d. Bilateral cervical artery dissection is more commonly associated with arteriopathy than with other causes.
The Next Steps Some Advice and a Couple of Requests
We are all concerned when reports create a cloud of confusion or suspicion relative to our care. We find it to be unfair and unreasonable when you consider more than 100,000 deaths annually in the U.S. from PROPERLY prescribed drugs. That inequity not withstanding, we want and need our care to be safer tomorrow than it was today. Make sure you are up to date with the current literature on this subject. Make sure your procedures fully appreciate the role of the 5 Ds, the 3 Ns and the A. Include questions about a history of stroke, aneurysm and dissection in the patient and their family in your case history and act accordingly. This is not the time to start your media career. Unless you have had extensive media training and you are intimately familiar with the literature on this subject, pass along any inquiries you receive to your state association, your chiropractic alma mater or other trusted resource for response. Don’t be defensive. Answer patient’s question as they arise. Respect any request th ey might make of you regarding their care — assuming it does not endanger them in some way. Congratulations to Dr. Shoshany for representing the profession so well. Our thanks to Dr. Oz for a fair and balanced discussion of vertebral artery dissection. We hope you will use this as a teaching opportunity in your office and community in the best interests of the public and the profession. www.F4CP.com
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