CHIROPRACTOR GCA Responds to COVID-19 - 2020 Legislative Update Spring Conference Preview - THE GEORGIA
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CHIROPRACTOR
THE GEORGIA
A PUBLICATION OF THE GEORGIA CHIROPRACTIC ASSOCIATION SPRING 2020
GCA Responds 2020 Legislative
Update
to COVID-19
Spring Conference
Preview
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2 • Spring 2020 • THE GEORGIA CHIROPRACTOR
2020 FEATURES
SPRING
10 CASE STUDY WWW.GACHIRO.ORG
Anatomical deficiency of the lower
extremities, leading to adult scoliosis
and chronic lower back pain.
14 PANDEMIC RESPONSE Join us today at:
Resources for GCA members to facebook.com/
adjust for the health and safety GeorgiaChiropracticAssociation
of patients.
twitter.com/GaChiro2020
17 LEGISLATIVE UPDATE
What GCA has accomplished
prior to the state legislative session
postponement. IN EACH ISSUE
18 SPRING CONFERENCE PREVIEW
Get ready for a luau in Savannah!
5 LETTER FROM THE PRESIDENT
An association’s role in the age of
COVID-19.
7 EXECUTIVE INSIGHTS
DEPARTMENTS Remembering Past President
Dr. Clark Stull.
24 INSIGHTFUL IMAGING 8 ASSOCIATION NEWS
Pulmonary cavitation. GCA cancels events in response to a
pandemic; 2020 is a license renewal
25 MEMBER SPOTLIGHT year; Members are encouraged to
Featuring former student recruit peers.
member and now chiropractor
Dr. Munntouya Hunt.
4 • Winter 2020 • THE GEORGIA CHIROPRACTOR
Our Response to a
Global Pandemic A LETTER FROM
THE PRESIDENT
What a difference a few weeks can make, huh? Unless you live under a rock,
you’re familiar with the pandemic of COVID-19 that’s paralyzed countries
around the world, including locations right here in the United States. 2020 BOARD
Our thoughts and prayers are with all of those affected, and the Georgia
Chiropractic Association continues to monitor the situation as it is ongoing.
When there are a lot of unknowns, it’s comforting to know that GCA has Dr. Michael Vaughn
been here all along, releasing accurate information while providing continual President
customer service. When you call GCA, you’re going to get a smiling voice on the
Dr. Vincent Erario
other end of the line. When you go to the GCA website, you’re going to see vital
President-Elect
information right at the top of the page. When you check your email, if there’s
new information, you’re going to see a message from GCA. And, of course, Dr. Leana Kart
you can find this magazine in your mailbox quarterly, with the professional Past-President
information you should know.
Uncertainty can be frustrating, especially because we don’t always know Dr. Noel Steinle
the answers. Our office has received many phone calls about guidelines for Treasurer
chiropractors, and as the story unfolds, sometimes there’s just no definitive Dr. Robert Alpert
answer. We always suggest remaining calm and trying to think through things Director
as clearly as possible. Many of our members kept their doors open, but spaced
patient appointments out throughout the day while also taking extra steps Dr. Philip Day
to clean and disinfect their spaces. At the end of the day, we are health care Director
providers, and the health and safety of our patients should be our top priority,
Dr. Karen Mathiak
always.
Director
But where do you go when there’s just not that much information? For many
of you, that answer was clear - the Georgia Chiropractic Association. Because Dr. Ben McDowell
even if we don’t have all of the answers, we’re still here for you - working to find Director
those answers for you, and working to provide solutions for all of your business
and patient concerns. And when you’re a member of GCA, you’re investing in Dr. Ralph Templeton
that sense of community and solidarity for the entire chiropractic profession in Director
our state. Dr. Lesli Walker
Thank you for being a member. Thank you for counting on GCA as a Director
trusted voice throughout this current pandemic. And thank you for being a
chiropractor and serving your community and your patients’ health care needs
at ALL times, but especially during this time in history.
Dr. Michael Vaughn
President
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6 • Spring 2020 • THE GEORGIA CHIROPRACTOR
Saying Goodbye
to My Friend Clark EXECUTIVE INSIGHTS
Whenever someone I care about dies, I have to tell myself to stop feeling sorry
SPRING 2020
that I didn’t have enough time with him and instead be thankful for the time I
DID have with him.
Dr. G. Clark Stull, past president of the Georgia Chiropractic Association, VOLUME 39, NO. 2
passed away unexpectedly March 24 at his home in Macon. He was only 62.
And boy, am I glad I got to spend time with him!
Clark loved his family (especially his “grands”), hunting and chiropractic. In Official Publication of
that order. the Georgia Chiropractic
A member of GCA for 35 years, Clark knew he wanted to be a doctor of Association, Inc.
chiropractic after he got his first adjustment as a teenager from his friend’s dad - Founded 1912
Dr. Deane Mink - in Valdosta.
After serving on GCA’s Board of Directors at various times throughout his Valerie L. Smith, CAE
Executive Director
35 years in chiropractic, Clark became president in October 2018. That’s when
the GCA staff and I got to know him better. Diane Hamby
We got to see his wonderful sense of humor, his strong work ethic and his Director of Membership
commitment to GCA. & Operations
During his recent tenure on the GCA Board of Directors, he dressed up like
Carly Sharec
Elvis, a ‘50s greaser and even a prisoner to help raise money for the GCA-PAC.
