This article does not provide any research-based evidence. Instead, this article is a personal message to relate my experiences as a clinician and as a patient. Jack is a 12-year-old boy with an uncanny craving for query. Under my supervision, Jack learned basic yoga postures in order to teach him stillness and focus. One day, I taught him a simplified sun-salutation A. Upon completion of a few rounds, he said, “Oh, I feel so refreshed! Can I call this yoga flow ‘the refresher?’” I was amused by his candor, and impressed by his ownership. Sometimes folks just need a place, an experience, and a teacher to open a door.
I have a long-term relationship with LBP. After years of being jerked around by the medical nightmare, I decided to figure out a way to resolve it for myself. I began my journey to become a doctor of chiropractic medicine at 45 years old. I chose an education in conservative care because I know that the body has an incredible ability to restore itself. Patient respect and education are the backbone of conservatism, two things that matter to me. I am biased against a first-line prescription of drugs, needles and scalpels (and pointing pencil erasers at disc herniations.) I invested over 7000 hours of undergraduate, graduate, clinical and research study to bring these concepts to this LBP blog series, ‘Pain is not the only problem.’ If you haven’t figured it out yet, the usual clinical approach to patient care is the problem.
My father, John Jepson Wulff, earned his BA at Yale in 1948, and his PhD in experimental psychology at Yale in 1954. He was a faculty member of Harvard and Brandeis University. He co-founded Learning Services (learningservices.com) a leading breakthrough provider for TBI. He authored “A Health Delivery System” in 2008, “…a complete system design to serve all citizens.” My dad was a visionary and a compassionist. He understood that ‘health care’ was not providing health nor care. He passed away in 2011, but his dream is now my mission. He was alive to hear me say, “Dad, it is my turn, trust me” in my early undergraduate years.
Instead of trying to imagine how your practice is going to make money evolving to a new platform based on patient satisfaction at low cost, imagine why you decided to become a provider of health solutions. My goal is to break-free from the institutional insurance-based medical nightmare, and establish an alternative platform for patients and doctors that believe in patient-accountable care at low cost, while under the supervision of conservative care ideals. Imagine clinicians that act as coaches on Game Day… inspiring wins with teamwork and optimism, and patients that recognize and accept lifestyle short-comings as challenges with eminent victories. Over 95% of all cases seen by clinicians can be resolved with same-day support and education at low cost.
My office is experimenting with an ‘all-in’ first-encounter visit fee of $95.00: $35 for E&M (10 minutes), $30 for consultation (10 minutes), $30 in-office care (10 minutes) if needed, and there is a 10-minute interval between patients to review chart notes/intake forms. My office is experimenting with a ‘check-up’ visit fee of $35 for 15 minutes to evaluate progress and secure patient confidence in care. The value of cash-payment exceeds the delays in insurance reimbursement and the time submitting forms that will be denied. In addition, I sleep at night since I am not practicing ‘over-billing’ and ‘fake-billing’ for services that I did not provide, and services that do not meet patient expectations at low cost.
The practice of medicine (defined) includes prevention. My understanding of usual AMA medicine never promotes prevention, since over 450,000 people die yearly from smoking in the US. Instead, imagine a supportive team-approach to all-care-based medicine in which clinicians and patients evolve solutions to understand un-healthy habits and team-work to improve them.
A one-visit encounter to manage LBP is possible outside of the medical nightmare; I have done all of the research to make this possible conservatively. If more clinicians were involved in more personally-driven research endeavors to understand specific patient complaints, our community would be benefitting universally from the work of these investigations. I am already working on a shoulder blog (including a same-day treatment for frozen shoulder that works 100% of the time), a Marfan’s Syndrome blog, a Pars Defect blog, a hip pain blog, a gut dysbiosis blog, and a blog that may erase spine surgery by 99%.
The usual medical model is struggling with failed attempts to treat LBP, in fact surgical failures continue even in the age of modern medicine and advanced technology. Why? Because they didn’t read my blog, ‘pain is not the only problem.’
LBP Blog General information
These articles intend to (1) re-evaluate the prevailing clinical practices thought to manage low back ‘pain’, (2) submit and debate novel low back ‘pain’ contributors and mechanisms, (3) meet patient expectations & satisfaction and clinically meaningful results, (4) recommend a conservative non-surgical course of care to over-ride ‘pain’ instantly, and (5) restore ADLs and patient confidence on the first visit at low cost. This article has a companion podcast.
Dr. Dean Bio
Forester Dean is a chiropractic and physiotherapy sports medicine doctor practicing in Los Angeles, California. Dr. Dean is a lifetime athlete, and currently teaches tennis, track, boxing, yoga. The Core X System™ Campus flagship location was opened by Dr. Dean in 2020. www.preformancecxs.org
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