SELECTED OCCUPATIONAL HISTORY

Facility Director/Owner, Zwiener Chiropractic Clinic, Kennewick, Washington, 1982 – Present

Associate, Hagen Chiropractic Center, Spokane, Washington, 1981 - 1982

EDUCATION AND LICENSURE

Doctorate of Chiropractic, Palmer Chiropractic College, Davenport, Iowa, 1977 -1981

Undergraduate Studies in Pre-Chiropractic, Washington State University, Pullman, Washington, 1976 - 1977

Undergraduate Studies in ­­­­Pre-Chiropractic, Columbia Basin Community College, Pasco, Washington, 1975 - 1976

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models.  Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Disc Pathology and Spinal Stenosis, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Spinal Pathology, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Methodology of Analysis, MRI interpretation sequencing 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.  Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Clinical Application, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Protocols Clinical Necessity, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Lumbar Degeneration/Bulges, 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 vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Lumbar Herniations, 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 vertebrate, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Cervical Degeneration/Bulges,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 vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, 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.  Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, 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, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.  Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Neurodiagnostics, Imaging Protocols and Pathology of 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, 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 room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Crash Dynamics and Its Relationship to Causality, 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, skid marks, 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Neurodiagnostic Testing Protocols, Physiology and 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. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Documenting Clinically Correlated Bodily Injury to Causality, 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. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Advanced Principles of Upper Extremity Adjusting, Instructed in adjusting methods of the elbow, wrist and shoulder. Financially Fit, Spokane, WA 2016

Your Patient’s Claim is in Litigation…Now What?, Know what to do when your patients claim is in litigation. GLP Attorneys, Kennewick, WA, 2016

Essential Chiropractic Seminar; Evaluation & Management, Evaluation and management of spinal and extremity injuries. Life University, Issaquah, WA, 2015

Suicide Assessment: Including Screening and Referral, Recognize which patients may need a referral to a mental health care specialist. Eastern Washington University, Kennewick, WA, 2015

Chiropractic Research: The year in review, Reviewed the current research on Chiropractic. WSCA, Seattle, WA, 2014

CPR Seminar, CPR Training. American Red Cross. Pasco, WA, 2013

Understanding Whiplash Part 2, Advance Diagnostics and treatment of acceleration/deceleration injuries. Texas Chiropractic College. Kennewick, WA, 2011

Understanding Whiplash Part 1, Pain syndromes, Muscular pain syndromes, The Post-Concussion, Texas Chiropractic College. Kennewick, WA, 2011

Spinal Pain Syndromes, Neurogenic pain, Sclerotomal pain, Reflex sympathetic dystrophy syndrome, Chronic Pain. Texas Chiropractic College, Kennewick, WA, 2011

The Neurology of Pain, Discogenic pain facet join pain, Radiculopathy. Texas Chiropractic College, Kennewick, WA, 2011

Radiculopathy: Patient Assessment, Electroencephalography, Brain stem auditory evoked responses, Electromyography, Surface electrode electromyography, Nerve Condition Velocity. Texas Chiropractic College, Kennewick, WA, 2011

Spinal Decompression, What patients respond best to Spinal Decompression? The protocells for Spinal decompression. Texas Chiropractic College, Kennewick, WA, 2011

Basic Case Management, Basic case management of types of patients that present themselves to a Chiropractors office. Texas Chiropractic College, Kennewick, WA, 2011

Basic MRI Part 3, When should a chiropractor order an MRI on their patient? Washington State Chiropractic Association, Wenachee, WA, 2011

Basic MRI Part 2, T1, T2, Axial and Sagittal views. Modic type 1, 2 & 3. Washington State Chiropractic Association, Wenachee, WA, 2011

Basic MRI Part 1, The history of MR and MRI and MRI compared to CT. Washington State Chiropractic Association, Wenachee, WA, 2011

Chiropractic Studies, Reviews of Several Scientific Chiropractic Related Studies and their Validity and use in our profession. Washington State Chiropractic Association, Seattle, WA, 2011

Neuromuscular Re-education, Learn how to do Neuromuscular Re-education. WSCA, Kenn, WA, 2010

The Radiology of Joint Disease, The study of spine and extremity bone diseases. Washington State Chiropractic Association, Seattle, WA, 2009

Clinical Documentation of Chiropractic, The correct way to document treatment by Medicare guide lines. Western States Chiropractic, Portland, OR, 2009

Top 10 Do’s and Don’ts in a Personal Injury Case, How to properly document patient injuries. WSCA, Pasco, WA, 2009

Insurance L&I Medicare Compliance 2008, Know the rules and regulations required to treat workers under Medicare or L&I. WSCA, Richland, WA, 2008

SEMG, ROM & Thermography, Learn the reasons to perform SEMG,ROM & Thermography. WSCA, Seattle, WA, 2008

Spinal Fitness in Sports Medicine Series: Kinesiological Analysis of Human Spinal Development & Function in Earth’s Gravity. The Athletic Spinal Fitness Institute, Seattle, WA, 2006

Neuromechanical Innovations: 21st Century Chiropractic Training, Instrument adjusting of the spine and extremities. New York Chiropractic College, Seattle, WA 2006

Washington State Chiropractic Association Winter Conference, The law as it pertains to chiropractic. Washington State Chiropractic Association, Seattle, WA, 2005

Spinal Fitness in Sports Medicine Series: Kinesiological Analysis of Human Spinal Development & Function in Earth’s Gravity. The Athletic Spinal Fitness Institute, Seattle, WA, 2005

