Visit the website to download a consultation request form.
WHAT KINDS of CASES DO OTHER DOCTORS SEND to DR. VLASUK
FOR SECOND OPINIONS?
- Some doctors send all their cases, for that extra sense of security an expert report in their chart provides.
- Many send all their injury cases, in order to solidify documentary evidence.
- Most send their questionable cases:
- unidentified radiopacities or radiolucencies — "Rule out pathology."
- odd-looking anatomy — "Rule out fracture or anomaly."
- delayed response to treatment — "Could I have missed anything?"
- technical consultation — "What is wrong with my film quality?"
DID YOU KNOW?
- L&I pays for 2nd opinions on x-rays, CTs, MRIs, etc.
- No pre-approval is necessary.
- Must have a legitimate question related to the accepted injury (not routine reading of all films).
- All billing is handled directly through L&I — just send us the claim number and date of injury (and self-insurer, if applicable)
WHY USE A DACBR — A CHIROPRACTIC EXPERT?
In addition to a full pathological report, Dr. Vlasuk includes biomechanical concerns of interest to chiropractors.
DACBRs are better qualified by training and experience to interpret spinal x-rays than a medical radiologist.
A 1995 study* compared the performance of 496 health care providers in interpreting x-rays of the lumbosacral spine.
The subjects included general medical radiologists, chiropractic radiologists, skeletal radiologists [MD radiologists specializing in radiology
of the skeleton], medical physicians in clinical practice, chiropractic physicians in clinical practice, and a variety of medical and chiropractic residents and students.
The test results of chiropractic radiologists,
chiropractic radiology residents, and chiropractic students were significantly better than their medical counterparts, general medical radiologists, medical
radiology residents, and medical students. Chiropractic radiologists arrived at a correct diagnosis in a slightly greater
percentage of cases as compared to medical skeletal radiologists. All types of radiologists, as you might expect,
scored better than all types of clinicians, the chiropractic radiologists showing a 2.3 times greater accuracy rate as compared to medical clinicians.
*Taylor JA, Clopton P, Bosch E et al, "Interpretation of Abnormal Lumbosacral Spine Radiographs," Spine 1995;20;10:1147-1154.
If you do not need a formal written report and just have a quick question, take a digital photo of
your question and
send it to
If a quick, informal answer is possible (not every question is appropriate for an informal answer!), you will receive a rapid e-mail response.
Do not include indentifying patient information in your e-mail. Just provide initials and age/gender (e.g. "J.D., 42M") and then send the name separately by fax.
The fee for this service is approximately $40.00.