actually help us as part of their education and then when I ... I've had 70 associate doctors over the years. When I'm not in the office, like if I'm gone on a Friday on a gig or something, and I have patients that need to be seen that day, another one of the staff doctors, licensed chiropractors, will come in and take over. I just want to make sure that our patients understand this and expect this so that there's no issues or questions about it. I know that the scariest thing on informed consent has to be vascular accidents. As a consequence, I start with a section on stroke. Right, Stu? Can I ask a question because now you're getting to the point where, and I agree, and I think a lot of the doctors listening to this and watching this show, informed consent, as you and I both know, was originally made up in the medical model to protect the patients so that they knew what risks may be involved in the type of treatment or care that they may be getting. When I talk to chiropractors around the country, the part you're coming up to is the number one reason they do not use informed consent because it's my experience that the chiropractors are afraid to utilize the word "stroke" and, quite frankly, they're intimidated to say that chiropractic can do anything, but good. The reality is, you've seen all of the claims that I get 100% of the claims that come in here, whether it be broken ribs or stroke allegations or anything else, and I think it's really important to re-emphasize to everybody as you go through this, that this part is really to protect the doctor. It's to educate the patient and, at the same time, protect the doctor. What I did here, as you guys listened to this, I tried to make it as accurate as possible, as least scary possible for the patient, so that the patient understands it, protecting both the doctor and the patient. Also, if what I say here is ever challenged, I want to make sure it's as accurate as possible so that if someone ever challenges the accuracy of my informed consent, that I can support it. Listen to this, it's two paragraphs starting, "Stroke - in bold - Stroke means that a portion of the brain or spinal cord does not receive enough oxygen from the bloodstream. The results can be temporary or permanent dysfunction of the brain with a very rare complication of death. The literature is mixed, or uncertain, as to whether chiropractic adjustments are associated with stroke, or not. The most recent evidence suggests that it is not (2008, 2015)." Basically, I've got the Kozlov Study and the Cassidy Study that I can support what I'm saying right there. Since I wrote this, right now in my backpack that I read just this weekend, there's two more brand new studies looking at the issue of chiropractic spinal manipulation, their word ... Chiropractic spinal manipulation and the risk of stroke. Both studies are, again, saying there is just not evidence. One of the studies, I believe, comes out of Johns Hopkins University by physicians ... You at this stuff, so again, I could update this again because that study is dated February 16th of 2016. My last one was in 2015, so I could easily change this again, but I'm trying to stay up on this information and make this as accurate as it can possibly be. Well said. I just wanted to throw that out to you.
Dr. Hoffman:
Dr. Murphy:
Dr. Hoffman:
Dr. Murphy:
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