Sports Medicine 101, Chiropractic management of athletic injuries. Washington State Chiropractic Association, University of Bridgeport College of Chiropractic, Seattle, WA, 2005

Whiplash, Spinal Trauma and the Personal Injury Case, The latest research in whiplash injuries. Palmer Chiropractic College, Seattle, WA, 2004

Applied Clinical Nutrition & Patient Assessment Using Contact Reflex Analysis, Muscle testing and nutrition. Texas Chiropractic College, Portland, OR, 2003

Applied Clinical Nutrition & Patient Assessment Using CRA, Muscle testing and nutrition. Texas Chiropractic College, Portland, OR, 2002

Chiropractic Physical Policy Meeting, Record keeping and the law pertaining to Chiropractic. Washington State Chiropractic Association, Tri-Cities, WA, 2002

Comprehensive Personal Injury, Patient history, physical exam, imaging and impairments. Texas Chiropractic College, Redmond, WA, 2000

Comprehensive Personal Injury, Know the legal requirements of treating a PI patient. Texas Chiropractic College, Redmond, WA, 2000

A.M.A. Permanent Medical Impairment Examination, How to rate impairments of the spine. Medical Legal Consultants Association, Seattle, WA, 1998

Credible Medical Fact Finding, The law pertaining to Chiropractic in Washington State. Medical Legal Consultants Association, Seattle, WA, 1998

Diagnosis and Clinical Management of Cervical Acceleration/Deceleration Trauma and Whiplash Related Temporomandibular Joint Disorders, Learn how to properly diagnose and clinically manage whiplash patients. Spine Research Institute of San Diego, San Diego, CA 1997

CMT Coding Seminar, CMT coding that is allowed in Washington State. Washington State Chiropractic Association, Yakima, WA, 1997

Whiplash, Spinal Trauma, and the Chiropractic Personal Injury Case, Learn when to refer for MRI and neuro consultations. Texas Chiropractic College, Seattle, WA, 1997

Radiology of the Lumbar Spine, Efficient search patterns for the lumbar spine, and how not to miss anything. A review of bone disorders; a categorical approach to bone disease emphasizing tumors and tumor-like conditions. Important biomechanical factors and signs of injury. Washington State Chiropractic Association, Bellevue, WA, 1996

MRI Interpretation of the Spine, Efficient search patterns of axial and sagital views of of spinal MRI. North Central Washington Chiropractic Association and Central Washington Hospital MRI Center, Wenatchee, WA 1996

Case Management of Spinal Injuries, What type of conditions should present for you to order an MRI. North Central Washington Chiropractic Association and Central Washington Hospital MRI Center, Wenatchee, WA 1996

MRI and X-Ray Interpretation of the Spine, How to interpret MRI. North Central Washington Chiropractic Association and Central Washington Hospital MRI Center, Wenatchee, WA 1996

Risk Management, How to determine which patient should be sent for a second opinion. Washington State Chiropractic Association, Yakima, WA, 1994

Elements of Claim for Professional Negligence, The law for Chiropractors concerning Professional Negligence. Washington State Chiropractic Association, Yakima, WA, 1994

Communication Prevents Confrontation, How to communicate with patients so there are no misunderstandings. Washington State Chiropractic Association, Yakima, WA, 1994

Serving the Injured Worker, Rules of treating injured workers in Washington State. Sponsoring Entity, Kennewick, WA, 1994

Research Status of Chiropractic Treatment, Research. Sponsoring Entity, Kennewick, WA, 1994

Philosophy of Chiropractic, The Philosophy of how Chiropractic treatment affects the nervous system. Sponsoring Entity, Kennewick, WA, 1994

Chiropractic Care of Spinal Dysfunction, Treatment and exercise to treat spinal dysfunction. Sponsoring Entity, Kennewick, WA, 1994

CPT, RBRVS and Other Coding Mysteries, How to document treatment with proper codes. Sponsoring Entity, Kennewick, WA, 1994

The Role of the Chiropractic Consultant in Preventing Long Term Disability, Know when you should refer an L&I claim to a L&I consultant. Department of Labor and Industries along with The Chiropractic Advisory Committee, Seattle, WA, 1993

Activator Methods, Learn how the adjust the spine and extremities with the activator instrument. Life Chiropractic College West, Portland, OR, 1993

The Science and Philosophy of the Vertebral Subluxation Complex and Patient Education, The Science and Philosophy of Chiropractic. Washington State Chiropractic Association, Renton, WA, 1992

A Chiropractic Legal Potpourri, Attorney Pike the WSCA attorney covers many subjects pertaining to Chiropractic in Washington State. Washington State Chiropractic Association, Renton, WA, 1992

The Essence of Practice Building – Staff Development, Communicating with your staff to make your office be efficient. Washington State Chiropractic Association, Renton, WA, 1992

Medical/Legal Issues in Chiropractic, Know the medical legal issues concerning Chiropractic in Washington. Washington State Chiropractic Association, Renton, WA, 1992

What You Should Know, The Law Relating to Chiropractic & The Uniform Disciplinary Act.Washington State Chiropractic Association, Renton, WA, 1992

Critical Issues, Strategies and Actions. Washington State Chiropractic Association, Renton, WA, 1992

Progressive Pediatrics, Learn adjusting procedures for Pediatric patients. Washington State Chiropractic Association, Renton, WA, 1992

Examination of the Infant and Newborn, Learn examination procedures for the new born and infants. Washington State Chiropractic Association, Renton, WA, 1992

SELECTED MEMBERSHIPS

Academy of Chiropractic, Member, 2016 - Present