Episode One-Hundred-Six.mp4: Audio automatically transcribed by Sonix
Episode One-Hundred-Six.mp4: this mp4 audio file was automatically transcribed by Sonix with the best speech-to-text algorithms. This transcript may contain errors.
Kim Pittis:
It’s funny, today I was doing Zoom calls and I was catching. Were you too?
Dr. Carol:
All day?
Kim Pittis:
Yeah.
Dr. Carol:
From 9:00 this morning till 2:00 this afternoon.
Kim Pittis:
How do we do that?
Dr. Carol:
I don’t know. So first, for me, I’ve never done a whole day’s worth.
Kim Pittis:
Yeah, I had mine all smashed together. I was supposed to spread it out this week, and then I did it all this morning. So, I do a lot of follow-ups with the sports course that take it privately. So only the sports teams are taking it privately or on the videos. So, I do these kinds of catch-up sessions and they are so much fun because there’s just so much brainstorming and there’s so many brilliant people utilizing FSM right now.
Dr. Carol:
Yeah. And then they ask you, what would you do? This is what I did. What else would I do? I did this. And then the response is, you did that? And what happened?
Kim Pittis:
Yeah. And it’s like this moment of being so proud that you gave them. I’m like, that wouldn’t have been what I would have done. But that’s brilliant, first of all. So let me break this down because I’m going to try that. You just have this moment of, wow, I just I gave you all these seeds and you just cultivated these amazing ideas.
Dr. Carol:
Yeah, So it’s one of the magic things about FSM had one of my Zoom calls was a podcast with Eric Gordon, and he’s an internist in Sebastopol, Santa Rosa area, and I worked with him the first time back in 2006 when the Core was only three days, and we started talking about using FSM in chronic illness, and Eric came on board before we started treating the Vagus talking about how the Vagus is involved in chronic illness when the patient is centrally sensitized and what percentage of chronically-ill patients have been centrally sensitized. It’s something on the order of 70 or 80% of chronically ill patients have a history of early childhood trauma or abuse. Now, trauma can be an auto accident, a surgery, difficult home life, however. But it’s a coincidence that in those chronically ill patients, the illness doesn’t resolve when it’s because their midbrain is sensitized.
Kim Pittis:
So again, I’m just going to back you up because we have lay people that are listening. Can you briefly explain sensitize to the lay person that would be listening? Because we have.
Dr. Carol:
So in our world, the midbrain, we have a frequency for the midbrain. And the midbrain includes once again in our world, the amygdala, which is the emotional component. The hippocampus has a lot of functions, but in our world, the hippocampus has its job to remember every bad thing that ever happened to you. And the thalamus, which either suppresses pain or amplifies pain. You have those three. The vagus nerve comes out of the skull, has its nuclei in the medulla. But it comes out of the skull. It goes to your vocal cords, your esophagus, your stomach. It suppresses inflammation in the immune system, macrophages, and T cells. It suppresses blood sugar release from glycogen in your liver. It runs your digestive tract. Right. And 80% of the inflammation that your brain gets from your body comes from the Vagus going up to the Medulla up to the midbrain, saying, Hey, we’re fine down here. No infection, no trauma, no stress. So, the vagus notifies the survival center in the midbrain when there is infection, stress and trauma. So, if you’re being chased through the jungle by a tiger spit, has lots of germs in it. You might break your leg. And you want your immune system to be really vigilant and active. You need lots of sugar to run your muscles so the Vagus says, Hey, there’s a tiger in the midbrain, says Tiger. Got it. So the midbrain quiets down or suppresses the vagus so the immune system can be reactive. Digestion can go up. Blood sugar can go up. Makes perfect sense from a survival standpoint. So,sensitization is the concept that firing threshold neurologically, every neuron interacts with, let’s say, 100 other neurons that touch it. And for this neuron to fire, in a normal person, it takes, let’s say, 100, yes votes, from all the other neurons that touch it. They all have to vote yes, before this neuron fires and does its thing. If this neuron has been sensitized. It will fire when there’s only 50 yes votes. In mechanical terms, it’s the difference between a regular trigger on a gun and a trigger where it’s been filed down to what they call a hair trigger. It takes much less to make it fire. Some stressor, like somebody cutting you off in an intersection or somebody’s having an argument standing next to you, that wouldn’t bother anybody else, in a patient that’s been sensitized, that argument or that just miss-collision is enough to send the limbic system, the midbrain into stress and threat, at which point the Vagus gets turned down. The immune system fires up or stops being suppressed. It goes up, digestion goes down. Stomach acid goes down. That’s the concept of sensitization. And that’s basically where almost all chronic illness comes from. That’s just data. But epidemiologic data There are exceptions, of course, but as a general rule, something on the order, forget the exact statistic. I think it’s between 70% and 80% of chronic pain or chronically ill patients. Certainly, fibromyalgia patients are what I applied the data to, have a history of early childhood trauma or abuse and now that we connect it with the vagus and the midbrain, we know it’s because the midbrain has been sensitized. It takes less to make it fire, turn the vagus off so the vagus stops regulating the immune system, blood sugar and the digestive system properly. So having that conversation with. Dr. Gordon was just really fun because he didn’t. If you don’t have a way of treating the Vagus that’s reliable, reproducible, powerful, effective, and bomb proof, it never doesn’t work. You don’t have a way of treating it. You don’t think about it when your entire practice is made up of chronically ill patients. You don’t ever think about, Oh, I need FSM to do this piece of it because back when Eric took and his team took FSM was 2006 and he thinks of FSM as being most useful in muscle conditions, nerve pain, because we were doing more myofascial work than we were neurologic and visceral work back then. It’s just really fun.
