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We have a lot to talk about today.
You
start.
Okay.
What I have noticed is The amount of
people, clients, patients, other health care
practitioners that say, how do you know that?
And to which I'm like, how does somebody not know that?
And let me unpack that a little bit more.
I think because of what we get, the tool that we have,
the tool that we talk about every single podcast that we
have in our tool belt, because it, and I typically use
the words forces, you'll say enables or allows, but I
do feel FSM has forced me to research, read, and learn
about body parts and conditions I never knew existed.
Yes.
Oh yeah, I did.
Exactly.
And to respect those tissues in a different way
because now I don't just simply know that they
exist, but I think about their Fibrous makeup, their
cartilaginous makeup, their direction of activities,
what their neighbors are, what's attaching to it.
And how they're motivated, what they do,
how they function, how they're innervated.
Is their blood supply, how are they affected
by compression, wear and tear, inflammation.
Can you get
out of my head for just two seconds?
Because that is absolutely, those last three
things are what I wanted to talk about.
That's how you and I roll.
It's, you're always in my head.
It's a wonderful thing.
But in, in the best possible way, I'm hoping.
Exactly.
So let me give you a scenario.
Okay.
Ironman,
not just triathlete, but Ironman.
Multiple Ironmans.
Decided to complete two Ironmans, in three weeks.
Okay, I don't have a frequency for that.
There's no anti dopamine overdose thing, but okay.
But
I love this person.
I've been working with this person for years.
I love that they use FSM religiously, that they
believe in it, that they know that it helps,
but two Ironmans in three weeks is a lot.
It is a lot.
It doesn't give you much recovery time.
It doesn't.
We can do great things after seeing this
person in between the first and the second,
they have bilateral lateral knee pain, okay?
That has been assessed and treated as IT band syndrome.
So now I can say that's a good face and I say, I get it.
I get it.
Why a massage therapist or a trainer would
throw that out because that's all that they
know and that's all that they maybe can treat.
But when you just complete an Ironman that
is swimming and running, you're a menisci!
Thank you!
It's the meniscus, it's not the IT man!
Flattened hamburgers.
They're going to be a little bit overworked and underpaid
and they're going to have an opinion about that.
And lateral knee pain, so far, is either torn and broken
in the ligaments, if you get hit from the side and you're
playing soccer, or it's the meniscus, or it's torn and
broken in the connective tissue where the IT band and the,
has anserine as medial, where the IT band comes around.
But
it's the
meniscus and the bursa.
It's okay.
So massaging it, not going to help.
Using the Theragun or the percussive
instruments, going to make it worse.
It's inflamed, it's torn, it does more percussive.
Why do they
think
that percussion is going to help?
I don't know.
Okay, good.
I'm
right there with you.
Thank you.
So because this is an elite athlete, because we are
under pressure, we have, Another Ironman coming up.
It's not outside.
Between the two?
Yes.
Oh,
okay.
So I get to be the fix it guy.
And help really dial in absolutely
everything that could be torn and broken.
Or our new favourite word repair and heal.
We're going to repair and heal all the tissues.
And get that person ready for the next one.
Actually, I'd spend a whole hour
on repair and heal the meniscus.
Yes.
an hour on four machines on one knee is not excessive.
And they have a custom care.
Torn and broken it's 77 and
40
and 195.
And the other possibility, especially since it's not really
worth it, To do an MRI, I'd head for inflammation in the
periosteum, but also inflammation in 59 and 39, the bone.
There's no way to run a full marathon.
There's no way to run a full marathon and
then follow that with the other things.
No, the marathon is at the end after
biking a hundred and some odd miles.
And after swimming is the first swim bike run.
Yeah.
And it's, so the meniscus is going to get hit in the
biking and swimming, and then by the time you get
to running, the meniscus has already been abused.
But the running, you got bone bruises.
So you've got 59, 39.
You've got the cartilage under the
meniscus and the, did I miss anything?
Are we still, am I still in your brain?
I'm still in my brain, but how, I love
to categorize the B channels first.
I always, That's easier for me to make my list.
I know exactly what tissues are affected.
And then I start going back to the A.
Yeah.
Torn and broken, inflamed.
You don't need a PhD to figure out that
those are going to be your big ones.
But then you start to expand and start thinking a little
bit more about what other A channels could be affected.
So as I was digging and looking at netters, I was
looking at the menisci and you've got the, your outer
portion, you have the posterior horns, you've got the
anterior horns, and then when you start googling the
difference of makeup between the two horns, that the
anterior and posterior horns of the menisci, those
little cups, the divots, have a very rich blood supply.
