JOURNALMARCH/APRIL 2015

Inside:2015 Annual Convention Details and Registration

Chiropractic, Epigenetics, and Audrey Hepburn

Far-Out Syndrome

It’s Convention Time!

3

MA

RC

H/A

PR

IL 2

01

5

MCA Board of Directors

PresidentDr. Scott Mooring

1st Vice PresidentDr. Doug Broman

2nd Vice PresidentDr. Barb Dolezal

Immediate Past PresidentDr. Christian Kollar

Secretary and ParliamentarianDr. Rick Hueffmeier

TreasurerDr. Christian Kollar

Central District DirectorDr. Sara Cuperus

MetroEast District DirectorDr. Greg Hynan

MetroEast District DirectorDr. Brian Malzer

MetroWest District DirectorDr. Carrie Getzmier

MetroWest District DirectorDr. Nicholas Mellum

Northwest District DirectorDr. Steven Biermaier

Southeast District DirectorDr. Andrew Klein

Southwest District DirectorDr. Monica Schugel

MCA Executive DirectorDavid Ewald

In This IssueMCA News and Information

Professional Education

Business Management

A Message from the President . . . . . . . . . . . . . . . . . . . . . . . 4

From the Executive Director . . . . . . . . . . . . . . . . . . . . . . . . . 5

The MCA Student Series . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2015 Annual Convention Details . . . . . . . . . . . . . . . . . . . . . 11

Meet a Board Member: Doug Broman, DC . . . . . . . . . . . . 18

Annual Meeting Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Meet an MCA Member: Danielle Brink, DC . . . . . . . . . . . . 20

Classifieds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Chiropractic, Epigenetics, and Audrey Hepburn . . . . . . . . . . 6

Fab Mancini to Speak at Two Sessions During the 2015 Annual Convention . . . . . . . . . . . . . . . . . 10

Far Out, Dude! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Get Prepared for ICD-10: Injury Coding . . . . . . . . . . . . . . . . 9

Permission must be obtained before reprinting any article appearing in the Journal of the Minnesota Chiropractic Association . To obtain

this permission, please contact the MCA office directly at (651) 288-3428.

The MCA Journal is published six times per year for members of MCA by the Minnesota Chirpractic Association and Ewald Consulting,

1000 Westgate Drive, Suite 252, St . Paul, MN 55114 .

Phone: (651) 288-3428

Fax: (651) 290-2266

Email: publications@mnchiro .com

MCA Journal regularly publishes a variety of bylined columns authored by individuals whom we consider to be knowledgeable in their

respective fields and who have a valuable message to share with the Minnesota chiropractic community. Opinions in these columns,

however, are those of the authors and do not necessarily represent the opinions of the Board of Directors, members, or staff of the

Minnesota Chiropractic AssociationTM .

MA

RC

H/A

PR

IL 2

01

5

4

In my recent trip to Washington, D.C., to represent Minnesota chiropractors as a part of the National Chiropractic Leadership Conference (NCLC), I was impressed with the level of engagement from chiropractors and chiropractic students across the nation. There were representatives from all 50 states and students from every chiropractic university in attendance to educate our national legislators.

We were there to discuss three main issues:

1. Enact Legislation to Provide TRICARE Beneficiaries with Access to Chiropractic Care: H.R. 802, Reps. Mike Rodgers (R-AL) and Dave Loebsack (D-IA)

In 2000, Congress enacted into law Section 702 of Public Law 106-398, a permanent chiropractic benefit within the Department of Defense (DoD) health care system for active-duty military personnel. Similarly, Public Law 107-135 was enacted in 2001 and provided for the availability of chiropractic care within the Department of Veterans Affairs (VA) health system.

Unfortunately, Congress has not yet acted to ensure that services delivered by doctors of chiropractic are available to retirees, dependents, and survivor beneficiaries in the military TRICARE system. This inequity has resulted in medically retired servicemen and women to lose the chiropractic benefit immediately upon discharge.

The action we were hoping for was to have our U.S. House of Representatives

co-sponsor this bill and to contact their colleagues serving on the House Armed Services Committee and urge them to incorporate this TRICARE bill into the next National Defense Authorization Act.

2. Enact Legislation to Eliminate Disparities in Veterans’ Access to Chiropractic Care: S. 398, Senators Jerry Moran (R-KS) and Richard Blumenthal (D-CT)

Following decades of inaction and neglect on behalf of the Department of Veterans Affairs, the process of integrating chiropractic care into the VA health care delivery system was initiated during the past decade. Congress enacted a series of statutes that included specific directives instructing the VA to hire doctors of chiropractic and place them at VA health care facilities.

Despite the above progress, the overwhelming majority of America’s eligible veterans continue to be denied access to chiropractic care because the VA has failed to take any significant action to provide chiropractic care at nearly 100 additional major VA treatment facilities that comprise the major sites where VA care is delivered. This disparity has been allowed to continue, despite important data demonstrating a critical need within the VA for the specific type of care doctors of chiropractic specialize in providing.

The action we were hoping for was to have our U.S. Senators co-sponsor this

bill and support the Moran-Blumenthal bill to phase-in the services doctors of chiropractic offers at all VA major medical facilities and to codify chiropractic care as a standard benefit for veterans accessing VA care. We were also looking for a U.S. House Member to sponsor this legislation and help us introduce a bill in the House.

3. Enact Legislation to Allow Doctors of Chiropractic to Participate in the National Health Services Corps: H.R. 542, Representative Gregg Harper (R-MS)

The National Health Services Corps (NHSC) is comprised of a range of health care professionals who help provide much-needed health care in a variety of geographic areas across the nation known as “HPSAs” (Health Professional Shortage Areas). The NHSC manages a Loan Repayment Program and Scholarship Program that certain types of health care providers are eligible to apply for. Chiropractors are not on this list.

Doctors of Chiropractic are primary care portal-of-entry providers who treat a wide range of health conditions but are not specifically designated as eligible to participate in the NHSC programs. This is a budget-neutral bill that allows chiropractors to compete for a share of those overall funds available within the ongoing Loan Repayment and Scholarship Program.

A Message from the President

By Scott Mooring, DC, CCSP, MCA President

FROM THE PRESIDENT

From the President Continued on page 23

5

MA

RC

H/A

PR

IL 2

01

5

A finance professor in graduate school taught me an important lesson that I have applied to my work with associations. I, along with most of my classmates squirmed in our seats counting the moments till the end of a three hour lecture on present and future value calculations—hard stuff, at least for me it was. We groaned when he went over his allotted time for the course. How could he do that? Then came ‘the lesson’. Stopping the FV/PV lecture, he said “I’ll bet the education field is the only one where the customer wants to pay full price to a vendor and receive less ‘product’ than the vendor is willing to give.” Good food for thought, professor. We left. The professor’s idea applies well to the association world. Many members of associations pay their dues and then neglect to collect the full — or more —value by failing to lead or participate in the many opportunities the association offers for little or no cost.