Kim Pittis:
Yeah, I can’t imagine what you get out of it after doing it so long and seeing it reproduced and everybody has their own little spin on it. But still makes it like you and I could and this is what I wanted to do. I’ve wanted this for a little while but thought today might be a good day to do it.
Dr. Carol:
Sure.
Kim Pittis:
Where you and I could both get thrown a condition and we would probably have very different sequences of approach. But I’m sure nine times out of ten, if we would match those frequencies up, we might just have a different starting and end point just because of different sets of mileage and different scenarios.
Dr. Carol:
Sure. Yeah. No, I have absolutely no doubt that we’d end up doing roughly the same thing. Maybe in a different order.
Kim Pittis:
Exactly. Yeah. And I was having this conversation today with one of the trainers, and we were talking about the sequence and the ordering and the layering, and I’m like, there is no right or wrong answer. The way we teach is what statistically works the best first and the hypothesis of why you would start with, where you start, whether it’s trauma, bleeding, torn and broken, and then find your way through. But don’t flip out if you don’t start there because it’s going to work or it’s not going to work. And when it doesn’t work.
Dr. Carol:
And when it doesn’t work, you do something else.
Kim Pittis:
Exactly.
Dr. Carol:
I have one for you from this week.
Kim Pittis:
Do it. Let’s talk about it.
Dr. Carol:
Patient comes in and he’s had a kidney transplant, and so he is on an immune suppressant that is causing peripheral neuropathy. Oh, yeah. And he’s had an MRI of his spine and his lumbar spine, and the findings are pretty ugly. And he said, so I have some low back pain and a little bit of knee pain, but I want my hands and my feet to feel better and but on his pain score, his pain is an eight and I said, where is your pain in eight? And he said, Oh, it’s right here. And his wife was there and he’s just his good old boy, farmer, logger, Right? And so he just drops his trousers, shows me where his pain is and he’s got shingles at S2 and S3. And it’s. Oh, my. This just changed the entire game. Lay down. So I ran shingles. And then I said, here’s the bad news. I can’t use anything that has 40 in it because you have a viral infection. So if you look at the neurologic diagram, S2 and S3 on the sacrum, but the other end of that nerve root is your genitals. So that is we didn’t want shingles to go anyplace in a patient that’s on an immune suppressed. So, I couldn’t use 40 for his low back. So we just played with the fingers on the feet. And I could do some things that warmed him up and finally, after the second session, when nothing was holding he said, my hands feel cold. Took the temperature in his hands. His arms are 97.1. His hands are 97.3. They’re actually warmer, but they feel cold.
Kim Pittis:
Gotcha.
Dr. Carol:
At which point I texted Ben Katholi and Dave Burke and said why does this immune suppressant do that at the tip of his fingers within ten minutes? Ben Katholi sends me the article that says how that works.
Kim Pittis:
Cool.
Dr. Carol:
Yeah. Too complicated to talk about here made my brain hurt. I’ll try again on Thursday, but the shingles protocol is working. The rash is getting less red. It’s getting smaller. The pain is not an eight. It’s a five and because he’s immune suppressed, I sent him to urgent care last night to get acyclovir. It’s an antiviral and I’d love to have FSM be the thing that takes care of his shingles, but just in case, there you go. So that was really fun and then we’ll work on his low back, his all facets is easy.
Kim Pittis:
So his back pain was new or he’s had back pain and it happened that he had shingles.
Dr. Carol:
Yeah, it’s the back pain is chronic. And if you’re not going to treat 40 because you can’t treat 40 because he has shingles and he’s leaving Friday. He’s not going to be finished. with shingles by Friday. So, he had arthritis also in his fingers. Right< So I was able to treat the arthritis. Normally, we would use 40 for the cartilage and just as a baseline and then you go to the calcium deposits. I started with the calcium deposits and it worked. I didn’t have to do 40. That’s confusing.
Kim Pittis:
I think you know where my brain is going in the last few months anyways is and it’s not a new concept and this is what kind of makes me mad is because I’m like, this is not new. Why are you just now thinking like this? But I think 40 for the longest time was like our go-to for everything. And again, it’s going one step backwards and thinking, but why is it inflamed? And then that is your starting point. And I get it. There’s times where you just want to jump all over 40, especially when it comes to nerve pain or running it in the cord because it will get that patient’s pain down so quickly. But that’s not where you stop. And I think that’s where a lot of people do stop is they’re like, Oh, it worked. It brought the pain down. Yeah, but it’s not going to last. And until you figure out why are we in this condition in the first place.
Dr. Carol:
Unless we’re lucky and it’s just another traction injury. But if it’s a disc bulge that’s causing the nerve pain, you do 40/396 to reduce inflammation in the nerve, to get rid of the nerve pain because that’s what patient cares about. And then you treat the disc and then you tell the patient, this isn’t going to last because you have a sprained ankle in your neck. And it’s going to take six weeks, assuming you don’t do anything to make it worse in between now and six weeks from now. The next time you bend your head down and lift a 20-pound box. That’s the day that the six weeks starts all over again.
Kim Pittis:
But don’t you think, this is where I wanted to go? So I wanted to do this little hot stove with different body parts. We’ll talk about a foot and ankle, maybe one of the most other complicated cases or whatever and we could just brainstorm and we could go from there. But so I’m going to go back to the nerve traction injury for a second. Don’t you think that even the nerve traction injury, you could go back one step further, too, because it’s like, again, it didn’t just traction out of thin air. There was trauma. There was probably bleeding.
Dr. Carol:
Torn and broken.