And you don't think of the menisci as bleeding,
you think of vascular tissue, muscle, belly
as bleeding, but there's bleeding in it.
Very good.
Especially with running.
Yes.
So with the microtrauma, microtrauma.
So I do use trauma.
I do use 94 and 294 quite a bit in my post exertional.
Recipes because the torn and broken and
the bleeding didn't come from outer space.
There is some sort of trauma and
trauma doesn't have to be bad trauma.
It's traumatic to the tissue.
So I like to use those first.
I like to use our basics 94, three
21 and nine with the bleeding.
So those are all the other components.
And when you have an athlete that has
their own custom care, you can make these.
programs as long or as short as you want.
And something else that I wanted to talk about was
we had an email and I can't remember if it was a knee
or an ankle but the person was talking, oh I think it
was the high ankle sprain we talked about last week.
Oh yeah.
About making a program for three or four
hours long and I don't love that length.
I like making shorter So it allows
somebody to get up, hydrate, have a snack.
I guess it depends on your audience.
If you know that person is going to run
something at night, make it as long as you want.
Yeah.
But the three hour programs are for bedtime.
But I know a lot of athletes that are like more is more.
And if I should run it six hours a day, I will.
And that's great.
But for the average person, if you tell them, I want
you to run this for six hours a day, they're going to
run it for no hours because they think I don't have six
hours to sit down, but if you have an hour in the morning
and an hour in the afternoon and 45 minutes at night,
sometimes it's a little bit more digestible for people.
Okay.
Fair enough.
It's just like back in the day, I'm
talking a lot this already, but.
Back in the day when I was learning exercise
prescription, we would talk about, you have to
know your audience and who you're talking to.
If you want somebody to stretch, or strengthen, or
do their exercises three times a day, some people
you'll have to say, I want you to do it six times.
Then they'll only do it three.
And some people, you have to say, I want you to do it
one time because you'll know they'll do it five times
again, and you're the psychology maestro, the podcast.
But athletes tend to overdo things.
Triathletes who compete in Ironman competitions and
decide to do two in one month tend to overdo things.
Going back to our menisci.
A person who does this type of leisure activities, their
nervous system knows that pain will not equal stoppage.
So the compensations that you see when somebody like this
walks into the clinic are staring you in the face with
big neon lights, but now is not the time to fix things.
So again, you have to be carefully, I'm not undoing any
compensation when somebody is competing in two weeks.
I have a question about that since, especially since
mechanics is your ballpark, if I can see it, because
the compensations are to protect the injured tissue.
But if you fix the injured tissue, because you've
got 2 whole weeks and you can see this guy 3 times
a week and getting put back, getting him put back
together and repaired in 2 weeks is not that hard.
And so then 2, 3 days.
Before his next event.
That's when you do wipe him out.
You've got to tell his Hippocampus.
It's no, really it's okay.
He's going to be fine.
It only hurt for a little while and now it's all better.
See, and then you do 40 and 92.
So the sensory motor cortex forgets that
it everything it thought it knew about how
that leg hip and foot were supposed to move.
Then you do 40 and 84.
So the compensation go away and then.
You do 81 and 92 and 81 and 84 and get
everything moving correctly while you
have the guy running in place in your gym.
Because if he goes into, at least this is my hit on it, if
he goes in to the second Iron Man, and you have repaired
the stuff he busted up in the first one, but you leave
the compensations in place as if they're still busted.
He's gonna bust something totally new.
For sure.
So it's, I would do Wipe and Load
the last visit before he competes.
If the competition is Sunday, you
see him Friday, and fixes Brian.
Does that work?
It does, and it's all within, it's all
within reason, I guess is what I'm saying.
You're not going to be undoing everything.
And when you remove the boulders from
the stream, the water flows freely.
So I always think about this analogy of this beautifully
running stream in paradise, And there's rocks in
the stream and the water meanders around the rocks.
But if there's a giant boulder, that's
creating a lot more resistance for the water.
So your job as a performance therapist,
chiropractor, massage therapist, trainer, whatever,
is to remove the resistance from the body.
So all the compensations that walk in, if you are
treating the torn and broken, if you're treating the
bleeding, if you're helping with repairing those deep
structural pieces of resistance, the muscles will start
to fire better because there's typically no pain, right?
So if the meniscus isn't creating pain, There's
not necessarily going to be a gate discrepancy.
Just let me finish.