Director of
He took time away from his practice to attend a ChiroCongress meeting in Communications
Austin and to lobby our US legislators in Washington. He sat through budget & Events
and committee meetings, came to social events in Atlanta, hosted a board
meeting in his office and more. Clark showed up. Aubrey T. Villines, Jr. J.D.
He was good at balancing work and play and reminding me to balance General Counsel
them, too. He was a mentor and a friend. The staff and I loved him, and he Georgia Chiropractic
loved us. Association, Inc.
Goodbye, my friend. I am thankful you were in my life. 1926 Northlake Parkway,
Suite 201
Tucker, Georgia
30084-7069
Valerie Smith, M.A., CAE P: 770.723.1100
F: 770.723.1722
Executive Director www.gachiro.org
Jennifer Campbell
Graphic Designer
jenndesigneratl@
gmail.com
For advertising, please
call 770.723.1100
or e-mail
csharec@gachiro.org
ASSOCIATION NEWS
Coronavirus Impacts Chiropractic Industry
No one was immune to the impact of COVID-19, at this moment in time. But what we do know is that
colloquially referred to as “coronavirus,” and chiropractic care and spinal hygiene are important to
chiropractors and the association were caught up in overall health.”
it as well. Many chiropractors remained open to serve patients.
Georgia Chiropractic Association immediately As health care providers already practicing high
stepped up to cancel multiple events, including the sanitation standards, they went above and beyond to
annual Chiropractic Day at the Capitol. help prevent the spread of the virus. GCA immediately
“It was disappointing to have to make that decision,” posted resources on its website (gachiro.org) as well as
said GCA President Dr. Michael Vaughn. “We rely on kept in touch with chiropractors via email and social
our presence at the Capitol every year to demonstrate media. GCA’s patient-focused social media accounts
our strength in numbers to our lawmakers. However, it also shared immune boosting tips for the general public,
was absolutely the right call. Our Speaker of the House as well as timely information from the World Health
David Ralston had asked the public to stay at home if Organization and the Centers for Disease Control and
possible, and we chose to respect those wishes. Prevention.
“And in hindsight, the situation with COVID-19 GCA leaders have vowed to continue providing the
was changing so rapidly, it was the right choice. We necessary information to chiropractors across the state
of course appreciate all of those who had planned to as long as COVID-19 is a pandemic.
attend. But protecting our members and setting a good “I want to make very clear that we were the FIRST
example for the public is important.” and ONLY state chiropractic association to put out this
Like many other health care providers, chiropractors kind of information,” Vaughn said. “We have always
saw an uptick in patients as the virus spread. Patients gone above and beyond for the chiropractic profession
were eager to get adjusted to help ease stress and boost in this state, and I’m honored to lead this group that
immunity. has been there and will continue to be there for our
“We’re proud to offer chiropractic care as a part members during this uncertain time.”
of an overall health and wellness regimen,” Vaughn
explained. “Chiropractic has been shown in various
studies to possibly reduce stress, and we do know that an
increased level of stress can lead to a higher likelihood
see
of getting sick.
“For a new disease, there are no studies,” he
continued. “We just don’t know a lot about COVID-19 p.14 for further information on
GCA’s response to the COVID-19
pandemic, as well as for resources
that you can continue to use in
your practice.
8 • Spring 2020 • THE GEORGIA CHIROPRACTOR
2020 is a License Be a Member… Get a
Renewal Year don’t Member… Win a Big
forget CA$H Prize!
Georgia-based chiropractors are reminded Haven’t you always had dreams of magically
that they must renew their licenses through winning millions?
the Board of Chiropractic Examiners by Dec. 31, Well… GCA can help you get a little bit
2020. closer, by putting you in the running to win
Chiropractors should receive 20 hours of $1,000.
continuing education annually; those 20 hours must How? Between now and Oct. 18, 2020, any
include one hour of Georgia Law, four hours of a GCA member who refers a NEW member will
qualifying Risk Management course and 15 hours of get their name dropped in a bucket for a chance
Clinical Science. to win $1,000. Refer 15 new members? You get
Each individual chiropractor is responsible 15 chances! (And once you sign up as a member,
for keeping track of their hours. If audited, the you’re then eligible to refer new members as
chiropractor must provide proof of their CE credits. well.) Just make sure you tell any recruits to
GCA does NOT provide hours to the licensing boards. let GCA staff know that you’re the one who
GCA encourages all chiropractors to plan ahead referred them for a GCA membership!
and get your CE credits for 2020 completed as soon as The winner will be announced at our 108th
possible. Mark your calendars for our Spring and Fall Annual Fall Conference & Trade Show, Oct. 18
Conferences, June 5-7 at The DeSoto in Savannah and at The Hotel at Avalon in Alpharetta. (You do
Oct. 16-18 at The Hotel at Avalon in Alpharetta. not need to be present to win.)
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Anatomical Deficiency of the Lower
Extremities Leading to Adult Scoliosis
and Chronic Lower Back Pain
C A S E S T U DY
By Joseph J. Cipriano, D.C.