Kim Pittis:
Or there’s torn and broken. There’s the allergy reaction. There was all of that before the nerve needed 40.
Dr. Carol:
Yes and what does the patient care about?
Kim Pittis:
Getting out of pain.
Dr. Carol:
Getting out of pain. So that’s the first thing I do. Yes, I’ll do 40. And then once pain is gone, then we can.
Kim Pittis:
Go back. Yeah, my point was like always our first public enemy number one, get the pain down because nothing will ever. Yeah, I get it. You have to heal this and you have to do that. But if they are up here with pain, upset or stressed like nothing’s going to move. Nothing’s going to hold.
Dr. Carol:
Right.
Kim Pittis:
But I think where I’m really trying to drive the point across now, especially the way I’m teaching, is don’t stop, don’t stop at 40 because stress, why it got to that state. So all this stuff over here, nothing’s holding. And my quote of the day, normally, we end with the quote, but we’re starting and just to keep us on track. So the theme was or the quote was, “we repeat what we don’t repair.”
Dr. Carol:
Oh, I like that. Okay.
Kim Pittis:
Super simple, but it works in so many cases. And it is true. So I’m sure you get the same set of emails that come in and they give you a case and they run all the frequencies and you’re reading it and you’re like, Yeah, that’s great, That’s great, Check. Check. I would do that and then you keep reading and then they say, but it doesn’t hold.
Dr. Carol:
Yeah. And what is the perpetuating factor? There are so many places where you have to go look that up. Those are the days where, yeah, what I need is Kim in the gym over here or Kim 2.0 or 1.0 or something in the gym to do the rehab, because that’s the missing piece.
Kim Pittis:
And sometimes that is the missing piece or sometimes it is just something that you missed in the treatment that is causing that splinting to to come back or it’s the stable state. There are so many places that my brain wants to go to and I don’t have the right answer of, I don’t know if you missed anything. I don’t know if the patient just didn’t disclose a certain part of their history because they forgot or they just didn’t want you to, couldn’t tell you.
Dr. Carol:
It was when we did the practicum last weekend before one of the students had the idea to run one CustomCare on 40/396 to do the axilla and then would use the PrecisionCare and if you’re going to do quiet the nerve on one, so you don’t have to switch back and forth between the two. You could hook up another CustomCare and just treat the disk because the disk is always what’s wrong with the shoulder. Unless they fell off a horse and fractured their shoulder. So there’s that.
Kim Pittis:
And a lot of these questions and a lot of these I don’t want to say talking in circles because it’s not it’s all relative. But if you have multiple machines, it makes that troubleshooting that much quicker because. If I’m running something, okay, let’s go back to your shoulder and if I have somebody that has frozen shoulder, painful shoulder scar tissue, shoulder nerve traction shoulder, I don’t care what kind of shoulder it is, I’m running 40/89 on one for sure. Because the shoulder is one of the most unstable, movable joints that we have and especially if you treat somebody and you want to treat somebody effectively, they have to have the buy-in. So their shoulder has to be completely relaxed in your arm, especially when you start going into the axilla to do a subscap treatment or to start moving it because when you’re running 13, you want to mobilize the area. That is the first test. If I do not have the entire weight of that person’s arm, all bets are off because the minute they are holding it up and people are so funny, they’re like, I’m like flexing. I am relaxed. And you let go of their hand and their arm is still standing there.
Dr. Carol:
Yeah
Kim Pittis:
That should be falling if you were relaxed. So 40/89. And absolutely running something on the nerve, whether it’s 13 or 40 on the other CustomCare then you have your PrecisionCare for all the other stuff. So that’s three at a bare minimum.
Dr. Carol:
Yeah.
Dr. Carol:
My patients are so funny because they always bring their CustomCare’s in and they’re always like, just in case you need a seventh. Just in case, or a third, because sometimes mine are gone for rentals and nobody ever wants to be without multiple machines because people know how much more effective it is. And I tell them to bring it in because I want to update it, which is something else I wanted to talk about. But.
Dr. Carol:
Okay, cool.
Kim Pittis:
Updating CustomCare’s. So this is like the busiest stretch of my professional career because it’s the off-season moving into the in-season and all my athletes have CustomCare’s that expire at the end of the season
Dr. Carol:
June or July.
Kim Pittis:
Yeah. And I do that on purpose because this promotes them to check in with me so I can make the next season’s prescriptions that much more effective.
Dr. Carol:
Right.
Kim Pittis:
And I don’t even think it’s for athletes. Like, I have my laypeople all have them expire once a year or every so often because things change and you want things to change. So as things heal, they’re no longer relevant anymore. They may have new conditions. We’re always changing. And I keep thinking about when you were lecturing a while ago about we don’t have one cell in our body that we didn’t have, how I can’t remember the timeframe that you gave.
Dr. Carol:
It depends on the tissue but even bone remodels, I think it’s about once a year. But you don’t have a single cell in our digestive system that was there seven days ago.
Kim Pittis:
That was what you were saying. And yes, granted, each tissue is different, but my point is that the same goes for frequencies where we’re resonating a couple of years ago, a couple of weeks ago is not where we’re resonating. And yeah, we can get really close with a lot of things, but wouldn’t you want to be as dialed in and as specific as possible, both as a patient and as a practitioner? So, the practitioners that are listening can have these prescriptions expire so that you can have a quick zoom call or phone call. It’s so easy now to push the prescriptions to people, have their own cables. It’s so exciting to write programs specifically for people. It doesn’t get more than that.
