The Virginia Voice...Dr. Vladimir Janda 4 BRENDA CASSELL 800.586.2448 | [email protected] Fall...

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The Virginia Voice Fall 2017

Supporting Supplier News

When you’re shopping for products or services, check out Unified VCA Supplier Members first!Cutting Edge Laser Technologies is offering a free on-demand webinar on “Treating Common Lower Extremity

Conditions with Laser Therapy” by Dr. Kevin Wong, DC. Addresses plantar fasciitis, DJD, knee pain, shin splints, heel spurs and more. For the link, call 800-889-4184 or email [email protected].

Anabolic Labs’ Bryan Miller shares that Dr. David Seaman’s new video, “Gut Health – Truth Without The Confusion & Hype” is available now at https://www.youtube.com/watch?time_continue=2&v= xQrcz8aLG-8.

USA Laser Biotech just launched its new Fall Thursday Webinar Series. For a greater understanding of laser therapy and

how to use it most effectively to relieve pain, register for the noon-time webinars by emailing [email protected] or going to support at USALaserBiotech.com.

Inclusion in this column is free as a UVCA Supplier Member benefit. For a complete list of supporting supplier members, visit UVCA’s web site.

President’s Message

The following was delivered at the Fall Convention in Virginia Beach. Please read as if all your UVCA colleagues are with you. _________________________

My Colleagues of the UNIFIED VCA,

Please take a moment to look around and take note of the great people around you. Amongst you are a diverse group of dedicated professionals who have gathered to learn and share the latest knowledge in chiropractic. Amongst you are nationally recognized instructors who have traveled long distances to bring their talents and insights to Virginia to add to your knowledge base. Amongst you is a dedicated Board of Directors

and terrific support staff who work tirelessly to make the UVCA a benchmark chiropractic association envied throughout the US. The Unified VCA is a beacon of hope that diversity of thought need not be divisive of collaboration. We owe a debt of gratitude to my friends, my mentors, and true visionaries, Dr. Brad Robinson and Dr. Bill Ward. Nearly ten years ago, Brad and Bill, risked adversity and focused on commonalities as they led unification of the Virginia Society of Chiropractic and the Virginia Chiropractic Association. Great leaders do not retreat from challenge. They seek it out as they are driven to bring dividends to those they serve. We, the DCs of Virginia, are reaping the benefit of their vision. My friends, UVCA’s stability and growth is a testament to you and all our great Virginia DCs who possess the vision and desire to a part of something that is meaningful and essential. Your regular attendance at our awesome biannual conventions and other educational opportunities throughout the year verifies that we are achieving our goal of meeting your needs. Your regular participation on our listserve is our daily link to one another as we share, care and consult. The hugs, laughs, and cammraderie witnessed in every direction at this convention speak volumes about our love and support for one another and our profession. You are a rare breed of diverse individuals drawn to this profession and drawn to this association because of you deep roots of compassion and dedication. It is your loyalty to your peers, your patients, and the UVCA that builds our strength. Together, we shall surely survive and prosper. ….You have my thanks for your continued support.

David B. Dolberg, DCPresident, Unified VCA

In This Issue• President’s Message 1• Tech Neck & Sitting is the New Smoking 3• Maintaining a Compliant Practice During a

Natural Disaster 7• Can You Really Learn Dry Needling in a Long

Weekend; Acupuncture in a Hundred Hours? 9• Va. Offices Equip Students to Learn, Succeed 9• Lifetime Patient Research (Plasker, Life) 11• New UVCA Members 11• Va. Supreme Court Ruling & Erie Insurance 14• More Member Benefits from F4CP 17• Increased Outreach to Va. Media 17• Fall Convention Photos 18• 2017 Award Recipients 21• What’s Your Laser IQ? 25• ECA-IPN SecureCare Update 26• 1st Dues Increase in Over 20 Years 27• Education & Events 27

PLUS: Members in the News, Benefits Updates, Classifieds, Va. C-PAC, Premier Members, & More!

Calendar

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“Tech neck” (or “Text neck”) are new buzzwords on social and mainstream media about the postural pains of modern life. So patients now blame their worsening neck and back pain pain on phones, tablets and computers. This burgeoning awareness posture’s impact on health is a boon for DCs who congruently ad-dress these new chronic pain syndromes in communications, clini-cal approach and strategies for patient self-management. “Tech Neck” correlates to the bio-mechanics of another postural theme in the medias: “Sitting is the New Smoking”. The bio-mechanic stress of our typing and texting sitting society is something new, and it’s linked to worsening neck and back pain, earlier in life. And the current health consequences of heavy tech-nology use are just the tip of the iceberg. New research indicates the limitations of human structure and the functional demands of living on keyboards and screens will cause accumulating postural compensations and adaptions in young people who started using tech earlier in life, as well as for boomers getting older. From college students spending 8 to 10 hours a day on their phones1 to kids in middle and high school2 diagnosed with headaches, migraines, neck and upper back pain and even TMJ disorders, MRIs of these patients say they don’t show “the exact cause of the pain”3. While the explanation may be “It’s just pos-ture”, research shows significant consequences of early posture degeneration, including early mortality and onset of disease. A 2015 meta-analysis of 47 studies found prolonged sit-ting was associated with significant health consequences. In ad-dition to cardiovascular issues, sitting 12 hours a day was associ-ated with a 91% increased risk of Type 2 diabetes and increaseed overall mortality risk of 24%.4 This is important to everyone, espe-cially boomers looking to stay active and age well.

Postural Bio-Mechanics: Crossed Syndromes

There’s more to “tech neck” and “Sitting is the New Smoking” than inactivity and forward head posture. These two modern posture problems have a common bio-mechanic link in the work of Vladi-mir Janda and the Prague school of rehab5. Janda first described in 1980 the “proximal and distal crossed syndromes,6 later refined to Upper Cross (the forward head and rolled in shoulder posture pattern of “tech-neck”) and Lower Cross syndrome (the folded kinetic chain at the root of the “Sitting is the News Smoking” syn-drome). Professor Janda was the inspiration of my efforts to com-municate about and strengthen posture. I once commented to him that American audiences would not understand his crossed model, the response was classic Janda: “This is truth. How you tell it is your problem”. Thus began my specialization in posture rehab.

Crossed Syndromes: A Collapse of the Kinetic Box

Using a phone with hands close together is a bio-mechanic per-fect storm for Janda’s syndromes. Muscles move bones - stand-ing or sitting, running or walking, and everything in between. And muscles work in pairs, each being opposed by another. So dys-functional muscles cause joints to work dysfunctionally, and dys-functional joints cause muscles to work dysfunctionally. The imbalance of balancing your head in front of the body overuses some muscles and underuses others. Over time, an overused muscle shortens and tightens while it’s partner length-ens and weakens - and the head drifts further forward in a gradu-ally worsening spiral. A key Janda insight is that the sensorimotor system func-

S U P P L I E RM E M B E R

Tech Neck & Sitting is the New Smoking

Postural Mechanics, Diagnostics & Strategies of Trending Posture Syndromes

By Steven Weiniger, DC

tions as a single system, and dysfunction of motion causes mo-tor learning that initially causes functional compensation, and over time structural adaptation in muscle, connective tissue and the nervous system. In other words, the body gets better at doing whatever you train it to do. Muscles weaken when specific muscle fibers atrophy from disuse when not recruited in their arc of motion. Neuroplas-tic nerves controlling those fibers become inhibited from disuse. And connective tis-sue and fascia molds to how you use your body. The re-sult is patterns of propriocep-tion and control from chronic muscle imbalance allow the kinetics normally supporting a body mass structure to col-lapse and lock in a folded po-sition. Visualize a card-board box. With the ends folded closed, it’s stable, and will support weight. However, open the ends and the box is floppy, buckling under a load. Upper crossed syndrome is the collapse of the Head-Torso kinetic box from forward head transla-tion and the imbalance of tight and short upper posterior cervical muscles unbalanced against deep anterior muscles. The simul-taneous structural adaptation is shortening of the anterior chest and shoulder stabilization muscles from structural adaptation and weakening of their antagonistic posterior torso and gleno-humeral stabilizers. The body masses (or PostureZones®) of Head-Torso fold and lock in that buckled geometry. Today’s texting Upper Crossed syndrome from chronic muscle imbalance locks the head forward of the torso with the shoulders rolled in, with an additional factor compounding the col-lapse of the kinetic box in: shortening of the coraco-brachialis. Texting while walking, sitting and (unfortunately) driving requires people to stabilize for precise placement of fingers when typing. The fine motor control necessary to accurately type on a tiny keyboard (especially with onscreen keys without haptic feed-back for fingertip proprioception) requires Continued on page 4

Dr. Vladimir Janda

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BRENDA CASSELL800.586.2448 | [email protected]

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locking the proxi-mal upper extremity, often accomplished by shrugging shoulders up and anterior while stabilizing forearms to ribs. I believe this texting adaptation explains why pos-ture pictures increasingly show people with shoulders that are actually anterior to the front of the chest wall! Posture patterns are activity spe-cific. Internal humeral rotation to hold a phone shortens pectoral muscles. Plus many people lock the arm in flexion with shoulder roll-in, restricting gleno-humeral motion by over-recruiting an often neglect-ed deep stabilizer, the coraco-brachialis. Manipulation, muscle therapy and posture exercise can help this often missed tech-neck issue.