Low back pain is considered to be chronic if it has been a 10° right scoliosis (Fig 1.). Physical therapy with muscle
present for longer than three months. Chronic low back relaxant medication was prescribed. After six weeks of
pain may be caused by many different sources. It may physical therapy the patient returned to his primary care
start from diseases, injuries or stresses to many different provider with continued complaints of lower back pain,
structures including bones, muscles, ligaments, joints, again with no radicular component. Patient was referred
nerves or the spinal cord. The affected structure will send for orthopedic spine surgery consultation. An MRI of his
a signal through nerve endings, up the spinal cord and into lumbar spine was ordered which revealed degenerative joint
the brain where it registers as pain. Many times, the source disease at multiple levels with an L5/S1 focal extrusion
of the pain is not known or cannot be clearly defined. which extends into the spinal canal (Fig. 2).
The key in determining causation may be difficult Patient was advised to undergo a micro discectomy at
in certain cases. A good patient history and a thorough the L5/ S1 level. Patient researched various physicians for
physical examination by a well-trained clinician are the a second opinion. Patient was seen by another orthopedic
most important aspects of the evaluation. Patients have spine surgeon associated with a well-known and respected
many choices when it comes to episodes of spine pain. large hospital system who specializes in complicated spine
Primary care doctors, chiropractors, physical therapists, surgeries. Again, the patient was examined and a review of
orthopedic surgeons, physiatrists and neurosurgeons are a his X-rays and MRIs were performed. The second opinion
few of the choices. When it comes to spine pain, confusion suggested that a micro discectomy would not address
exists as to what type of provider the patient needs to see his current complaints. Patient was advised to continue
to properly evaluate and treat the patient’s condition. Even physical therapy for six more weeks. If this did not address
when a well-trained clinician examines the patient, based his issues, then the patient should lose some weight and
on specialty, treatment bias is a concern when a not so clear proceed with a more complicated operation to address his
diagnosis of chronic back pain is established. scoliosis, which in the opinion of the surgeon would address
This case study is an example of a patient with chronic his issues. This operation was to include hardware, such as
back pain who is well-versed in health care issues. This rods and screws which would straighten out the spine (fig.3).
patient happens to be a pharmacist. Patient continued with more physical therapy and
Patient is a 42-year-old pharmacist who was overweight anti-inflammatory medication again with little relief.
with a BMI of 35. Patient reported chronic lower back pain Patient was at a point where his activities of daily living
with no radiculopathy for several months before seeking were affected. Patient chose the least invasive of these two
any treatment. Patient reported pain levels of 5 to 7 on a procedures and he underwent a micro discectomy at L5/
scale of 1 to 10 depending on activity levels. Again, patient S1. Due to the minimally invasive nature of this procedure
is a pharmacist working 12-hour shifts in which the patient patient recovered quite well. Unfortunately, his spinal pain
must stand for the entire shift with no sitting permitted in persisted.
his place of employment. Patient was taking NSAIDs with After several months of continued pain, patient
little relief. Patient presented to his primary care physician presented to me with continued complaints of low back
who obtained X-rays of the patient. An X-ray revealed pain with no radicular component. Patient continues with
10 • Spring 2020 • THE GEORGIA CHIROPRACTORFigure 1 Figure 2 Figure 3 Figure 4
pain levels between a 5 and a 7 on a scale of 1 to 10. A lift of 15mm which was to be inserted into his left shoe.
physical examination was performed including reviews of Patient was told to use this lift for several hours a day over
his past imaging studies. Patient has been very diligent in one week, at which point it would be used most of the
following through with treatments recommended. He has day. The next objective was to reduce tension on the tight
attempted to lose some weight but was finding it somewhat left psoas muscle with psoas stretches performed both in
difficult because exercising was painful. He is seriously the office and at home. Manipulation was performed to
concerned about his job. He was finding it continuously his lumbar spine and sacrum. Physical therapy modalities
difficult as time progresses to continue working his present such as muscle stimulation and ultrasound were also
job when he needs to stand for 12 hours. implemented.
Physical examination revealed limited motion in all After three weeks of treatment patient reported marked
lumbar planes of motion. There is facet joint tenderness improvement in his pain levels which reduced to a 3 and
at L4/L5 and L5/S1 bilaterally. Kemp’s test was positive 4 on a scale of 1 to 10. Patient was more comfortable
for low back pain, SLR and other root tension signs standing for his 12 hour shifts but still not pain-free. An
were negative. Orthopedic testing of the hips, knees and X-ray of his lumbar spine was also performed to evaluate
ankles were unremarkable. There was marked tension any change in his lumbar scoliosis (fig 5.). As you can see,
between the right and left paralumbar musculature which the 10° scoliosis that was recorded prior to treatment and
is more pronounced on the right. There was also marked with the introduction of a heel left was reduced to 0° with
tension of the left psoas muscle as compared to the right. pelvic obliquity also reduced. (fig. 6 & 7). Patient continued
Adam’s position revealed no reduction in the angle of treatment for another three weeks. Patient was able to
the scoliosis upon forward flexion. Measurement of the exercise and some weight reduction was achieved. Patient
lower extremities were obtained which revealed a 17 mm pain levels were recorded as a 0 to 2 on a scale of 1 to 10
discrepancy between the right and left leg with the left leg depending on activity levels.
