// CE Cruncher for Chiropractors
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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, 
Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.
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CE Cruncher for Chiropractors

7-Night Alaska Cruise Conference
Round-trip Seattle, Washington
July 08 - 15, 2019

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Holland America's <em>Amsterdam</em>
Holland America's Amsterdam
16 CE Credits

Course Fees:

$325 for Chiropractors
Anyone who signs up by June 1st, 2018, gets $50.00 off their CE Course fees

BIAS FREE CME - No Commercial Support was provided for this CME activity.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Target Audience

Chiropractors ,

Program Purpose


July 8, Monday Departs Seattle, WA
at 4:00 PM
Cocktail party for ALL Attendees 7:30-8:30 PM
July 9, Tuesday Dr. Ken Murkowski Documentation and Coding 8:00 AM to Noon At Sea
Dr. Ken Murkowski Whiplash Injuries 1:00 PM- 5:00 PM
July 10, Wednesday Ketchikan, Alaska, 8:00 AM to 4:00 PM
July 11, Thurstay Fjords
8:00 AM-11:00 AM
Juneau, Alaska, 2:00 PM -11:00 PM
July 12, Friday Skagway, Alaska, 8:00 AM- 5:00 PM
July 13, Saturday Dr. Todd Singleton - Thoughts, Traumas and Toxins - A Chiropractic Paradigm 8:00 AM - Noon; 1:00 PM - 3:00 PM At Sea
Dr. Amy Tirpak - Risk Management for the 21st Century DC 3:00 PM - 5:00 PM
July 14, Sunday Victoria, B.C.
6:00 PM - 11:30 PM
July 15, Monday Arrives Seattle
at 7:00 AM

Risk Management for the 21st Century DC
Amy Tirpak, BS, DC

Course Objectives:
The objective of this course is to provide information based on current state and federal laws that will allow the Doctor of Chiropractic to stay in compliance with the rules and regulations of the boards. T opics in the program will provide up-to-date information on risk management, HIPPA, and ethical practices.

What is in a "name". Making sure your name is not misused
  1. Chiropractor, Doctor of Chiropractic, DC, Chiropractic Physician- understanding what is appropriate.
  2. Using your practice and/or your personal name in print and outline.
  3. The alphabet soup of letters after your name: when and how to use terms like 'diplomate, 'degrees,' and 'certifications' properly.
How to promote your success without violating a patient's rights or state law.
  1. The laws and regulations regarding publishing patient information and disclosure of patient information.
  2. Laws governing testimonials and patient information.
  3. How to legally and ethically respond to online reviews

Whiplash Associated Disorders
Dr. Ken Murkowski

  1. Whiplash
    • Not a diagnosis, there are no ICD Codes
    • Whiplash is a mechanism with components - ICD Codes
    • Whiplash technically is Spinal Concussion - evidence- based information
    • 25 Common myths attorneys and insurance companies use against Chiropractors and their patients
    • Evidence based information that will allow you to debunk the myths
  2. Spinal Concussion
    • Spinal Concussion - The biomechanics of the spinal regions
    • No vehicle damage can still translate into major spinal concussion - VSC and Complications
    • A review of the regions of the spine and the impacts of concussion.
    • The mechanics of concussion when there is little to no vehicle damage: major concussion, VSC, how the C/L spine can be injured in low speed collisions.
    • A review of the UCLA Impact Study: front end, rear end, T-Bone, Collision Mechanisms and Effects
    • Advanced Whiplash factors and variable: resulting 200 secondary conditions.
  3. Diagnostic requirements
    • What evidence is required from the MVA patient
    • Required spinal concussion exams and tests
    • Radiographic studies: what attorneys say
    • X-ray mensuration - evidence based
    • Penning's X-ray Mensuration: Injury and proof of soft tissue damage.
    • Laboratory studies for VSC- i.e. C Reactive Protein
    • VSC: 8 physical and Chemical components (ICD Codes)
  4. Traumatic Injury Considerations
    • The etiology of spinal pain, Myofascial trauma, and ligament damage - all evidence based.
    • How to prove and document disc related trauma and facet joint injury.
    • Activation, Aggravation, and Accelerations- documenting change.
    • The complications, residuals and impairments related to neurological trauma
    • Skeletal injury, direct nerve damage, vascular damage - VSC
    • Spinal care, Rehabilitation, and exercise: documentation is critical.

Thoughts, Traumas and Toxins - A Chiropractic Paradigm
Dr. Todd G. Singleton

Course Purpose: I've compiled the information contained in this seminar to better educate the chiropractic community about the relevance of D.D. Palmer's three "T's" - thoughts, traumas, and toxins – in contemporary chiropractic clinics. A better understanding of these three issues will help chiropractors improve patient outcomes, reduce pain more efficiently, and facilitate healthy changes that last a lifetime.

Course Description: This seminar will begin with an overview of different types of trauma and holistic healing techniques. It will then introduce three sources of exposure to toxins (ingestion, absorption, and inhalation) and discuss herbs that can be used to facilitate detoxification. Finally, the course will explore ways that thoughts and feelings (stress, for example) can help or hinder the body’s natural healing process.

