Re: Law firms dedicated to DC stroke malpractice

[Guest guest]

When medical doctors must give informed verbal and written disclosure that their methods kill 280,000 people per year, then we should follow suit with our own verbal/written disclosure statements.Alan D.C. ; oregonchiropracticassoc@...From: AboWoman@...Date: Fri, 25 Feb 2011 16:45:00 -0500Subject: Law firms dedicated to DC stroke malpractice

All,

I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education.

One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors.

Minga Guerrero DC

http://www.rocklaw.net/Chiropractic-Malpractice/

ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

[Guest guest]

Amen!

sk

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

From: alansmithdc@...Date: Fri, 25 Feb 2011 15:13:35 -0700Subject: RE: Law firms dedicated to DC stroke malpractice

When medical doctors must give informed verbal and written disclosure that their methods kill 280,000 people per year, then we should follow suit with our own verbal/written disclosure statements.Alan D.C.

; oregonchiropracticassoc@...From: AboWoman@...Date: Fri, 25 Feb 2011 16:45:00 -0500Subject: Law firms dedicated to DC stroke malpractice

All,

I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education.

One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors.

Minga Guerrero DC

http://www.rocklaw.net/Chiropractic-Malpractice/

ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

[Guest guest]

Amen!  Amen! Schneider DCPDXOn Fri, Feb 25, 2011 at 2:13 PM, Alan <alansmithdc@...> wrote:

 

 When medical doctors must give informed verbal and written disclosure that their methods kill 280,000 people per year, then we should follow suit with our own verbal/written disclosure statements.Alan D.C.

; oregonchiropracticassoc@...From: AboWoman@...

Date: Fri, 25 Feb 2011 16:45:00 -0500Subject: Law firms dedicated to DC stroke malpractice

 

All,

I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is  (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education.

 

One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors. 

 

Minga Guerrero DC 

http://www.rocklaw.net/Chiropractic-Malpractice/

 

 ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

-- Schneider DC PDX

[Guest guest]

Dr. ,

With all respect, I couldn't disagree more with you. I know that DCs experience frustration with this issue of HVLA / Stroke. I get that we're misunderstood and picked on at times. However, to say that DCs shouldn't provide disclosure until another profession does the same with say NSAIDS; is not productive.

If you avoid disclosure, even tho the risk factors are very low, you put yourself at unnecessary risk. What I'm saying is; medical peers across professions and now a citizen action group that's started a nationwide blog/website ( these are the folks who've seen DCs, experienced a stroke, and feel harmed by the experience) are asking state licensing boards require risk consent forms. I believe it was Conneticut Chiropractic Board of Examiners that now requires it's docs to verbally and in written form provide this consent. My reason for posting this was to help my colleagues.

It's a wake up call so if the worst happens, you are defensible. It's also a wake up call to understand that the public deserves risk disclosures, however insignificant.

As an example, say you're 45 yr old, diabetic, not over weight, exercise regularly, have no other health issues and in need of a surgery. The surgeon knows you have a 0.5 % chance of stroke during surgery. Should he/she neglect telling you because the risk is so low? And if he did neglect to tell you and you were in that 0.5% and had a stroke, would you sue him? How much chance would you have of winning if the signed/verbal consent disclosure had been in place?

I firmly believe, as a profession, we must step up. We must not have our answer to risk disclosure, be one of denial. We must not use other professions' equally wrong undisclosed risks as our defense to contine on an indefensible path.

Minga Guerrero DC

Law firms dedicated to DC stroke malpractice

All,

I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education.

One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors.

Minga Guerrero DC

http://www.rocklaw.net/Chiropractic-Malpractice/

ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

[Guest guest]

From the Connecticut State Board of Chiropractic Examiners: (see attached document)"A preponderance of the evidence and the need to protect the public health and safety, all mandate the adoption of each of the following conclusions:1. The evidence is insufficient to conclude that stroke or cervical artery dissection is a risk or side effect of joint mobilization, manipulation, or adjustment of the cervical spine.2. Chiropractors are not required to address stroke or cervical arterial dissection as a part of securing informed consent by patients to such treatment."Maybe we should put these statements in our informed consent?Jamey Dyson, DC