being short. In conclusion, when patients present with spine pain
X-rays were obtained in the standing position (fig.4). when there is not a clear diagnosis or pain generator,
X-rays revealed the same 10° left lumbar scoliosis with treatment bias based on specialty is a common occurrence.
approximately 15 mm of obliquity between the right and It is far too common to prescribe opioid medication and
left iliac crests. Additional x-rays reveal the same obliquity perform procedures not in the best interest of the patient,
between both humeral heads. than to consult with other specialties to see what can be
We discussed treatment options with him and he agreed offered prior to prescribing addicting medication and
on a trial of care for three weeks. If there was marked performing procedures which may be more harmful than
improvement we would continue as needed, if not, we were beneficial. We as a profession also have this bias and we also
to discuss other treatment options. need to consult with other specialties to see what they can
My first objective was to attempt to level out the offer for the betterment of the patient.
obliquity between the two extremities. I prescribed a heel
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www.anthonychiropractic.com • (706) 543-5901 benchmarkpt.comChiropractors Respond Editor’s Note: The news surrounding COVID-19 is rapidly
changing; as of press time, the information in this article is
accurate. However, please be advised this may be outdated.
to COVID-19 Pandemic Refer to the Centers for Disease Control and Prevention and
the World Health Organization for the most current updates
regarding COVID-19. The Atlanta Journal Constitution
and your local news outlets will have the most updated infor-
By Carly Sharec mation pertaining to the state of Georgia.
A global pandemic is not business as usual for any frontlines of a health care crisis. As emergency rooms and
industry, and chiropractors were no exception as primary care physicians are asking patients to not come
COVID-19 swept across the United States in February in unless it’s an absolute emergency, we’re able to treat
and March, with the number of cases in Georgia musculoskeletal complaints that would otherwise take up
beginning to multiply in late March. the time and energy of our medical doctors.
The Georgia Chiropractic Association quickly stepped “I’ve also heard of chiropractors offering their services
up, emailing resources to all chiropractors across the state, to our emergency room nurses and doctors who are
as well as keeping pertinent information at the top of working long hours and need some relief,” Vaughn added.
the gachiro.org website. GCA staff and board members “As a profession, chiropractors step up and are needed
remain accessible as always to take your phone calls and more than ever.”
emails. Additionally, those following along on the GCA Dr. Rob Alpert - a GCA director as well as a member
social media pages (Facebook and Instagram) found of the Georgia Board of Chiropractic Examiners - advises
various pieces of information, many easily shareable with all chiropractors to continue following the guidelines set
patients. forth by the Centers for Disease Control and Prevention.
“We’re all in uncharted territory at the moment,” said “Right now, the guidelines are changing on an almost
GCA President Dr. Michael Vaughn. “There are some daily basis,” Alpert said, emphasizing the importance
things we just don’t know, as quite clearly none of us have of staying up-to-date. In his practice, Southmetro
ever lived through a pandemic before! But as the leading Chiropractic Center in Jonesboro, Alpert and staff have
state chiropractic association, we know it’s up to us to deployed many of the same extra sanitation efforts
provide the necessary leadership during this time. chiropractors across the state and nation have.
“It’s up to all of us to spread accurate information, “We’re using an air purifier, disinfecting all counter
and not add to any sort of panic,” Vaughn added. “As tops,” he listed, “giving people space, and spacing out
chiropractors, we’re uniquely positioned to be on the appointments.” They’re also making sure to thoroughly
14 • Spring 2020 • THE GEORGIA CHIROPRACTORwash their hands between each patient. Alpert also
advises all patients and employee s to wash all clothing
after returning home immediately in hot water. He
Patient
suggested taking clothes off prior to entering the house
(if able).
Questionnaire
“Patients also need to be made aware to practice these provided by Life University
efforts in their own lives,” Alpert added. “Chiropractors
can tell patients that if they think they have the symptoms
of COVID-19, to not panic. Continue taking your
Life University Clinics are asking patients
temperature. Try to stay at home unless it’s a real
to review the following questionnaire
emergency. So far, all signs point to this being a relatively
before making or keeping an appointment:
mild virus that most of us will recover from.
“But as always, call a health care provider if you’re
1. Have you had contact with anyone with
concerned,” he said. “Don’t just go in, but you can call
confirmed COVID-19 in the last 14 days?
your primary care physician or your chiropractor. Explain
q Yes q No
your symptoms over the phone. They can tell you if you
should seek further testing.”
2. Have you had any of these symptoms
GCA member Dr. Tannaz Modaresi took things one
in the last 14 days?
step further, preemptively closing her practice at the end
of March with plans to reassess the situation in early q Fever greater than 100°F
April. q Difficulty breathing
“It will take community effort to flatten the curve,” q Cough
she said, referring to health experts’ views of the
number of people needing to stay home and practice 3. Are you currently experiencing fever
social distancing to not overwhelm area hospitals. over 100, difficulty breathing or cough?
Prior to closing, she required all staff to use masks and q Yes q No
gloves along with using extra disinfecting measures.