A favorite question I like to ask board members is this: “if you could be convinced to pay 10 times your current dues to the MCA, what would it do to your participation?” The response is always the same. That member would become much more invested in the association because he would need to make sure he saw a good return on its investment. If that is the case at 10 times the dues, then why not get an

even quicker return by ‘investing’ now at a lower price? Here is how to get more out of your membership in the MCA:

Serve on a committeeParticipating in the work of a committee will help you develop leadership skills that will serve well as a volunteer and in your practice. You will be networking and “in the know” regarding what is going on in the field. You will become appreciated as a leader. That can set you up for future growth in the association — or other leadership opportunities.

Sponsor or host somethingWe are almost always looking for sponsors of meetings, events, and publications to help keep costs low for members. Kicking in a few dollars to sponsor a breakfast will get recognition for your company (especially ABMs!) and a lot of appreciation.

Attend training eventsMCA-sponsored education events are one of the best deals going in continuing education. Programs provide great networking opportunities for you and your staff and are another way to become visible in the field.

Get your staff involvedWould you like to magnify the value of your membership? Get more staff — your partners, associates, and CAs — involved.

The value of your membership is limited only to you if other staff don’t hear about training events or participate in leadership opportunities. When you get staff involved they grow in their careers as well. Importantly, attendance at MCA events can be an affordable ‘perk’ to give your staff that will leave them recharged when they return to work.

Share an ideaAfraid your competitor will learn what you are doing and use it to capture the market? After 29 years in association management I’ve never heard of it. In my experience, businesses are more likely to be put out of business by something THEY do, than by a current competitor down the street. Share what you know, learn from them and get better together! Share the ideas by writing newsletter articles, teaching a course or participating in roundtables.

Many of us saw retirement plans shrink during the downturn that began in 2008. Through that time, associations have continued to provide one of the best returns on investment. Like the stock market, a member can’t just invest her money in an association and hope for great returns. The good news is that unlike the market, investing in your association pays dividends no matter what the state of the economy as long as you decide to take an interest in it. Pay closer attention in 2015 to the strength of your commitment to MCA and I’m sure you see the rewards.

Guaranteed Investment Winner in 2015: Your MCA Dues

By David Ewald, CAE, MCA Executive Director

FROM THE EXECUTIVE DIRECTOR

MA

RC

H/A

PR

IL 2

01

5

6

Is there more to a chiropractic adjustment than we understand or realize? The adjust-ment possesses the ability to affect genetic expression when we consider all of the factors affected by the adjustment.

We have heard it said many times; the evolu-tion of a “Scientific” idea changing generally does not occur as a smooth, continuous event. Rather it seems it occurs in spurts punctuated by periods of relative scientific agreement and stability, bound by a rapid change in technol-ogy as a consequence of a major discovery, what Thomas Kuhn labeled a “Paradigm shift.” These discoveries may occur years before the scientific community is readily able or willing to accept them as mainstream.

Because of the time-lag from initial pro-posal to mainstream acceptance the original author of this idea is rarely remembered for the genius of the original proposal. The contribution may lie reasonably dormant as a conceptualization that is not trans-lated into action and mainstream science until a “tipping point” occurs. A tipping point occurs when enough of the scientific community eventually create an excitement or clearer understanding of a concept that “tips” the whole scientific community into accepting it as reality.

Such is the case with Epigenetics, a term originally coined by C.H. Waddington in 1942 as a portmanteau of the words epigenesis and genetics. Literally translated it means “Above the gene.” Gregor Mendel gave us the first understanding of genetics.

He worked with seven characteristics of pea plants: plant height, pod shape and col-or, seed shape and color, and flower posi-tion and color. With seed color, he showed that when a yellow pea and a green pea were bred together their offspring plant was always yellow. However, in the next genera-tion of plants, the green peas reappeared at a ratio of 1:3. To explain this phenomenon, Mendel coined the terms “recessive” and “dominant” in reference to certain traits. (In the preceding example, green peas are recessive and yellow peas are dominant.) He published his work in 1866, demonstrating the actions of invisible “factors”—now called genes—in providing for visible traits in predictable ways.

Almost a hundred years later Watson and Crick authored their work on the struc-ture of DNA in an article they published in 1953 in the journal Nature. Their work led to the recognition that encoded in our genes is the “Book of Life.” based on the works of these three, our understanding came to be that our genes or genotype were hardwired with little influence from our unique backgrounds and our life experiences or those of our parents and grandparents or even our great-grandpar-ents. Our phenotype or “genetic expres-sion” was hard-wired and therefore these unique experiences had little to do with our expression of the genes we were born with. Nature vs. Nurture.

But the DNA “Book of Life” isn’t really like that at all. It’s more like a script, to be

interpreted by unique experiences. Think of Romeo and Juliet, for example. In the original 1936 film version, director George Cukor put his unique style and understanding into the making of Shakespeare’s play. Sixty years later Baz Luhrmann directed Leonar-do DiCaprio and Claire Danes in another movie version of this play. Both produc-tions used Shakespeare’s script, yet the two movies are entirely different. Identical starting points, different outcomes.

This is what happens when cells read the ge-netic code that’s in DNA. The same script can result in quite different outcomes or produc-tions. The implications of this “Epigenetic” influence for human health are wide-ranging. In all these case studies it’s really important to remember that nothing happened to the DNA blueprint of the people. Their DNA didn’t change (mutate), and yet their life his-tories altered irrevocably in response to their environments; enter “Epigenetics.”

So what are epigenetic factors or influences that affect our lives? Our exposure to envi-ronmental toxins, our parents’ and grand-parents’ exposure to toxins. Our thoughts, our parents’ and grandparents’ thoughts. Viral, bacterial and parasitic infections or infestations. Our ability to deal with life’s stresses. Our nutritional status. Our ability to eliminate toxins that we are exposed to or our bodies produce as part of daily metabolic processes. As you might begin to appreciate, just about anything can have a profound effect on our Epigenetics.

Epigenetics Continued on page 7

PROFESSIONAL EDUCATION

Chiropractic, Epigenetics, and Audrey Hepburn

By Gregory W. Peterson, DC, DABCI, FIAMA, CCST

7

MA

RC

H/A

PR

IL 2

01

5

PROFESSIONAL EDUCATION

Audrey Hepburn was one of the twentieth century’s greatest movie stars. Stylish, elegant, and with a delicate, almost fragile bone structure, she became a legend in her role as Holly Golightly in Breakfast at Tiffany’s, even to those who have never seen the movie. It’s amazing to think that her classic beauty was influenced by terrible hardship. Audrey Hepburn was a survivor of an event in World War II known as the Dutch Hunger Winter. This ended when she was 16 years old, but the aftereffects of that period, including poor physical health, stayed with her for the rest of her life.

