Curriculum Vitae

Selected Occupational History

Clinic Director, Chiropractor, HealthQuest Chiropractic Clinic PC, Naples, FL, 2003-Present

Clinic Director, Chiropractor, Collins Chiropractic Clinic, Naples, FL, 1999 – 2003

Chiropractor, Sparling Chiropractic Clinic, Atlanta, GA, 1996-1998

Clinic Director, Chiropractor, Collins Chiropractic Clinic, Germantown, TN, 1980-1995

Education and Licensure

Doctor of Chiropractic, Licensed in the State of Florida, License #CH 007726, 1999-Present

Doctor of Chiropractic, Licensed in the State of Georgia, License #CHIR 0005666, 1996-Present

Doctor of Chiropractic, Licensed in the State of Tennessee, License #249, 1980-1998 (Retired)

Doctor of Chiropractic, Palmer College of Chiropractic, Davenport, IA, 1979

National Board of Chiropractic Examiners, Part I, 1978

National Board of Chiropractic Examiners, Part II, 1979

National Board of Chiropractic Examiners Part III, 1996

Bachelor of Science in Biology/Chemistry, University of Central Arkansas, Conway, AR 1972

Selected Post-Graduate Education and Certifications

Fellowship in Spinal Biomechanics and Trauma (FSBT)

A two-year intensive program of study consisting of extensive didactic work and hands-on rotations in medical offices and in surgery with eight (8) medical specialist, including interventional pain management, MRI tech, neuroradiology, orthopedic extremity surgery, orthopedic spine surgery, neurosurgery, family medicine/internal medicine and hospital emergency department. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, Cleveland University-Kansas City, Chiropractic and Health Sciences, ACCME Joint Providership with the State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, July 2018

Trauma Qualified, Active Trauma Team, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, New York, 2017-Present

Certified Chiropractor in Spinal Trauma (CCST), International Chiropractic Association, Life West Chiropractic College, Dallas, TX, 1992

Documentation in Medical Collaborative Cases, Concluding an E&M report in cases involving medical primary care providers of medical specialist that have complicated case histories, significant risk factors, and inconclusive findings. Triage and management of complicated cases requiring the clinical evaluation, advanced imaging and electrodiagnostics. Academy of chiropractic, Long Island New York, March 2019

MRI Spine Interpretation and Protocols, contemporary acquisition protocols including slice thickness and sequences inclusive of the ordering process. Interpretation of axial, sagittal and coronal views in T1, T2 and STIR views inclusive of the disc, spinal cord, extradural and dural pathology. Academy of chiropractic, Long Island, New York, March 2019

Ethics and Medical Collaboration, having referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain management specialist, neurologist, neuroradiologist and medical primary care providers based upon clinical dilemmas that processed after a thorough history, examination and imaging if clinically indicated to be conclude diagnostic dilemmas. Utilizing evidence-based protocols and acquisition of images and treatment pathways, collaborating with medical specialists and primaries to conclude and accurate treatment plan. Academy of chiropractic, Long Island, New York, March 2019

Documentation in a Medical – Legal and Insurances, constructing and concluding an E&M (99202-99205) report that accurately reflects the history, clinical findings and management of trauma cases that concurrently meets the needs of both carriers in the courts and ethical relationships that concurrently matches the standards of both contemporary academic requirements and contemporary literature-based. Academy of chiropractic,, New York, March 2019

Documenting Trauma and Non-Traumatic Cases & Triaging Disc Pathology, triage, care and collaboration for herniated, bulged, protruded, extruded and fragmented spinal disc. Compliant documentation of evaluation and management of new and established patients inclusive of chief complaint, history of present illness, review of systems, past family social histories with case management protocols in the required elements. Clinically coordinating treatment with subjective complaints, clinical findings and diagnosis for each encounter. Cleveland University- Kansas City Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Triage and Management of the Trauma and Non-trauma Patient, differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology, utilizing x-ray, MRI, CAT scan and clinical evaluation. Collaborative protocols with neurologist, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with mechanical and anatomical spinal pathologies. Academy of Chiropractic, Cleveland University- Kansas City Chiropractic Health Sciences, Long Island, New York, 2018.