You forgot about the hippocampus.
The mis I
haven't, I haven't.
I'm getting to it.
Okay.
We're removing the resistance is
what I, was what I'm getting at.
So if the menisci are causing the hamstrings to
crank up, which is causing the pelvis to rotate
posteriorly, which is causing the psoas on the
opposite side to tighten up, to try to stabilize,
going after the psoas is not going to do anything.
So my point of correcting imbalances is when you're
treating the cause, all the imbalances, all that, when you
start looking upstream, they start to correct themselves,
taking out the cause, the causation of the compensation.
So that's what I'm saying is you will have
some therapists like we have to fix her hips.
No, the menisci are the problem.
The hips are going to go back once the meniscus is fixed.
And this is my, this is what I meant to say by we're not
undoing everything in a, Oh, we have to fix your shoulder.
We have to do this.
This is where it's really important to treat the cause.
So I've not forgotten about the hippocampus because 40
and 89 as you are doing these is crucial, so I'll have it
running simultaneously so that there's constant feedback to
say the menisci, we're good, don't worry about it anymore.
Now we're going to move on to this structure.
Yes, three, four machines during
that time with constant feedback.
Works for me.
You were gonna say something, but hopefully I talked myself
out of the hole that I was, talked yourself outta the hole.
I had an
entirely different experience this week.
Okay.
I have a patient with basically pelvic radiation
that sort of fried some lymph nodes and so she
gets lymphedema and then she'll get cellulitis.
Which is infectious, not just inflammatory, it's infected.
And she goes from cellulitis, gee that looks
red and puffy, to septic in two to three hours.
Now the medical physician, this is the,
this goes back to what you were saying
and what FSM people do, treat the cause.
So the medical physicians that she's seeing say,
the lymphedema is the cause of the cellulitis.
And I looked at her and I said, that actually doesn't
make any sense because lymphatic fluid is sterile,
there's
no bugs in it.
It doesn't get infected from space.
There is a reservoir of infections someplace in your body.
And because The lymphatic fluid pools in
your abdomen, where all that radiation was.
The bug, from wherever it is, sits in that pool in your
abdomen, and then you get cellulitis and infection.
And then somebody, literally, she's got
a laundry list of doctors that she sees.
Has nobody talked to you about the reservoir of infection?
What's that?
Do you still have your tonsils?
Yeah.
Did you have your wisdom teeth out?
Yeah.
Okay, wisdom teeth, when they take them out,
sometimes they put a filler in there and that
becomes a focus of chronic occult infection.
One of her bladder infections before all this started,
she had chronic bladder infections, they cultured
it, it was beta hemolytic strep in the bladder.
Beta hemolytic strep.
Lives in the tonsils.
She still has her tonsils.
She still has her appendix.
Okay, this had nothing to do with FSM.
I could treat radiation.
I could treat scarring and lymphatics.
And everything would soften.
And the lymph nodes would clear.
But it would fill back up again.
And she always goes someplace with antibiotics.
So I didn't worry about her getting cellulitis.
But, what I When they tested your vitamin
D levels, let's talk about prevention.
So I'm going from, this is what
FSM can do, to the stable state.
What is our actual goal?
Our actual goal is to fix the patient.
So she looked up in her records, her
vitamin D levels in January of this year,
the last time they were tested, were 13.
Okay.
And then we talked about vitamin C.
So let's talk about, you are stuck with lymphedema
because the architecture is just, permanently altered.
I can't fix it.
There's just too much, too many surgeries.
FSM can help, but it's temporary.
You already have gadgets at home.
You already have PTs that are working on you.
I'm not going to sell you a custom care.
That's if you want to, you can buy one later, but not now.
Let's.
You're gonna take 50, 000 units of vitamin
D three times a week for three months, and
then you're gonna test your vitamin D levels.
And then you're gonna take 50, 000 units of vitamin D
for another three months, and then you're gonna test it.
And then you're gonna slow down to once a week
when your vitamin D levels get to 60 or 70.
And then you're gonna take 5 grams of vitamin C a day.
And you're going to ask your doctors
to look for the reservoir of infection.
She said, I have one doctor that actually listens to me.
I said, that's the one you want to talk to.
There was another one.
She came in with lifelong, she was
born with it, atopic dermatitis.
She had, so her presenting complaint was eczema.
And you could see it on her wrists.
They were rough and red.
Her eyes were dry.
Her skin was dry.
Her vagina was dry.
Her elbows were like red and scaly and rough.
Dang, girl.