Dr. Carol:
I don’t know, maybe everybody knew about this except me, but there’s a feature on the new CustomCare software. So let’s say I create a program specifically for this one patient that’s got some really neat features in it. There is now a button that you can push that says Add to Mode Bank.
Kim Pittis:
Ooh.
Dr. Carol:
Yeah. So you have somebody.
Kim Pittis:
I just write it in the mode bank and then I move it over.
Dr. Carol:
I used to do that too, but then you end up with a bunch of different versions of X.
Kim Pittis:
Yeah.
Dr. Carol:
So there’s a protocol called knee pain.
Kim Pittis:
Yeah.
Dr. Carol:
But then this one person with knee pain, almost all of his knee pain was because he had a medial meniscus that was frayed and torn and broken and that ligament and connective tissue that was almost a whole thing was just torn and broken.
Dr. Carol:
Right.
Kim Pittis:
And so I called it meniscus. And there was that button that said, Add to the mode bank. Yes, click. Isn’t that cool?
Kim Pittis:
Yes.
Dr. Carol:
Such a good job with this software.
Kim Pittis:
Yes and yes, it is cumbersome at times, but it’s like anything, once you get the hang of it, it’s just.
Dr. Carol:
It’s only cumbersome because it has actually been designed to not let you make a mistake. So remember how difficult the old software was because you’d leave a zero and a spot or you’d put something out of order and yeah, just a mess. And when what’s his name designed this stuff? He said that was Danielle’s rule. No mistakes. Are you sure you want to do this? You sure you want to close this and not save it? All that let you.
Kim Pittis:
And it’s funny because the saving was a new feature that I had to was okay, save. So I’m glad I’m saving it and I’m doing this is like my mousey finger. But anyways, so yeah and for the patients that get maybe frustrated about having to check in, I know some of my athletes are like, my prescription expired. I’m like, we go through this every year. What expires pretty much the day after your season ends? That is the time to check in with me and if all things are the same, great. It’s two clicks and you’re off. Because once we got that software that the patients can have their own portal. All my athletes got a little gift in the mail and they were programing cables and so that made my life so much easier to be able to just push their prescription to them.
Dr. Carol:
Much easier.
Kim Pittis:
And their updates and yeah and we’re not missing two days of them overnighting me and machine, me updating or making something like Uber specific and then overnighting it back because as in those acute conditions, every second you need to have frequency on them.
Dr. Carol:
And that’s assuming that the overnight actually turns into overnight.
Kim Pittis:
And never does.
Dr. Carol:
That’s the face. Yes. What do you mean it’s in Cleveland. You live in Dallas. Why is your unit in the post office in Cleveland, etc.?
Kim Pittis:
Yeah. And I’ve had one that actually went missing. It was just it’s been in Kentucky for six years. That saves one day. It’ll turn up, I’m sure. Okay.
Kim Pittis:
We have a couple of questions. Some were emailed, some are on here. Before we go to the ones on here, you and I both got an email about tinnitus, which.
Dr. Carol:
Oh yeah.
Kim Pittis:
I’d like to get that one done because that is a pretty common condition. And so I’ll let you start and you’re going to have to explain what it is, first of all, for a patient.
Dr. Carol:
Tinnitus is that ringing in your ears. It’s usually high pitched, always high pitched. And I had it from aspirin. Aspirin is ototoxic. And if you don’t have a gene that allows you to detoxify, its sod2, if you don’t have the gene that allows you to detoxify NSAIDs or aspirin then, I was on one baby aspirin a day after my heart surgery and on day 365, I woke up with this in my ear.
Dr. Carol:
I just live with it. Yes, it’s aspirin, blah, blah, blah. About 4 or 5 years later, my daughter says, Mom, you really have to get a hearing aids. Why? The TV is too loud and you keep saying, what? Okay, fine. I got hearing aids and my tinnitus disappeared. So I called the audiologist at Good Samaritan that does our Vestibular testing. And I asked her, I said, what’s tinnitus? What causes it? And she says, It’s phantom limb pain for your ears. So everybody knows there’s the cochlea is that little spiral thing and it’s got little tiny hair cells in it that are actually nerves and when the bones in your ears make waves in the fluid that’s inside that cochlea, the little hair cells wiggle with the waves and tell this part of your brain, Hey, there’s a sound, and your brain interprets that as sound. When you lose hearing most often the most fragile of those little hair cells are the high-frequency ones, and they’re the ones that go first. So when she said tinnitus is phantom limb pain for your ears, it made sense as to when people say, what do you do for tinnitus? And I say this. You just put your hearing aid in and there you go. It’s pretty much gone. Now, that being said, the cures for tinnitus that are all over the internet, even in the FSM community, somebody that ran something in an ear and tinnitus goes away. And it’s, wow, that’s cool. Not sure how that works. I tried one of the supplements that was supposed to cure tinnitus. I used that for a year, didn’t do anything. This fixed it. So that’s tinnitus.
Kim Pittis:
I have a patient who had tinnitus and I took Tom Affleck’s tinnitus solution and I tried it on her. Didn’t do a thing. And I said, you really need to get your hearing checked and then we can talk. If you have high-frequency hearing loss, then what you need is hearing aids, and then the tinnitus goes away as long as you’re wearing your hearing aids. Travelin Simons talk about trigger points in the SCM that will create tinnitus. I’ve never encountered that in a therapy situation, so I don’t know if it’s true, but they tend to be truthful. So that could also be a thing. So the answer to the email is get their hearing checked and do that.
The only thing I would have to add is what you alluded to with Travell and Simons trigger points, because we have cases with post-concussion syndrome where tinnitus started after that, and the cases that I have personal experience with it has been due to musculoskeletal, so SCM trigger points and doing concussion protocol supine cervical has helped that. But it wasn’t just frequency. It was doing a multitude of things for C-spine health.