Evidence-Based Care in a Collaborative Setting; Primary Spine Care 5, a literature-based model for collaborating with hospitals, medical primary care providers and specialist, reviewing the documentation requirements to communicate the diagnosis, prognosis and treatment plans with medical entities and having the evidence as a basis for those recommendations, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, New York, 2018

Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, MRI spine interpretation of the spine. How to triage a trauma and non-trauma with advanced imaging and document the necessity. The basics of MRI spine interpretation inclusive of all types of herniation’s, bulges, Academy of Chiropractic Post-Doctoral Division. Cleveland University-Kansas City, Long Island, New York, 2018

Spine Brain Connection in Pain Pathways; Primary Spine Care 5, MRI spine, spine-brain connection in managing chronic pain patients. Understanding how chronic pain negatively affects brain morphology and potential pathology as a sequelae. The role of chiropractic in preventing the loss of gray matter in the most recent evidence as outlined in indexed peer-reviewed literature over the last 10 years verifying chiropractic’s role, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, New York, 2018

Bio-Neural Mechanical Mechanisms of the Chiropractic Spinal Adjustment; Primary Spine Care 5, the biological, neurological and mechanical mechanisms and pathways from the thrust to the lateral horn and brain connection and how the brain processes the chiropractic spinal adjustment based upon the literature. Care paths of chiropractic and physical therapy from an outcome basis, Academy of Chiropractic Post-Doctoral Division. Cleveland University-Kansas City, Long Island, New York, 2018

Connective Tissue Pathology, Spinal Biomechanics as a Sequelae to Trauma, MRI spine interpretation, ordering protocols and triaging the injured, the latest research on six ways to age date disc herniations and bulges from trauma inclusive of disc pathology nomenclature, MRI ordering protocols, inclusive of Dixon Format and fat suppressed images. To neurology and pathology of connective tissue and a sequelae of trauma at the biomechanical level leading to bio-neural-mechanical failure. Contemporary “evidence-based building blocks” for triaging in a collaborative environment. Cleveland University – Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2018

Spinal Biomechanical Engineering Digitizing, integrated automated menstruation into creating treatment plans and determining maximum medical improvement. A literature-based study of normal versus abnormal motor unit function. Determining ligamentous laxity, alterations of motion segment integrity and pathological stress units and whole person impairments based upon the literature and academic standards. Cleveland University – Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2018

Science of the Chiropractic Spinal Adjustment and Vertebral Subluxation, the literature-based definition of both the mechanics of the chiropractic adjustment and how it affects the central nervous system in pain pathways and systemic issues that is the arbiter for normal versus abnormal function. “Psychological mechanism” of how the chiropractic adjustment affects the peripheral and central nervous systems. Subluxation Degeneration/Wolf’s law will be detailed from a literature perspective combined with the mechanism of subluxation (bio-neural-mechanical lesion) a literature perspective why “long-term” chiropractic care is clinically indicated as usual and customary to effectuate demonstrable biomechanical changes in the spine. And evidence-based perspective of why physical therapy is a poor choice for the spine as a first referral option for any provider inclusive of the literature. Cleveland University – Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic, Post-Doctoral Division, Long Island New York, 2018

Documentation, Collaboration, and Primary Spine Care, an academic basis for documentation that is usual and customary cross professions in collaborative care. Maintaining ethical medical legal relations ships based upon Voir Dire and Duabert standards with ensuring a “4 corners” inclusive report ensuring primary care status based upon an academic standards. Cleveland University – Kansas City, chiropractic and health sciences, Academy of chiropractic post-doctoral division, Long Island, New York, 2018

Documentation of the Trauma and Non-trauma Case, documenting primary and associated complaints, past history, allergies, medications, review of systems, previous treatment, family social medical histories, previous tests and results, history or previous injuries and illnesses, on- the-job questionnaire, auto accident questionnaire, final examinations, neurological examination, orthopedic testing, test orders, prognosis and treatment plan. A detailed review of current CPT coding requirements for the proper documentation E/M visits to properly code for billable patient services. Focused attention was paid to the performance of a comprehensive patient history, physical examination, review of systems as well as determining the level of clinical decision-making. Analysis of a proper organized E/M report was reviewed to demonstrate proper organization and language use. Cleveland University – Kansas City, Academy of Chiropractic, Postdoctoral Division Long Island, New York, 2018

Interprofessional Reporting and Case Documentation, analysis of case flow, patient chart organization and EMR workflows to optimize the success and satisfaction of the patient encounter, feasibility of accurate and timely documentation as well as strategies to provide timely interprofessional clinical communication. Focus was provided on patient, primary care medical specialty communications been getting the initial visitation all the way through to the release from care. And internal compliance review to ensure complete documentation based upon the Ian him level build, Cleveland University – Kansas City, Academy of Chiropractic, Postdoctoral Division, Long Island, New York, 2018

Spine-Brain Connection in Pain Pathways; Primary Spine Care 5, the spine brain connection in managing chronic pain patients. Understanding how chronic pain negatively affects brain morphology and pathology as a sequelae. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer-reviewed literature over the last 10 years verifying chiropractic’s role. Academy of Chiropractic Post-doctoral Division, Cleveland University, Kansas City, Long Island, New York, 2018