On Feb 25, 2011, at 7:03 PM, AboWoman@... wrote:Dr. ,With all respect, I couldn't disagree more with you. I know that DCs experience frustration with this issue of HVLA / Stroke. I get that we're misunderstood and picked on at times. However, to say that DCs shouldn't provide disclosure until another profession does the same with say NSAIDS; is not productive. If you avoid disclosure, even tho the risk factors are very low, you put yourself at unnecessary risk. What I'm saying is; medical peers across professions and now a citizen action group that's started a nationwide blog/website ( these are the folks who've seen DCs, experienced a stroke, and feel harmed by the experience) are asking state licensing boards require risk consent forms. I believe it was Conneticut Chiropractic Board of Examiners that now requires it's docs to verbally and in written form provide this consent. My reason for posting this was to help my colleagues. It's a wake up call so if the worst happens, you are defensible. It's also a wake up call to understand that the public deserves risk disclosures, however insignificant. As an example, say you're 45 yr old, diabetic, not over weight, exercise regularly, have no other health issues and in need of a surgery. The surgeon knows you have a 0.5 % chance of stroke during surgery. Should he/she neglect telling you because the risk is so low? And if he did neglect to tell you and you were in that 0.5% and had a stroke, would you sue him? How much chance would you have of winning if the signed/verbal consent disclosure had been in place? I firmly believe, as a profession, we must step up. We must not have our answer to risk disclosure, be one of denial. We must not use other professions' equally wrong undisclosed risks as our defense to contine on an indefensible path. Minga Guerrero DC Law firms dedicated to DC stroke malpractice All,I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education. One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors. Minga Guerrero DC http://www.rocklaw.net/Chiropractic-Malpractice/ ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

1 of 1 File(s)

declaratory_ruling_regarding_informed_consent_6_10_2010.pdf

[Guest guest]



Law firms dedicated to DC stroke malpractice

All,

I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education.

One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors.

Minga Guerrero DC

http://www.rocklaw.net/Chiropractic-Malpractice/

ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

[Guest guest]



Dr. Guerrero,

I have to agree with you. We gain nothing by attempting to chastise those who are in the mainstream. We must, we must, we must always tell our patients that there is a 1 in 4,000,000 to 1 in 5,000,000 chance of adverse affect with rotary adjusting. We must provide our PARQ conference before we start working. That's not to protect us, but to protect the patient. They must be informed, and we must be honest up front. Believe me, honesty up front leads to a lifetime patient who respects you and trusts you. IMHO.

Christian Mathisen, DC, CCWFN

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

Certified Clinician in Whole Food Nutrition

Law firms dedicated to DC stroke malpractice

All,

I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education.

One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors.

Minga Guerrero DC

http://www.rocklaw.net/Chiropractic-Malpractice/

ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

[Guest guest]

Had a plumber install a shower fixture recently.

He forced me to sign a 15 page disclaimer that the shower could make the bathtub wet which could cause slip and falls and ultimately death; that hot water could cause burning of an autistic brother and lead to a major motion picture starring Hoffman and Tom Cruise, that frequent showering could cause dry skin and loss of relationship with your spouse and a gigantic lawsuit, and that you could even fall and strangle yourself on the hose hanging down from the shower head.

HAHAHA!

Just kidding.

He did charge me $185 for a visit and 22 minutes worth of work. I told him that I don’t make that as a chiropractor to which he replied...

“Why do you think I quit being a chiropractor!!!?”

I believe one of us was from Arkansas.

Uhh-huh.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

On 2/26/11 2:01 PM, " Schneider " <portlandchiro1@...> wrote:

I like what Connecticut Board has concluded-and the science supports them. I see no reason to alarm my patients when the probability  of harm is so ridiculously small.  Since MD's, dentist, airllines, auto rental dealers, etc.  require no such informed consent statement , why on earth would I want to alarm my patients by having them fill out such a form?  It is professional suicide IMHO.

  Now if  a doc wants to have a patient sign this -great.  But please don't say it is unprofessional not to have such a form signed by each patient receiving HVLA.  This is nonsense to me.

Schneider DC

PDX

On Sat, Feb 26, 2011 at 7:55 AM, Jamey Dyson <drjdyson1@...> wrote:

From the Connecticut State Board of Chiropractic Examiners:  (see attached document)

" A preponderance of the evidence and the need to protect the public health and safety, all mandate the adoption of each of the following conclusions:

1.  The evidence is insufficient to conclude that stroke or cervical artery dissection is a risk or side effect of joint mobilization, manipulation, or adjustment of the cervical spine.

2.  Chiropractors are not required to address stroke or cervical arterial dissection as a part of securing informed consent by patients to such treatment. "

Maybe we should put these statements in our informed consent?