Dr. Carol:
And following a concussion makes sense because the SCM is innervated by the accessory nerve and C1, 2 and 3. If you get concussed, then it would make sense that the medulla gets inflamed or irritated, makes this muscle tight. The increased tone in the SCM creates trigger points and it’s like dominoes. So that makes sense. It’s worth a try.
Kim Pittis:
Yeah, exactly. And especially when the onset again, the mysteries and the history. So if the onset of the tinnitus was due to trauma, fall, head injury, that could be a way to go and worst case scenario, the neck.
Dr. Carol:
Yeah, exactly. That makes it even better. Yeah.
Kim Pittis:
Let’s head over to a couple of the questions that are on here and on the chat. I think there’s a couple that came in. I’ll let you start with whoever you want to start with.
Dr. Carol:
The two are from Maddie, which is.
Kim Pittis:
Perfect.
Dr. Carol:
How are you up at this time of night, girl? Have a patient when he presented with painful reflux with bad gas in the morning, 4 to 6 a.m. continues into the day for the last three years, he was diagnosed with IBS. Okay. What’s the first question you ask? What happened three years ago, right? Recently divorced, 3 years ago maybe, within the week I saw him. His wife suffers from chronic back pain, has a spinal cord stimulator, can’t work. So his new wife or his old wife? He’s working two jobs. Remote mining and pest control. Night shift. Sleep deprivation. 15-year-old, mom and dad. History of violence and abuse. Vagus. Tinnitus and Hearing Loss. 11 knee operations, Football Player. Tinnitus Hearing loss in the left ear. This is all one person. Left ring finger 5 operations to fix fracture and ligament. Brain fog. No fooling. 70% gluten free. That’s like being a little pregnant, but still eating wheat, pizza and drinking beer. Bloating and gas reaction. Celiac test is negative. Concussion in Vagus depression, relax and balance, IBS with no change. You think, it’s very frustrated, seen many clinicians cannot figure out what was wrong? Oh, my God. Oh. You talk him. I have no words. Are there any of the boxes he didn’t check?
Kim Pittis:
I was just going to say, this is the patient whose history makes the hair on your neck stand up and you’re like, Wow, where do I even start?
Dr. Carol:
And the other thing is, it’s one treatment is this is the reason that it’s twice a week for 4 to 6 weeks. It is also being willing to have what I call the come to Jesus conversation with the patient. It is really difficult to bail out a boat while somebody is still shooting holes in the bottom of it. Your life is a management problem. Not your fault. But at least five days a week, you are shooting holes in the bottom of your boat. I can help you bail it out, but this leads to that. And then you have a conversation about. I know you’re not celiac, but you’re obviously gluten-sensitive. So do the worst first. Give me six weeks with zero gluten. Gluten-free beer sucks. So drink wine if you need alcohol. Drink vodka made out of potatoes, but no wheat. Zero for six weeks. Why six weeks? on the Friday of the sixth week, you can have beer and pizza and see how you feel on Saturday, and then we won’t ever have to have this conversation again. But creating a realistic expectation for a patient with that kind of history. So. If finances, and I don’t know if it’s possible, if finances allow it. This guy needs to run concussion in Vegas every single night and because he played Australian football, which does not involve helmets or padding, mind you, the other thing you need to do is of Vestibular screen to make sure that 94 is appropriate. Tinnitus and hearing loss. Just in his left ear suggests he probably does have a Vestibular injury. Just one ear, does that make sense to you?
Kim Pittis:
No.
Dr. Carol:
Let’s see. Yeah.
Kim Pittis:
She’s already treated him.
Dr. Carol:
She’s only, with no change, Matty, did you just treat him once?
Kim Pittis:
And he’s recently divorced. She says he’s two weeks divorced.
Dr. Carol:
But then also his wife, so his ex-wife? His old wife, He’s only been divorced for two weeks. Oh, he lives three hours away. Oh, my gracious. Okay,
Kim Pittis:
So don’t freak. I wouldn’t expect much change after one treatment. And you had a great start with everything.
Speaker2:
All the right stuff.
Kim Pittis:
Yeah.
Dr. Carol:
It’s the only thing you missed was TTH.
Kim Pittis:
That’s where I would have started with one machine just on the background, just to get that out of the way.
Dr. Carol:
Yeah.
Kim Pittis:
That was too many boxes. Like you said, every section of your patient form was probably like just highlighted everywhere. So when you highlight those like, why did I…
Dr. Carol:
Three hours away?
Kim Pittis:
This would be the patient, in my opinion, that I would try to get a rental to him. And you would need at least four programs a day. Take it for a week to just make a dent in it before he even came back to see me. That’s just my opinion.
Dr. Carol:
Yes, oh no, absolutely. And the come to Jesus conversation of six weeks with no wheat zero and get in his head the connection between wheat pizza and beer and bloating and gas And the brain fog. And he’s working nights.
Kim Pittis:
Yeah. So the circadian rhythm is going to be disastrous.
Dr. Carol:
Salivary hormone testing for cortisol and find out if he’s on statins. I don’t know how old he is, but I had a patient come in who was on statins. His cholesterol was 130, and his major complaint was brain fog and depression. You think? And yeah, so there’s that. So just always check that.
Kim Pittis:
No. And what you said. Yeah. I just think there’s too many things there. And again, like, just for me, for as a clinician, I want to treat people in the clinic with my hands and with exercise and a lot of this stuff. He could be treating himself at home frees up my clinic space and he doesn’t need a ton of manual therapy for the stuff that needs to just be, like I said, cleared out of the way. So TTH, concussion in Vagus, Sibo, probably, leaky gut, probably, like running all those visceral conditions at home.