The Dutch Hunger Winter began in Novem-ber 1944 and lasted into late spring of 1945. It was a bitterly cold period in Western Europe, creating further hardship on a continent that had been devastated by four years of brutal war. Nowhere was this worse than in the western Netherlands, which at that time was still under the strict control of the German army. A German blockade resulted in a hor-

rific drop in the availability of life essentials like food to the Dutch people. At one point, the population was trying to survive on only about 30 percent of the normal daily calorie intake. People ate grass and tulip bulbs, and burned every scrap of furniture they could get their hands on, in a desperate effort to stay alive. More than 20,000 people died by the time food supplies were restored in May 1945.

The dreadful privations of that time also created the stage for a remarkable scientific study population. The Dutch survivors were a well-defined group of individuals all of whom suffered just one period of malnu-trition, all of them at exactly the same time. Because of the excellent health-care infra-structure and record-keeping in the Neth-erlands, epidemiologists have been able to follow the long-term effects of the famine. Their findings were completely unexpected.

One of the first aspects they studied was the effect of the famine on the birth weights

of children who had been in utero during this terrible period of history. If a mother was well nourished prior to conception and malnourished only for the last few months of the pregnancy, her baby was likely to be born small. If, on the other hand, the mother suffered malnutri-tion only for the first three months of the pregnancy (because the baby was conceived toward the end of the terrible episode), but then was well fed, she was likely to have a normal-size baby. The fetus had “caught up” in body weight.

This all seems quite straightforward, as we can comprehend the idea that fetuses do most of their growing in the final months of pregnancy. But epidemiologists were able to study these groups of babies for decades, and what they discovered was actually quite surprising. The babies who were born small stayed small all their lives, with lower obesity rates than the general population. For 40 or more years, those people had access to as much food as they wanted, and yet their bodies never got over the early period of malnutrition. Why not? How had their in utero experiences affected these individuals for years after? Why weren’t they able to go back to “normal” once their environment reverted to the way it should be?

More unexpectedly, the children whose mothers had been malnourished only early in pregnancy had higher obesity rates than ex-pected. Recent reports have shown a greater incidence of other health problems as well, including effects on certain measures of men-tal health. Even though those individuals had seemed perfectly healthy at birth, something had happened to their development in the womb that affected them for decades after. And it wasn’t just the fact that something had happened that mattered, it was when it hap-pened. Events that take place in the first three months of gestation, a stage when the fetus is really very small and developing very rapidly, can affect an individual for the rest of his or her life. We now know that events our grand-parents experienced also affect us for life.

The body of knowledge surrounding Epigenetics is rapidly expanding. We are discovering what we have been saying for decades as chiropractors; “Everything causes everything!” Could chiropractic adjustments affect the epigenome? I look forward to sharing with you the latest scientific research that is pertinent to you as a clinician at the MCA Annual Convention April 24 and 25.

Epigenetics Continued from page 6

MA

RC

H/A

PR

IL 2

01

5

8

The 2015 MCA Student Series was designed to help students with the next step after graduation and to answer the question: “so you graduated, what’s next?” Through this series, students were also offered the opportunity to be a part of a unique mentorship opportunity to work with doctors of chiropractic in fields of their interest after the series concludes. The series was presented in three workshops, beginning in February and wrapping up with a networking reception at the end of March.

MCA Student Series Part 1: What Will Your Practice Look Like? – A Panel DiscussionModerated by Dr. Brian Malzer, Clinical Director, Lauderdale Wellness CenterGraduating from Chiropractic school and passing the national board exams is a great accomplishment, and something to be very proud of. But what next? In Part 1 of the MCA Student Series, practicing doctors offered NWHSU students the opportunity to hear firsthand the pros and cons of the four most common practice arrangements available to new graduates.

The panel was comprised of four MCA members: Dr. Chadd Burkhardt, Dr. Carrie Getzmier, Dr. Beth McVey and Dr. Andrew Erlandson, representing associateship, office sharing, buying a practice and starting a practice from scratch. The audience was composed of 45 NWHSU students and several MCA associate business members who asked about 40 minutes of great questions. How many hours do you work? How did you get your business loan? Are you crippled by your student loans? Do you get vacations? What would you do differently? Who helped you get started? – just to name a few.

Panelists did a great job of providing honest, and as you can imagine, quite varied answers to these questions. They all offered great perspective on the realities of practice. Interestingly, there were several common themes in their answers: 1) Be prepared to work very hard; 2) Ask lots of questions before you decide; and 3) Don’t be afraid to ask for help. While covering every nuance of each practice type was beyond the scope of that panel discussion, we trust Part 1 of the series gave students a glimpse of the advantages and challenges of each practice type. As practicing doctors know, choosing the right practice arrangement and having realistic expectations are critical to a new doctor’s long term success.

MCA Student Series Part 2: Business Model Canvas Workshop Facilitated by Edelweiss Harrison, President, RPHealth, an MCA Associate Business MemberA key objective of this workshop in the MCA Student Series is to demystify business for those who are considering starting their own practices at some point in their careers. Chiropractic students learn about the cervical, thoracic and lumbar spines and their interaction with the nervous system. In the same way, learning about business involves studying the key building blocks that make up every business: Customers, Value Proposition, Channels, Customer Relationships, Revenue Streams, Key Resources, Key Activities, Key Partners and Cost Structures. Understanding the science of business helps practice owners to more quickly identify business areas that are “subluxated” to enable better business health.

The Business Model Canvas, developed by Alexander Osterwalder and Yves Pigneur, is a tool that every chiropractic student and practitioner should become familiar with. It provides a straightforward overview of the key building blocks of any business and enables users to understand the interactions between each area. At a minimum, from the revenue generating side of the canvas, understanding who your customers are (beyond “anyone who has a spine”) and what value you add to their lives is essential to tailoring your practice to those you wish to serve. Likewise, from the cost management side of the canvas, developing a cost structure that is appropriate for the different stages of your practice, e.g., startup vs growing vs established practices, is critical to avoid one of the leading reasons for business failure – running out of cash. Learn more about the Business Model Canvas at www.businessmodelgeneration.com (click on the “Canvas” tab, top righthand).

The MCA Student SeriesMCA NEWS

9

MA

RC

H/A

PR

IL 2

01

5

BUSINESS MANAGEMENT

There are standard conventions to follow when reporting injuries of any kind for proper insurance reimbursement under ICD-10 guidelines. Whether a patient presents for care after a motor vehicle accident, a work-related injury or a fall at home, there are rules to follow for proper documentation and coding. The Centers for Medicare and Medicaid Services (CMS) estimates that nearly 65% of all physicians’ documentation, nationwide, is not specific enough to support the new ICD-10 coding guidelines. Let’s review the rules for injury coding and apply them to a case study.

