession owes a bid of thanks to Dr. Steven Shoshany for his ninth and most important appearance on The Dr. Oz Show. In the past, shows would be taped and then aired 7-10 days later. This time, the show was taped on November 15 and aired on November 16 placing it in the heart of “sweeps week” when viewershi p is carefully assessed. This is a statement about the number of people to whom this show would be of interest as the show explored the role, if any, between the death of Ms. Katie May and the care she received from a chiropractor. Dr. Shoshany reached out to a select few experts in the profession when this opportunity presented itself to make sure he was up to date and current with the literature and thinking of the day on the nexus between cervical spine adjustment and cervical artery dissection and stroke. Thanks are due to Jason Deitch, DC and Gerard Clum, DC, both of Life University who spent hours reviewing the science, role- playing the interview and refining Dr. Shoshany’s preparation for this moment. In addition, thanks are due to Keith Overland, DC, of the American Chiropractic Association. The preparation paid off! Dr. Shoshany was articulate, at ease, confident and effective as he represented the chiropractic community on this critically important national stage. Congratulations Dr. Shoshany! The Details On Tuesday, November 15, 2016, The Dr. Oz Show filmed two segments addressing the death of Ms. Katie May. The first segment involved the family of Ms. May who believe Ms. May’s death was a result of the care she received from a chiropractor. The second segment involved Dr. Oz, Dr. Carolyn Brockington, a neurovascular surgeon, Mt. Sinai Hospital in New York ( http://www.mountsinai.org/profiles/carolyn-d-brockington ) and Dr. Steven Shoshany, a practicing chiropractor from New York ( www.drshoshany.com ). While the consideration of any adverse outcome associated with our care is unflattering, the manner in which this situation was addressed by all three panelists was fair, constructive and informative for the public. There was no condemnation of chiropractic, and there was no statement, in this segment, that the chiropractor caused this problem. To the contrary, there was a thorough discussion of vertebral artery dissection, including its rarity in association with chiropractic care, its ability to present in seemingly healthy middle-aged persons, discussion that most dissections do not evolve into a stroke and finally that death from arterial dissection is extremely uncommon. Three questions were posed to Dr. Shoshany in the six-and-a-half-minute segment including: x Did cervical manipulation play a role in the circumstances of Katie May? x How important is a patient’s history in helping to understand this problem? x What are chiropractors doing to address these situations? Dr. Shoshany expressed condolences to the family of Ms. May and went on to explain that the best science available suggests that this was a dissection in progress that occurred during the photo-

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