Dr. Carol:
Yeah.
Kim Pittis:
Especially when no statins. He’s 42-years-old.
Dr. Carol:
And it also helps to tell him that the divorce takes about a year to get adjusted to the mess. As long as children are involved and ex-wives and relationships coming apart and property and all that stuff, it’s like having a death in the family. And even when the divorce is a good idea. You don’t know whether to say condolences or congratulations, even when it’s a good idea. It’s still a year.
Kim Pittis:
Wow.
Dr. Carol:
It’s the same as having what died was your idea about what this relationship was going to turn out to be? That’s what died.
Kim Pittis:
Yeah, grief is a very funny. I’ve used the grief frequency when certain when you just know you have to hit a after you’ve done concussion and all the things and there’s still like this motion or the story that they keep telling you. I’ve run grief when people have retired, when kids have moved out. and it’s to your point, the person or human didn’t die or didn’t die. It’s the death of a chapter in their life.
Dr. Carol:
Yeah.
Kim Pittis:
The heard stop or something, right?
Dr. Carol:
Yeah. Absolutely.
Kim Pittis:
Very interesting. And what is grief again? What is the frequency for it?
Dr. Carol:
17 and in Chinese medicine, grief is the lung.
Kim Pittis:
Lung.
Dr. Carol:
And when someone has the stages of grief that they talk about actually apply with FSM as well. I tell the story when we talk about using the frequency grief, is complicated because grief is socially acceptable, for people to grieve. But the only time I’ve ever had trouble running one of the 970s is when students ran 970 and 17, the frequency for grief on a woman who had lost her son. Actually, it happened two different seminars, five years apart. And the woman lost her son had a genetic condition. She took him into the emergency room. The doctors wouldn’t listen to her and he was dead by morning. She came and took the class. She has another son. Three years younger with the same genetic condition. And the team at her table, being all women, were running the frequency for grief and she’s weeping buckets. And I crept over to the table and just changed it to 970 and anger, 35. She wasn’t grieving. She was furious. It was beyond anger. It was rage. As soon as we ran the frequency for anger, she stopped crying.And we ran that for about five minutes. Could talk about it, right? We ran resentment. Got that? But she’s got another son and she’s got the same problem looming in the future.
Kim Pittis:
She’s terrified.
Dr. Carol:
So we ran 970 and terror. 970 and fear. And then we can run 970 and grief, the lung. Not a drop. Not a tear. So grief comes in layers. So the difference between retiring by choice at the age of 70. That could be 970 and 17 just grieving the loss of that is different than getting laid off at the age of 64 because your employer is not a nice person. And so then you would think about looking at the emotions. As you would see in layers. What’s first? He’s scared because of his finances. He’s angry because he didn’t deserve to be laid off. And they did it to him at age 64. They could have given him another year. Give me a break. So resentment, then. Grief. And turn the Vagus back on. The Vagus is the source of information that tells the most primitive part of your brain that you’re going to be okay. The Vagus once you see it, you can’t ever unsee it.
Kim Pittis:
And that was going to be my follow-up is I now learning so much about the midbrain and the vagus, whereas before I would just jump to the emotions. I don’t do that until I’ve treated the midbrain, concussion in Vagus. I’ll let that happen first. I’m not sure if that’s the right thing to do or not or if you can run emotions.I just think that’s the safer baseline to… It’s like running trauma and bleeding before I do torn and broken. Like I know something else is behind this. I’ll just let that.
Dr. Carol:
The emotions come from the midbrain, they come from the amygdala.
Kim Pittis:
Yeah.
Dr. Carol:
So you would run the where they come from. Quiet that down.
Kim Pittis:
Right.
Dr. Carol:
And then run the 970. I think it makes perfect sense.
Kim Pittis:
And I’ve just found that so often than not. Starting with 40/89 quieting the midbrain, running concussion in Vagus first. It just changes everything about that person. So they end up telling you more about the history. They tell you more about the story, what they’re feeling, as opposed to just trying to throw darts at the wall. Are they angry? Especially those of us who don’t have a psychology background. You’ve got a much clearer picture of what people are feeling just because of your training.
Dr. Carol:
Yeah. It’s a perfect storm. I had a patient also this week who said, Oh, I have asthma and I’m just allergic to everything. Really? And what was your other thing? Oh, and she’s got nonalcoholic fatty liver disease and she’s in a happy relationship. She’s in her 60s and I said, when did your allergy start? She said, oh, when I was a kid, I was allergic. And I said, What was your childhood like? Was it peaceful or a little bit chaotic and traumatic? And she said more on the chaotic, abusive and traumatic end. And I’m on. Okay, So this is why you have allergies. So, I warn my patients, I’m a teacher. If you don’t want to know where things come from, you have to tell me or I’m it’s just going to come right out of my mouth. This is why you have allergies. Because your vagus nerve got turned down when you were a kid, and it stopped suppressing macrophages and T cells. So you developed allergies and instead of getting eczema, you got asthma.
Kim Pittis:
Right.
Dr. Carol:
And the other thing the Vagus does is it keeps the liver from turning glycogen into sugar. She doesn’t have a bad diet. She’s not obese. She’s menopausally tummy. But who isn’t at our age? And I said so you’re Vagus has not been telling your liver, don’t produce sugar because your Vagus has been turned down since you were about three. So plopped her in a rocking chair while I treated her husband and treated nonalcoholic fatty liver, concussion in Vagus and asthma. And at the end of it, she’s just floating. We don’t charge extra for it. She said, Oh, that’s the dude effect. All 50 states. And we don’t charge extra for it.