Communication & Cueing

The PostureZone® Model views static posture as a proxy for the complexi-ties of kinetic chain breakdowns, and the beginning point of all motion. We observe how people perceptually balance, objec-tively vertically align, and dynamically move 4 body masses - Head, Torso, Pelvis over the Lower Extremity’s center of support (Feet7). And the PostureZone® app helps people benchmark and track their posture. The 4 PostureZones® elegantly communicate complex concepts in com-

Bottom line: Chiropractors restore motion. We should also retrain that mo-tion towards symmetry to unfold collapsed kinetic boxes so people can sit and stand taller. And breath deep. Because breath-ing fully and moving well is really, really good for your health.

Don’t miss Dr. Weiniger’s seminar “Clin-ical Posture Assessment, Therapy & Exercise” on December 2-3 in Tyson’s Corner, VA. 1 https://www.baylor.edu/mediacommunica-t ions/news.php?action=story&story= 1458642 Jacobs, K., Hudak, S., & McGiffert, J. (2009). Computer-related posture and

mon-sense language that is understood by patients as well as the public, the media and other profes-sionals. In addition, it fa-cilitates systematic cueing of rehab exercises (the StrongPosture® proto-cols) using focused atten-tion along three tracks to target Balance, Alignment and Motion.8 Janda’s Upper Crossed syndrome is de-scribed as dysfunction of Head-Torso biomechanics. (Lower Cross is Torso-Pelvis-Lower Extremity, and will be discussed in a future article.) And both can be benchmarked with a picture measuring the deviation of Head, Torso and Pelvis from gravity line center. Pictures show the problem and communicate changes over time. The PostureZone® app (free on iTunes) lets a patient’s spouse check his/her posture and allows pictures of friends to boost social awareness. Understanding is deepened when that framework is used to cue pos-ture rehab exercises. And communication demonstrations such as the TEXTING & BREATHING DEMO above engage people with the same PostureZone® framework.

TEXTING & BREATHING DEMO

Sit down and type an email (or text) on your phone.

Now: Breath in. Notice how much air you can take in.

Next: Scoot your Pelvis back, lift Torso and Head up to sit tall. Strengthen posture by pulling shoulders back and down, pull elbows in, and lift your device UP so

you don’t bend to see screen.

Then: Take in another breath. Most people find strengthening posture literally gives them more air.

Continued from page 3


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classes for doctors and staff at discounted rates or free• Searchable Find-a-Doc and Find-a-Supplier• Chiropractic research• Scholarship programs• Back issues of The Virginia Voice• Information on advertising regulations, backpack safety

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• New DC Checklist• Business tips and practice management videos• ICD-10, HIPAA and outcomes assessments resources• Basic Spanish for the Chiropractic office• Classified ad listings• Much more

musculoskeletal discomfort in middle school students. Work, 32(3), 275-283. doi:10.3233/WOR-2009-08263 Shah, S. A., & Saller, J. (2016). Evaluation and diagnosis of back pain in children and adolescents. Journal of the American Acad-emy of Orthopaedic Surgeons, 24(1), 37-454 Biswas, A., Oh, P. I., Faulkner, G. E., Bajaj, R. R., Silver, M. A., Mitchell, M. S., & Alter, D. A. (2015). Sedentary time and its asso-ciation with risk for disease incidence, mortality, and hospitalization in adults: A systematic review and meta- analysis. Annals of Inter-nal Medicine, 162(2), 123-32. doi:10.7326/M14-16515 Page, P Frank C, Lardner, R, Assessment and Treatment of Mus-cle Imbalance:The Janda Approach Human Kinetics, 20096 Janda, V, Muscles as a pathogenic factor in back pain. IFOMPT Proceedings, New Zealand 1980, personal comm Phil Page7 Photographic Manual of Regional Orthopaedic and Neurologic Tests, Cipriano J, Posture Chapter, Weiniger S, 5th ed, LW&W, 20108 Weiniger, Steven Stand Taller~Live Longer: An Anti- Aging Strat-egy, BodyZone Press, 2008

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Premier Membership Update

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Maintaining aCompliant Practice

During a Natural Disaster

By Dr. Ray Foxworth

With the recent wildfires in the North-west U.S. and the destruction left by hurricanes Harvey, Irma, and Maria, pro-viders are left wondering how to maintain a compliant office while facing the wrath of mother nature. Every office should have a contingency plan in the event of a natural disaster. Here are a few things you can do to stay safe and compliant in the face of ca-tastrophe.

1. Data Backup: Document in detail the process for backing up the data in your office, including the third-party vendor that you use for data backup, where the data is stored, and the frequency at which your data is backed up. You should also include your process for confirming successful backups and the steps you take in the event a back-up has failed. Your third-party vendor should also have a process for protect-ing this data in the event of a disaster. Many vendors duplicate data in mul-tiple datacenters spread around the country. Request in writing how your information is protected. After that, one more critical step remains. We all as-sume the backup is restorable when the fact is you don’t know it is unless you have tested it. So, whether you handle your own backup process or outsource it, make sure you perform periodic restore functions to confirm your backups are functional and re-storable.

4. Training and Testing. 1-2 times an-nually, during a team meeting, test your emergency plan. Determine what items were left out, what services can and cannot be provided if, for instance, you were without power. How would you access your patient information? Consider an on-site backup generator, even a small one that could at least run your computers or other critical equip-ment. How would you document a pa-tient visit and what are the policies for storing this information until power is restored? Who is responsible, and in what time frame, should this informa-tion be entered into your software sys-tem? Your team should feel confident and comfortable when it comes to run-ning your office during, and following, an emergency situation.

5. Documentation. Create documenta-tion that outlines all the above, includ-ing your training and testing dates. Include the results from training and testing, and any modifications that were made as a result. Include names and contact information for third-party vendors responsible for information backup and your software. Include a list of all the systems in your office and in what order they should be restored. Some systems are more critical than others when it comes to running your practice.

Some parts of the country are more sus-ceptible to natural disasters than others; prepare for them nevertheless. Several years ago, when Katrina hit the coast of Mississippi, many businesses were un-prepared when the capital city of Jackson and surrounding areas found themselves without power and gasoline. Although your

business may not be located at ground zero, don’t assume that you won’t be affected.

Dr. Ray Foxworth is a certified Medical Compliance Specialist and President of ChiroHealth-USA. A practicing DC, he re-mains “in the trenches” fac-ing challenges with billing, coding, documentation and compliance. He has served as president of the Mississippi Chiropractic Association, for-mer Staff Chiropractor at the G.V. Sonny Montgomery VA Medical Center and is a Fellow of the International College of Chiropractic. For a free webi-nar on how a DMPO can help you practice with more peace of mind, go to www.chiro-healthusa.com.

2. Emergency Plan: Every business owner should have a written emergen-cy plan in place and review it with their staff at least annually. Your plan should include what to do and where to go in the event of a fire or tornado. Set out procedures to follow if you must evac-uate due to a disaster. It should include plans for how and when you will decide to re-open for business following an emergency, how you will communicate with your employees and patients be-fore and after an emergency, and how you will let your employees know when and how to report to work. FEMA offers a great resource on creating an emer-gency plan for your business at https://www.fema.gov/media-library/assets/documents/89506. In the military, the term “JUMP BAG” has been used in the past, meaning if you had to get out of your office in an emergency, what would you grab or already have in your jump bag that might help you get back to normal as soon as possible?