When reporting an injury to any insurance payer, always follow these rules:

1. Code Injuries First2. Report the “Type of Accident”3. Report the “Place of Occurrence”4. Add an Appropriate “Activity Code”5. Report “External Cause” Codes6. Where Was the Patient at the Time of

Injury?

Notice the order of these coding rules. The position of the codes on the claim will impact reimbursement. Following the conventions above, all injuries should be diagnosed and coded in the first positions of the claim. After all the injuries are reported, then you must build a picture of the accident and how it occurred. Remember, in April 2014, CMS mandated use of a new CMS-1500 claim format. As a result, you can now

report up to 12 codes on each claim. When reporting injuries, it is highly likely that you will be reporting six to ten codes for each patient encounter. Next issue, we will review best practices for the order of medical diagnoses on the claim. In the meantime, let’s put the ICD-10 coding rules into action and review a case.

“Sara Sunshine was treated for a follow up visit today. She was initially treated last week after she fell down the stairs while carrying a basket of laundry at home. She reports low back stiffness and pain radiating down her leg from her low back into her left foot. She also has numbness and swelling. X-ray studies on the ankle revealed no abnormalities. After a detailed new patient exam last week, you determined that she has a lumbosacral sprain/strain, left-sided sciatica and a left ankle sprain.”

How would you code this visit?

M54.42—sciaticaS33.9xxD—lumbosacral sprainS39.012D—lumbosacral strainS93.402D—left ankle sprainW10.8xxD—fall down stairsY93.E—activity, laundry

Remember the order of the codes...always report the injuries or conditions the patient is experiencing first. Then report the place of the accident, the activity the patient was doing at the time of the accident, and

whether there were external causes to the accident. In this case, if Sara had tripped over her dog at the top of the steps, that might be reported as an external cause to her injury. Note the character “D” in many of the codes listed. The provider in this scenario is reporting a “subsequent encounter” with the 7th character “D”. Since Sara presented for care in the previous week, it would not be appropriate to choose a 7th character “A” for initial encounter or “S” for sequela.

This specificity in coding will change the way providers document and report patient injuries to insurance carriers. The increased specificity will be utilized by payers to properly adjudicate insurance claims. The good news is, these coding conventions can improve the picture that providers paint for the insurance company. In turn, this can help insurers properly adjudicate claims in a more timely manner.

Leann R. Ottomeyer, RN, CPC is the Administrator of Ottomeyer Clinics, PLLC and President of HST Consultants. She is ICD-10 Certified through the Academy of Professional Coders. She and Dr. Richard Ottomeyer jointly represent the MCA on the Admin-istrative Uniformity Committee at the Department of Health (DHS).

Get Prepared for ICD-10: Injury Coding

By Leann R. Ottomeyer, RN, CPC, Ottomeyer Clinics, PLLC

MA

RC

H/A

PR

IL 2

01

5

10

About Dr. ManciniSelf-healing expert Dr. Fabrizio Mancini is an internationally acclaimed wellness leader, bilingual speaker and author. Dr. Fab teaches people how to the boost the body’s natural power to heal from the inside out through healthy diet, exercise and physical, emotional and spiritual self-care. His best-selling book, The Power of Self-Healing, was released in paperback Jan. 15, 2013. He has been featured on Dr. Phil, The Doctors, FOX News, CNN Español, Univision and other top media. He is president emeritus of Parker University in Dallas, Texas, and a graduate of the Institute for Educational Management at Harvard University’s Graduate School of Education.

Testimonials from those who have seen him speak

“Dr. Mancini is a charismatic and entertaining speaker. His talks are insightful, fun and user friendly. I would highly recommend attending his

presentations whenever you get a chance! He has also authored books and blogs which are very useful and

easily implemented into your everyday life.”

– Dr. Jodi Dorpinghaus

Fab Mancini to Speak at Two Sessions During the 2015 Annual Convention

PROFESSIONAL EDUCATION

“I have seen Dr. Mancini present on a few occasions

and have found his talks to be educational and humorous.

He has a great blend of entertainment and information.

I left his talk feeling inspired and motivated to get to work!

You will enjoy seeing him!” – Dr. Michelle Norton

Dr. Mancini will share why professionalism has become so important. He shares his secrets to positioning yourself and your practice for serving more people, as well as simple steps to ensure your success and branding. In addition, Dr. Mancini will share how to communicate the value of chiropractic to your community. You will be reconnected with your purpose and recognize there has never been more need for our services than today.

Minnesota Chiropractic AssociationAnnual Convention

April 24-25, 2015

DoubleTree Hotel7800 Normandale Blvd

Bloomington, MN

MA

RC

H/A

PR

IL 2

01

5

12

This year’s program is designed to meet the needs and interests of our attendees by offering one track with required CE offerings (acupuncture, X-ray, and professional boundaries), and another track with general topics. In addition, the Friday program includes sessions of interest to CAs . Attendees can earn up to 16 contact hours during the two days .

Register Today!

Fantastic SessionsNearly 20 breakout sessions representing three educational tracks allow conference attendees to specifically target topics that are of most interest to them . Sessions are designed for those new to the profession as well as experienced chiropractors . We have something for everyone!

Tremendous NetwokingDeveloping a strong network of colleagues within your profession provides immeasurable value — and MCA members consistently rate this conference as one of the best places to make those connections and keep them strong .

Two Sessions from World-Renowned Chiropractor and Best-Selling Author Fab Mancini, DCDr . Mancini, world-renowned Chiropractor and best-selling author, will share why professionalism has become so important . “Dr . Fab” shares his secrets to positioning yourself and your practice for serving more people, as well as simple steps to ensure your success and branding .

In addition, Dr . Mancini will share how to communicate the value of chiropractic to your community . You will be reconnected with your purpose and recognize there has never been more need for our services than today .

13

MA

RC

H/A

PR

IL 2

01

5

RegistrationThe registration fee includes: program materials (available online), certificate of participation, refreshments, luncheons, exhibits, vendor reception, and awards banquet .

Continuing EducationAttendees can earn up to 16 contact hours during the two days, including acupuncture, X-ray, and professional boundaries .

ExhibitsExhibits take place on both Friday and Saturday . Stop by and visit our exhibitors and sponsors . Continental breakfast and refreshments will be served in the exhibit hall .

Interested in Exhibiting?Download the exhibitor brochure at www .mnchiro .com .

Location and LodgingA block of rooms has been reserved at the DoubleTree Hotel in Bloomington, which is this year’s convention headquarters . Reservations should be made directly with the hotel by requesting a room in the Minnesota Chiropractic Association block or by going online at https://resweb .passkey .com/go/MNCHIROPRACTICASSN . Reservations should be made prior to the cutoff date of March 31, 2015 .