Kim Pittis:
No.
Dr. Carol:
Once you see it, you can’t unsee it. And it’s all connected. And it made it easy to ask the question. What was your childhood like?
Kim Pittis:
Right.
Dr. Carol:
Started in childhood. What was your childhood like?
Kim Pittis:
Yeah.
Dr. Carol:
Okay. Maddie has another question. We’ll talk about a goalie. So this is hockey goalie who split pads and got crushed by a bigger player in butterfly stance. So butterfly is when they are, like, splayed out, like the splits, has a grade 2 to 3 MCL strain. MCL is a medial collateral ligament which checks lateral blows. So it’s a very common one in sports. She ran concussion in Vagus, soft tissue acute and then several hours of 124/100 torn and broken in ligament and torn and broken in the connective tissue. He’s now able to do full depth squat, great, but cannot bring his foot out to the side. Testing the MCL. Okay. We’ve discussed surgical review. We’re on a timeline. Get him back ASAP. Of course. Okay.
Dr. Carol:
Meniscus.
Kim Pittis:
Yeah. So took the words right out of my mouth. This is why we collaborate so well. The MCL is the medial collateral ligament and very hard-pressed to find an MCL that has a strain that the medial meniscus didn’t also have some sort of trauma to as well. So torn and broken in the meniscus would be my next thing. If the meniscus still has trauma to it, there’s no way you’re going to get that VMO, The Vastus Medialis Obliquus, to help stabilize for squat patterning.
Dr. Carol:
124 and 214. Is actually more important than the ligament. If you can repair the meniscus, the ligament has to be repaired too. But it’s.
Kim Pittis:
But they go hand in hand and with a goalie, again, this is where we try to get as ergonomically specific as possible. They have so much torque on their knee because they’re going into the splits and there’s more torque on the knee for a goalie than there would be a normal hockey player or a football player because of the mechanics. So chances are that meniscus, he’s 17, he’s been playing goalie probably for at least ten years, probably specialized that meniscus has had tons of torque and micro-tearing in it. So I would also do joint surface as well, which helps, which is one layer underneath the meniscus. So 214. Truth be told, I didn’t like that frequency for a while, but now I love it for meniscus and labrum is my happy spot.
Dr. Carol:
Especially for knee pain, medial knee pain. It’s never not the meniscus. And if you look about the surgical review, when they do an MRI of the knee, the surgery doesn’t shorten the ligament, it takes out the meniscus.
Kim Pittis:
Yeah.
Dr. Carol:
they don’t even repair the tear in the meniscus, I don’t think, do they? No, they just trim the shreddy parts.
Kim Pittis:
Yeah.
Dr. Carol:
The next is. You say it. Yeah.
Kim Pittis:
Yes. And when treating the meniscus, regardless of how you’re doing it, the first set of exercises are going to be open chain, terminal knee extensions to get the VMO to fire. So VMO only wants to fire that last 30 degrees of extension. So doing it open chain now would be a good idea Even if you have to go surgical, you want to get that VMO strong before surgery. If you don’t have to go surgical, you need to get that VMO strong. So just doing open chain, which means non-weight bearing, right? That foot is free in space to just.
Dr. Carol:
Could explain or demonstrate what that means? Because you left me in the dust there.
Kim Pittis:
Okay, so. Open chain means non-weight bearing. So the chain is open. So if I’m doing my knee, you got my knee here, open chain would be just the last 30 degrees of extension.
Dr. Carol:
Okay.
Kim Pittis:
If I’m slightly bent, you would have a bolster under your knee to locking it out into extension. And that’s what’s going to really make the VMO fire the most.
Dr. Carol:
In external rotation, right? To get the VMO to fire.
Kim Pittis:
You can do it neutral, but external rotation.
Dr. Carol:
Yeah.
Kim Pittis:
Even more.
Dr. Carol:
It also takes the strain off the medial meniscus if they’re an external rotation, right?
Kim Pittis:
That’s right.
Dr. Carol:
AR and then go into neutral.
Kim Pittis:
Yeah.
Dr. Carol:
And then if he’s really brave then you put a 1-pound weight on his ankle and have him do it.
Kim Pittis:
Yes.
Dr. Carol:
And then you want to go to close chain as fast as possible. So standing and then having a band behind their knee and then going into extension because weight-bearing proprioception, blah, blah, blah. So again this goes into when I read he can’t he can do a full squat but he can’t externally rotate. Why can’t he? Is it inhibited Because the central nervous system is still, no, there’s trauma here. We can’t wait there through there so that could be just that firing pattern. So doing the wipe and load or it’s because you haven’t addressed the meniscus and there absolutely is still trauma there.
Dr. Carol:
So there is no stability, the meniscus is what takes the femoral condyle and keeps it where it’s supposed to be.
Kim Pittis:
Exactly.
Dr. Carol:
And if the meniscus is shredded when the condyle does this, it gets caught on the tear.
Kim Pittis:
Yeah.
Dr. Carol:
And your cerebellum says, I don’t think so. Oh.
Kim Pittis:
Why would we do this? But for a goalie, he needs to get that. That has to happen. So yeah. Maddie I would try to incorporate open-chain exercises. So scrap the squat because it’s loaded and that’s a scary position if something is still unstable and move into open chain exercises and if you still need, you can do wipe and load with an open chain exercise. So probably not that much wiping but increasing secretions. So 81/84, 81/92 an open chain exercise would be very cool to do and treat them.