So first day, She's 67, and she's a vegan.
Stick out your tongue.
Deep groove down the middle.
Bright red.
There's no red in there.
Maybe in those butterflies behind you, there's that red.
They were bright red.
Deep lateral grooves.
And I said, and she too has been to multiple doctors.
She was on steroids from infancy till she was in her 20s.
And then she's been recovering from that.
Now that was 40 years ago.
So here's her tongue.
And this is my other tool.
That's, this is Dr.
Google.
So I just Googled B vitamin deficiency And atopic
dermatitis, or B vitamin deficiency, and eczema.
B1, B3, B5, B7, I didn't even know there was a 7.
And everybody knows about B12.
That's the tongue thing.
She may or may not be able to methylate it, but
she said, lots of people have looked at my tongue
and they've never told me that I was B12 deficient.
So we have that one slide in the core, the
kind of peripheral neuropathy you can't fix.
Thanks.
So the first day, I said, your next stop
between here and your hotel is to this
Whole Foods or New Seasons or something.
And you get B complex because it's not that leads
to dry skin and dry, like every single symptom that
she had was B vitamin deficiency and vitamin D.
So she's found a good potency And
instead is taking three dops once a week.
She took six dropper fulls.
A day, and by day three, the lateral
grooves on her tongue were gone.
Her tongue was normal color.
The central groove and the deep
grooves were starting to fill in.
And it, there's no thing that FSM could do.
Cause I ran inflammation in the skin,
I ran vitality, I ran secretions.
Then on the very last day, she's,
and I ran the Constitutional factors.
That was interesting.
And then she said, you're born with it.
And it's a genetic once again, Dr.
Google between the patient and what I looked
up a topic dermatitis, there's a genetic defect
in the external barrier that we have that makes
our skin smooth, that gives us an oil layer.
And the outside part is smooth.
It was There's a gene that just doesn't work right.
I kept feeling like I was missing something.
So you know how you look down the advanced paper laminate
and you keep going until you find something that jumps out?
There in the sulfeggio frequencies were repaired DNA.
So the last half hour, on the last
day that I had her, I did 528.
And the skin, this got completely smooth,
this went away completely, and her inner
arm got 50 percent better in 30 minutes.
And it's, so every day we ran leaky gut,
every day we ran concussion in Vegas.
Every day we wrapped from her neck to her hands
because it's the atopic dermatitis is usually in the
extremities, the elbows and the wrists and the knees.
And with her, it was just all over extremity,
but it's those were, we get the idea because we
can fix so much with FSM, this whole stable state
concept is that's why those slides are there.
And in the course, there's so much and it's a drive
by, but to think in terms of what makes the system
function in such a way that we can help it repair itself.
Unless she had adequate amounts
of B12, I can do anything I want.
Unless this girl's vitamin D was 60 instead of
13, she was going to keep getting infections.
Thanks.
Until somebody biopsies her tonsils and finds
out if they are the locus of infection for her
recurring cellulitis, I can do anything I want.
And FSM is not going to be able to fix it.
So it's just, that was my week.
Was
We have very different weeks, but we both
described the exact same thing about finding the
driver is going to be the most important thing.
And then knowing your limitations of What to expect, right?
Yeah, I know this triathlete is going to tear and break the
tissues when they compete in a week That is what I know.
My job, my role during that in between period is getting the
tissue as happy and their nervous system as confident and
Yeah, when you treat athletes, this is
back when I was doing all my athlete stuff.
Our job is to fix them so they
can go out and break it again.
That's just, duh, yeah.
And to convince the nervous system that it is safe
and it is okay and they're going to be just fine.
Because like you said the injuries that we
typically get are not from the source that
we complain about the pain from, right?
My left hip was bothering me last year in Kona.
We found out my left, or sorry, my left SI was bothering me.
It had nothing to do with my left SI.
It had everything to do with my ribs on the right.
Blah, blah, blah, blah, blah, blah, blah, Oh, things change.
We have a very interesting question that I feel
like we're going to talk about for a little while.
So I want to get there for a second.
Denise asks, I've met several families
lately who all have fibromyalgia.
Some have BACs involved and some don't.
Is fibromyalgia a genetic condition?
If so, does the protocol we still
have a chance to work for them?
I'm taking a
deep breath because of words.
Oh, it's okay.
The fibromyalgia from spine trauma amounts to about
27 percent in the literature and 40 percent in my
personal experience, there is a genetic type of
fibromyalgia where there is a genetic defect in.