Spinal Bioengineering Seminar, A course describing the structural and functional organization of the spinal-pelvic system. Fundamental and advanced concepts on spinal biomechanics are introduced by presenting a covert spinal model describing normal segmental coupling, regional adaptation and global compensation. The clinical model is a structural and mechanical engineering approach based on x-ray physics, mathematics and structural analysis. The normal movement of gait are integrated in the total biomechanical approach to explain spine distortion, predictable functional scoliosis and lumbar disc failure. Case studies are demonstrated to radiographic analysis and physical findings to determine clinical solutions and soft tissue rehabilitation. PACE recognized By the Federation of Chiropractic Licensing Boards, Arlington Heights, Illinois, 2017

Ethics, Documentation and Research, Primary Spine Care, maintaining ethical interprofessional relationships based upon an evidence-based practice inclusive of triage, diagnostic and reporting. Creating through documentation that reflects your complete findings encompassing descriptive ICD 10 codes and concluding the presence or absence of pathology. Academy of Chiropractic Post-doctoral Division, PACE Recognized by the Federation of Chiropractic Licensing Boards, Long Island, New York, 2017

Bio-Neural-Mechanical Lesion’s and Spine Care, Primary spine care, Mechanical receptor, propriceptor, nociceptors innervation and control of spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment, Academy of Chiropractic Postdoctoral Division, PACE Recognized by the Federation of Chiropractic Licensing Boards, Long Island, New York, 2017

Connective Tissue Pathology and Research, Primary Spine Care, utilization and spinal models considering the opioid abuse and various spinal models in contemporary healthcare. Care paths for mechanical spine pain and the evidence for conservative chiropractic care. Academy of Chiropractic Postdoctoral Division, PACE recognize By the Federation of Chiropractic Licensing Boards, Long Island New York, 2017

Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, herniated, bulged, protruded and extruded discs, etiology and morphology. Age dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolf’s law and redicular clinical presentation. Academy of Chiropractic Postdoctoral Division, PACE recognized By the Federation of Chiropractic Licensing Boards, Long Island, New York, 2017

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. (Texas Chiropractic College or PACE Recognized By the Federation of Chiropractic Licensing Boards.) 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, New York, 2017

Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zone and emboli. Cardiac etiologies and clinical features as precursors to stroke with associated paradoxical and emboli and thrombotic etiology. Historical and co-morbidities that have etiology in stroke inclusive of diabetes, coagulopathy; acquire and hereditary deficiencies, (Texas Chiropractic College and

PACE Recognize by the Federation of Chiropractic Licensing Boards,) ACCME Joint Provider- ship with State University of New York at Buffalo, Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo New York 2017

Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialist. The goal of treatment with the physiology of the infarct and number of zones and the role of immediate triage in the primary care setting. Detailing the compli”urser’s requirements for complete documentation. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

 

Course Objective: To be able to document historical and clinical findings meeting the standards of academia, licensure boards, the courts and the carriers.

Course Goals: To teach the student how to compliantly document the findings of a complete evaluation, inclusive of clinical findings and management of the patient meeting the standards of academia, licensure boards, the courts and the carriers.

Evidence Based Spine Care: Epidemiology of spine care, the opioid epidemic and spinal manipulation for pain management. Functional neuroanatomy and neurochemistry of pain perception, including descending modulation of pain in the central nervous system.  Review of specific research outlining spinal manipulations influence on the central nervous system in the spine pain patient.  Clinical assessment and interprofessional communications relating to the diagnosis and management of the mechanical spine pain patient. Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Denver, Colorado, April 2017

Evidence Based Spine Care:  Spinal biomechanics and response to trauma. Detailed review of spinal instability, mechanical spine trauma and global spinal biomechanical balance. The influence of spinal sagittal curvature, pelvic incidence, sacral slope and pelvic tilt on conservative and surgical care outcomes. Clinical correlation with radiographic and advanced imaging findings specific to the spine pain patient. Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Denver, Colorado, April 2017

Evidence Based Spine Care:  Coordination of care and clinical documentation associated with interprofessional communication.  Focus on the safety of chiropractic management of the spine pain patient and review of research related to specific phases of care, acute intervention, corrective care and health maintenance care were reviewed.  Documentation and workflows related to an interprofessional team approach focusing on compliance and delivery in the modern practice environment. Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Denver, Colorado, April 2017