DoubleTree Hotel7800 Normandale BoulevardBloomington, MN 55439952-835-7800 or 800-222-8733Reservation link: https://resweb .passkey .com/go/MNCHIROPRACTICASSNRoom rates: $99 single or double

Planning CommitteeChair: Carrie Clark, DCVice Chair: Richard Hueffmeier, DCMembers: Derrick Girard; Edelweiss Harrison; Greg Hynan, DC; Andrew Klein, DC; Scott Mooring, DC; Abby Splittstoesser, DC; Hans Thurmer, DC; Paul Westby, DC

Send your completed form and payment to:MCA • 1000 Westgate Drive, Suite 252St . Paul, MN 55114 • or fax to 651-290-2266

Name __________________________________________________________________________________________________________Organization ___________________________________________________________________________________________________Address ________________________________________________________________________________________________________City _________________________________________________ State ________________ Zip ________________________________Phone ___________________________________________________________ Fax __________________________________________Email ___________________________________________________________ Website ______________________________________Special Dietary Restrictions: m Vegetarian m Gluten-free m Other (Please specify) ___________________________________________________

April 24–25, 2015 | DoubleTree by Hilton Hotel Bloomington | Bloomington, MN

Please complete one form per person . Photocopy for additional registrants .

fin.

(For office use only)

initialsdate

CK/CCamt. paid

bal. due

2015 MCA Convention Attendee Registration

Payment info m Check (Payable to MCA) m VISA m MasterCard m AMEX m DiscoverIf paying by credit card, all fields are required. Card Number ____________________________________ Exp. date ____________ 3- or 4-digit security code ___________Cardholder Name (print) __________________________________ Cardholder Phone ________________________________Cardholder Signature ______________________________________________________________________________________Credit Card Billing Address: m Same as address aboveAddress __________________________________________________________________________________________________City ______________________________________________ State ______________ Zip _______________________________

Additional Banquet Tickets

Grand Total: $ _____________

Purchase additional tickets for the Awards Banquet . One ticket is included with convention registration (except for CAs and students).

____ Additional tickets ($50 each)

Subtotal: $ ____________________

Cancellation Policy: Full refunds with written notification (minus a $25 processing fee) for cancellations by March 31, 2015; 50 percent by April 17, 2015; and no refunds thereafter. Substitutions are permitted. Please fax cancellation/substitution requests to MCA at 651-290-2266 or email bonniey@mnchiro.com.

Per PCI compliance standards, we will not accept this form via email . Please mail or fax this form .

Registration Options By 3/31 After 3/31 On-SiteMember DC* m $175 m $225 m $275

Member CA** m $65 m $115 m $165

Non-Member* m $350 m $400 m $450

Students** m Free m Free m Free

* Includes one awards banquet ticket** Does not include awards banquet

Online registration available . Visit www .mnchiro .com for details .

For more information about NCMIC and our premium dividend, visit www.ncmic.com/dividend. Or, call us at 800-769-2000, ext. 3120.

We can’t say “thank you” enough. You’ve made possible our stellar record—19 consecutive years of giving back to our chiropractic malpractice insurance policyholders through a premium dividend. Our doctors’ effective risk management, along with NCMIC’s solid business decisions and experience managing claims, makes it happen.

Premium dividends are not guaranteed. We Take Care of Our Own is a registered service mark of NCMIC Group, Inc. and NCMIC Risk Retention Group, Inc.

©2015 NCMIC NFL 3693

Thank You, Doctors, for Helping Make

NCMIC the One and Only Malpractice Insurance Companyto Return a Premium Dividend to its Chiropractic Policyholders

MA

RC

H/A

PR

IL 2

01

5

16

This is a case of a 75-year-old female who presented to a chiropractor with headaches, neck and low back pain as well as some radicular symptoms extending into the right lower extremity post motor vehicle accident. After a full history and physical, plain film radiographs were obtained (see figures 1 and 2). Based off the radiographs, which of the following “findings” is present and may contribute to the patient’s symptoms and/or may require further consideration/work up (answer on page 13)?

A. Osteoporotic fracture of the sacrum.B. Possible lytic lesions of the right ilium.C. Approximation of the right transverse

process to the right sacral ala.D. Abdominal aortic aneurysm.E. Compression fracture of L3.

Far Out, Dude!By Stephen Fridinger, DC, Consulting Radiologists, LTD.

Far Out Continued on page 17

PROFESSIONAL EDUCATION

Far-out syndromeYeah, while this diagnosis probably sounded a lot cooler in the ’80s and ’90s, I still think this is one of the most radical diagnoses around. If a patient presents with radicular symp-toms into one leg, oftentimes the immediate assumption is that it’s a symptomatic disc herniation with nerve root irritation, even in the absence of advanced imaging. In a geriatric patient, a synovial cyst should also be strongly considered, especially if there is significant facet arthrosis seen on plain films. However, a less well-known syndrome should also be considered in the differential diagnosis, known as “far-out” syndrome, in which the L5 nerve is impinged between the ipsilateral transverse process and sacral ala, which are closely approximated. This syn-drome appears to have been first described by Wiltse in 1984, who coined the term “far-out” syndrome.1 The symptoms of this syndrome are classic for nerve root impinge-ment, typically the L5 nerve root distribution,

mimicking an L4-5 paracentral disc hernia-tion. While this syndrome has been known for at least 30 years, it is rare enough that it is easily overlooked when a differential diagno-sis is being considered. Wiltse described two types of patients in which this syndrome may occur: The first being a geriatric patient with a degenerative scoliosis or, second, a younger patient with a spondylolytic spondylolisthesis with at least 20% of anterolisthesis.1

It is important to keep in mind that this diag-nosis is in large part a diagnosis of exclusion. Imaging, including MRI, will not typically reveal the actual source of impingement, although diffusion tensor imaging (DTI) may be advantageous for this diagnosis with its ability to visualize nerve fiber tracts.2 An AP lumbar view, as in this case, may reveal ap-proximation of the transverse process to the sacral ala, which should raise the suspicion for possible impingement at this site. Wiltse, et al, suggested that a Ferguson view (and AP angulated lumbosacral spot view) may be helpful to better assess the relationship of the transverse process and sacral ala. They also suggested that a CT scan with a large enough “window” to include the entire trans-verse process and sacral ala would be best.1 MRI, with the field of view wide enough to include the involved transverse process and sacral ala, would probably be best. It should be kept in mind that in 1984, MRI was yet to be widely utilized.

Certainly chiropractic treatment is indicated in cases like these and appears to be helping in this case (this is a very recent case with continuing chiropractic care); however, if symptoms persist or progress, a selective

Figure 1 Figure 2

17

MA

RC

H/A

PR

IL 2

01

5

23617 Liberty • Farmington, MI 48335248.478.4020 • 800.422.6424

chirofcu.org

We’re safe, we’re sound, we support Chiropractic!

Federally insured by NCUA.