Either the dopamine pathways, or the serotonin
pathways, or running in families, the other thing
that runs in families is food sensitivities.
So the whole family can be celiac.
And not think of it as being celiac, so they're eating
wheat, which gives them leaky gut, which gives them
macrophage mediated pain, which gives them fibromyalgia.
The other type of fibromyalgia is
like the one with organic chemicals.
Where are they raised?
Do they all live in the same area?
Or is this family spread out all over the United States
and three foreign countries and they all have fibromyalgia?
That, can it be just the architecture that they inherit?
Their palate and larynx is soft and floppy,
their necks are built a certain way, and
everybody over the age of 17 has sleep apnea.
Do they have a genetic alteration in the,
usually it's Patrickal, Patrick's specialty was
dopamine, mine was serotonin and fibromyalgia
from spine trauma, food sensitivities.
Those are the ones that can be genetic.
So if you listen to the eight hour fibromyalgia
workshop that has All seven or eight types and that
includes the genetic type, but even the genetic type.
There are some of them that will have a genetic defect.
Like they can't phosphorylate B6.
So B6 can't compete with estrogen in the,
anti inflammatory prostaglandin pathways.
So if they can't phosphorylate B6, they can't
get to the steps, so they end up being inflamed,
they end up being in pain, and once they're
in pain, then fibromyalgia just tumbles down.
So once your pain level's above, above a four,
you can get fibromyalgia, but the gene that's
involved is something you have to suss out.
Are they sensitive to milk and gluten?
Are probably the food sensitivities, IgG
food sensitivities that run in families.
There's dopamine snips, there's serotonin snips, there's
methylation snips, and there's detoxification snips.
And any of those genetic alterations, that get in the
way of any of those genetic alterations that create
pain will create fibromyalgia because once your pain is
above a five or six it becomes a neuroendocrine problem.
So it's the pain starts first and then the neuroendocrine
system growth hormone is suppressed centrally.
TSH is suppressed centrally and LH in females and males.
Are suppressed centrally.
So the males will have low sperm counts as well as body pain
and that's so that's a whole eight hour workshop Denise.
So I'm going to tell you, go back to that one.
And the, there isn't the protocol 40 and 10 won't
work on these people, because they're not from spine
trauma, unless the whole family is earlier standards.
So if they understand
those.
I was waiting for you to say, bring that up and I'll
let you keep talking because and the problem I have
with any type of time I see or hear fibromyalgia
ask them to tell me about how they were diagnosed.
Oh, my
doctor found two tender points on
my back and I have chronic fatigue.
So this is what I have.
Wow.
And this is why we don't keep adult beverages in the clinic.
This is what this, these are the people
that come in because I prayed for patients.
And so the universe is you want patients.
Here you go.
There, I do know of a family, and they all are Ehlers
Danlos, and the two of them were diagnosed with
fibro, and it had nothing to do with fibromyalgia.
It was all Ehlers Danlos and mast cell.
Ehlers Danlos, mast cell, and the Ehlers Danlos
actually creates a 40 and 10 component because
the discs leak and irritate the pain pathways.
And then their vagus gets turned off and then you get to the
mast cell component and it's just follow the bouncing ball.
Yeah.
That is the thing that makes the advanced so much fun.
Yes.
That it's the one place where everybody
that you're sitting next to or in a room
with is, has got this We think differently.
I guess because I beat people over the head with it.
It's go back to the cause.
And I
think, I'm no expert in this, but I think a lot of
people do get caught up with labels and diagnoses.
And we talked with Dr.
Musnick when we were talking about autoimmune.
Some people are just very like doom and
gloom when they get a autoimmune diagnosis.
It's the opposite.
It is something that is, can be so manageable provided
that you have the right practitioner that can keep
asking the right questions and can create an environment
within your body that supports suppression and healing.
David Mesnick turned my autoimmune
condition off as long as I don't get gluten.
If I'm in a situation or in a country where I
don't have any, Choice and I, or it's, if I do
this, I don't care, I'm going to do it anyway.
So if I get gluten, the spasticity comes back.
I knew it was going to, and in three days I
can get it gone again, because I do what Dr.
Mosnick told me and autoimmune conditions.
You do have to clean up the peripheral tissue, but the
basic process of creating an autoimmune condition is.
Once you know how to think about it, then fixing it is fix
the vagus, figure out what turned off the vagus in the first
place, what happened one to three months before the first
symptom hit you, fix the gut, and then treat the periphery.
It's not that hard.
And is there anybody that ever says that except us?
