William Dixon, DC

Pathobiomechanics and Documentation, CPT coding guidelines for initial and established patients with particular attention paid to patient history, revue of systems, social and family history, physical examination, and medical decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205.

Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans.

History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination.

Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods.

Analyzing spinal health care trends in both utilization and necessity and understanding the marketplace and how a level of clinical excellence is reflected in a doctors documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics.

An evidence-based understanding of time-related etiology of disc pathology considering the American Capital Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced spinal imaging.

An Evidenced-based model for spinal biomechanical engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vetebral points to demonstratively conclude an accurate diagnosis, prognosis and biomechanical treatment plan with the consideration of long-term care in the non-specific mechanical spine pain patient when necessary.

Clinical grand rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spinal lesions and the necessity for urgent vascular, neurological intervention, collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and neurosurgeon with the chiropractor as the primary spine care provider.

Utilizing detailed history and examination findings to determine the best care path for the patient. Clinical factors in determining the time lines for advanced imagining in both the trauma and non -trauma patients.

The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of the Permanent Impairment 6th Edition, Spine, neurological saquelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gate disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture dislocations and functional loss are also detailed in relation to impairment ratings.

MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient.

Electromyography ( EMG ), Nerve Conduction Velocity ( NCV ), Somato Sensory Evoked Potential ( SSEP ), Visual Evoked Potential ( VEP ), Brain Stem Auditory Evoked Potential ( BAER ) and Visual-Electronystagmosgraphy ( V-ENG ) Interpretation, Protocols and Clinical Indications for the Trauma Patient.

An in-depth understanding of the protocols in Triaging and reporting the Clinical findings of the trauma patient. Maintaining ethical relationships with the Medical-Legal community.

An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency records in creating an accurate diagnosis and the significance of " risk factors" in spinal injury.

An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. this includes G's of force, newtons, gravity, energy, skidmarks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury.

Understanding the necessity for accurate documentation and diagnosis utilizing ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare.

Understanding the Necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology and pathophysiology in both a functional and structural paradigm.

MRI Interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots.

MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions.

MRI interpretation of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized.

The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorl's nodes and herniations . Central canal and cauda equina compromise interpretation with management.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorl's nodes and herniations. Spinal cord canal compromise interpretation with management.

MRI slices, views, T1, T2, STIR axial, FEE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, cantilevered vertebrae, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management.

MRI slices, views, T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advance spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.

Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissuers of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequalla to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequella to disc and pre-existing pathologies.

Magnetic fields, T1 and T2 relaxations, nuclear spins, phase and coding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI.

Normal Anatomy of axial and sagittal views utilizing T1, T2, #3D gradient and STIR sequences of imaging. Standerdized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI.

The use of Myotatic Reflexes to resolve pain and biomechanics of chronic neuromuscular-skeletal conditions, patient treatment by Myotatic, withdrawal, crossed exterior reflexes of posture and locomotion and reciprocal inhibitions.

The credentials and knowledge base from an academia perspective when cooperatively treating in a collaborative environment of understanding pathology and mechanical spine issues.

Integrating Spinal Biochemical Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity acquisition protocols. A comprehensive review of the latest evidence in documenting mechanical issues.

Triage, Clinical Requirements and Collaborative Relationships with Medical Specialists, Understanding hospital and medical specialist's care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols.

Central nervous system connection and the thalamus hypothalamus connection in both ascending and descending central pathways with neuro-endocrine implications that have the mechanisms to be a component of Schizophrenia, Dementia and Alzheimer's with a linear relationship to the chiropractic spinal adjustment and chronic pain.

Chiropractic and exercise research in evaluation patient's specific dysfunction for recommending chiropractic and active care exercise plan to restore normal function, improve long term outcomes, strength, endurance, and motor control.

5th Edition Module I, II, and III.

Parts I and II, Overview of whiplash and spinal trauma patient including examination, imaging diagnostics, neurology, principles of soft tissue injury, patient management, and medical legal reporting.

Normal and abnormal spinal form and function, diagnostics, imaging, testing, soft tissue rehabilitation and Pettibon adjusting protocols, Modules I, II, III, and IV.

10 months, 120 hour post-doctoral course in the reading and diagnosis of spinal and skeletal pathology, anomalies and disorders.