3. Conducting Business After a Di-saster: Define the process for running your business after a disaster situa-tion. Recently, we received calls from several of our clinics that had opened their doors even though they were still without power following Hurricane Irma. What are your policies and pro-cedures for maintaining critical busi-ness functions if you were to be open without power? How do you document the services provided? How would you collect payments? Are additional secu-rity measures needed? Depending on the disaster, your ability to open your practice and the services you provide could vary.

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The short answer is “Yes.” If you pos-sessed the ability to earn a doctor of chiropractic degree, you can learn the ru-diments of clinical acupuncture and get a solid training in dry needling in fairly short order. Whether you call it acupuncture or dry needling, inserting filiform needles into trigger points and acupuncture points is the same skill set. Dry needling, like acupuncture, is a natural adjunct to chiro-practic care, and jurisdictions across US and around the globe are incorporating dry needling into scopes of practice for both chiropractors and physical therapists. The Virginia Board of Medicine has stated that dry needling is within the scope of a chiropractor who can document clinical training as part of his or her doctor-al level education and/or attendance to a program sponsored by a CCE-accredited college of at least 12 hours. This is a very modest investment in time and resources, considering the benefits dry needling can offer your patients and your practice. I’ve taught acupuncture and dry needling theory and techniques to thou-sands of chiropractors and other health-care providers for the last 30 years. At this point, I think I could probably teach a stone. OK, maybe not a stone… but I know what a chiropractor needs to know to perform safe and effective needling. And I know how to teach these techniques ef-fectively and efficiently. I’ve seen hundreds of doctors practice these techniques on one another and almost every one gets it right the first time. By keeping in touch with many of these doctors over the years, I know that these short focused programs equip mo-tivated practitioners to provide safe and highly effective needling treatments, and that their practices, their patients, and they themselves reap the benefits. Will you be the best acupuncture or dry needle provider right out of the gate? Not likely. However, you will know enough to help a lot of patients with a lot of prob-lems, and avoid hurting any of them. My experience is that doctors who continue to use needling regularly, end up as good as the next guy–maybe even better–within a few years. A great deal of thought and ex-perience are behind the architecture of to-day’s focus programs that take advantage of modern learning technologies where they work the best, both online and in live-classroom learning environments.

One example of this integrated learning approach is with needle technique. Where one might think it is impossible to learn needling from a video, in fact, video dem-onstrations offer some distinct advantages over live in-classroom demonstrations. Ev-eryone gets a close-up front-row seat, and the videos can be revisited online multiple times to reinforce learning over time. Once a student has been introduced to the tech-nique, they can join an in-person intensive to review and practice those techniques. This combination yields a high level of skill and confidence. For some examples of these kinds of videos, go to https://acu-practiceseminars.com/student-resources/. Focused acupuncture and dry needling programs by well-established, reputable organizations can deliver solid, clinically effective education in much less time and for much less money then has ever before been possible. It is not that dif-ficult to learn, yields powerful results, and adds an effective tool to healthcare provid-ers’ treatment options. If it’s something you’ve had interest in but dismissed as not realistic in terms of the training investment, take another look!

Resources:http://journals.lww.com/spinejournal/Abstract/2005/04150/Acupuncture_and_Dry_Needling_for_Low_Back_Pain__An.18.aspxhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117383/https://www.ncbi.nlm.nih.gov/pubmed/

23756457Sample Videos: https://acupracticesemi-nars.com/student-resources/

Dr. Jim Ventresca, AcuPractice Seminars, has been teaching acupuncture and dry needling techniques since 1986. He was in the first cadre of Board-Certified Diplo-mates of Acupuncture in the US and holds licensure as a Doctor of Oriental Medicine in New Mexico. In addition to practicing and teaching for over 30 years, Dr. Jim was a Full Professor and Academic Dean for Southwest Acupuncture College, an instructor for the International Academy of Medical Acupuncture, and Medical Direc-tor for Integrative Medicine at HealthSouth Rehabilitation Hospital in Albuquerque.

Join Drs. Jim and Chuck Ventresca of AcuPractice Seminars for a 3-day, in-tensive hands-on training course in Richmond, Acupuncture-Informed Dry Needling. This course qualifies DCs to add dry needling to their practices in Virginia and also includes many ad-vanced acupuncture techniques for the treatment of pain. It is appropriate for doctors who already practice acupunc-ture and dry needling, as well as those who would like to. UVCA members re-ceive a $100 discount. Call the UVCA office for the discount code. For more information and registration, go to https://acupracticeseminars.com/prod-uct/trigger-point-acupuncture/.

Can You Really Learn Dry Needling in a Long Weekend orAcupuncture in a Hundred Hours?

By Dr. Jim Ventresca of AcuPracticeSeminars.com

Virginia Chiropractic Offices Equip Students to Learn & Succeed

Forty chiropractic offices across the state collected 2,719 pounds of school supplies this summer as part of the Unified VCA’s inaugural drive to help enable more stu-dents to focus on learning. “Through no fault of their own, too many students don’t have the materials they need to take full advantage of learning opportunities and their potential” explained Dr. Carly Swift, UVCA Public Relations Committee Chair. “This initiative was designed to help students and their parents achieve their hopes and dreams through a healthy mind in a healthy body.” The office collecting the highest weight in school supplies of any in Virginia was Bowers Family Chiropractic in Fredericksburg, run by Dr. Jeff Bowers. Dr. Bow-

ers’ office collected a total of 350 pounds. The top performing district was V-East, led by Chesa-peake Wellness Center (Dr. Mark Gutekunst). Participating doctors, their staff and pa-tients agreed that the drive was a unique, easy and fun way to make a difference in the commu-nity. We’re looking forward to taking what we’ve learned for an even better drive next year!

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Welcome, New Members!

The Following Members Joined the Unified VCA Between 7/7/17 & 10/25/17

Lifetime Patient Research

Call for Participants

In an effort to show the benefits of lifetime chiropractic care, Dr. Eric Plasker’s team joined forces with Life University in Marietta, Georgia, to perform a preliminary study involving 118 people who had long-term chiropractic care. The results showed dramatic improvement within the first two years, and then no de-cline with age over the next 20. “This is an exciting preliminary result, and one that we know of clinically in so many of our practices where we see life-time patients,” Plasker says. “Our patients reported that they got sick less often and had more energy, that their posture stayed straight and healthy, that their athletic performance improved, and that they felt younger even though chronologically they were aging.” “Sharing this information with patients can inspire them to engage more in their care,” Plasker continues. “Nearly every patient we see in our practices feels better and younger within 30 days after they start care, even though they are 30 days older. This trend usually continues as they continue on with their chiro-practic care.”

Phase 2 is Underway

Dr. Plasker is again working with the research department at Life University on this practice based research project to assess the benefits that chiropractic patients are receiving from lifetime care -- and they need your help!• For a video interview discussing the study that Dr. Plasker

did with Stephanie Sullivan of Life’s research department, go to https://youtu.be/VGXdrfB6cbw.

• For a copy of the study abstract, email [email protected].

All chiropractic offices are invited and encouraged to partic-ipate in gathering data. There is no fee and getting involved is easy.

To get started, go to:https://form.jotform.us/70864058754162.