No, and I don't even want to say it because like
I'm, I am also worried about lightning as soon as I
say that I want to go back viral for a second art.
Is there a There used to be a criteria for
the tender points for fibromyalgia diagnoses.
You're making a bit of a face.
Is that still relevant?
Is that still what's being used?
And are there any other tests that corroborate?
No.
Okay.
I got rid of It used to be 11 out of 18 tender points
tender to less than 4 pounds per square inch pressure, non
restorative sleep, and non restorative sleep, 11 out of 18
tender points, and I forget what the third criteria was.
And then sometime around, had to be 2006 or 7.
The American College of Rheumatology took out the
tender point exam, and it left it with central
sensitization, chronic non restorative sleep, widely
disseminated body pain, lasting more than three months.
And The summer of 2010, American Academy of
Pain Management was meeting in Seattle, and
I had a chance to go visit with John Russell.
And I went up, and John and I have an
interesting relationship to begin with.
And, I said, can you tell me why you removed the only
objective finding for a diagnosis of fibromyalgia?
What on earth were you thinking, John?
And he rolled his eyes, and he looked not quite
embarrassed, but his head, and he said, 25 years.
We had that criteria for 25 years, and
in 25 years, we could not teach them.
If everybody that's watching takes their thumb and
presses it on their index finger, like this, and you
press, and look at your thumbnail, that's assuming you
don't have polish on, you press, so you, your thumbnail's
kind of pink if you're healthy and not hypoxic, then you
press, and when the Thumbnail blanches at the bottom.
It goes from pink to a little bit pale.
That's four pounds.
Now you can train yourself.
We have a bunch of kitchen scales.
So you can train yourself to what four pounds is.
I said, John.
He said we couldn't teach them what four pounds felt like.
I said, I have an algometer.
You just measure it.
He said they wouldn't spend the 150.
He said, what is the point of having
a criteria that they won't use?
I went, oh, okay.
I still use it, but that's why
it's not part of the criteria.
So you can't have two tender spots on your back.
You can't have fibromyalgia of the right shoulder.
When I teach a class, one of the things that you start
with is Bob Grimm's, Robert Grimm, MD neurologist,
his voice in my ear saying, the first thing you
do when you walk in, when they walk in the door is
you ignore every diagnosis that they've ever had.
You just start over.
So they walk in with the diagnosis of.
Lymphedema and cellulitis.
Okay, there's a reasonable cause for that, but So
I didn't ignore You can't ignore the fact that she
had surgery and radiation and there's lymphedema.
But lymphatic fluid is sterile.
Did anybody ever talk to you about a reservoir of infection?
No.
Did anybody ever talk to you about trying to prove,
strengthen your immune systems so you don't get sepsis?
No.
Fibromyalgia is the same way.
Patient came in with a diagnosis of
fibromyalgia on the right shoulder.
There is no such thing.
Full body, longer than three months.
That's fibromyalgia.
And you can't help that it's not their specialty.
You can't help that they're just I have an autoimmune
condition, or had, have, an autoimmune condition called
stiff person syndrome, and the neurologist I saw after I
had imaging that showed I didn't have MS, I didn't have
ALS, and I didn't have spinal cord myelopathy, but I had
spastic or tight really tight lower leg and chest muscles.
I swear to you, the neurologist
said, maybe you have fibromyalgia.
And I went, I don't have fibromyalgia.
How do you know?
It was, that part was really fun.
So I actually sent him Leon Chaito's book, my
syllabus, bunch of other papers on fibromyalgia.
And it's, and I sent him with a very polite note that
says you're one of the best neurologists I've ever seen
and nobody as good as you are should be this ignorant.
Read the attached and then you will know better.
I only seem like a nice lady.
If it's just one of those things, I'm
sorry.
You're right.
Again, going back to if your training only enabled you to
see very myopic set of symptoms, And it was just very easy
to give that set of symptoms a label, and people were okay
with that label, and it doesn't change how you treat that
patient, as far as prescription, or, whatever, where's
the motivation to, to change or to do anything with us?
It's everything.
Tissue type is everything.
Pathology and causation is everything.
What caused it?
How
did it get like this?
Yeah.
I think all the time.
Yes.
The good old days, A and B what's on a,
what's on B German shepherd on my lap, right?
Now it's okay.
This on a is happening to this on
B, but don't get caught up in that.
How did it get like that?
And what else do you have to do to help the patient recover?
How can you support?
Yeah, our goal is not just to
run FSM as far as I'm concerned.