“Chiropractors can also suggest to patients at-home If you answered yes to question 1 and/or
exercises to do for their specific condition, in an effort to 2, please call your primary care provider
eliminate any extra need to leave the home during this or Georgia Department of Public Health
time.” at (404) 657- 2700 for further direction.
Chiropractors reading this can refer to the patient
pre-screening questionnaire listed as part of this article, If you answered yes to question 3 and-or
provided by Life University. 4, please call your primary care provider
News unfurled rapidly on a day-to-day, sometimes for further direction.
hour-by-hour, basis. By the week of March 16, it became
clear that the majority of society would be called to If your response to the questionnaire is
“socially distance” themselves. The metro Atlanta area in no, please do not hesitate to schedule an
particular felt the impact of the virus, with grocery stores appointment or if you have a question,
slammed with customers on March 12 and school systems please feel free to contact:
beginning to close for two weeks even before Governor
Brian Kemp mandated all schools in the state close.
As of press time, Kemp had instituted a “shelter
in place” directive to all Georgians beginning 6 p.m.,
April 3 and extending through April 13 (though subject
to change). Thanks to the hard work of GCA leaders, [place in your clinic information]
chiropractors - recognized in the state as health care
providers - were deemed essential and able to remain to
open and practicing.
To comply with CDC and government guidelines,
GCA canceled multiple events to continue complying
WWW.GACHIRO.ORGwith government and health guidelines, including the
association’s vitally important Chiropractic Day at the
Capitol, which was scheduled for March 12.
“It was not an easy decision,” Vaughn said. “But
GCA Members
Speaker of the House Rep. David Ralston had asked
the public to not go into the Capitol if at all avoidable,
Can Save $$$ on
and our event ended up being just one day before the
legislature postponed the session until further notice.”
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The association also canceled its annual St. Patrick’s
Day Sips & Chips event which had been scheduled The Georgia Chiropractic Association and Triad
for March 19, along with a few other social events Aer have joined forces to bring you… an exclusive
scheduled throughout March and early April. offer for the GCA membership to purchase a
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“When we’re being asked to stay inside and • Removes 99.99 percent of allergens, odors, molds,
‘socially distance’ ourselves at least six feet from one viruses, bacteria and VOCs - without any filters to
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“We’re here to connect and support our member
chiropractors.” This is a great time to add a second machine for
As of press time, the June 5-7 Spring Conference your practice or home. Better yet this is the perfect
at The DeSoto in Savannah was still planned to go time to have stock on hand, enabling you to sell
ahead as scheduled. As a member of the Board of Triad Aer to your patients and giving them a first
Examiners, Alpert confirmed that they had not had any line of defense against germs, bacteria and viruses.
conversations to change requirements for continuing
Through our GCA Affiliate Program, we are able to
education.
offer GCA members the following options:
“We’re monitoring events as they unfold,” he said.
“We will take decisive action as necessary to protect the
• If you want to add just one more machine $795
public.”
for the 3000 sq. ft. purifier and get one FREE
GCA members also now have access to special
MiniAer small space purifier. (Suggested MSRP:
discounts for Triad Aer Purification Systems, which
$1,095 ... GCA member savings = $449)
removes 99.99 percent of allergens, molds, viruses and
bacteria. GCA members can save up to $449, and GCA
OR the best value…
will receive 5 percent of the discounted sale net before
taxes. (For more information and to order, contact
• Wholesale options
Frank Keats at 404-218-9368.)
• 3000 sq. ft. Triad Aer unit at $499 each,
“Again, there’s a lot of uncertainty and there are
minimum of 4.
some things that we need to take that ‘wait and see’
• MiniAer purifier at $59 each, minimum of 24.
approach,” Vaughn said. “But as an association, we
are responding and moving as quickly as possible to
Not only is this a good deal for GCA members,
be able to provide clear, concise information to our
the association itself will receive 5 percent of the
membership. And if we can provide assistance like
discounted net sale before taxes.
being able to offer a discount on an air purification
system, then we’re going to do that.”
To order, call Frank Keats at 404-218-9368.
16 • Spring 2020 • THE GEORGIA CHIROPRACTORFrom left, GCA Legal Counsel Aubrey Villines, J.D., Executive
Director Valerie Smith, Director of Membership & Operations
Diane Hamby, and Legislative Committee Chair Dr. Randy
Mayfield celebrate after S.B. 28 passed in committee.
Two Chiropractic Bills Crossover
Before Capitol Shuts Down By Valerie L. Smith, CAE
The Georgia Chiropractic Association has been hard S.B. 28 passed over to the House and is now in the
at work on several bills affecting doctors of chiropractic Insurance Committee.
during the current legislative session, which is currently H.B. 816 was introduced this year by Rep. Dr. Karen
in recess due to the COVID-19 pandemic. S.B. 28 would Mathiak, who is also a GCA Board member.
require copays to be reasonable and serve as an incentive “There are already a number of D.C.s and M.D.s
to care, and H.B. 816 would allow D.C.s and M.D.s to practicing together, but the process to do so is onerous,”
form a professional corporation together, if desired. Mathiak said. “This bill just makes it easier for them to
Last summer, GCA President Michael Vaughn and work together for patients.”
lobbyist Aubrey Villines met with Senate Health and H.B. 816 passed over to the Senate and is now in the
Human Services Chair Sen. Ben Watson in Savannah Health and Human Services Committee.
about S.B. 28, and right before the session started, “The session has been great so far, and I really want
Governmental Relations Chair Dr. Randy Mayfield, to thank our grassroots members who contact their
Villines and Executive Director Valerie Smith, along legislators when we asked them to, our GCA-PAC donors
with representatives from the Georgia Physical Therapy and everyone who took time to attend a fundraiser or
Association, met again with Sen. Watson and Regina legislative event,” said Vaughn. “While our lobbyists are
Quick, from Lt. Gov. Geoff Duncan’s office. there every day, our legislators really like to hear from
“We are so thankful to Sen. Watson and Lt. Gov. their constituents, too.