Abbott, DC, Rachel Neuropractic Smithfield, Virginia Phone: 757 302-7033 [email protected] First Year DC Applied Kinesiology, Extremity Adjusting, Full Spine, Motion Palpation, Myofascial Release, Sacro Occipital Technique (SOT) Referred by Dr. Lisa Shearin Bagai, Megha Student Referred by Dr. Eric Plasker Bilson, DC, Eric Buford Chiropractic North Chesterfield, Virginia Phone: 804 323-0700 [email protected] FourthYearorMoreDC Active Release Technique (ART), Cold Laser, Diversified, Drop Thompson, Extremity Adjusting, Cox, Full Spine, Activator, Torque Release, Low/Non Force Techniques, Motion Palpation, Myofascial Release, Sacro Occipital Technique (SOT), Webster Brennan, DC, Michael Strawbridge Family Chiropractic Center Virginia Beach, Virginia Phone: 757 430-8000 [email protected] DC Spouse Palmer Package Referred by Dr. Karen Brennan Collingsworth, Joshua Virginia Beach, Virginia Phone: 757 692-4399 [email protected] Student Acupuncture, Decompression,

Diversified, Thompson, Dry Needling, Extremity Adjusting, Full Spine, Gonstead, Graston, Activator, Kinesiotaping, Motion Palpation, Myofascial Release, Palmer Package, Webster

Deel, Jody DEEL FINANCIAL Bluefield, Virginia Phone: 276 322-7394 [email protected] Allied Supplier Financial Services Referred by Dr. Robert Pinto Hendon, DC, Ainsley Hendon Family Chiropractic Norfolk, Virginia Phone: 757 305-9996 [email protected] First Year DC Applied Kinesiology, Diversified, Full Spine, Logan Basic Hicks, DC, James James E. Hicks DC Meadows Of Dan, Virginia Phone: 614 554-8128 [email protected] FourthYearorMoreDC Holmes, DC, Lloyd My Chiropractic Doctor Vienna, Virginia Phone: 703 663-8808 [email protected] First Year DC Referred by Dr. Faranak Taheri

Hoxter, DC, Josh Harbour Healthcare Inc. Portsmouth, Virginia Phone: 866 601-4443 First Year DC Referred by Dr. Dan Cohen

Lewis, Kimberly Aratat, VirginiaPhone: 816 [email protected] Student

Lichtenauer, Evan Marietta, Georgia Phone: 443 632-4382 Student Torque Release

Mann, Barbara SPEECH SOLUTIONS, INC. Alexandria, Virginia Phone: 703 360-3880 [email protected] Allied Supplier Software Continued on page 12

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Raghav, Arghya OPTIMAL PAYMENTS LLC Ashburn, Virginia Phone: 214 842-9500 [email protected] Allied Supplier Billing Services, Credit Card Processing Schnitzler, DC, Tyler Sport & Spine Rehab McLean, Virginia Phone: 703 448-5799 [email protected] First Year DC Diversified, Extremity Adjusting, Cox, Full Spine, Graston, Kinesiotaping, Motion Palpation, Soft Tissue Referred by Dr. Jay Greenstein

Silva, Aleshia PRACTICE MANAGEMENT SOLUTIONS, LLC Stafford, Virginia Phone: 540 300-3736 [email protected] Allied Supplier Billing Services Smith, Jr., DC, Doug Advantage Health Chiropractic & Massage Therapy Warrenton, Virginia Phone: 540 349-8989 [email protected] FourthYearorMoreDC Diversified, Thompson

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Phone: 707 344-3938 [email protected] Student Referred by Dr. Stephen Erle

Straub, John STAR IMAGING Virginia Beach, Virginia Phone: 757 460-4433 [email protected] Allied Supplier Diagnostics/Imaging

Townsend, OD, Brian HCPN Alliance Aylett, Virginia Phone: 804 769-4362 [email protected] Allied SupplierHealthcare

Williams, DC, Lisa Jubilee Family Chiropractic Charlottesville, Virginia Phone: 434 218-2620 [email protected] First Year DC Thompson, Full Spine, Webster Referred by Dr. Rebecca Wilder


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better, or anything at all, call the UVCA office at 540-

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UVCA Attorneys Review Recent Va. Supreme Court Ruling & Erie Insurance

The Following Memo Was Distributed to

UVCA Members on 10/16/17

MEMORANDUM TO: Unified VCA MembersFROM: David B. Dolberg, PresidentDATE: October 16, 2017RE: Recent VA Supreme Court Ruling and Erie Insurance A recent ruling by the Virginia Supreme Court related to a Virginia DC’s personal injury case and Erie Insurance has led to questions about the Assignment of Benefits (“AOB”)/Lien forms and protocols developed for and provided to Unified VCA members. The Unified VCA attorneys – specialists in this area -- have completed their review of this ruling on behalf of our members. The Assignment of Benefits “AOB”/Lien forms and proto-cols developed for and provided to Unified VCA members continue to be a wise approach to accepting assignment in the vast majority of cases. If you are utilizing the UVCA-provided materials and in-structions without deviation, do not stop. This Supreme Court case represents an atypical scenario. The ruling is limited to liability cases in which the patient does not have an attorney and negotiates a settlement on his or her own with no Court involvement. In the afore-mentioned case:• A UVCA member doctor forwarded an AOB form to the liability

insurance carrier representing the person who hit the patient.• However, despite the AOB on record, the insurance carrier

paid the patient the entire settlement directly.• Our member chiropractor took the liability carrier to court in an

attempt to force the carrier to pay the doctor. The doctor won in General District Court so the carrier appealed to the Circuit Court (a Court of Record) where the carrier lost again.

• After the carrier lost in both those courts, it appealed the case directly to the Virginia State Supreme Court, bypassing the Virginia State Court Appeals.

• In an unfortunate and unexpected move, the Virginia Supreme Court overturned the previous rulings. The Virginia Supreme Court cited a precedent from several decades ago stating that in this particular instance, because of no attorney or court in-volvement, the patient had no “ownership right” to any money from the liability carrier, consistent with Virginia state law.

A settlement out of court with no attorney is more like a payoff/exchange in return for the patient (plaintiff) signing off and releasing the insurer and the insured of any future liability.• The Virginia Supreme Court ruled that the AOB is good and

enforceable against money that is due to the patient.• In this case, the Court said this money was not legally due to

the patient, so the patient had no “ownership” of the settlement money.

An AOB/Lien is against someone’s property -- and money is property.• If the accident case had gone to court and a judge ruled that

a certain amount of money was due to the patient, the AOB would be in effect and enforceable.

• If a patient hires an attorney and signs away his/her rights to the money received as part of the attorney contract: An AOB/lien works in that scenario once there is a settlement or a court ruling because that is money that the patient is due according to the contract with the attorney.

• A settlement without an attorney is an option, not a require-ment. This subtle difference is what made all the difference

in this case. It is an option that is sometimes chosen by the uninformed patient because it is a less expensive path for the insurance carrier because they don’t have to deal with an attorney and a quicker way for the patient to receive his/her settlement money. Again, legal representation is common but not required in any way, so the court views that money as not due to the patient as a “settlement”. Therefore, the AOB is not applicable in this very limited case.

We can argue the merits of the decision, which many have deemed “lousy.” However, after researching the case, our attorneys echo and cite the same explanation that the Virginia Su-preme Court provided. So how can we establish office policy to appropriately safeguard receipt of payment for our services?1. Continue to use the AOB/Lien EXACTLY as directed on the

UVCA’s website. It will provide the protection that is intended for:

- Payment from your patient’s auto insurance policy (Medpay). - Payment via an attorney that your patient has hired, whether that money comes from Medpay, a liability case, or both. (Dollar amount will vary.)2. Recognize that you are not protected via the AOB/Lien from

a liability insurance carrier’s settlement with a patient without an attorney. You would be covered if the patient represents himself AND there is a court ruling, something that rarely hap-pens. However, practically speaking, it is very unlikely that a patient will go to court on his own.

The bottom line is this:• If the patient is only offering the liability insurer as a third party

method of payment and there is no Continued on page 15


15Continued on page 15

attorney or Court involved, you are not protected by the AOB! If the pa-

tient has an attorney or the patient actually takes the carrier to court (something that is very rare) you are covered by the AOB.

• If you have a properly executed AOB and are going through the patient’s Medpay, you are protected.

• The normal procedure is for you to bill the patient’s health insurance if you are a participating provider with their health insurance carrier, regardless of the cause of injury. However, if the only place for payment is the at-fault party’s insurance, your best option is to require payment at the time of service. We would also recommend you make this part of your insur-ance policy that the patient signs.

• Certainly you can and should forward the patient’s claim to the liability carrier at the end of care so that patient can negotiate a settlement and try and recoup their expenses, but you have no protection for seeing that money so these patients should be treated as cash patients and pay for all your services on the date of services provided.

If you take on a personal Injury case, you need to be aware of both the solid ground and risks of choosing to “accept as-signment” (choosing to defer upfront-payment and wait to be paid by an attorney or a third party). While the ruling on this particular doctor’s case was not what was hoped, it did provide a valuable lesson that we hope will help other doctors avoid learning it the hard – and expensive -- way.

Note: A convenient flow chart for PI cases is in development and will be shared with all members shortly!

If you have any questions or comments:1. Please forward them to Bill Thesier, DC, UVCA’s personal in-

jury specialist, at [email protected]. He will help us to triage them appropriately, in a timely manner.

We hope everyone finds this information helpful.