Intended Audience: This seminar has been created specifically for Doctors of Chiropractic.
  1. Introduction: D.D. Palmer's Three Causes of Subluxation
    1. D.D. Palmer & "The Chiropractor's Adjuster"1
      1. Significance of This 1910 Text
    2. Three Causes of Subluxation
      1. Trauma
      2. Toxins
      3. Thoughts
    3. Relevance of D.D. Palmer's Theory Today
      1. Subluxation as More Than Just a Bone Out of Place
  2. Trauma: A Fresh Look at a Familiar Subject
    1. Reasons for Injury
      1. i. Normal Stress vs. Abnormal Stress
    2. Gradual vs. Sudden Trauma
      1. Gradual Trauma
        • Ergonomics in the Workplace2
        • Effects of Different Sleeping Positions3
      2. Sudden Trauma
        1. Car Accidents
        2. Sports Injuries
        3. Strenuous Exercise
    3. The Body's Attempts to Stabilize Subluxation
      1. Stabilization Through Spasm and Shortening of Muscles
    4. Holistic Healing from Trauma
      1. Nutrition and Healing
        1. Nutritional Deficiencies Delay Recovery4
          1. Ways to Increase Nutrient Absorption
            1. Digestive Enzymes5
            2. Probiotics6
        2. Proper Nutrition Accelerates Healing
          1. The Role of the Multivitamin/Mineral
            1. 2002 Journal of the American Medical Association: Everyone Should Be Taking a Multivitamin7
            2. Multivitamins aid in the prevention of chronic disease8
      2. Stress Reduction and Healing
        1. Getting the Body Out of "Fight-or-Flight" Mode
    5. Trauma and Inflammation
      1. Why Trauma-Induced Inflammation is Healthy9
        1. Example: Low Back Injury
          1. Muscle Spasms Support the Area
        2. Inflammation Increases Circulation to:
          1. Remove Toxins and Waste Products
          2. Increase Nutrient Supply to Tissue
  3. Toxins: An Overlooked Obstacle to Healing
    1. Sources of Toxins: Ingestion, Absorption, and Inhalation
      1. Ingestion of Toxins
        1. Processed Foods
          1. Harmful Additives10
            1. Butylated Hydroxytoluene (BHT)
            2. Monosodium Glutamate (MSG)
            3. Sodium Nitrate/Sodium Nitrite
            4. Tricalcium Phosophate
        2. Refined Sugar
          1. Statistics on Sugar Consumption11
          2. Inflammation Pathways
            1. Damage to Coronary Arteries12
            2. Worsening of Chronic Pain13
          3. Dehydration of Interstitial Fluid14
            1. Increased Risk of Injury
            2. Prolonged Rehabilitation
          4. Stress on Pancreas
          5. Increased Risk of Osteoarthritis15
        3. Artificial Sweeteners
          1. Inflammation Pathways
          2. Sweeteners Implicated in Morbidity16
            1. Aspartame
            2. Saccharin
            3. Sucralose
        4. Refined Vegetable Oils
          1. Omega-3 to Omega-6 Ratios17
          2. Increased Risk of Alzheimer’s Disease
            1. Recent Research on'Diabetes Type III'18
          3. Common Refined Oils
            1. Canola
            2. Peanut
            3. Soy
            4. Sunflower
        5. Dairy Products
          1. Prevalence of Lactose Intolerance19
          2. Dairy and Bone Health
            1. Dairy Consumption and Osteoporosis20
          3. Better Sources of Bioavailable Calcium
          4. Harmful Substances Found in Processed Dairy21
            1. Antibiotic Residues
            2. Recombinant Bovine Growth Hormone (rBGH)
        6. Conventional Produce: Pesticides and Herbicides
          1. Short-Term Health Effects of Acute Exposure22
            1. Headaches
            2. Nausea
            3. Abdominal Cramps
            4. Trembling
            5. Mental Confusion
          2. Long-Term Effects of Low-Level Exposure22
            1. Cancer
            2. Reproductive Damage
            3. Endocrine Disruption
      2. Absorption of Toxins
        1. Common Toxins in Skincare Products23
          1. Parabens
          2. Phthlates
          3. Triclosan
        2. Health Effects of These Toxins23
          1. DNA Damage
          2. Hormone Imbalance
          3. Skin Irritation
          4. Nervous System Disorders
        3. Effects on the Healing Process24
          1. Increased Inflammation
          2. Exacerbated Pain
          3. Prolonged Recovery
        4. Natural Alternatives to Conventional Skincare
      3. Inhalation of Toxins
        1. Avoiding Toxins in Work Environment
          1. Open Windows (in Rural Areas)
          2. Air Purifier (in Urban Areas)
        2. Avoiding Toxins at Home
          1. Household Cleaning Products
    2. Herbs That Aid in Detoxification25
      1. Red Clover Blossom
      2. Dandelion Root
      3. Ginger Root
      4. Yellow Dock Root
  4. Thoughts: Facilitating or Inhibiting the Healing Process
    1. Physiological Responses to Different Types of Thoughts
      1. Constructive Thoughts vs. Destructive Thoughts
    2. The Relationship Between Diet and Mind
      1. Neural Network in the Gut26
      2. Mood-Boosting Properties of Vitamin D27
    3. The Effects of Stress on the Body28
      1. Negative Thoughts (Fear/Stress) Perceived as Threatening
      2. Muscles Assume Defensive Positions
      3. Increased Fat Storage29
      4. Increased Pain and Inflammation28
    4. The Importance of Positivity and Purpose
      1. Studies on Optimism and Longevity30
      2. Studies on Sense of Purpose and Longevity31
    5. Protecting Emotional Health Through Lifestyle Choices32
    6. Natural Ways to Reduce Stress
      1. Technologies for Brain-Based Learning
        1. Brainwave Entrainment33,34
      2. Herbs to Promote Relaxation31
    7. Making Your Office a Positive and Uplifting Place
      1. Find the Right Music
      2. Build Trust with Your Patients
        1. Convey Confidence and Calmness
        2. Listen Attentively
      3. Train Staff to Be Positive and Supportive
        1. Rule of Two: Address Each Patient By Name Twice Per Visit
  5. Conclusion: Minding the Three T’s in the Treatment of Pain and Inflammation
    1. An Anti-Inflammatory Approach to Nutrition
      1. Elimination of Processed Food
      2. Focus on Whole, Unprocessed Foods
        1. Organic Fruits and Vegetables
        2. Wild-Caught Fish
        3. Unrefined, Cold-Pressed Oils
    2. Pain-Reducing Supplementation
      1. Vitamin D25
      2. Fish Oil25
    3. Stress-Reducing Therapies, Treatments, and Technologies
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.