*APR = Annual Percentage Rate. After the 6 month period, all balances revert to yourspecific rate (9.90% APR or 13.80% APR). Balance transfers are subject to the amountof each member’s specific credit limit. 0% promotion cannot be used to pay onexisting credit card or loan balances at CFCU. New money only.

On Balance TransfersFor First 6 Months

CFCU VISA Gold &Classic Credit CardsCFCU VISA Gold &

Classic Credit CardsIf you have higher-rate credit cards and loans at otherlenders, now is the time to pay off those balances with aCFCU VISA! From December 15, 2014 thru February 28,2015 we are offering 0% APR* for the first 6 months onbalance transfers of $1,000 or more. You can makemultiple balance transfers during the promotion period,but the 6 months starts from the date of your firsttransfer.

Start saving now by paying off high-rate balances atother lenders. Members who already have a CFCU VISAcan contact our office and we'll handle the details foryou. Don't have a CFCU VISA? Apply today atchirofcu.org.

Not a member? Open your account today. Our staff isstanding by to assist you at 248.478.4020 or emailcfcu@chirofcu.org.

Don’t wait! Take advantage of this great offer today!

AnswerFigure 1 reveals a focal right convex degenerative scoliosis of the lumbar spine and extensive degenerative disc changes and facet arthrosis throughout the lumbar spine. Figure 2 reveals atherosclerosis of the abdominal aorta, but there is no evidence of aneurysm. The lucencies overlying the right Ilium on the AP view are bowel gas and there is no evidence of fracture (including L3 and the sacrum). The abnormal appearance of L3 on the lateral view is due to extensive spondylosis. While the extensive degenerative changes may contribute to canal, subarticular recess and/or foraminal stenosis, which would be better assessed with advanced imaging, in light of the patient’s right-sided radicular symptoms, the approximation of the right transverse process to the right sacral ala should not be ignored. The answer is C.

nerve block may be considered. If the selec-tive nerve block is successful, decompression of the nerve impingement has been described by resecting the transverse process and the lower part of the pedicle and sometimes of part of the sacral ala. Complications of this surgery include post-surgical instability.1

Other forms of extra foraminal nerve root impingement have been described, but do not fit the classic description of “far-out” syndrome. Jones, et al described nerve impingement due to a large bridging antero-lateral spondylophyte at L5-S1, which was relieved by resection of the spondylophyte.3

A closely related syndrome involves a unilat-eral hyperplastic transverse process that forms an accessory articulation to the adjacent sacral ala causing ipsilateral radicular symptoms. This entity was been described by Mario Bertolotti in 1917 and now is known as Berto-lotti’s syndrome.4 The symptoms of Berto-

lotti’s syndrome are due to the anomalous articulation undergoing osteoarthritic change with subsequent irritation, but not necessarily impingement, of the L5 nerve root.

Far-out syndrome is typically described as a rare entity; however, it very well may be underdiagnosed and/or underreported. Pa-tients with lower lumbar radicular symptoms should certainly be considered for “far-out” syndrome if conservative treatment is not successful. Additionally, approximation of the L5 transverse process to the sacral ala, seen on plain film radiography, on the site of symp-toms should also raise this suspicion, espe-cially if there are no other significant imaging findings on advanced imaging. Like the sweet tunes of the ’70s and ’80s, I urge you not to forget this sometimes elusive syndrome.

I would like to thank Steve Dandrea, DC, who works as a chiropractor for Allina Health at the West health campus for his contributions to this case.

NATIONAL NEWS

References1. Wiltse LL, Guyer RD, Spencer CW, Glenn WV,

Porter IS. Alar transverse process impingement of the L5 spinal nerve: the far-out syndrome, Spine. 1984 Jan-Feb;9(1):31–41.

2. Kitamura, Mitsuhiro MD, et al. A Case of Symptomatic Extra-Foraminal Lumbosacral Stenosis (“Far-out Syn-drome”) Diagnosed by Diffusion Tensor Imaging. Spine. 2012 June;37(14):P E854–857.

3. Jones, Thomas, Hisey, Michael. L5 radiculopathy caused by L5 nerve root entrapment by and L5-S1 anterior osteophyte. International Journal of Spine Surgery. 2012 pgs. 174–17).

4. Bertolotti M. Contributo alla conoscenze dei vizi di dif-ferenzazione regionale del rachide con speciale riguardo alla assimilazione sacrale della V. lombare. Radiologique Medica (Torino) 1917;4:113–44 (in Italian).

Far Out Continued from page 16

MA

RC

H/A

PR

IL 2

01

5

18

MCA NEWS

Where did you go to school?I attended the University of Minnesota — Duluth for my undergraduate studies and graduated from Northwestern College of Chiropractic in 1986.

What do you enjoy most about Chiropractic?I specifically enjoy witnessing people discover health through chiropractic on a daily basis enabling them to enjoy life and live well without the use of drugs or surgery. My specific interests include active release technique, diversified manipulation and acupuncture.

Why are you a member of the MCA?The MCA is the voice of chiropractic as an advocate for our patients’ rights and the rights of every chiropractor to practice with freedom within the scope of their practice. Being engaged in this process over the last several years has opened my eyes to the fact that our ability to do what we do on a daily basis is in large part due to what happens at the Capitol, which we often take for granted.

What do you do in your free time?I love to golf, fish, run and hike. Basically anything that includes getting out and enjoying nature.

Dr. Doug Broman

What is your all-time favorite book and why?One of my favorite books is called Margin which is a discussion about creating space in your life for time, money and emotional energy which creates space for us to enjoy life without feeling the pressure of being marginless (i.e. having no margin). Author: Richard Swenson, MD.

What is your favorite restaurant and why?Biaggis Italian. Never had a bad meal there.

Best advice for up and coming chiropractors or best advice in general?Do a great job and ask for referrals and exceed your patient’s expectations… Every visit. Every patient!

What is your favorite food?Anything Italian

What the best vacation you have been on?I recently went to Thailand for two weeks. Incredible experience of culture. The beaches are beautiful and it is very inexpensive.

What is your favorite movie; why? Saving Private Ryan. It gives us a glimpse of the price paid for our freedom.

What is your favorite city and why?I love Maple Grove — it’s where I live, work and play. Having Rush Creek in your back yard isn’t bad either.

What is your favorite season and why?I love the fall and especially up the North Shore when the leaves are changing.

Do you have any pets? What are their names?We have an 85-pound black lab whose name is Dakota. He has a great nose and loves to hunt pheasants.

What is your favorite holiday and why?Thanksgiving… It’s uncomplicated and it is purely a day to enjoy family and be reminded of all that I have to be grateful for.

One thing that most people don’t know about you?I am a hopeless romantic, I love the theater and I’ve seen Les Miserables three times.

Meet an MCA Board Member: Doug Broman, DC

By Katie Wilkerson, MCA Assistant Executive Director

19

MA

RC

H/A

PR

IL 2

01

5

CHART TALK

Think Outside the Checkbo X

“The beauty is in the simplicity.”