Duncan’s team for all their help in reworking the bill into “Unfortunately, we had to cancel our annual
something that every healthcare provider can agree on Chiropractic Day at the Capitol, so it’s more important
and support,” Mayfield said. than ever that once the COVID-19 pandemic passes,
“Our grassroots members, Diane Hamby, Valerie you get to know your legislators and join our PAC. With
and I worked hard to educate the members of the elections coming up, this year is a great time to ask your
Health and Human Services committee why the bill legislators how you can help them in their campaign,”
was so important,” Villines said. “Once it passed out of Vaughn continued.
committee, it passed the Senate unanimously, which is the To find your Georgia representative and senator,
first time that’s ever happened!” visit openstates.org.
WWW.GACHIRO.ORG2O20 SPRING
CO N F E R E N C E
AND TRADE SHOW
JUNE 5-7 2020
Spring Conference Forges Forward,
Luau Plans Made By Carly Sharec
As of press time, the luau was still planned for the requirements chiropractors need to renew their licenses.
Georgia Chiropractic Association’s Annual Spring “Chiropractors are all reminded that 2020 is a renewal
Conference & Trade Show, scheduled for June 5-7 at year,” Kart said. “As of yet, we’ve received no guidance
The DeSoto in Savannah. on any changes to that from our Board of Examiners, so
“We hope that everyone has been doing their part chiropractors should be planning ahead on how they’ll
to ‘flatten the curve’ and slow down the spread of this earn those credits! Especially with such uncertain news as
coronavirus,” said GCA Past President and Conference we’ve currently experienced with the pandemic, we are
Committee Co-Chair Dr. Leana Kart. “Our intent is to telling everyone to plan ahead.
gather together as a community and prove the resiliency “It’s always a good idea to earn your CE credits earlier
of chiropractic at this June event.” in the year,” she continued. “That’s why we always
GCA is working on extra precautions, as well, encourage people to come to our spring conference!”
including making sure there will be hand sanitizer Instructors scheduled for this year’s Spring Conference
available for attendees. include Drs. Mark Charrette, Ty Talcott, Karen
“We’re also looking at the set-up of the meeting Konarski-Hart and Darr McKeown. GCA lobbyist and
rooms,” said Conference Committee Co-Chair Dr. Noel attorney Aubrey Villines, J.D. returns to teach Georgia
Steinle. “If certain social distancing measures are still Law. Talcott, Villines and GCA Director Dr. Rob Alpert
recommended by the CDC, then we’ll work hard to will teach C.A. classes.
comply. The health and safety of everyone is our top Topics include extremity adjusting protocols, reading
priority.” MRIs and practice procedures and protocols during a
Still, mindful of the possibility that the event could disaster.
not go on as planned, GCA leaders are reviewing how “We always want to provide a broad spectrum of
to create a virtual conference for attendees that would topics,” said Education Committee Co-Chair Dr. Karen
still comply with offering the continuing education Mathiak. “We think our instructors and the topics they
18 • Spring 2020 • THE GEORGIA CHIROPRACTORthe DeSoto hotel
15 E. Liberty St.
Savannah, GA 31401
800-239-5118
(reservation line available Monday
through Friday, 9 a.m.-5 p.m.)
Mention that you’re with the Georgia
Chiropractic Association to receive our
special rate starting at $195 per night.
Social events
Nearby attractions include Forsyth
Park, Riverfront Plaza and City Market. THURSDAY, JUNE 4
We hope you take some time to enjoy Savannah Sips & Chips
the offerings of our host city! 6-8 p.m.
Join GCA for this tradition of enjoying time together before
the conference officially gets underway. Come enjoy a drink
and some complimentary snacks with us at the hotel bar while
catching up with friends.
FRIDAY, JUNE 5
Welcome Reception
5-6 p.m.
Sponsored by Georgia Spine & Orthopaedics, Elite Radiology of Georgia,
Georgia Pain & Spine, and Versea Holdings
Wear your best Hawaiian shirt… it’s luau time!
PAC Wine Toss
5-6 p.m. (during the Welcome Reception)
For $10, get your chance to throw three rings around our stash
are covering are able to offer something for everyone of wine bottles – any you land, you get to keep! Our GCA
planning to attend.” Political Action Committee is hosting this fundraising event.
The complete schedule of events, as well as the Please also feel free to bring a bottle of wine to donate – the more who
donate, the more fun we get to have.
link to pre-register, is available on the GCA website,
gachiro.org. President’s Suite Open
As always, quite a few social events are planned, 6-7 p.m.