Todd Singleton, DC

Lighthouse Pain Relief Clinic: Focus of Practice is Nutrition, Neuropathy and Severe Low Back Pain
Doctors Plus, Inc. : Multi-Discipline Physical Medicine Clinic Employing Chiropractors, Medical Doctors, Physical Therapists, Nurse Practitioners, and Physician Assistants

Amy Tirpak, DC

CE Cruncher 

Dr. Kenneth Murkowski


Doctors desiring CE credits must call TCC at 281-998-6026 as far in advance as possible. 

Cruise Itinerary

Mon Jul 08 Seattle, Washington
12:00 am 4:00 pm
Tue Jul 09 *At Sea - Cruising
- -
Wed Jul 10 Ketchikan, Alaska
8:00 am 4:00 pm
Thu Jul 11 Tracy Arm Fjord, Alaska
8:00 am 11:00 am
Thu Jul 11 Juneau, Alaska
2:00 am 11:00 pm
Fri Jul 12 Skagway, Alaska
8:00 am 5:00 pm
Sat Jul 13 *At Sea - Cruising
- -
Sun Jul 14 Victoria, British Columbia
6:00 am 11:30 pm
Mon Jul 15 Seattle, Washington
7:00 am -
*Tentative course schedule, actual class times may differ.
Celebrity Solstice Map

Ports of Call

Seattle, Washington - The Emerald City of the Pacific Northwest. In Seattle, stroll the bustling waterfront, visit the Space Needle, sample a local microbrew, a glass of Washington wine and world-famous coffee.

At Sea - Cruising - Cruising

Ketchikan, Alaska - Immerse yourself in Tlingit Indian culture as you view the world's largest collection of totem poles; kayak the colorful waterfront.

Tracy Arm Fjord, Alaska - Amidst the pure silence, you'll sail past translucent blue icebergs silhouetted against a most dramatic backdrop of waterfall-laced rock walls ascending thousands of feet into the sky. This classic fjord, Tracy Arm extends over 30 miles and once seen, it is never to be forgotten.

Skagway, Alaska - A frontier town perfectly preserved as the Klondike Gold Rush National Historic Park. Gateway to the Trail of '98, which you may explore by helicopter or vintage railcar.

Victoria, British Columbia - Stroll through the charming downtown of this very British city, with its double-decker buses, turreted castles, fine British woolens, tea and china. Or, just outside the city, visit the lush flora and fauna of Butchart Gardens.

Non-US/Canadian individuals, please Click here to determine if you'll need a visa to board this cruise which visits Canada.

Juneau, Alaska - In Alaska's capital, you can pan for gold at Gold Creek and taste salmon baked on an alderwood fire, mush sleddogs, flightsee the Juneau Ice Field, and walk right up to the Mendenhall Glacier at the park. This charming small city also hosts an excellent zipline course. And for the less adventurous, the Red Dog Saloon is near the dock.

Holland America's Amsterdam

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Prices below are for the full cruise including meals and evening entertainment



Neptune Suite with Verandah , SA Neptune Suite with Verandah (SA)
2 lower beds convertible to 1 king-size bed, whirlpool bath & shower, large sitting area, dressing room, private verandah, 1 sofa bed for 2 persons, mini-bar, refrigerator, floor-to-ceiling windows.

Approximately 558 sq. ft. including verandah. 
for Pricing

Agent will check for lower promo pricing at the time of booking