*** This work was largely developed through careful analysis by UVCA Treasurer, Dr. Chris Perron, and long-time PI specialist, past president and past legislative committee chair, Dr. Bill Thesier. It is a great example of how member volunteerism provides the back-bone of our association’s strength. We thank all those who contrib-ute time and talents for our members’ success. ***

P.S. The Unified VCA has invested in the development of a wealth of information regarding personal injury cases, assignment of ben-efits, and related issues for members’ benefit. If you have not re-viewed the material recently, go to www.virginiachiropractic.org; click on the “Tools & Resources” tab; select “Insurance” from the pull-down menu; then scroll down to and click on “Personal Injury / Assignment of Benefits.” Member log-in is required.


SAVE THE DATE

JOIN USMAY 4-6, 2018WEST CAMPUS–

FEB. 23-25, 2018FLORIDA CAMPUS–

AUG. 9-11, 2018DAVENPORT CAMPUS

UVCA Members Raise Money for Hurricane Relief

Thanks to you, $1000 was raised at the recent UVCA fall convention to help those impacted by the recent hurri-canes. The $1000 was sent to Direct Relief, designated to split equally between the victims of Hurricanes Harvey, Irma and Maria. Direct Relief is a 501(c)(3) nonprofit organization that provides essential medical resources to people affected by poverty or emergency situations. Thanks to everyone who has helped those in need in so many different and important ways.

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The Unified VCA recently increased its contribution to the Foun-dation for Chiropractic Progress (F4CP) to Group Membership so that ALL UVCA MEMBERS can take advantage of valuable new benefits! The F4CP is a not-for-profit organization dedicated to raising awareness about chiropractic care via positive press. Now, as a F4CP member through the UVCA’s group membership, you are entitled to take advantage of its wonderful membership benefits – including permission to personalize and use all of its marketing material, which can be seen at www.f4cp.com. UVCA members are also entitled to a free listing in the Foundation’s new online membership directory that provides the public with an easy way to search for local doctors of chiroprac-tic. The directory is promoted in all new, national F4CP material, including advertisements, advertorials, public service announce-ments, social syndications and press releases. To attract attention to the directory, the F4CP has produced 20+ new ads that promote the new directory and encourage consumers to visit a D.C. The F4CP is excited to create your personal membership account. Your personal account will provide you with total access to the Foundation’s “Members Only” site that allows you to download all F4CP marketing material and update/activate your listing on the directory.

To claim your free member benefits,please go to: http://f4cp.com/signup-opt-in/.

The F4CP encourages you to visit its social media platforms, be-come a fan and receive access to exclusive up-to-date campaign news and resources, including advertisements, press releases, public service announcements, advertorials, social syndications, and more.• Facebook: https://www.facebook.com/FoundationforChiro-

practicProgress. When you visit the F4CP Facebook and be-come a fan by “liking” the page, you will receive a FREE guide-

Have You Signed Up for Your Expanded Free Benefits from F4CP?

book to help achieve personal social media success. Enjoy!• Twitter: https://twitter.com/@f4cp• LinkedIn: https://www.linkedin.com/company/f4cp• Pinterest: https://www.pinterest.com/f4cp• YouTube: https://www.youtube.com/f4cp2010 Additionally, individual F4CP contributors of $25 per month or more receive a complimentary profile page within the di-rectory that features additional contract information, office photos, testimonials, awards and more. To add your own contribution and enhance your benefits even further, contact Marta at [email protected] or call her at 866-901-F4CP (3427) and press 1.

UVCA Increases Outreach toVirginia Media

Thanks to the UVCA’s new Group Membership in the Founda-tion for Chiropractic Progress, the association now has ac-cess to a far more extensive list of Virginia media outlets than it previously had. Additionally, thanks to the Foundation’s timely, professionally written news releases, the UVCA is incorporating Foundation releases with its own to significantly increase Chiro-practic’s presence in Virginia Media. In the last couple of weeks alone, the UVCA has dis-tributed news releases on how Seniors’ Use of Opioids Under-scores Need for Drug-Free Chiropractic Care, National Prescrip-tion Drug Take-Back Day, and 2017 Awards Recipients, among others. It has already resulted in a request from one paper for a DC to contribute wellness material on a regular basis.

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IMAGES: Unified VCA Fall Convention, Sheraton Oceanfront Virginia Beach

Special thanks for Dr. Nelson Marquina for the photographic coverage!

Dr. Jack Wolfson draws a crowd.

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Exhibits with a view of the ocean - & the Blue Angels!Friends & colleagues.

The hypnotized group proved to be great sports - not to mention great dancers!Chiropractor of the Year Dr. Ray Tuck.

IMAGES: Unified VCA Fall Convention, Sheraton Oceanfront Virginia Beach

20

Classifieds

Members may place a classified ad in The Virginia Voice and on UVCA’s website free of charge. Fee is $50 for member vendors and $85 for all non-members. Listing will remain on website for 3 months, plus appear in at least 1 issue of newsletter, broadcast email/fax to member and non-member DCs throughout VA, and promotion of link to Classifieds on VCAdoctalk. Individuals may not post classified listings to the list-serve, per membership vote. Limit of 35 words may be imposed. For deadlines, display ad info. or to submit your listing, e-mail [email protected]. Sections may in-clude:• Events• Coverage• Equipment Wanted• Non-DC Position Available• DC Position Available• Practices• Products & Services• Space Available• Equipment Available(Updated 10/25/17)

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Events

LEADERSHIP TO LEGACY 2018: BUILD TO LAST: Discover your strengths in this career/practice build-ing summit February 1-3. Join Tom Roselle, DC, industry experts & UVCA colleagues for sun, fun & a high im-pact weekend of personal & career development, practice building, mind expansion & more! Register & view speakers, topics & networking events at leadershiptolegacy.com. Use promo code “VCA” for HUGE savings!

For DC & staff training from the Unified VCA & its partners, visit the Calendar section of the web site.

Coverage

Vacation or Emergency Coverage: Available immediately, short notice ok. 18+ yrs experience, professional, ethical, patient-liked, friendly, great ad-justor, plus Cox F/D, therapy, manual therapy, exercise, & axial decompres-sion. Follow your treatment plans. Support your office & staff. You main-tain cash flow & patient compliance. Don’t lose New Clients. Worry-free leave. NCMIC insured. Contact me at

[email protected] or 707-344-3938. Ryan Stilson, DC. [listing#112417b]

20 + Yrs Exp in Bodywork: Statewide & maternity coverage available. Mar-garet Newton, DC, LMT. Techniques in addn to basics: Cox F/D, Webster, NMT, MFR, 678-938-5712, [email protected], NCMIC insured, REFS.

Is peace of mind, keeping your office open & continuity of care important? Yes. I am Dr Pat Boulogne. +I have over 30 yrs of experience & versed in the majority of techniques. NCMIC insured. References available upon request. Let’s talk to see if we are a fit…. call or email: [email protected] & phone 202-642-2335.

Vacation coverage, relief services: Greg Walter DC, NCMIC insured, 30 years of experience caring for chiro-practic patients. Based in Roanoke but can cover anywhere in VA. Familiar with ChiroTouch software. Email [email protected] or call 540-797-6640.

Vacation Relief Svcs: Keep yr ofc open. Yr practice run your way. 28 yrs exp ofc coverage. Many techniques.

NCMIC insd. Statewide coverage. Refs. Reasonable rates. Call J Terry Fowler, DC at 770-597-2872 (cell), or email [email protected].

Equipment Wanted

Dr seeks static myovision machine for use in office. Ours finally died!! please contact [email protected] or call clinic at 703-222-3737 ASAP. Ask for Dr P thank you! [listing#112417a]

Non-DC Position Available

No current listings.

DC Position Available Immediate openings in The Joint Al-exandria clinics for highly skilled Chi-ropractors who are friendly, energetic, driven for success & embrace bringing routine, convenient, & affordable care to patients. We offer a competitive sal-ary w/performance bonuses, a consis-tent flow of new patients each month, paid malpractice insurance & CEUs, w/ZERO insurance, paperwork or billing hassles. Email resume to [email protected]. [listing#111018a] Continued on page 23

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Continued on page 23

The Unified VCA Announces 2017 Awards Recipients

During the Unified Virginia Chiropractic Association’s (Unified VCA or UVCA) Fall Convention and Annual Meeting, Septem-ber 15-17 at the Sheraton Oceanfront Virginia Beach, the UVCA presented the following leadership awards.