Mobility - Works on any mobile device

Tell the story of the patient encounter

No canned documentation

Clean user interface

Versatile

A�ordable

Great support

FOR MORE INFORMATION, VISIT: CHARTTALK.NETCALL US: (952) 374-5550 EMAIL: INFO@CHARTTALK.NET

The Chart Talk Family of Products has a solution for you. We offer products that serve a range of providers, from small clinics to enterprise solutions. Chart Talk has been tailoring solutions for chiropractors since 1999 using speech recognition. All of our new products and features have been suggestions by providers just like you. Call one of our team to find out where Chart Talk can fit in your practice. You’ll be glad to find out that we listen to you!

MA

RC

H/A

PR

IL 2

01

5

20

Where did you go to school?I did my undergraduate coursework at University of Minnesota-Duluth (as well as some summer courses at University of Minnesota-Twin Cities and Normandale Community College), and received my Chiropractic degree from Northwestern College of Chiropractic.

What do you enjoy most about Chiropractic?Definitely being able to offer hope to someone who feels they have tried every other option for whatever they are experiencing. I also love working with the families that are utilizing Chiropractic because it’s what they did as a family growing up, and are now passing that on to their children.

Why are you a member of the MCA?The MCA has been an invaluable resource to me, whether it is help with billing issues, clinical questions, networking. The MCA Sports Council has also provided numerous opportunities to work the sidelines of different athletic events throughout Minnesota. Through these events, we are able to educate the athletes, other healthcare providers, and general public on the many wonderful benefits of Chiropractic care.

What do you do in your free time?Currently, my “free time” consists of running our daughter and two sons around, and volunteering for their soccer club, both on the Board of Directors and as team manager for my son’s teams. Other free time activities include playing in a volleyball league and planning a landscape project for this summer.

What is your all-time favorite book and why?I just began reading Don’t Waste Your Life by John Piper. I can’t yet say that it is my all-time favorite, but I am sure it will challenge me on many different levels.

Best advice for up and coming chiropractors or best advice in general?Get involved, in the MCA and in your community. Never stop learning.

What is your favorite food?My favorite go-to food would have to be grilled chicken, served either on a salad or with fresh green beens.

What is the best vacation you have been on?Hawaii. I could have sat by the ocean all day, every day, listening to the sound of the waves crashing against the shore. While on Hawaii Island, we took a day tour that included visiting Volcanoes National Park. Highlights of Oahu included visiting Pearl Harbor, and driving to the North Shore in hopes of catching a glimpse of the Eddie Aikau surfing event. It definitely is somewhere I would like to visit again someday.

What is your favorite season and why?Summer! I love the warm weather, and lack of snow! Most who knew me growing up are surprised I am still living in Minnesota.

Do you have any pets? What are their names?We have a 4-year-old Goldendoodle named Joey, who thinks he is a lap dog. He is definitely not a lap dog!

Dr. Dani Brink

Meet an MCA Member: Danielle Brink, DC

By Katie Wilkerson, MCA Assistant Executive Director

MCA NEWS

Practice Opportunities Inc. 952.953.9444 www.practiceop.com

Practices for Sale

Minnesota Practices

Mendota Heights. Diversified & therapies. Doctor retiring wants to help fellow doctor to turn patients over to. Exceptional lease location. Nicely furnished. Asking only $15,000.

Maplewood-White Bear Lake area. Div./Act. Fully equipped. $294,168 gross. Option to lease the 2,000 sq. ft., or purchase real property.

St. Paul Grand Ave area. Beautiful office. $400,000+ gross. Steady growth. Golden Valley/Eden Prairie. AK cash referral practice. 3 Practices in southeast Minnesota. Lake Pepin and Mississippi River cities. All are solid

practices, and priced to sell. Poised for additional growth. I-35 north of St. Paul. 900 pv/mo. Well established cash practice.

Iowa, Illinois, Nebraska, South Dakota and Wisconsin

Iowa. Sioux City. $317,852 gross in prime growth area. Illinois. Several Chicagoland and other IL practices. South Dakota: Aberdeen-Watertown. Established, solid practice. Nebraska: West of Lincoln on I-80. Steady growth. Wisconsin: 1) Eau Claire area. Div/Tho/FD. State of the art practice 2) north of

Appleton. $250,000 gross. 3) Milwaukee 4) Beaver Dam. 5) Oshkosh 6) south of La Crosse.

New opportunities routinely available

About Us We have completed over 350 practice transactions, and take a

comprehensive approach to brokerage.

MCA Member• Appraisals • Practice Brokerage

952.953.9444or visit us online at www.practiceop.com.

Loren MartinLicened Broker

MA

RC

H/A

PR

IL 2

01

5

22

In accordance with the MCA’s governing docu-ments, this is to notify you that the Minnesota Chiropractic Association’s 2015 Annual Meeting will be held on Friday, April 24 at Noon at the DoubleTree by Hilton Hotel in Bloomington.

Article III, Subdivision 20 states:

“Each member who is a Doctor of Chiropractic and whose dues are current shall be entitled to one vote at each annual or special meeting of the membership of the corporation.”

The Annual Meeting shall be held for the purpose of electing officers and such other business as may arise. You may attend the Annual Meeting even if you are not registered and attending the MCA Annual Convention. A non-DC member or guest may attend the Annual Meeting by invita-tion of a DC member, provided general consent is given by the DC membership that is present at the Annual Meeting.

Please note that the report of the Nominating Committee is available on the members-only sec-tion of the MCA website at www.mnchiro.com.

Annual Meeting Notice

By Rick Hueffmeier, DC, MCA Secretary

MCA NEWS

Company Contact PhoneAcurad Technical Services, L.L.C. Steve Danielson (612) 781-2218Bank Cherokee Scott Burger (651) 291-6236Butler & Associates Insurance Agency Bill Butler (952) 953-3838 X 6Center for Diagnostic Imaging Jay Champine (651) 216-5992Chiro-Connect Kevin Ebben (763) 442-3526ChiroJuice.com Michelle Caron (612) 205-5468ChiroTouch Erin Aguilera (619) 488-9798Consulting Radiologists Ltd. Tim Kratzke (952) 285-3720Core Products International, Inc. Doug Mattison (715) 294-2050DMG Financial Group Derrick Girard (612) 567-8739Fairview Health Services Jane Reed (612) 706-4571Heartland Payment Systems Peter Knoble (888) 904-6773HighPoint Environmental Timothy Guimond (763) 757-4920Hockert Sales Chris Hockert (763) 434-2350Infinedi, LLC Dawn Martinez (800) 688-8087K-LaserUSA Phil Harrington (866) 595-7749Lake Superior X-Ray, Inc. Nicole Murray (218) 525-3393Law Office of David Wulff David Wulff (651) 636-1900Martineu, Gonko & Vavreck Chris Gonko (612) 659-9500Medical Billing Done Right, LLC Bonnie Flom (952) 657-7505