Our goal is to change medicine one patient at a time.
Yeah.
And change patients lives by helping them recover.
And sometimes recovery is vitamin D and vitamin C and B12.
And you don't have to be, you seem to be
such an expert in so many of these stuff.
different areas.
A lot of us aren't, but that's when the,
that's when networking becomes so important.
That's when making friends in different
professions becomes so important.
I can't do this.
Can you see this person?
What do you recommend for this?
And I think true healthcare needs to be
much more collaborative than what it is.
What's the jack of all trades, master of none.
I don't think that has any place in healthcare.
I'm really good at mechanics.
I stick to that.
I ask for what I need.
I just listen to information.
Like Roger Billika gives a lecture.
I read the molecules of behavior
three, four, six times a year.
I look over David Musnick slides.
Every time I do a core, speaking of which we have
a core in December, a five day, and we have a two
day practicum in November and a two day rehab class.
And are you doing a sports advanced?
The day is there for it.
And there's, yes,
there's
a couple people signed up.
We're going to do it no matter what.
So it's a class.
It's fun.
Okay, that'll be fun.
Think of that, and then we have, we're going to be dark
January and February, mostly because my clinic schedule,
because I was gone so much this last year, my clinic
schedule is solid all through January and February.
I don't have any time to do a seminar.
So then there's Arizona and the advanced is, I don't
know how many people are signed up for the advanced
and symposium, but it is an extraordinary lineup.
The case reports are from literally all over the world.
Eduardo is coming, Kasia is coming from Poland,
there's a, May is coming from Belgium, there are
practitioners coming from all over, and speakers
coming, I don't, Jerry Pollock may or may not be
speaking because his computer got stolen in Poland at
the water conference, and he didn't have it backed up.
That's a good face.
Oh, that makes me feel.
Yeah, I just, I cannot imagine.
That's, I don't know.
So I, he's still, so I may have a 90
minute slot that we get to fill with.
But it's still the only place, it's
the only place you feel normal.
We ask questions that nobody else asks.
We know things that nobody else, we
think things that nobody else thinks.
We ask questions that nobody else asks.
Yeah.
We know random stuff.
So people that are listening to this podcast.
I, there's, there should be about 30 to 40 percent
of you that go into the bathroom, especially those
of you that are vegetarians over the age of 40,
go into the bathroom and stick your tongue out.
It's what color is it?
Does it have grooves?
And then Dr.
Google is fascinating.
What causes atopic dermatitis?
I thought, leaky gut.
It's all the immune system activation.
Nope, that wasn't it.
I can run vitality in the skin until
I'm blue, but she sticks her tongue out.
It's bright red and has grooves all over it.
Oops, that's not a, that's not a thing that FSM can fix,
but you can support it in other ways.
So it's not about just seeing a list of symptoms
and signs and checking them off as you go along.
It's learning how to connect the dots.
You always talk about pattern
recognition, putting it together.
Developing a plan and knowing where you can help support
healing and where you need to ask for help and bring
in other things like there's always something that you
can do, provided that patient just walks in the door.
Yeah.
And it's, and when you said put things together,
the, on this patient with the, B12 in the skin.
I treated leaky gut four days in a row.
B12 has to be absorbed.
In order for B12 to be absorbed, you
have to have enough stomach acid.
This lady was on steroids.
oral and topical for 25 years.
Yeah, treated her leaky gut, but the gut has
to be able, healthy enough, to absorb B12.
So she's taking it sublingually, so it's absorbed
through her mouth, doesn't have to, she's not
going to eat meat, so she's not going to get
it that way, but the gut has to be healthy.
In order for the patient to be healthy, so
it's, it, everything's connected to everything.
I think that's going to be another banner, right?
I think it, at the very least, when you have complex,
complicated patients that walk in to ask the basic
questions about their digestion and about their sleep,
if
you are not digesting your food and you
are not sleeping at night, nothing matters.
You got it.
Nothing.
That's it.
We have to be able to digest our food.
We have to be able to sleep at night.
Oh, and that was the other thing.
The patient with the recurrent infections also
had her right inner, she had a tumor in her
right inner ear, and so she had a vestibular
injury, so she woke up every 60 to 90 minutes.
explained about pillows and nightlights and meclizine and
Valium and all of that in terms of getting her to sleep.
I don't, I've been taking Ambien
and I want to wean off of it.
It's like, why?
I shouldn't be taking pills to sleep.
That's an interesting concept.
On the other hand, if you don't take pills, do you sleep?
No?