Primary Spine Care Symposium-Interprofessional Spine Care, Clinical analysis anatomical versus biomechanical spine pain and clinical triage protocols. Relating current research trends In the Whole Spine Model of patients including normal versus abnormal sagittal curvature in the adolescent and adult spine, pelvic incidence as a parameter for spinal balance in the human spine and current methods of assessment. Patient centered approach to Evidence-Based Spine Care with a focus on diagnosis, prognosis and triage of the spine pain patient, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville New York 2017

Primary Spine Care SymposiumConnective Tissue and Spinal Disc Pathology, The morphology and pathology of connective tissue, inclusive of spinal disc disorders and prognosticating wound repair with permanency implications. Disc bulges, herniation, protrusion and extrusions classifications based upon contemporary literature and how to age date disc pathology, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville New York 2017

Primary Spine Care SymposiumEpidemiology Spine Pain, Review of the current Centers For Disease Control (CDC) data on the frequency of musculoskeletal pain in the United States population with emphasis on pain spinal origin. CDC guidelines on opioid medication were discussed and correlated to persistent pain syndromes. Research was reviewed showing the importance of managing the spine pain patient properly from the entry point of care with a concentration on maintenance spinal biomechanics, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville New York 2017

Primary Spine Care Symposium — Physiology and Anatomy of Spinal Manual Adjusting, Understanding the role mechanical receptors, proprioceptors and nociceptors with facets, ligaments, tendons and muscles in aberrant spinal biomechanics. MRI and imaging studies decompressing via a chiropractic spinal adjustment of the bio-neural-mechanical lesion and its effects on the central nervous system both reflexively and supratentorally. Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, NY 2017

Primary Spine Care Symposium– Medical Legal Documentation, the contemporary documentation required in a medical-legal environment that is evidenced-based and meets the standards of the courts and academia. Utilizing the scientific data to support the diagnosis, prognosis and treatment plan while meeting the admissibility standards based upon a professionals credentials. Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, New York, 2017

MRI on 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 spondylolisthesis, 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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

Head Trauma, Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2016

Mild Traumatic Brain Injury, Traumatic Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, contemporary and advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post- Doctoral Division, Long Island, NY, 2016

New Blood Biomarkers Useful for Concussion Diagnosis, The utilization of GFAP and UCH-l-1 in determining, traumatic brain injury, mild traumatic brain injury and mild-moderate traumatic brain injury as a triage tool to manage head trauma patients, Accreditation Council on Continuing Medical Education in cooperation with Medscape, June 2016

Primary Spine Care — Central Nervous System Process of Pain Physiology, Central neural pathways of pain and higher cortical responses to pain and the effect of high amplitude-low velocity forces on mechanical receptors and proprioceptors. They affect neuropeptides, hypothalamus, pituitary and adrenal axis when treating patients. Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville New York, 2016

Primaries Spine Care – MRI, Bone, and Degeneration, the effects of trauma on spinal vertebral segments and the short and long-term sequela to morphology, identifying and diagnosing bone edema, spurring, type of degeneration in assessing biomechanical stability in conjunction with Modiic and Pfeiffer changes. Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville New York 2016

Primary Spine Care — Hospital and Emergency Room Care, Identifying spinal lesions inclusive of cord and root lesions through examination and advanced imaging in creating and accurate diagnosis, prognosis and treatment plan to effectively in collaboration and coordination with medical specialists and emergency department physicians. Differential diagnosing and triaging this degenerative bulges, dramatic disc bulges, protrusions herniations, extrusions herniations and fragmented herniation along with managing traumatically induced pain as sequelae to degenerative disc trauma, Texas Chiropractic College, Academy of chiropractic, Academy of chiropractic, Recognized by the PACE Program the Federation of Chiropractic Licensing Boards, Melville New York 2016

MRI Spine Interpretation and Spinal Biomechanical Engineering-Primary Spine Care, Correlating spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulging, protruded and extruded discs. Correlating co-efficient of forces translated form the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury, Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing boards, Texas Chiropractic College, Las Vegas NV, 2015

Evidenced Based Inter-Professional Collaboration- Primary Spine Care, Chiropractic as Primary spine care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists. Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing boards, Texas Chiropractic College, Las Vegas NV, 2015

Contemporary Literature Review of the Chiropractic Adjusting Mechanisms– Primary Spine Care, The latest scientific evidence of the effects of the chiropractic spinal adjustment on the central nervous system, both upper and lower motor neurons. A comparative analysis of chiropractic vs. other modalities and therapies, Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing boards, Texas Chiropractic College, Las Vegas NV, 2015

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. ACCME joint sponsorship with the state of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral division, Buffalo, New York, 2015