Dr. Carol:
Hours and hours of 124/214 and 124/100.
Kim Pittis:
Yeah.
Dr. Carol:
Yeah.
Kim Pittis:
Yeah. Nerding out, everybody. All right, a couple more questions. Oh, geez. It’s almost time.
Dr. Carol:
It is not.Oh, my Gosh. There’s more.
Kim Pittis:
John.
Dr. Carol:
Thanks.
Kim Pittis:
Okay. John Meyer
Dr. Carol:
Hi, John. Great success. Yay! Getting ideas here. Not a doctor, but I love to learn. 70-year-old badly damaged right shoulder from a freak accident ten years ago. Surgery back then, infection. So they removed all a year later. Okay. Never mind limited motion in the right arm, you think? Client, blah, blah, blah. Eduardo worked on art, movement in the range of motion. Jessie had to leave the island. Oh, and by the way, the patients that came to see me this week were sent by Jessie. That’s another conversation. Blah, blah. Take over, MRSA. And while doubting again idea scarring on the nerves and the fascia. So I had her put her arms together in front, hands together, elbows, straight movements, scarring, Kim’s wagonload. So cool to witness this. Yay. Isn’t that just cool? Stop being afraid. Forget what it used to be. Then learn a new way to move it. Learn a new way that it is now. That’s what? 81/84 and 81/92 translates to. Shaky movements become steady and calm. Isn’t that so fun?
Kim Pittis:
Because it’s safe.
Dr. Carol:
Yeah. The brain thinks it’s safe. Yeah. Her goal was to be able to reach the dishes on the lower shelf.
Kim Pittis:
Okay.
Dr. Carol:
Got a picture of her grabbing her dishes for the first time yesterday. Made her day. Yay! Thank you John.
Kim Pittis:
I love seeing stuff like this.
Dr. Carol:
Oh, okay. Bruce.
Dr. Carol:
The single frequency treatments which are referring to is the Healy. And those frequencies are from Nuno Nina and other. The term Healy uses is databases, and I have absolutely no experience with where they came from, what they do or whatever. And you can’t convert the dual frequencies to a single frequency approach, mostly because all we do know is that the condition and the tissue have to be correct. And in that field, you have the frequency from A, the frequency from B, the sum of the two frequencies and the difference between the two frequencies. And I’ve never we’ve never figured out a way which one, which piece of that combination. Could do all the work. So we’ve always used two frequencies and the other thing with the single-frequency device that he’s referring to, the Healy, is that the device is supposed to do an analysis of your quantum field. And then the device decides. You tell it what general area you want to address, and then the device decides what to run. That is the one part. Like there are people around the world, thousands and thousands of people that love little Healy and I would still rather have the diagnosis and the choices made for right or wrong. In between your two ears, Bruce. I’d rather trust you to make an honest mistake and be able to work forward from this didn’t work. So what is it? So, if you taken the Core once or twice, taken Kim’s class, the purpose of every class that FSM gives is to teach you how to think. So I’d rather trust your brain than any gadget that’s this big or this big. I just can’t. I never can get past that. And people have for at least 40 years that I know about had devices that analyze acupuncture points and meridians and the bioenergetic field and trying to find a device that will do the diagnosis and and it never works. They come up with some things. But just no. Hang in there, Bruce. Stick with FSM. You can use the single channel device and for what it’s good for because a lot of people use it and feel great. But when it comes to fixing this kid’s knee, I take FSM every time. Way to go. Hi.
Kim Pittis:
An hour, it’s just gone.
Dr. Carol:
How?
Kim Pittis:
The vortex. The vortex is knowledge. It just like.
Dr. Carol:
We’re some sort of time warp? It’s like we enter this black hole at 3:00 and all of a sudden it’s 4:06 and I don’t know. But it’s sure fun.
Kim Pittis:
I know. I loveThanks, everybody, for coming and listening and those valuable questions. Hopefully, we helped.
Dr. Carol:
And 19 more sleeps until we’re in Australia.
Kim Pittis:
very good. I will see you.
Dr. Carol:
Yep. And then JJ is coming to Taiwan and bringing the machines with him so we don’t have to trust shipping and will be in Australia. And then Kevin and I head to Taiwan and we’ll meet JJ there and there’s 25 people signed up for Australia. There’s a week ago there were 30 people signed up for Taiwan and that’s what a month and a half before. So we’ll be at 35 or 36.
Kim Pittis:
Yeah.
Dr. Carol:
That’s pretty fun.
Kim Pittis:
Don’t forget to sign up for the Advanced.
Dr. Carol:
Yes.
Kim Pittis:
Tickets go quickly.
Dr. Carol:
You and I get to chat after this, right?
Kim Pittis:
Yes.
Dr. Carol:
Okay.
Kim Pittis:
All right.
Dr. Carol:
So, we have a schedule for the Advanced very soon.
Kim Pittis:
All right, everybody. Thanks for coming.
Dr. Carol:
Thanks for coming. Do good things. See you next week. Bye.
The Frequency Specific Microcurrent podcast has been produced by Frequency Specific Seminars for entertainment, educational, and informational purposes only. The information and opinions provided in the podcast are not medical advice. Do not create any type of doctor-patient relationship and unless expressly stated, do not reflect the opinions of its affiliates, subsidiaries, or sponsors the host, or any of the podcast guests or affiliated professional organizations. No person should act or refrain from acting on the basis of the content provided in any podcast without first seeking appropriate medical advice and counseling. No information provided in any podcast should be used as a substitute for personalized medical advice and counseling. FSS Expressly disclaims any and all liability relating to any actions taken or not taken based on any contents of this podcast.
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