Bromley Brings Light to Chiropractic Chaos
By Bryan Harrison

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EBCA President Kirsten Dornsife thanked guest speaker Susan Bromley, DC, for her most informative presentation on chiropractic care and billing practices.

A full room, with a greater than usual balance of adjusters to vendors, turned out for the April meeting.

EBCA Treasurer Phil Hughes, with Matson, Driscoll and Damico CPA's, and EBCA Secretary Harry Maurer, with AC Transit listen in to Dr. Bromley.

Shirley Haney, with Farmers, and Melanie Vandevanter, with Marriott Execustay enjoy Dr. Bromley's lively presentation.

"There's a disconnect between the physiology and the treatment in chiropractic care," stated Doctor Susan Bromley at the April meeting of the East Bay Claims Association. "It's like George Bush," she said. "He was born on third base and thought he hit a triple."

Chiropractic professionals receive the same education as medical students, she explained. Med students receive more in Pharmacology, and they do rounds in different rotations. Chiropractic students get Pediatrics that Med students do not. Otherwise, their schooling is the same.

Doctor Bromley is a bit of an anomoly in the medical profession. Raised in a medical doctor household, she worked as an EMT and in hospitals through school, before electing to go into the chiropractic field. This background gives her a much broader spectrum of understanding and perspective than most in either profession have at their disposal.

"Chiropractic isn't the big bucks it used to be," she stated. Changes in laws, brought on in part by abuse of the system by many less scrupulous practitioners, have taken that whole dimension away. Today, the only way a chiropractor makes big bucks is by manipulating more than their patients.

Investigating billing practices of other chiro's has become a big part of Doctor Bromley's practice. She works as an independent evaluator with Benchmark Medical Services, in addition to maintaining her own practice.

Her presentation focused largely around the issue of appropriate care. "It doesn't take six months. A patient should be noticeably better in the first two to four weeks," she stated.

She also delved into definitions and terminology. The term "Subluxation", used heavily by many chiropractors as a simplistic understanding of a person's back being "out", is actually by definition a partial dislocation. What is meant by the term is what she called a "subluxation complex". That is when a joint gets locked up, causing inflamation and muscle spasms.

The goal, she said, is to return the patient to a "permanent and stationary" level of health. With regard to injuries brought about in a given claim, appropriate treatment is to bring that claimant back to where they were prior to the event.

Doctor Bromley provided a great deal of information and insight with her presentation. The folks at Benchmark also provided a thorough handout, based largely on the accompanying PowerPoint presentation.

Congratulations to Olviia Gomez, of Purofirst of East Bay, who won the 50/50 Raffle drawing at the April meeting.

Nela Cunningham, of TempHome, Traci Dorsey, with Restoration Mgmt, and Lisa Winn, with Farmers.

EBCA members Cami Lucas, now with State Farm, and Kim Bierce, now with Schifrin, Gagnon and Dickey.

Dr. Susan Bromley shares her experience and insight with the April crowd.
Thanks to all our April Door Prize contributors

Custom Commercial
Farmers Insurance
Mark Scott Construction
Marriott Execustay Insurance Housing Solutions
Peregrin Medical Review
Pipe Pros
RGA Environmental
Restoration Management
TempHome Services

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