Dynamic Chiropractic – November 20, 1992, Vol. 10, Issue 24

I Practice What I Preach -- Really!

By Arthur Croft, DC, MS, MPH, FACO

A funny thing happened to me on my way downtown the other day. There I was driving down the freeway (that's what we call them in California) in my (thankfully) very large and heavily built automobile. Traffic was moving easily at about 60 mph and I was tapping out the beat of a favorite song on the radio when suddenly, for reasons still unknown to me, traffic stopped abruptly. I slammed on my brakes thinking that I was almost certainly going to crash into the car in front of me. Miraculously I didn't hit the car -- well, not just then anyway.

It's funny how whenever you find yourself in a life and death situation (okay, or even a very potentially injurious situation), time seems to slow way down. Milliseconds become minutes. The first thing that occurred to me was that I was pretty lucky. Then it occurred to me to look at the rearview mirror to see if I was going to be really lucky. That's when I saw the business end of the station wagon bearing down on me like a freight train, the driver apparently oblivious to the sudden change in traffic speed.

Now, for years, patients and doctors alike have asked me what one should do in this very situation. Should you just relax, or maybe lie down against the seat? A doctor in Atlanta once recommended getting out of the car. With any luck the driver of the car behind you wouldn't swerve to avoid hitting your car and, in the process, run flat over you. In any case, my recommendation has always been to apply the brake firmly, straight-arm (brace) against the steering wheel (with two hands of course), put your back and head all the way back against the seat-back and head restraint respectively, and wait for the inevitable. So, I followed my own advice. I even went a step further; I closed my eyes. And then I waited, and waited. "Gee," I thought, "I don't hear screeching tires, and it seems like he would have hit me by now. Maybe he swerved out of the way. Maybe ...," -- crash!

What an explosion. He hit me so hard that my car leapt forward up onto and into the subcompact car in front of me, locking our cars together and pinning this woman's car to the road. But not before her car lunged forward into the car in front of it. And there we sat -- stunned. A stuck horn and fan knocking against a hissing radiator punctured the sudden silence. The only other thing I remember hearing was all the sympathetic drivers who passed by and offered wisecracks to cheer us up. But actually I didn't need cheering up -- I was exhilarated. The way I figured it, I was experimenting with whiplash trauma -- donating my body to science, swallowing my own secret potion.

And this is what I can say from all of it. First, it is true that if you are braced for the impact you will fare much better than if you are caught unaware. Second, even with the head firmly pressed into the head restraint, the neck, which is neither supported by the seat-back nor head restraint is still free to move rearward at impact. This results in a rapid short arc of flexion of the upper cervical spine with consequent soft tissue injury. Third, virtually nothing will prevent acceleration and hence injury of the brain. I now have what I would call a grade II injury to my neck and a postconcussion syndrome (PCS) which I would call mild, but otherwise very annoying, since it has affected my sleep somewhat and my short term memory significantly. I hope my donation to science was worth it. After all, Ed Menglermine never did become completely immune to cobra venom even after over 150 self-administered and intoxicating injections of the stuff. He finally died after being bitten by his pet cobra, "Fluffy."

Arthur C. Croft, D.C., M.S., DABCO
Coronado, California

Editor's Note:

For more on personal injury, consult Dr. Croft's video "Advances in Personal Injury Practice," #V-435 on the Preferred Reading and Viewing list, pages xx.


Click here for more information about Arthur Croft, DC, MS, MPH, FACO.

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