Raymond S. Solano, DC, CCSPJohn Stoke Award

The John Stoke Award recognizes DCs who have published or produced something for lay consumption. Dr. Solano from Falls Church, Virginia has reached millions with his pro-chiropractic message through TV, Radio, and Print. He has been one of FOX 5’s Health contributors for five years and done well over 100 health segments on health related topics including backpack safety, find-ing the right pair of running shoes, and safety in the snow. He has made appearances on NBC 4, ABC 7, and News Channel 8 in DC, discussing the latest trends in physical health and sports medicine. He has been featured as an expert in The Washington Post, Washingto-nian Magazine, ESPN 980, and 106.7 The Fan. Local businesses, schools, and athletic teams have engaged Dr. Solano to present health talks on a range of topics including workplace ergo-nomics, injury prevention, and wellness.

Phillip Connolly, DC, DACANDistrict Director of the Year

Dr. Connolly has worked hard to increase the sense of community in Northern Virginia. He owns and runs Spine Care of Alexandria and has practiced in Northern Virginia since 1991. He is a graduate of NYCC and has a diplomate in neurology. On his web site, Dr. Connolly men-tions that “chiropractic healing is all about well-ness and communicative care.” This excellence in communications and commitment to strength-ening the profession is inherent in everything he does as district director of UVCA district 2-East. He spearheaded his district’s participation in this year’s inaugural UVCA School Supplies Drive. He has worked with organizations like the Virginia Spine Institute, Anabolic Laborato-ries, Insight Imaging and Brainspan to put to-gether meaningful district meetings.

Nelson Marquina, DC, PhDUSA Laser Biotech, Inc.Presidential Merit Award

Dr. Marquina’s company, USA Laser Biotech, has been a Supporting Supplier Member for over 15 years. Dr. Marquina conducts seminars and research presentations in laser photother-apy and photobiology in North America, Asia and South America. Yet despite a challenging schedule, Dr. Marquina still finds time to support the UVCA far beyond his valued participation as a dues-paying member. He has conducted sem-inars and convention sessions for the UVCA on both laser therapy and Spanish in the chiroprac-tic office. He provides photographic coverage of the conventions. He and his wife and colleague, Dr. Sherron Marquina, provided their confer-ence facility to the association at no charge ear-lier this year for our rad tech program, saving

us high meeting costs that we otherwise would have had to pass along to the students. His company regularly exhibits at UVCA conventions and sponsors extra convention functions.

Carly S. Swift, DCPresidential Merit Award

Dr. Swift is Chair of the UVCA Public Relations Committee and Director of UVCA’s District V-East. Even though she has only been in practice since 2013, she has volunteered many hours of her time to help chiropractic in Virginia since day 1. She at-tended her first UVCA strategy meeting when she had been in practice for barely a month. She coordinates the UVCA’s an-nual silent auctions, managed this year’s inaugural school sup-plies drive, masterminded Virginia Beach spine parades, and

has put together numerous district meetings.

Dr. N. Ray TuckChiropractor of the Year

For nearly two decades, Dr. Tuck has been helping patients across the New River and Roanoke Valleys with chiropractic. During that time, he grew from a sole practice to now hav-ing nine clinics, led by twelve doctors and an even larger support team. Dr. Tuck’s leadership within health-care is clear. Dr. Tuck was just re-appointed by the Governor to serve as the chiropractic representative on the Virginia Board of Medi-cine and was elected that board’s Vice Presi-dent. He serves on the Board of Governors for the American Chiropractic Association and is a Board Member of the Virginia C-PAC. Dr. Tuck is a past president of the Virginia Chi-ropractic Association and received its Chiro-practor of the Year award in 2003. Dr. Tuck states, “I’m glad to have the acknowledgement that what I’m doing is of value of others to rise to the level of receiving this award.” He notes that “In today’s health-care system, most of the things I do are about how we can bring chiropractic to very key tables to improve healthcare with other practi-tioners. In today’s world, healthcare is about a team approach.” Chiropractor of the Year nominations are submitted to a committee comprised of the previous three recipients of this top Uni-fied VCA award. For this year, that committee consisted of Dr. Tom Wetzen, Dr. Will Sonak, and Dr. Joe Foley.

Dr. David Dolberg, Unified VCA President, notes, “non-profit associations such as the Unified Virginia Chiropractic Association de-pend heavily on volunteerism to realize their mission. This year’s award recipients are per-fect examples of what a difference individuals can have on the health and strength of chiro-practic in Virginia – and beyond.”

For additional photos and details, call the UVCA office at 540-932-3100.

Dr. Tom Wetzen, who MC’d the awards dinner party for Dr. David Dolberg,with (from top to bottom) Dr. Phil

Connolly, Dr. Carly Swift, & Dr. Nelson Marquina, USA Laser Biotech

22

Virginia Chiropractic Political Action Committee2017 CONTRIBUTORS

Contribution Level Based On Yearly Pledge Level As of 10/25/2017

Gold($600-999)

Dr. Gary DennisDr. Wade QuinnDr. Linda LarsenDr. Joe Foley & Dr. Diane DeReu-FoleyDr. Jeff BowersDr. Lonnie SloneDr. Frank LombardozziDr. Mark GutekunstDr. Bradbury RobinsonDr. AJ LabarberaDr. Nathaniel Tuck, JrDr. Phil Connolly

Robert Bowie

Society($1000+)

Dr. Bibhu R. MishaDr. Michael AmatoDr. Marilyn E PorrasDr. Mathias M. PastoreQuintessential Chiropractic (Dr. Katrina Mayes & Dr. Theresa Graf)Dr. William WardDr. Nisha Saggar-PatelDr. Minesh PatelDr. Adam L. WildingDr. Matthew SchrierDr. Christopher FreyDr. Sam SpillmanDr. Chris PerronX-ray Recycling Project

Silver($400-599)

Dr. Janice PiedmontDr. Susan SweetenDr. Michelle HeppnerDr. Jennifer RathmannDr. Robert Thoma

Emerald($200-399)

Dr. Aaron TrochimDr. Robert EganDr. Jon SolomonDr. Anna BenderDr. Michael VanellaDr. Louis FernandezDr. Elizabeth KochDr. Paul CronkDr. Meredith Harwell

CPaC of Virginia THE FUTURE OF CHIROPRACTIC STARTS WITH YOUChiropractic Political Action Committee of Virginia

Legislative issues will have a major impact on the way Doctors of Chiropractic practice and conduct business. Contribution to the CPAC of Virginia is not tax deductible as a charitable contribution. Please complete the following information required by law below.

Name _______________________________________ Street Address ____________________________________________

City ____________________________State _______ Zip Code ____________ Occupation ____________________________

Employer ________________________________ Primary City and State of Employer ___________________________________

E-mail________________________________________________ Are you a U.S. Citizen or Have a Valid Green Card: Y or N

I pledge to donate $_________________ to the CPAC of Virginia on a yearly basis. In the form of a ☐ Check or ☐ Credit Card

payment of $__________ ☐ Quarterly ☐ Semi- Annual ☐ Single Payment ☐ 12 Months ☐ Monthly until notified in writing to stop.

Name on Credit Card:___________________________________ Credit Card Number:________________________________________

Expiration Date __________ CCV Code_________ Signature____________________________________________ Date: _________

Contribution Levels:Based on contributions received January 1-December 31

Robert Bowie Society ($1,000 +) Gold ($600-$900) Silver ($400-$599) Emerald ($200-$399) Bronze (Up to $199)

CPAC of Virginia is a separate segregated fund. Voluntary contributions by individuals to CPAC of Virginia can be written from personal or business accounts. Donations written by a business account will be reported to the State Board of Elections from the business and not the individual. Donations to the CPAC of Virginia are not tax deductible. Your decision to contribute will not result in an advantage or disadvantage in your relationship with VCA or CPAC of Virginia . State laws request that PACS use the best efforts to obtain and report the name, mailing address, occupation and employer of each individual who contributes more than $100 in a calendar year.