GCA President Dr. Michael Vaughn welcomes you back to our
as well. Hospitality Suite to enjoy some snacks and beverages before
“I think we can all agree that there’s been a lot of heading out to enjoy the Savannah nightlife!
stressful news at the beginning of 2020!” Kart said.
“So hopefully our attendees are ready to let loose
SATURDAY, JUNE 6
President’s Luncheon
and have some fun at our luau-themed weekend!” 1-2:30 p.m.
Guests are invited to wear fun Hawaiian-themed Sponsored by Life University, American Health Imaging, TRU Digital
Imaging Solutions, Barbour Orthopaedics, The Injury Specialists, and
shirts, especially for Thursday evening’s Sips & AllSpine Surgery Center
Chips event and Friday’s Welcome Reception. (Read Join us for this ticketed event as GCA leaders share association
the sidebar for more information on these and other updates. Tickets are $20 each and should be purchased with
your event registration.
social events planned throughout the weekend!)
“After what for some of us was a really Ladies Tea
tumultuous start to the year, we’re looking forward 3:30-5 p.m
Sponsored by NCMIC
to regrouping and resetting for a great second half,” A much-loved tradition, we gather to recognize the women in
Kart said. “I hope chiropractors from across the the chiropractic industry who make this profession great.
state will make plans to join us in Savannah.”
President’s Suite Open
5:30-7 p.m.
GCA President Dr. Michael Vaughn will host this networking
and fellowship event with light snacks and beverages before
everyone heads out to enjoy the Savannah nightlife!Exhibitors
Booth #1 Email: stephanie.artrip@ Booth#27 allspinesurgerycenter.com
Georgia Chiropractic Association footlevelers.com Summus Medical Laser Providing laser spine surgery,
Phone: 770-723-1100 Website: footlevelers.com Phone: 615-595-7749 guidance and additional treat-
Email: vsmith@gachiro.org World’s leading provider of Email: info@summuslaser.com ments in Georgia.
Website: gachiro.org individually designed func- Website: summuslaser.com
Be sure to stop by to pick tional orthotics. Medical equipment supplier. Booth #33
up your registration packet Proleve
(as well as drop off your CE Booth #21 Booth #28 Phone: 844-776-5383
verification form). You can Standard Process SE Georgia Pain & Spine Institute Email: barney@proleve.com
also become a GCA and/or a Phone: 770-218-8881 GCA Silver Partner Website: proleve.com
GCA-PAC member here. Email: chrisgoodson76@ Phone: 678-383-7246 The highest grade organic
gmail.com Email: CBD products available.
Booth #2-3 Website: standardprocess- info@gapainandspine.com
Holistic Problem Solver southeast.com Website: gapainandspine.com Booth #34
Phone: 912-439-1911 Vitamins and other nutritional State-of-the-art interventional CP Healthcare
Email: holisticproblemsolver@ supplements. pain management for patients. GCA Bronze Partner
gmail.com Phone: 844-367-6747
Website: githehairdoctor.com Booth #22 Booth#29 Email: ssmallwood@
Offering holistic and therapeu- NCMIC American Health Imaging cypresspartners.com
tic products. GCA Silver Partner GCA Gold Partner Website:cphealthcare.co
Phone: 800-247-8043 Phone: 678-644-7478 Nationwide imaging for
Booth #4 Email: jhellrung@ Email: kyle.lutz@ personal injury and workers
Cambre & Associates ncmic.com ahicenters.com comp.
GCA Bronze Partner Website: ncmic.com Website:
Phone: 770-502-6116 The nation’s largest provider americanhealthimaging.com Booth #35
Email: michael@ of chiropractic malpractice Provides outpatient diagnostic PrimeKinetix
glenncambre.com insurance. testing such as MRI, CT and GCA Bronze Partner
Website: glenncambre.com ultrasound. Phone: 877-215-1124
Personal injury experts repre- Booth #23 Email: sylvia@thepos-
senting clients in and around Eclipse EHR Solutions Booth #30 turemedic.com
the Atlanta area. Phone: 352-488-0081 Life University Website: primekinetix.com
Email: cathy@ineedeclipse. GCA Gold Partner The best posture corrector and
Booth #5 com Phone: 770-426-2925 support expert serving your
Newton Homeopathics Website: eclipsepracticeman- Email: darcie.wallace@ needs.
GCA Bronze Partner agementsoftware.com life.edu
Phone: 800-448-7256 An electronic health record Website: life.edu Booth #36
Email: marge@ suite that is used by thousands Located in Marietta, the The Injury Specialists
newtonlabs.net of chiropractic, physical world’s largest chiropractic GCA Gold Partner
Website: newtonlabs.net therapy and medical offices college. Phone: 404-348-4310
Homeopathic products for across the U.S. Email: michael@thein-
adults, kids and pets. Booth #31 juryspecialists.com
Booth #25 Albany Neurodiagnostic Center Website: theinjuryspecialists.