MCA Associate Business Member DirectoryCompany Contact PhoneMedical Business Consulting, Inc. Cathi Hammond (763) 862-5855Meyer Business Consulting/Eclipse Software Bonnie Meyer (612) 210-6630Mighty Oak Technology Judith Barnes (952) 374-5550Minnesota Craniofacial Center Midway Kim Ledermann (651) 642-1013Minnesota Institute for Pain Management Arora Sanjew (651) 815-8155Mutual of Omaha Kyle Luebeck (763) 639-1324NCMIC Group, Inc. Dan Zimmerman (515) 313-4500Noran Neurological Clinic Kelly O’Neill (612) 879-1675Nutri-Dyn Greg Peterson (763) 479-3444Nutri-West JJ Munro (715) 381-9990Off-Site Office Solutions, LLC Kathy Altman (763) 670-1224Practice Brokers Jerry Peterson (952) 938-0092Practice Opportunities Inc. Loren Martin (952) 953-9444Prudential Carron Perry (763) 367-3039RPHealth Edelweiss Harrison (800) 774-1799Standard Process Nutrition of Minnesota Tracy Foley (651) 226-5864Swat, LLC Member T&K X-Ray Consultants, Inc. Terry Hart (218) 940-6152Wellness@Work Kay Grobel (952) 484-1546

Is Your Practice Protected

General Liability Business Property Data Breach Employment Practices Workers Compensation Business Auto

Work with the Chiropractic Insurance Professionals at Butler & Associates Insurance Agency

952-953-3838 — www.insurewithbutler.com

23

MA

RC

H/A

PR

IL 2

01

5

The original statewide vacation and prac-tice relief provider is available in Minnesota for short- or long-term basis and emergen-cies. Logan graduate, providing over 35 years of excellent, reliable and specialized services and techniques on behalf of many satisfied doctors. Insured. ChiroCare®, and HSM credentialed. References available. Contact Dr. Rick Hueffmeier at 651.256.2256.

Looking to buy or sell a practice? Need a prac-tice appraised? Loren Martin is a licensed real estate broker who has specialized in the broker-ing and appraisals of chiropractic practices for over 25 years. Contact Loren today at 952-953-9444, martin@practiceop.com, www.practi-ceop.com. All inquiries held in confidence.

Recently retired DC would like to get back into part-time practice. Certified in acupuncture and DOT physicals. Flexible. Contact: afarm@bevcomm.net

Stressed Out?: Providing practice relief services since 2001. NWCC 1985 graduate. Professional and personalized quality care. References available. Contact Dr. Dennis French at 612-817-6406. TAKE A BREAK AND AVOID BURNOUT!

Practice relief throughout metro and out-state Minnesota. Serving as a “bridge” in the doctor’s absence to assure treatment continuity, patient retention and staff productivity. References available. Insured with NCMIC. Dr. John Hoklin jhoklin@hotmail.com 952.297.6888.

Experienced Practice Relief: NWCC graduate with 30 years private practice and relief service experience available for practice relief services in Minnesota. Credentialed with most manage-ment companies. References available. Insured. Contact Dr. John Knox at 952-451-2032.

MCA ClassifiedsCLASSIFIEDS

Female practice relief – specializing in ma-ternity leave: 20 years experience. Excellent adjusting skills utilizing diversified, activator, drop and SOT blocks. Acupuncture certified. Background in wellness and holistic care. Reasonable rates. Available short or long term. Great references. Dr. Heidi Klosterman, 612-743-6512, hklosterman@yahoo.com.

Duluth practice for sale. Div/Act./Drop. 2 MT’s sublease space. Excellent payor mix. Includes x-ray and 2 adjusting tables. Only $30,000. Contact Loren Martin, Practice Opportunities, Inc. 952-953-9444. www.practiceop.com

Hudson WI practice for sale. $177,902 gross. Solid patient base. Div./Tho. Skilled staff. Excellent lease/location. Fully equipped office. Contact Loren Martin, Practice Opportunities, Inc. 952-953-9444. www.practiceop.com.

The action we were hoping for was to have members of the U.S. House of Representatives co-sponsor this legislation and work for its enactment.

Out of all the meetings I attended, the one that stands out was with Representative Rick Nolan. When we arrived at Representative Nolan’s office he cleared his office and invited us in to discuss the issues. Six of us attended the meeting and we quickly learned that his brother had been a chiropractor who gradu-ated from Northwestern in the 1960s. He was very supportive of chiropractors and was very interested in what we were there to discuss.

By the end of our conversation, he agreed to sign on as a co-sponsor for both pieces of legislation in the House and offered to help develop a companion bill in the House for S. 398. In all my years of meeting with legislators, I had never been a part of such

a successful meeting. It was a great way to end a day of meetings.

I encourage you all to give consideration to the information I have provided and contact your U.S. Senators and Representatives to support the above mentioned bills to help improve patient access to chiropractic services. Our active and retired service men and women will appreciate your efforts, along with your colleagues, for generations to come.

Congressman Tim Walz, First Districtwalz.house.gov | Ph. 202-225-2472

Congressman John Kline, Second Districtkline.house.gov | Ph. 202-225-2271

Congressman Eric Paulsen, Third Districtpaulsen.house.gov | Ph. 202-225-2871

Congresswoman Betty McCollum, 4th Districtmccollum.house.gov | Ph. 202-225-6631Congressman Keith Ellison, Fifth Districtellison.house.gov | Ph. 202-225-4755

Congressman Tom Emmer, Sixth Districtemmer.house.gov | Ph. 202-225-2331

Congressman Collin Peterson, Seventh Districtcollinpeterson.house.gov | Ph. 202-225-2165

Congressman Rick Nolan, Eighth Districtnolan.house.gov | Ph. 202-225-6211

Senator Amy Klobucharklobuchar.senate.gov| Ph. 202-224-3244

Senator Al Frankenwww.franken.senate.gov | Ph. 202-224-5641

I hope to see you all at the convention!

President Continued from page 4

Minnesota Chiropractic Association

1000 Westgate Drive, Suite 252

Saint Paul, MN 55114

(651) 288-3428 Phone

(651) 290-2266 Fax

MCA invites you to exhibit at the 2015 Annual Convention which will be held at the DoubleTree Hotel in Bloomington on Friday, April 24 through Saturday, April 25, 2015 .

This is an opportunity to join doctors of chiropractic who are eager to learn more about your company and how it plays a role in the chiropractic profession . As a method of increasing your exposure, we offer sponsorships and opportunities to showcase your products and services . You will find a listing of these opportunities within our prospectus .

Reserve your booth space soon and join us for this important convention! Visit www .mnchiro .com for complete details!

2015 MCA Annual Convention

April 24–25, 2015Bloomington, MN