4461 Cox Road, Ste 110, Glen Allen, Virginia 23060, Fax: 804-643-0311, Email: [email protected]

For questions about this list or Va. C-PAC initiatives, please

email [email protected]

Bronze(Up to $199)

Dr. Carly SwiftDr. Michelle BoothDr. Thomas NicolaiDr. Daniel ShayeDr. Chris ConnollyDr. Steve VegodskyDr. Christine Fallwell

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Newport News - great opportunity for motivated DC full time or part time. Join our philosophy based team. No marketing required, just a strong ability to communicate. Call Dr Tom for details @ 757-404-7643. [listing#011718a]

Old Town Alexandria. Chiropractic of-fice in Old Town, Alexandria looking for a Chiropractic Associate. Experi-ence in Nutrition Response Testing or in muscle testing is recommended. Please email a description of your level of experience & resume to [email protected]. We can discuss details if it looks like a good fit. Check out our website at chiroassoc.net.

IMMEDIATE opening for a DC in Fred-ericksburg. 50 mins south of Wash, DC. Booming area! MUST be hard working & have good moral character in order to join our team of 2 docs. Should be certified in soft tissue tech-niques (ART, Graston, etc.). Willing to train the right candidate! Competitive pay. Please email your resume to [email protected] ASAP!

Norfolk practice specializing in im-proving health & wellness, enhancing athletic performance & prevention, management & rehabilitation of sports

related injuries is seeking full-time as-sociate. Reliable, outgoing, energetic dr who can engage & communicate w/people is a must. Excellent adjusting skills required. Experience in extrem-ity adjusting, knowledge of rehab, soft tissue techniques a plus. Send CV to [email protected].

Seeking licensed Chiropractor knowl-edgeable in Thompson Technique for extremely successful busy SE Virginia practice. 21+ yrs established practice w/2 drs on staff. Pls contact Dr Gun-derman at [email protected] w/resume & letter outlining skills, future goals & why you’d be an asset to our practice. Feel free to visit www.gcwc.net or Gunderman Chiropractic & Wellness, LLC on Facebook. Thank you for your interest. [listing#112917a]

Growing multidisciplinary practice seeks Chiropractic Associate w/su-perior adjusting skills, clear commu-nication skills, good sense of humor, & ability to work with a team of health professionals to improve patient out-comes. Advanced Wellness Centre offers chiropractic, PT, massage, acu-puncture, exercise training & nutrition-al counseling. Please reply w/CV or resume to [email protected]. Join our team & make a difference!

Chiropractic associate or IC wanted. 38 y/o practice simple techniques. Will train in. Possible practice purchase. Please contact me at [email protected]. [[listing#112317a]

Busy NoVa office seeking principled FT associate. Perfect position for new or established DC. Acupuncture or dry needling certification helpful but not essential. Best applicant is DC that also has long-term desire to own or operate their own clinic. Compensa-tion includes salary + generous % & malpractice coverage. Send resume to: [email protected].

Seeking enthusiastic, professional qualified chiropractor to join team. You will be responsible for patient-centered treatment including development of individualized care plans emphasiz-ing CBP techniques & therapeutic exercise. We highlight compassion-ate & quality care resulting in remark-able outcomes. Team members enjoy highly competitive benefits including base salary, performance-based in-centives, PTO, medical, dental & 401K profit sharing. VA chiropractic license required. Please send resume to [email protected]. [listing#112217b]

Associate Dr in Richmond Area - Amazing opportunity to grow w/our established wellness practice. We are looking for someone who is person-able with an upbeat personality to add to our team. Great work environment. Email [email protected] for more information. [listing#111717a]

GREAT OPPORTUNITY for DC in Arlington. Looking for a highly skilled DC w/great interpersonal & comm skills. Position is for full or part-time. Competitive salary w/bonus structure. Ownership plan in an integrative health center. For more info, pls contact Dr Ziegler at [email protected] or 703-521-0644 or visit us at http://www.advhealthctr.com. [listing#111417a]

Sports Chiropractor; familiar w/Cross-fit a plus, but one who enjoys working out, MRT, Graston, & taping as tools to getting their patients and/or athletes, better. Our practice is multidisciplinary w/Chiro, Acu, PT, & MT. Must enjoy working-out w/their community. Email [email protected].

Associate wanted for growing multidis-ciplinary practice w/chiropractic, PT & massage. Drs w/rehab experience & backgrounds in exercise physiology, athletic training or PT go to the head


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of the line! The right candidate will be a people person, friendly, energetic & motivated. Salary & excellent benefits. Email [email protected]. [listing#110117a]

Are you a chiropractor seeking a bal-ance between working hard & enjoy-ing your personal life? CHAWC.com is looking for an associate dr in our Rich-mond office to help w/our expanding, waiting list practice. Competitive sal-ary, benefits, bonus plan, & a schedule that allows time for personal health & well-being. Send CV & letter of interest to [email protected].

Newport News - Thriving Chiroprac-tic, Back Rehab & Wellness Practice seeks experienced DC. Our ideal as-sociate has a minimum of 2-5 yrs ex-perience: is a highly motivated, ener-getic, positive, friendly “people person” with an entrepreneurial spirit, commu-nication, leadership & adjusting skills capable of demonstrating excellence in managing patient care w/confidence & compassion. Email your CV with a recent photo to [email protected]. [Listing#101017c]

Looking for a professional, motivated Dr to join our wellness based team. Opportunity to grow into a partnership for the right candidate. Great salary, bonuses & benefits (Health Ins., Mal-practice Ins., Vacation/personal days & 401k). Relocation assistance up to $2,000.00 offered to assist in moving costs. Send CV & cover letter to Dr Frank Lombardozzi at; [email protected]. Visit our website at www.kempsvillechiro.com. Chiropractic Clinic in Staunton seeks associate dr. We are an expanding practice with a new clinic in place with 5 treatment rms, digital x-ray, some re-hab equipment, & a well trained team. We would be happy to have a recent graduate or experienced dr. If you want to live in the beautiful Shenan-doah Valley, please send your resume to [email protected]. Vienna/Tysons area. Multi-discipline clinic looking to add independent con-tractors/associates. We currently have ART, dry needling, DACBSP certified chiropractors & physical therapist. We provide focused, individualized care w/the goal of returning patients quickly to active lifestyles. We are looking for providers who can complement our current offerings. Send your resume/CV to: [email protected]. [listing#092717a]

Associate opportunity at a quickly growing chiropractic & PT practice in Loudoun County. Currently we are 2 chiropractors & 2 CMT’s. Partnership option available to the right fit. Start-ing compensation is salary plus a fixed percentage of paid services. Benefits package considered after 6 mos. Both excellent full spine adjusting, & a knowledge of integrating with PT are required. Contact: [email protected]. [listing#091317a] Opportunity for dynamic, dedicated, subluxation removing DC to join the team of thriving family practice in NoVa. This opportunity is for the DC who has the passion & adjusting skills to serve infants through military veter-ans. This passion very much includes Autism/SPD/ADD spectrum kids & PTSD veterans. Submit resume & WHY Cover statement (“Why” your purpose is aligned W/our mission) to [email protected]. Join a terrific Chiropractic team in Wash, DC. Our dedicated DCs & ex-perienced support staff are looking for a principled Chiropractor who is com-passionate & committed to serving others. Good manual skills, training in prenatal & postpartum care for infant & mom is helpful. Salary, fair bonus structure & additional benefits. Will teach you to properly diagnose, docu-ment & manage patients. Resume [email protected]. Ariya Family Chiropractic Centers, Greater Richmond area, looking to make an associate’s dream come true & offer rewarding compensation pack-age, ask our current drs. We offer 401k & cover 1st year malpractice, UVCA membership & conventions. The posi-tion consists of salary + performance bonus. Experience is a plus. For more info or questions call 804-526-7125. Please fax resume to 804-520-7624 or email [email protected].

Wanted: Dr w/great adjusting skills, basic knowledge of nutrition, basic applied kinesiology a +. We are an integrative practice of DCs/applied ki-nesiologist, acupuncturist, nutritionist, MTs. Send your resume to [email protected]. Salary, Bonus, Ben-efits (health insurance, malpractice insurance, 401K, paid vacation & holi-days, possible stock options.) www.rosellecare.com.

Sport & Spine Rehab, a rapidly grow-ing Chiro, PT & Rehab co is looking for highly skilled, ethical DCs w/exc clini-

UVCA Members in the News

Dr. Doug Cox, Charlottesville, is healing with honey. A self-de-scribed “novice beekeeper,” he started his hives three years ago to produce honey to sell to the public. Proceeds from his “Hero Honey” program go to the Virginia chapter of the Wounded Warrior Project. He has also persuaded other lo-cal beekeepers to do-nate their honey to the cause.