Jamey Dyson, DC

On Feb 25, 2011, at 7:03 PM, AboWoman@... wrote:

Dr. ,

With all respect, I couldn't disagree more with you. I know that DCs experience frustration with this issue of HVLA / Stroke. I get that we're misunderstood and picked on at times.  However, to say that DCs shouldn't provide disclosure until another profession does the same with say NSAIDS; is not productive.

 

 If you avoid disclosure, even tho the risk factors are very low, you put yourself at unnecessary risk. What I'm saying is; medical peers across professions and now a citizen action group that's started a nationwide blog/website ( these are the folks who've seen DCs, experienced a stroke, and feel harmed by the experience) are asking state licensing boards require risk consent forms. I believe it was Conneticut Chiropractic Board of Examiners that now requires it's docs to verbally and in written form provide this consent. My reason for posting this was to help my colleagues.

 

 It's a wake up call so if the worst happens, you are defensible. It's also a wake up call to understand that the public deserves risk disclosures, however insignificant.

 

As an example, say you're 45 yr old, diabetic, not over weight, exercise regularly, have no other health issues and in need of a surgery. The surgeon knows you have a 0.5 % chance of stroke during surgery. Should he/she neglect telling you because the risk is so low? And if he did neglect to tell you and you were in that 0.5% and had a stroke, would you sue him? How much chance would you have of winning if the signed/verbal consent disclosure had been in place?

 

I firmly  believe, as a profession, we must step up. We must not have our answer to risk disclosure, be one of denial. We must not use other professions' equally wrong undisclosed risks as our defense to contine on an indefensible path.

 

Minga Guerrero DC 

Law firms dedicated to DC stroke malpractice

 

All,

I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is  (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education.

 

One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors. 

 

Minga Guerrero DC 

http://www.rocklaw.net/Chiropractic-Malpractice/ <http://www.rocklaw.net/Chiropractic-Malpractice/>

 

 ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!

[Guest guest]

While I strongly respect Dr. Guerro's more national perspective, that's kinda my point. There's a huge difference between a state or national registry and an individual, one-on-one, in-office, 45 second discussion. There's no chance it will show up on the evening news. SunnySunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com ; AboWoman@...From: cmathdc@...Date: Sat, 26 Feb 2011 11:09:36 -0800Subject: Re: Law firms dedicated to DC stroke malpractice  Dr. Guerrero,I have to agree with you. We gain nothing by attempting to chastise those who are in the mainstream. We must, we must, we must always tell our patients that there is a 1 in 4,000,000 to 1 in 5,000,000 chance of adverse affect with rotary adjusting. We must provide our PARQ conference before we start working. That's not to protect us, but to protect the patient. They must be informed, and we must be honest up front. Believe me, honesty up front leads to a lifetime patient who respects you and trusts you. IMHO. Christian Mathisen, DC, CCWFN3654 S Pacific HwyMedford, OR 97501cmathdc@...Certified Clinician in Whole Food Nutrition Law firms dedicated to DC stroke malpractice All,I realize the majority of posts on this list opine a sentiment rejecting any type of registry initiated by our profession. I would like to present some info that might help educate those that may not have seen the sentiment outside the profession and the growing voice; including a group organized by a Chiropractic Stroke patient. She is organizing nationwide to discredit the use of cervical HVLA without both verbal and written consent forms. IN both posts you'll see cases that demonstrate a 'patient's point of view'. I also want to warn doctors who hand a consent form to a patient without verbally orienting the new patient to risk/consent. Cases are lost when a doctor hands a long paper to a patient and doesn't allow adequate time for them to read if AND doesn't take any time to verbally describe the risks of care. I realize the risk is minimal. I love this profession. FOr those that are new to the list or don't know me, I've been a DC for over 25 yrs. In addition to running a chiropractic clinic 3 days a week, I work for a law firm defending injured patients. I will also defend doctors who I feel have been wrongly accused. Even if the risk of stroke, fracture or disc protrusion is (a combined) 1%; it bears mention. If we as a profession recognize this risk, take the lead to continue demonstrating our quality care and concern for public protection; we gain the support of peers in other medical fields. Even if the risk is perceived, it means we need to educate the public in any way we can. This is a professional advocacy role. I feel the state association could take a lead in this. This type of PR could enhance public image. It underscores the education necessary to understand the risks and further strengthens our position of setting the standards for HVLA education. One more post will follow with more info on another law firm dedicated to C-HVLA/ Stroke complications by chiropractors. Minga Guerrero DC http://www.rocklaw.net/Chiropractic-Malpractice/ ps I've copied to the OCA and am asking that this be sent to all the officers. Thanks!