Then take pills.
Because sleep is more important than your
idea about what you should or should not do.
Don't
get attached to your idea about things.
That's an interesting concept.
That could be a whole podcast onto its own
is the attachment we have to the diagnosis,
the attachment that we have to treatment.
It's not easy and you can't be everybody's friend, right?
You have to have a tough conversation sometimes.
Every now and then there is a Come to
Jesus conversation about something.
It's, I know you're not going to eat meat, but you have
to do this, or you have to be okay with being sick.
There's no way to get you better unless you do this.
And if you're not going to do that,
and whether that's wheat, corn, milk,
whatever.
Exercises.
Yeah, exactly.
Then.
You can't have it both ways.
No, and like your job as the healthcare provider is
to have those hard conversations, especially if it's
blaring and glaring at you right in the face, right?
The flame is there.
You see the person putting their flame in the fire.
My hand keeps getting burned.
Don't put your hand in the fire.
Exactly.
Stop doing that.
It hurts when I do that.
Don't do that.
That's a thought.
And of course, with athletes, my job is to help
them move through everything as best as possible.
But when they, like I said, the non negotiables are
digestion and sleep because I've, and that's only been
years of experience of why isn't this person getting better.
Okay.
It's not my fault.
I can't do everything in an hour and a half.
When you think of sleep as just what's
a big deal about sleep, 85 percent of
growth hormone is made during deep sleep.
And if you're not getting deep sleep, then you're
not getting growth hormone and growth hormone in
an adult mediates the transport amino acids across.
The gut wall across the cell wall to repair muscles.
That's why you're sleeping.
You're not sleeping because I want you to sleep.
You're sleeping because you need growth hormone.
The repair and heal is taking place
during that deep restorative sleep.
So the question of, so do you sleep well at night?
Is not the question that you ask.
You ask them, what time do you go to sleep at?
Fine.
What time do you wake up at?
Fine.
How many times do you wake up in the night?
Why do you wake up in the night?
Is it to pee?
Is it from pain?
Is it because your partner is snoring?
Do you snore?
Do you sleep with the pet?
There's, this is a very long conversation and Dr.
Musnick is going to be talking about it at the Advanced
in, for three hours, and it, I'm, I can't wait for it
because he tried to do it in 90 minutes a couple years
ago, and I wanted to pass out because it was just like, too
fast, too much, and there was so much that we had missed.
It's one of the reasons I have the same speakers back.
And sometimes we, I'll skip a couple of years on a topic
and then bring it back again, having given him three hours.
There's no reason anybody that has not,
that has already taken the advanced section
should listen to me for three hours.
That's why you get three hours and.
Dr.
Masnick gets three hours and then I like people
to understand the concepts of what we're doing,
which is why Julianna Morton sent us back.
And then the hot topic this year from Everybody, Dr.
Mosnick is doing 90 minutes on long COVID, Christy Hughes
is doing 90 minutes on long COVID, Becky Blodgett is
doing 60 minutes on blood vessel health and sleep apnea.
So her hot button is sleep apnea and what it
does to the blood vessels, and then that ends
up right back at sleep and long COVID and.
gut repair and repairing the blood vessels.
And it's just, and then
you go on the plane when you leave and
you're like, I am going to fix the world.
Is that inspirational?
Yeah.
And just like that, an hour has gone.
Oh, look at that.
It's there.
But thanks for letting me debrief about my menisci today.
That's well, it's a great way to think about it
because I had not thought about the difference
in and the other thing is that it's not arteries.
It's capillaries.
So it's capillaries in the meniscus.
So you're treating bleeding in the capillaries, torn and
broken in the capillaries, vitality in the capillaries.
And that takes us back to why the
case reports are so important.
We are, the case report slots are all full.
But people are still sending in case reports, so we are
going to have poster presentations all around the room.
And apparently this year we're having exhibitors,
because there are two nutritional companies that are, the
speakers, our visceral speakers want to have exhibits.
That was on my list.
It's going to be a good time.
And
I get to see you
in two weeks!
A week?
No, I'm coming Sunday.
Okay!
It's half a, not even a week.
Yes.
Oh my god.
Are you going to be in Portland on Wednesday?
Are you going home on Tuesday?
Wednesday and then we'll be able to, I'll do the sports
advanced course and then we'll do our podcast together.
In person!
Oh, how fun!
Yes, so next week we will see
everybody, we'll be side by side.
That'll be so much fun.
Have a good week.
Yes.
And we'll see you soon.
See you
soon.
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