Dr. Bibhu Misra was a featured speaker at Inova Neuroscience and Spine Institute’s recent Comprehensive Practices for Pa-tients Requiring Spine Care conference in Northern Virginia. He spoke on “Spinal Health and Posture: Basic Pillars to Improving Health.” He was extremely well-received and took the opportu-nity to tell them that they ALL need to get their spines checked and that he would be glad to help. He shared that in April 2017 “their” American College of Physicians recommended spinal ma-nipulation as one of the first lines of treatment for LBP.

Dr. Christina Lowenthal’s name was drawn from all respon-dents to our Summer newsletter quiz. She received a $100 UVCA Value Voucher that can be used towards any UVCA con-vention, seminar or dues payment in 2017.

Dr. Nelson Marquina, USA Laser Biotech, recently taught the only “University-Certified Laser Practitioner Program” at Logan University, and will take it to Tokyo, Japan in November.

cal, interpersonal & comm skills. Com-petitive salary, bonus structure, bene-fits plan inclusive of health, dental, life, long term disability insurance as well as cont ed benefit, 401K match, own-ership plan, more. For more info, pls contact Dr Jay Greenstein at [email protected].

Practices

Virginia Beach Practice for Sale - $115k. Well established 1100sqft fully equipped turnkey office. In-cludes Aquamassage Bed, IST, Vi-bration Plate, Washer/Dryer, E-Stim/US Units, etc. Very low overhead. $90-95k yearly collections working 20 hrs/wk. Big potential to increase rev-enue. Contact [email protected]/757-376-6773. [listing#011018a]

RICHMOND SUBURB, VA - EXCEL-LENT BUY-IN OPPORTUNITY! Earn $100K 1st year, $115K 2nd year, an-nual increases. Majority of ownership through sweat equity & lion’s share of profit from growth. Professional Prac-tice Advisors, Inc. 800-863-9373 www.practiceadvisors.com.

NORTHERN VA (METRO WASH-INGTON DC) - Well-established,

fully-equipped, Thompson, Full Spine, Sigma Instrument practice. Family oriented community. 8 np/mo, 37 pv/week, projected collections $205K+. Beautiful 2400 square foot clinic. Pro-fessional Practice Advisors, Inc. 800-863-9373 www.practiceadvisors.com.

Virginia Beach practice for sale. 37y/o. Gross collection 281,345,420,000. Doc will help w/transition & finance. Disc force decompression, laser etc. Contact [email protected].

Reston office For Sale, $75,000. Chi-ropractic sports injuries office doing ART, Graston, & Diversified adjusting. Currently doing NO marketing; all re-ferral based practice. Sharing space & in good standing with a large podiatry practice. Located in booming Reston, VA, 20 mins from Wash, DC. Office has been open since 1999. Willing to help w/financing if needed. Call 703-471-4600. [listing#110817a]

Products & Services

Full IT support: You have nothing to lose! FREE HIPAA IT assessment, virus protection, remote IT support, internet activity monitoring; price guar-

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FETCH PAYMENTS IN

CLAIMS • ANALYTICS • UTILIZATION

Infinedi.net800.688.8087

(GOOD DOG)

THE CLOUD

What’s Your Laser IQ?

By Nelson, Marquina, MSc, PhD, DC

Understand what you’re buying, so you don’t spend thou-sands on a therapeutic laser that looks like a million bucks and delivers the equivalent of a 200mW (.2W) laser pointer, val-ued at $20!

3 P’s of Progress: Power, Penetration, & Pulse Rate1. Adequate amounts of both peak and average powers are

essential for highly-successful patient results.2. Research shows the combination of superpulsed (with

high average power) and continuous wave (CW) allows the therapeutic (CW) emission to be delivered more deeply. Combining the two types of emissions increases both the efficacy and the safety of laser therapy.

3. Delivery pulse rates above 30,000 Hz (30kHz) have been demonstrated to promote gene expression and cellular re-generation, which is key to tissue repair and healing the source of pain.

The Contribution of Multiple Wavelengths onSuccess

• When a laser is superpulsed and equipped with multiple CW wavelength options, it is possible to deliver a multi-di-mensional therapy to successfully handle more clinical ap-plications in the shortest timeframes possible.

The above is a recipe for happy, drug-and-pain-free patients and more referrals to grow your practice to the next level.

Congratulations:You have just raised your laser IQ substantially!

President of USA Laser Biotech, Dr. Nelson Marquina, MSc, PhD, DC, is an internationally-recognized laser expert, speaker, published author and seminar instructor. Dr. Marquina is a devel-oper of photonic and bioelectromagnetic systems and treatment protocols and the co-developer of Lumix superpulsed lasers.

antees on support for ChiroTouch, Eclipse & other software users. Award-winning Computer Troubleshooters of Sterling. UVCA supporting supplier member. Email [email protected] to learn more. [listing#010518a]

When patients visit your website, what does your ‘Welcome to our practice’ video look like? What do your patients hear when your staff places them on hold? Trusted Voice & Video is the trusted choice for video, on-hold, ra-dio/TV voiceovers, & more. UVCA endorsed. Visit www.trustedvoice.com to begin your journey to practice excel-lence.

Space Available

Office space for lease in established chiropractic, massage & nutrition of-fice in downtown Fredericksburg. Call Christine at 540-809-4223 or email [email protected].

Tysons Corner: Looking for a great lo-cation for your Chiropractic, PT, or OT practice? We may have the answer - Shared Space Agreement. Other clinicians are already established, including, acupuncturist & massage therapist. The clinic totals 3500 sq. ft., contemporary design, & convenient

free parking for patients. The space available includes two office/treatment rooms & a large rehab/exercise area. If interested, please contact [email protected]. [listing#093017a]

Equipment

Flat chiro adjusting bench. The face rest is built in. It has been recovered. Very sturdy table, $35.00. Contact Dr Allan Tomson: [email protected]. [listing#012518a]

LUMIX 3-250W Laser, 3.2W CW. 910nm superpulsed emission. Safety goggles included. $35,995 original. Used. For Sale $25,000. Awesome modality. Clinical game changer. Lo-cated in Va Beach. Call 757-348-7207.

X-ray Film Processing Equipment: AFP Imaging Automatic X-ray Pro-cessor. Cassettes: 7-14x17, 2-10x2, 4-8x10, Intense Spot Light, Darkroom Light, LightSafe Film Cabinet, X-ray Duplicator, ID Marker. $500. Call 540-459-3900, Email [email protected].

Dr Art L Wilding has recently retired after 40+ yrs of practice & has several pcs of equipment for sale. Chiropractic Adjustable Table $900.00, Roller Table $300.00 & an Exam table for $250.00.

If you are interested in all 3 pieces I will let go for $1,350.00. Please con-tact me @ 757-880-3923 or 757-969-7130 or you can email me at [email protected] or [email protected]. [listing#112217a]

Summit Americomp Chiropractic X-Ray System: Mfg. Date 12/06, Low x-ray count. Well-maintained. Includes (4) 14x17 & (5) 10x12 cassettes. Orig. owner. Includes Konica Minolta SRX-101A developer, replenish tanks, many more extras. $16,500 new. $7,900 takes all. Call (804) 852-5689. [listing#111517a]

4 LASERS FOR SALE: We have 4 LightCure10 watt LTC 1000 w/roller cases. Each set has a pair of pro-tective glasses & all connections. $6000 OBO. Shipping extra. Email [email protected]. [listing#092817a]

OFFICE CLOSING! Everything Must Go! Chiropractic equipment/furnish-ings: 3-Lloyd fully automatic flexion all drop tables; Xray Bennett Yochum series high frequency; Konica pro-cessor; film copier; 6-metal film file cabinets; light safe film cabinet; full length lead apron; 8-rare earth cas-settes; 6-metal chart file cabinets; 5-view boxes; 8-therapy tables; many chiropractic & acupuncture wall charts; 8- Lumex orthopedic support reception chairs, Lakeside carts, etc. contact: [email protected].

Chiropractic Equipment Dealer: 26+ yrs exp. We sell Adjusting tables, Laser, Electrotherapy, Ultrasounds, X-ray (inc digital), & Traction tables (decompression & IST). We support education seminars & have access to new, used & reconditioned equip-ment. Visit www.HFHill.net or call 800-434-4551, ask for Hugh or Doug.

26

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