Booth #6 CAB Medical Group Phone: 229-439-7024 com
BaxMax Phone: 678-516-7853 Email: docbailey04@ Providing immediate access
Phone: 419-409-6098 Email: cbooker@bellsouth.net gmail.com to high-quality injury referrals
Email: dave@ Website: cabmedicalusa.com Website: phoebehealth.com in a network of chiropractors,
baxmaxsupport.com A family owned and operated Helping diagnose patients with physicians and attorneys.
Website: baxmax.net medical equipment company. seizure, psychological, ves-
The ultimate back support, tibular and nerve and muscle Booth #38
taking comfort and pain relief Booth #26 disorders. TRU Digital Imaging Solutions
to a new level. Team Medical Group GCA Gold Partner
Phone: 727-258-4957 Booth #32 Phone: 844-944-6243
Booth #19-20 Website: teammedical AllSpine Surgery Center Email: mike@tru-digi-
FootLevelers group.com GCA Gold Partner tal-imaging.com
GCA Bronze Partner Offering medical supplies. Phone: 770-997-0600 Website: tru-digital-imaging.
Phone: 800-553-4860 Email: nazie900@ com
gmail.com
Website:
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22 • Spring 2020 • THE GEORGIA CHIROPRACTORI N S I G H T F U L I M AG I N G
By J.C. Carter, D.C., D.A.C.B.R.
Pulmonary Cavitation
In the fast paced, hectic reality of everyday practice, it is infection (especially bacterial, granulomatous, and fungal),
very easy to look at musculoskeletal X-rays and focus solely pulmonary contusion, and congenital issues (especially bron-
on alignment, bone density, and joint structure. Forgetting chogenic cyst and sequestration). Once a cavity is identified
to evaluate the soft tissue is an easy trap to fall into and a patient history dictates the next steps in clinical evaluation.
horrible habit that can lead to disaster. In this recent case, Regardless of the cause of the cavity, the next step in imag-
a moderate sized cavity is seen hiding in the chest on a tho- ing is always High Resolution/Thin Section CT.
racic image. On plain film X-ray a cavity will be seen as a spherical
A cavity in the lung is no different than a cavity in a lucency with a thick or thin surrounding wall of soft tissue
tooth; it is a hole in the lung like a hole in your tooth. The density. Cavities often have an air-fluid level within (which
official definition is a gas filled space with a thick surround- look much like the gastric air bubble on an upright film).
ing wall. When the wall is thin it is often called a pneuma- Once a cavity is confirmed on plain film the appropriate
tocele. There are a number of causes to include lung tumor, referral is to a pulmonologist.
autoimmune disease (especially RA), pulmonary embolism,
Figure 1 Figure 2
(Figure 1). Cavities can be hard to see. This
cavity is seen on the left adjacent to the
heart on the AP thoracic and through the Dr. Carter is a GCA member. He maintains a busy film
heart on the lateral thoracic. This cavity reading practice at 4480-H S Cobb Dr. #325, Smyrna,
has an air-fluid level. (Figure 2). The cavity GA 30080 and is a full time faculty member at Life
is enlarged and outlined by the arrows. University. If you have questions regarding his film
reading service please call 678-424-8588 or email at
jccarterdc@gmail.com.
24 • Spring 2020 • THE GEORGIA CHIROPRACTORM E M B E R S P OT L I G H T
By Carly Sharec
Hunt Eager to Begin Georgia Practice
The future for chiropractic looks bright with leaders like
Munntouya Hunt leading the charge.
“I want to see the youngest member of the family to the
oldest member of the family,” Hunt, a recent Life University
graduate and Georgia chiropractor licensee, mused. “A lot of
my family members were taking 10 different prescriptions; I
chose chiropractic as a career because I wanted something to
help them live their best lives without taking so many drugs.”
Under the tutelage of Life University and mentorship of
GCA Past President Dr. Leana Kart, Hunt found a career in
which she could thrive.
“Life University was amazing,” she said. “I think it’s
important for people to understand chiropractic and what
it does. It’s about taking care of the body and allowing the
body to heal itself. It was a perfect experience in preparing
me to become a chiropractor.”
As many recent graduates do, Hunt finds herself weighing
her options in moving forward.
“I am straddling the fence between become an associate,
or starting my own practice,” she said. “I would like to buy
a practice from a retiring doctor, or work with a doctor who
plans to retire in the next couple of years and then buy that
practice. I know I want to stay in Georgia!”
Hunt also knows she wants to work with families and all
types of patients; hence her comment regarding seeing every-
one from the youngest to the oldest members of families.
She is encouraged by the positive community chiroprac-
tors have created in the state, particularly within the Geor-
gia Chiropractic Association.
“We have our own great support system,” she said. “Until “I think it’s important for people to
we get to that goal of having 80 percent or more of the gen- understand chiropractic and what it
eral public under chiropractic care, then we’re all working to
the same goal.”
does. It’s about taking care of the body
and allowing the body to heal itself. “
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Questions? Call my cell: (404) 633-7500
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160 Clairemont Ave, Suite 200
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257 Bobby Jones Expressway, Ste. 2
Member Of:
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*Attorney Ted Greve is a Georgia licensed doctor of chiropractic. He practices only law. www.MyDrTed.com
26 • Spring 2020 • THE GEORGIA CHIROPRACTOR• • 1.5 & 3T MRI ideal for Neurologic Imag
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