MRI Spinal Anatomy and Protocols, normal anatomy of axial and sagittal views utilizing T1, T2, 3-D gradient and STIR our sequences of imaging, standardized and desired protocols infuse and sequencing of MRI examination to create an accurate diagnosis and MRI. ACCME joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2015

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies and etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. ACCME joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2015

MRI Spinal Pathology, MRI interpretation of bone, intra-dural, extradural, cord and dural sleeve lesions, tuberculosis, dropped lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. CCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences,

Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2015

MRI Methodology of Analysis, MRI interpretation sequencing of cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3-D gradient studies to ensure the accuracy diagnosis of the region visualized. New York Chiropractic Counsel, ACCME joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2015

MRI Clinical Applications, the clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjusted therapies of the patient was spinal nerve root and spinal cord insult as a sequelae. ACCME joint sponsorship the State University of New York at Buffalo, School of Medicine and Biomedical Sciences Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2015

Credentials and Clinically Correlating Causality, The significance documentation and credentials in personal injury field with a focus clinically correlating causality, bodily injury and persistent functional loss as a sequellae, Academy of Chiropractic Post-Doctoral Division, New York State Department of Education, Board for Chiropractic, Long Island, NY 2011

Functional Blood Chemistry Analysis, Functional range indication, Adrenal gland markers, Sugar disorders, Thyroid gland management, Gastrointestinal disorders, Liver and gallbladder assessment, Blood chemistry patterns, Lipid and Cardiovascular markers, Special test and tumor markers, Nutritional protocols, University Bridgeport College of Chiropractic, Post Graduate Department. Bridgeport, CT. Fort Lauderdale, FL. 2011

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in depth understanding of the protocols and triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. CMCS Postdoctoral Division, New York Chiropractic Counsel, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2010

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 the emergency room records in creating and accurate diagnostic and the significance “risk factors” in spinal injury. CMCS Postdoctoral Division, New York Chiropractic Counsel, New York State Education Department, Board of Chiropractic, Long Island, New York, 2010

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 forces and bodily injury. CMCS Postdoctoral Division, New York Chiropractic Counsel, New York State Education Department, Board of Chiropractic, Long Island, New York, 2010

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.

CMCS Postdoctoral Division, New York Chiropractic Counsel, New York State Education Department, Board of Chiropractic, Long Island, New York, 2010

Neurodiagnostic Testing and Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somatosensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brainstem Auditory Evoked Potential (BAER), and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient, CMCS Postdoctoral Division, New York Chiropractic Counsel, New York State Education Department, Board of Chiropractic, Long Island, New York 2010

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnostic utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to health care. CMCS Postdoctoral Division, New York Chiropractic Counsel, New York State Education Department, Board for Chiropractic, Long Island, New York, 2010

Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnoses 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. CMCS Postdoctoral Division, New York Chiropractic Counsel, New York State Education Department, Board for Chiropractic, Long Island, New York, 2010

Impairment Rating and the Law, the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 6th Edition. Clinically coordinating spinal pathology and neurological function sequelae including station and gait, migraines, radiographic disorders and central nervous system disorders. New York Chiropractic College, Florida Chiropractic Association, Orlando FL, 2009

Collision Reconstruction for the Medical Practitioner, Collision analysis, delta V forces, the reconstruction of low-speed collision theory, biomechanics, physical parameters, occupant kinematic, restraints, human subject tolerances, and biomechanics of spinal injuries. Texas A&M University, Department of Engineering, American Academy Manual and Physical Medicine, Las Vegas, NV, 2002

The New Era in Whiplash and Spinal Trauma, Part 1, Review of new treatment protocols for acute soft tissue injuries. Life West Chiropractic College, Fort Lauderdale, FL, 2001

The New Era in Whiplash and Spinal Trauma, Part 2, Diagnosis, x-ray, MRI and documentation of soft tissue injuries. Life West Chiropractic College, Fort Lauderdale, FL, 2001

Whiplash & Spinal Trauma, Documentation and case management of acute cervical and lumbar soft tissue injuries. Life West Chiropractic College, Atlanta, GA, 1997

Cervical Spine Rehabilitation, Diagnosis and rehabilitation protocols of cervical spinal weakness. University of Florida, College of Medicine, Department of Health and Human Performance, Gainesville, FL, 1989

Lumbar Spine Rehabilitation Diagnosis and rehabilitation protocols of lumbar spinal weakness. University of Florida, College of Medicine, Department of Health and Human Performance, Gainesville, FL, 1989

Honors & Awards

Graduated Cum Laude, Palmer College of Chiropractic, 1979

Selected Memberships

American Chiropractic Association, Member, 2008-Present

Florida Chiropractic Association, Member, 2007-Present

Collier County Chiropractic Association, 2000- Present