Tom Arnold, DC DAAMLP

MRI interpretation of spinal disc pathologies as a result of trauma and degenerative factors and resultant neurological compromise. Spinal Cord and Spinal canal pathologies and space occupying lesion interpretation.

Extensive review of diagnosis, prognosis and advanced protocols for restoring function to impaired ligaments, discs and joints.

An in depth understanding of the proper use of Current Procedural Terminology (CPT), implementing compliance program in accordance with recommendation of the federal government, examination and documentation standards with the healthcare profession and determining rationale for patient care.

MRI interpretation of herniated, protruded, extruded, bulged and sequestered discs & spinal stenosis as sequelae of ligamentous hypertrophy, congenital malformation, spinal cord pathology. Clinical necessity and contraindications.

Clinically coordinating spinal pathology with neurological and functional sequelae including station & gait, migraines, sexual dysfunction, sleep & arousal disorders, paroxysmal disorders, radiculopathic disorders and central nervous system disorders.

MRI interpretation of herniated, protruded, extruded, bulged and sequestered discs and their relationship to the spinal cord and spinal nerve roots and the clinical correlation to spinal adjustments, manual spinal therapy and joint mobilization.

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

A wide‐ranging understanding of deposition dynamics, Federal Rules of Civil Procedure, discovery, expert witness deposition preparation techniques, and expert witness testimony.

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 room 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 Gʹs 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.

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‐Electronystagmography (V‐ENG) interpretation, protocols and clinical indications for the trauma patient.

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.

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, pathophysiology in both a functional and structural paradigm.

MRI protocols and interpretation, CT scan protocols and interpretation, x‐ray trauma series protocols and interpretation, bone scan protocols and interpretation, EMG/NCV protocols and utilization and International Classification of Disease trauma coding.

Diagnosis, prognosis and advanced protocols for restoring function to impaired ligaments, discs and joints.

Essentials of diagnosis, prognosis and protocols for restoring function to impaired ligaments, discs and joints.

Basics of x‐ray biomechanical diagnosis and essential protocols for restoring function to impaired ligaments, discs and joints.

Understanding and application of neurology concepts to the trauma and non‐trauma patient.

In‐depth investigation of current research and injury etiology and treatment options and efficacy.

Management of common clinical syndromes.

Understanding the repair process and phases of injured connective tissue healing, application of effective modalities.

Investigation of the biomechanical etiology of vehicular injury and treatment options and efficacy.

Module one provides the student with the knowledge and understanding of the mechanisms of action, uses and toxicities related to the drugs in all categories of the Pharmacopoeia. An overview of all the drugs is presented with special emphasis placed on the common drugs, botanical medicines, homeopathic substances and nutritional supplements recommended for patients in clinical practice. For each drug and group of drugs the following concepts of Pharmacotherapeutics will be addressed: 1. Mechanism of Drug Action, 2. Indications and contraindications, 3. Use and Duration of treatment, 4. Dose and Dosage Forms, 5. Side effects and Clinical Problem, 6. List of Prototypical Drugs, 7. Pharmacokinetics, 8. Pharmacodynamics. The major goal of this module is to provide a foundation for evidence-based Pharmacological applications in clinical practice and thereby understand the mechanism of action and use of drugs, identify and appreciate the toxicities of drugs used by the patient, appreciate the interactions of drugs with other physical/biochemical modalities, understand which nutrients are depleted by drugs, and apply this knowledge in practice where appropriate and legal. Session one covers: 1. Drug ID Guide, 2. Pharmacology and its divisions, 3. Pharmacology Introduction, 4. Drug Development, 5. Pharmacokinetics, 6. Pharmacodynamics, 7. Autonomic Nervous System, 8. Central Nervous System

Spinal anatomy of all MRI views utilizing T1, T2, 3D Gradient, stacking and STIR sequences of imaging. Advanced protocols of MRI examination with multiple sequences to create concurrent diagnostic findings.

Understanding the forces involved in crashes and the transference of those forces from the bullet car to the target car. Quantifying those forces to determine bodily injury and calculating speed, distance, time and drag factors in determining causality and direction of forces.